| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.70 | There was no dial tone for the two phones located in the living room during the physical site walk through. Attempted calls to the phone by staff were unsuccessful. | A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.
| The internet and phone service provider came and repaired the phone service in program. |
01/30/2026
| Implemented |
| 6400.72(b) | The sliding patio door in Individual # 1's bedroom would not open without due force during the physical site walk through. | Screens, windows and doors shall be in good repair. | The staff opened the door at the time of inspection. The Residential Service Manager sprayed the door bed/railing with WD-40. |
01/30/2026
| Implemented |
| 6400.106 | (Repeat from 4/14/25 Inspection) The furnace was inspected on 7/30/24. The following areas were identified as needing immediate attention: Hard Start and Surge Protector. No repairs were made. The furnace was reinspected on 5/30/25. It was recommended that the air filter be changed. There is no documentation that this was completed. | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| It was submitted that for the 7/2024 inspection, in lieu of the recommended maintenance, the entire system was replaced. The filter was changed as listed in the 5/2025 HVAC recommendations. |
01/30/2026
| Implemented |
| 6400.112(e) | The only sleep drill conducted from March 2025 to the present was on 10/21/25. | A fire drill shall be held during sleeping hours at least every 6 months. | Being as this fire drill was completed between 04/2025 and 1/2026, it cannot be completed or rectified. |
02/11/2026
| Implemented |