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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | At 4:26PM, the inside of the microwave had an inordinate amount of a reddish-orange food splatter. At 4:53 PM, three quarters of inside of the laundry tub in the basement of the home was coated in a dark, gray sludgy substance of dirt and debris which included four pennies. In addition, the light receptacle above this laundry tub was covered with an inordinate amount of spider webs. | Clean and sanitary conditions shall be maintained in the home. | We have contracted two cleaning companies to address all cleaning-related issues, beginning on Monday, October 28, 2024. One company will perform a one-time deep cleaning of each property, while the second company will maintain a monthly cleaning schedule to ensure ongoing upkeep. Should additional cleaning needs arise, we will adjust the cleaning frequency as necessary to maintain compliance. Our Director of Residential Facilities & Compliance will conduct walkthroughs of each property alongside the new maintenance staff to assess any residential housing damages. They will develop a completion schedule for each task, specific to each house, and hold daily meetings to review progress on completed and outstanding work. The cleaning team will submit a daily checklist detailing completed and pending cleaning tasks, including scheduled dates for unfinished work. Additionally, they will document all work with before-and-after photos to verify thoroughness and quality. |
12/16/2024
| Not Implemented |
| 6400.64(e) | At 5:17 PM, the trash receptacle in the home's staff office, measuring twenty-four inches in height, did not have a lid.[Repeated violation 7/23/2024 et al.] | Trash receptacles over 18 inches high shall have lids. | To address the absence of lids on trash receptacles, we are replacing existing bins without attached lids across all bathrooms, kitchens, and outdoor areas with step-on trash cans. One order was received on October 30, with additional orders expected on November 1 and 2. Residential site supervisors will verify the presence and functionality of these items during weekly inspections. |
12/16/2024
| Not Implemented |
| 6400.64(f) | At 4:17 PM, two discarded flatscreen televisions were against the side of an outside trash receptacle on the neighborhood sidewalk near the front curb of the home.[Repeated violation 7/23/2024 et al.] | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | To address the absence of lids on trash receptacles, we are replacing all bins without attached lids across bathrooms, kitchens, and outdoor areas with step-on/hinged trash cans. Additionally, an order for outdoor trash cans with hinged lids has been placed with Home Depot to prevent insect and rodent access. Residential site supervisors will conduct weekly inspections to verify the presence and proper closure of all receptacles. |
12/16/2024
| Not Implemented |
| 6400.66 | At 4:53PM, the two shop lights in the back half of the basement were inoperable. There is not another source of light in this area. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| We have hired two full-time maintenance staff who will start addressing all maintenance-related issues on Monday, October 28, 2024. Their primary responsibilities include assessing all damages, promptly fixing all reported maintenance violations, and maintaining the houses to ensure they are free from any further maintenance violations. They will also train staff on completing maintenance-related issue reports and perform daily maintenance check ups at all properties. Additionally, we have appointed a new Director of Residential Facilities & Compliance, responsible for overseeing all maintenance-related violations, supporting the correction of issues, and holding the maintenance team accountable. The Director will conduct comprehensive walkthroughs of each property with the new maintenance staff to assess all residential housing damages, develop a completion schedule for each task at each house, conduct daily meetings to review completed and outstanding work, submit a daily checklist of completed and pending tasks with planned completion dates, and document all work with before-and-after photos to ensure thoroughness and accuracy. |
12/16/2024
| Implemented |
| 6400.67(a) | At 4:39PM, there was a seven-and-a-half-foot long crack across the ceiling in the living room of the home. At 4:46PM, the center flooring, in the sitting room of the home, was chipped with circular marks and impressions encompassing a triangular-shaped area that measured six inches by six inches by six inches. | Floors, walls, ceilings and other surfaces shall be in good repair. | We have hired two full-time maintenance staff who will start addressing all maintenance-related issues on Monday, October 28, 2024. Their primary responsibilities include assessing all damages, promptly fixing all reported maintenance violations, and maintaining the houses to ensure they are free from any further maintenance violations. They will also train staff on completing maintenance-related issue reports and perform daily maintenance check ups at all properties. Additionally, we have appointed a new Director of Residential Facilities & Compliance, responsible for overseeing all maintenance-related violations, supporting the correction of issues, and holding the maintenance team accountable. The Director will conduct comprehensive walkthroughs of each property with the new maintenance staff to assess all residential housing damages, develop a completion schedule for each task at each house, conduct daily meetings to review completed and outstanding work, submit a daily checklist of completed and pending tasks with planned completion dates, and document all work with before-and-after photos to ensure thoroughness and accuracy. |
