| 6400.104 | There is no record to show that the notification to the fire department was completed and sent out when individual #4 was admitted to the program on 8/4/25. The letter to the fire department in the record is dated 11/18/25. | The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current.
| On 2/26/2026, a new fire letter was sent to the local fire department to ensure they had an accurate letter (Attachment #14). |
03/06/2026
| Implemented |
| 6400.112(a) | No fire drill was completed for the month of July 2025. | An unannounced fire drill shall be held at least once a month. | On 3/1/2026, Fire Drill Forms were implemented as Google Sheets, in which administrators are able to see the Fire Drill Form immediately after submission to review (Attachment #2). |
03/06/2026
| Implemented |