| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.80(b) | On 9/25/2025 at 11:53AM, large areas of moss, leaves and other debris covered three of the five exterior, concrete stairs outside the exit, leading from the basement 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. | The moss and leaves debris was removed from the side exterior stairs immediately after the exit interview the day of inspection, 9/25/25. The area is now free of described unsafe conditions. |
09/25/2025
| Implemented |
| 6400.81(i) | On 9/25/2025 at 12:05PM, there were no curtains or blinds covering the window to the right of the bed in Individual #1's bedroom. | Bedroom windows shall have drapes, curtains, shades, blinds or shutters. | At the time of inspection, the curtain had been removed for cleaning due to visible hand stains although previously washed the prior weekend. The curtain was in the washer and then put in the dryer during the inspection, as indicated to the inspector. The curtain, which is hung using a tension rod, was reinstalled upon completion of drying. Both the rod and curtain were promptly returned to the window the same day, restoring full compliance. |
09/25/2025
| Implemented |
| 6400.101 | On 9/25/2025 at 12:40PM, a turn lock and a deadbolt locking mechanisms were on the basement side and a keyed locking mechanism on the garage side of the door, between the basement and the garage. These locking mechanisms pose an obstructed egress from the garage when engaged. There is no swing door in the garage. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| The locking hardware on the door between the basement and garage has been replaced with a non-keyed, single-action latch that allows for unobstructed egress from both sides. |
09/29/2025
| Implemented |
| 6400.163(h) | On 9/25/2025 at 12:31PM, there was a bottle of Pepto Bismol in a box labeled, "PRNs", with an expiration date of 4/2025. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | The expired medication was immediately removed on 9/25/2025 and properly discarded in accordance with medication disposal procedures. |
09/25/2025
| Implemented |