12/16/2024
| Not Implemented |
| 6400.67(b) | At 4:41 PM on 10/7/24, the window facing the doorway in the sitting room located on the home's main level had several shards of broken glass laying on its sill. Additionally, the frame of the window facing the side of the home in the sitting room located on the home's main level had several patches of chipped, flaking paint throughout and a black film covering its lower left corner that appeared to be mold or mildew. At 4:53 PM, the basement's floor drain located near the laundry area was missing a sewer grate cover, exposing a circular hole measuring six inches in diameter, and causing a tripping hazard. At 4:58 PM, an enclosed toilet located in the basement was covered with three broken pieces of drop ceiling tile that were coated in a black film, appearing to be mold. Additionally, a broken-half piece of drop ceiling tile covered completely in a dark, black film that appeared to be mold, was hanging vertically above the enclosed toilet located in the basement. | Floors, walls, ceilings and other surfaces shall be free of hazards. | We have hired two full-time maintenance staff who will start addressing all maintenance-related issues on Monday, October 28, 2024. Their primary responsibilities include assessing all damages, promptly fixing all reported maintenance violations, and maintaining the houses to ensure they are free from any further maintenance violations. They will also train staff on completing maintenance-related issue reports and perform daily maintenance check ups at all properties. Additionally, we have appointed a new Director of Residential Facilities & Compliance, responsible for overseeing all maintenance-related violations, supporting the correction of issues, and holding the maintenance team accountable. The Director will conduct comprehensive walkthroughs of each property with the new maintenance staff to assess all residential housing damages, develop a completion schedule for each task at each house, conduct daily meetings to review completed and outstanding work, submit a daily checklist of completed and pending tasks with planned completion dates, and document all work with before-and-after photos to ensure thoroughness and accuracy. |
12/16/2024
| Not Implemented |
| 6400.68(b) | At 4:37PM, the hot water temperature measured 133.1 degrees Fahrenheit at the bathtub in the home's only bathroom.[Repeated violation 7/23/2024 et al.] | Hot water temperatures in bathtubs and showers may not exceed 120°F. | To address the excessive hot water temperature at the site, the maintenance team will immediately adjust the hot water heater to ensure that the water temperature does not exceed 120°F. Maintenance staff will verify that the adjustment is successful by remeasuring the water temperature at the kitchen sink and any other accessible taps. Based on a state inspector¿s recommendation, more effective thermometers (EXTECH39240) were ordered, have arrived, and are currently being distributed to all sites to enhance accuracy in temperature checks. |
12/16/2024
| Not Implemented |
| 6400.72(a) | At 5:11 PM, the only window in the staff office did not have a screen.[Repeated violation 7/23/2024 et al.] | Windows, including windows in doors, shall be securely screened when windows or doors are open. | We have hired two full-time maintenance staff who will start addressing all maintenance-related issues on Monday, October 28, 2024. Their primary responsibilities include assessing all damages, promptly fixing all reported maintenance violations, and maintaining the houses to ensure they are free from any further maintenance violations. They will also train staff on completing maintenance-related issue reports and perform daily maintenance check ups at all properties. Additionally, we have appointed a new Director of Residential Facilities & Compliance, responsible for overseeing all maintenance-related violations, supporting the correction of issues, and holding the maintenance team accountable. The Director will conduct comprehensive walkthroughs of each property with the new maintenance staff to assess all residential housing damages, develop a completion schedule for each task at each house, conduct daily meetings to review completed and outstanding work, submit a daily checklist of completed and pending tasks with planned completion dates, and document all work with before-and-after photos to ensure thoroughness and accuracy. |
12/16/2024
| Not Implemented |
| 6400.72(b) | At 4:4PM, there was an eight-inch tear in the screen in the window facing the doorway in the sitting room on the main level of the home. At 4:50PM, the doorknob assembly, on the door to the basement, was loose and separated from the door's structure. In additions, this door was flush to the floor requiring excessive force to open and close.[Repeated violation 7/23/2024 et al.] | Screens, windows and doors shall be in good repair. | We have hired two full-time maintenance staff who will start addressing all maintenance-related issues on Monday, October 28, 2024. Their primary responsibilities include assessing all damages, promptly fixing all reported maintenance violations, and maintaining the houses to ensure they are free from any further maintenance violations. They will also train staff on completing maintenance-related issue reports and perform daily maintenance check ups at all properties. Additionally, we have appointed a new Director of Residential Facilities & Compliance, responsible for overseeing all maintenance-related violations, supporting the correction of issues, and holding the maintenance team accountable. The Director will conduct comprehensive walkthroughs of each property with the new maintenance staff to assess all residential housing damages, develop a completion schedule for each task at each house, conduct daily meetings to review completed and outstanding work, submit a daily checklist of completed and pending tasks with planned completion dates, and document all work with before-and-after photos to ensure thoroughness and accuracy. |
