| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | At 10:45AM, a spray bottle of Clorox Clean-Up, an aerosol can of Easy-Off Oven Cleaner and Lysol Disinfectant Wipes were unlocked and accessible in the cabinet under the sink in the kitchen of the home. At 10:56AM, a 32-ounce spray bottle of Windex was unlocked and accessible on the floor in Individual #1's bedroom. At 11:16AM, a bottle of Goof Off Hand Cleaner and a container of All Might Pacs laundry pods were unlocked and accessible in the front room of the basement. Individual #1's assessment, completed 8/15/2024, states that the individual requires verbal prompts to use poisons and physical prompts to avoid poisons. [Repeat Violation, 3/7/2024] | Poisonous materials shall be kept locked or made inaccessible to individuals. | In order to correct this violation, immediately a file review was conducted. A revision was emailed to the team stating that the individual is independent with poisons and does not require verbal prompts or physical prompts to avoid poisons per assessment and ISP by the program specialist on August 26, 2024, and reviewed by the residential director. |
10/01/2024
| Implemented |
| 6400.64(f) | At 10:25AM, a cracked trash receptacle containing discarded items and the lid of the trash receptacle was on the deck in the back of the home. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | To correct this violation, the trash can in question used by the maintenance worker to collect debris around the home and in the basement during the unannounced inspection that day was discarded and put out for waste management pick up immediately by the maintenance worker. This was not the trash can for the home. The outdoor trash can for this home is located on the side of the house and not on the deck. |
10/01/2024
| Implemented |
| 6400.66 | At 10:51AM, there were two light fixtures without lightbulbs on the right side of the basement. There were no other sources of lighting in this area. [Repeat Violation, 3/7/2024] | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| To correct this violation, immediately, lightbulbs on the right side of the basement were put in the light fixtures in front of the window by the maintenance staff. |
09/27/2024
| Implemented |
| 6400.67(b) | At 10:50AM, the cover was removed from the floor drain near the steps in the basement and was laying on the floor posing a tripping and falling hazard. At 10:51AM, a storm door and a sheet of plywood were leaning against the wall on the right side of the basement causing a crushing hazard. At 10:55AM, a mirror and piece of wood that appears to be a detached headboard were unsecured and leaning against the wall adjacent to the air conditioner in Individual #1's bedroom. | Floors, walls, ceilings and other surfaces shall be free of hazards. | To correct this violation, the floor drain was immediately replaced, all debris was removed from the basement and the piece of wood was removed from the bedroom by maintenance staff. |
09/30/2024
| Implemented |
| 6400.72(a) | At 10:24AM, the unscreened window in the dining room facing the back deck of the home was open at the top and could not be closed leaving space for insects and rodents to enter the home. [Repeat Violation, 3/7/2024] | Windows, including windows in doors, shall be securely screened when windows or doors are open. | To correct this violation, the window was boarded up immediately by maintenance staff. The window in question, was busted out by an individual. The agency was working toward replacing the window prior to this unannounced inspection. A second estimate and measurements were taken on August 1, 2024, by a window replacement company. The entire window frame will be replaced on September 23, 2024 with a new screen. The maintenance supervisor will inspect the finished window replacement to ensure compliance upon completion. |
09/30/2024
| Implemented |
| 6400.80(a) | At 10:16AM, the concrete walkway leading to the front steps had a crack measuring approximately ten inches on the right side of the walkway at the bottom of the steps. The pad was loose and moved under foot when walked on, creating a potential tripping hazard. At 10:21AM, multiple pieces of wood with nails protruding upward were on the ground on the side of the home leading to the backyard and under the deck in the back of the home. | Outside walkways shall be free from ice, snow, obstructions and other hazards. | To correct this violation, the walkway leading to the front step was leveled with cement and the ramp/¿ pieces of wood with nails protruding upward¿ that the handicap neighbor used for her electric wheelchair was removed from a shared driveway leading to the rear of multiple rowhouses was removed immediately by maintenance staff. |
09/30/2024
| Implemented |
| 6400.80(b) | At 10:07AM, a broken gate and chain link fencing were leaning against a bush to the right of the walkway leading to the front porch of the home. A 10:22AM, a pipe measuring approximately eighteen inches high by four inches in diameter was protruding from the walkway at the rear of the home. The pipe did not have a lid and was not protected from insects and rodents. At 11:40AM, screws were protruding from the underside of the wooden deck in the back of the home posing laceration and puncture hazards. At 11:41AM, two large extension ladders were leaning against the chain link fence in the backyard of the home posing a crushing hazard. [Repeat Violation, 3/7/2024] | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | To correct this violation the following tasks were performed immediately by maintenance staff; the gate was removed from the walkway leading to the front porch, the protruding nails were removed from under the deck, and a cap was placed over the downspout drain. |
09/30/2024
| Not Implemented |
| 6400.83(c) | At 10:45AM, a 9-inch by 13-inch baking pan containing what appeared to be burnt and caked on food remnants was on top of the stove in the kitchen of the home. | Utensils used for eating, drinking and preparation of food or drink shall be washed and rinsed after each use. | To correct this violation, the utensil used for preparation of food was cleaned immediately by the program coordinator. |
09/30/2024
| Not Implemented |
| 6400.101 | At 10:52AM, the door between the basement and kitchen was equipped with a key locking mechanism on the basement side posing an obstructed egress from the basement when engaged without a key. There is not another means of egress from the basement. [Repeat Violation, 3/7/2024] | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| To correct this violation, the doorknob on the basement door that locks from the inside with a turn button and unlocks from the outside with a coin or flat piece of metal was removed and replaced with a keyless doorknob by maintenance staff. |
09/30/2024
| Implemented |
| 6400.110(e) | At 11:23AM, the smoke detector on the second floor of the home was not interconnected with the smoke detectors in the basement and on the first floor of the home. | If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. | The wired smoke detector on the second floor activates the test mode for all the other connected smoke detectors. To correct this violation, the wired smoke detectors were replaced with wireless interconnected smoke detectors immediately by maintenance staff. |
09/24/2024
| Implemented |
| 6400.171 | At 10:46AM, an unsealed, partially used package of bacon was in the refrigerator in the kitchen of the home. [Repeat Violation, 3/7/2024] | Food shall be protected from contamination while being stored, prepared, transported and served.
| Immediately, the unlabeled food item was discarded by the program coordinator to correct this violation. |
09/30/2024
| Not Implemented |