| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | No self-assessment was done for the home. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| This home was licensed close to the our inspection time, one was conducted after the inspection. |
12/04/2025
| Implemented |
| 6400.68(b) | The water temperature in the bathroom measured 131.1°F. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The cooling and heating personnel was contacted immediately 12/04/2025 to come and regulate the water temperature to no more than 120°. |
12/05/2025
| Implemented |
| 6400.70 | There was no working phone in the home. | A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.
| A phone was immediately purchased on 12/04/2025 to put in this home. |
12/04/2025
| Implemented |
| 6400.77(b) | The first aid kit on site did not contain a thermometer. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | The thermometer was brought to the home immediately when the inspector left the home from the extra supplies in the office on 12/04/2025. |
12/04/2025
| Implemented |
| 6400.106 | There was no furnace inspection for the home. | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| A furnace inspection was conducted in November, the invoice was obtain from the president who had received it from the heating and cooling personnel. |
12/04/2025
| Implemented |