12/16/2024
| Not Implemented |
| 6400.77(b) | The home's first aid kit did not contain a scissors.[Repeated violation 7/23/2024 et al.] | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | To address the missing scissors in the first aid kit, small medical scissors were purchased and have arrived from Amazon. These scissors have been distributed to Residential Site Supervisors, who will add them to the first aid kits at their designated sites to ensure compliance with required contents. |
12/16/2024
| Not Implemented |
| 6400.77(c) | There was not a first aid manual with the home's first aid kit. | A first aid manual shall be kept with the first aid kit. | To address the absence of a first aid manual with the home's first aid kit, first aid manuals were ordered from Amazon, have arrived, and were distributed to Residential Site Supervisors. The supervisors will add a manual to each first aid kit at their designated sites to ensure compliance and immediate access in case of emergencies. |
12/16/2024
| Implemented |
| 6400.80(b) | At 4:21PM, the backyard of the home was strewn discarded items including an empty plastic drink bottle, an empty can of beer, a plastic lid and wrapping, and a plastic cup. In addition, there was a carcass of rodent on the sidewalk of the home. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | We have hired two full-time maintenance staff who will start addressing all maintenance-related issues on Monday, October 28, 2024. Their primary responsibilities include assessing all damages, promptly fixing all reported maintenance violations, and maintaining the houses to ensure they are free from any further maintenance violations. They will also train staff on completing maintenance-related issue reports and perform daily maintenance check ups at all properties. Additionally, we have appointed a new Director of Residential Facilities & Compliance, responsible for overseeing all maintenance-related violations, supporting the correction of issues, and holding the maintenance team accountable. The Director will conduct comprehensive walkthroughs of each property with the new maintenance staff to assess all residential housing damages, develop a completion schedule for each task at each house, conduct daily meetings to review completed and outstanding work, submit a daily checklist of completed and pending tasks with planned completion dates, and document all work with before-and-after photos to ensure thoroughness and accuracy. |
12/16/2024
| Not Implemented |
| 6400.82(f) | At 4:38PM, the home's only bathroom did not have a trash receptacle.[Repeated violation 7/23/2024 et al.] | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | To address the absence of trash receptacles, as well as prevent lid separation, we are replacing existing bins without attached lids across all bathrooms, kitchens, and outdoor areas with step-on trash cans. One order was received on October 30, with additional orders expected on November 1 and 2. Additionally, an over-the-sink mirror has been ordered and will be installed by the maintenance team upon arrival. Residential site supervisors will verify the presence and functionality of these items during weekly inspections. |
12/16/2024
| Not Implemented |
| 6400.171 | The following partially used open condiments with the directions, "Refrigerate after opening," were in the kitchen cabinet above the microwave: a 38-ounce bottle of Burman's Ketchup; a 17-fluid ounce bottle of Louisiana Supreme Hot Sauce; a 20-ounce bottle of Great Value Yellow Mustard; a 10-fluid ounce bottle of Pantry Basix Hot Sauce; and a 10-fluid ounce bottle of Clover Valley Soy Sauce.[Repeated violation 7/23/2024 et al.] | Food shall be protected from contamination while being stored, prepared, transported and served.
| To address improper food storage practices, all expired and improperly stored items in the refrigerator, freezer, and kitchen area were immediately discarded. Staff have been reminded of food storage protocols, including checking expiration dates and ensuring food is wrapped and protected from contamination. Additionally, a food safety flyer has been created and will be posted in the kitchen as a reminder of proper storage practices. Residential Site Supervisors will monitor food storage during their weekly inspections to ensure compliance. |
12/16/2024
| Not Implemented |
| 6400.216(a) | At 5:16 PM on 10/7/24, Individual #1's records that included a binder of personal information including medical appointments, medication administration records, and daily activity logs were on a shelf in the home's staff office. The door to this staff office is equipped with a pinhole privacy lock that can be unlocked with any thin straight device. | An individual's records shall be kept locked when unattended.
| All personal records will be stored in a locked filing cabinet within the staff office. The pinhole privacy lock on the office door will be replaced with a secure lock. Staff will receive training on the importance of securing records immediately after use. |
12/16/2024
| Not Implemented |
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