| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | The water temperature read at 144 degrees which exceed the maximum limit on 120 degrees. This was corrected after the inspection. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The water heater was adjusted immediately after the inspection to ensure the temperature does not exceed 120°F.
Water temperature was re-tested and verified to be within compliant range.
Maintenance staff were instructed to monitor and maintain safe water temperature settings.
Staff were trained on the importance of client safety and promptly reporting any environmental or safety concerns. |
01/20/2026
| Implemented |
| 6400.71 | There were no emergency numbers by the telephone. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| ASO posted emergency contact numbers by all telephones in the home, including fire department, police, ambulance, poison control, and provider contact information.
Maintenance was instructed to securely mount and maintain the postings to ensure they remain visible and intact.
Staff were trained on the importance of client safety and promptly reporting any missing or damaged emergency postings. |
01/20/2026
| Implemented |
| 6400.72(a) | The window on the left side in the Livingroom, both kitchen windows and the 2 windows in the middle bedroom do not have screens. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Maintenance was instructed to install appropriate window screens on all identified windows, including the living room, kitchen, and middle bedroom.
All installations were completed to ensure proper fit, security, and functionality.
Staff were trained on the importance of client safety and promptly reporting any environmental or maintenance issues. |
04/30/2026
| Implemented |
| 6400.73(a) | There's No rail on the basement stairwell, and no rails on the top half of the stairwell leading to the 2nd floor. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | Maintenance was instructed to install secure and compliant handrails on the basement stairwell and the upper portion of the stairwell leading to the 2nd floor.
Installation was completed in accordance with applicable safety and building standards to ensure stability and proper use.
Staff were trained on the importance of client safety and promptly reporting environmental and safety hazards. |
04/30/2026
| Implemented |
| 6400.74 | There's no nonskid traction on the stairs leading to the basement and the 2nd floor | Interior stairs and outside steps shall have a nonskid surface.
| Maintenance was instructed to install appropriate nonskid traction (e.g., adhesive strips, stair treads, or coatings) on all identified stairways.
Installation was completed to ensure durability, proper adhesion, and effectiveness in preventing slips.
Staff were trained on the importance of client safety and promptly reporting environmental and safety hazards. |
04/30/2026
| Implemented |
| 6400.76(a) | The living room table is shaky, the closet in the front bedroom is off track | Furniture and equipment shall be nonhazardous, clean and sturdy. | Maintenance was instructed to repair or replace the living room table to ensure it is stable and safe for use.
Maintenance was also instructed to repair and properly align the closet door track in the front bedroom to ensure safe and proper operation.
All repairs were completed and verified to ensure furniture and fixtures are safe and functional.
Staff were trained on the importance of client safety and promptly reporting any environmental or maintenance concerns. |
01/21/2026
| Implemented |
| 6400.77(a) | The house did not have a first aid kit. This was corrected after the inspection. | A home shall have a first aid kit. | A complete first aid kit was obtained and placed in the home immediately after the inspection.
The first aid kit was verified to include all required contents and is easily accessible.
Staff were trained on the importance of client safety, proper use of first aid supplies, and reporting any missing or expired items immediately. |
01/20/2026
| Implemented |
| 6400.105 | The lint trap was fully covered with lint; staff removed the lint while inspector was there. | Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.
| Staff immediately removed the lint from the dryer lint trap during the inspection, restoring safe operation.
The dryer and surrounding area were checked to ensure proper functionality and safety.
Maintenance staff were instructed to monitor and maintain laundry equipment regularly.
Staff were trained on the importance of cleaning the lint trap after each use and reporting any safety concerns immediately. |
01/20/2026
| Implemented |