| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.65 | The bathrooms did not have a window, and the ventilation fan was inoperable. | Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.
| The residential director contacted the building maintenance team and was told that the ventilation system in the bathrooms is mechanical and because of the age of the building it goes out through the roof without an actual fan blowing. |
02/02/2026
| Implemented |
| 6400.68(b) | The water temperature was 136 degrees at the time of inspection which exceeds the maximum temperature of 120-degrees. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | the residential director called maintenance to turn the water temperatures down, not exceeding 120 degrees f. |
02/02/2026
| Implemented |
| 6400.105 | There was lint in the dryer trap presenting a potential fire hazard. | Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.
| All staff will check the dryer lint trap daily and after each use. |
02/02/2026
| Implemented |
| 6400.151(a) | Staff #1 did not have documentation of a current physical examination. | A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | The residential director and HR will be responsible for A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. |
02/02/2026
| Implemented |