| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | On 7/24/24 at 1:05PM, the microwave's interior base, sides and top were covered with several yellow, orange, and black colored food splatters. At 1:07PM, the bathtub in the full bathroom of the home had several dark hairs near the drain and a two-inch-wide film of dust and small particles on the bottom front half which appeared to be from a clogged and/or slow-moving drain. At 1:08 PM, the sink in the full bathroom of the home had several dark hairs near the drain. At 1:08 PM, the large air duct vent on the floor at the end of the bedroom hallway was covered with a thick layer of dust and fabric particles. | Clean and sanitary conditions shall be maintained in the home. | 7/24/24 staff cleaned microwave, bathtub, sink, and large duct at end of the bedroom hallway. |
07/24/2024
| Not Implemented |
| 6400.64(f) | On 7/24/24 at 1:17 PM, an uncovered trash receptacle, containing discarded plastic bags, dead flowers, cups, and other miscellaneous items, was on the porch in the backyard of the home. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | 7/24/24 site supervisor removed uncovered trash receptacle from the site. |
07/24/2024
| Implemented |
| 6400.73(a) | On 7/24/24 at 1:14 PM, the wooden railings along the six concrete steps between the backyard and the upper yard and the six concrete steps between the back porch and the side yard are wobbly and unsecure. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | Maintenance addressed wood railings 8/16/24 to ensure it is secure. |
08/16/2024
| Not Implemented |
| 6400.80(a) | On 7/24/24 at 1:14 PM, the six concrete steps between the backyard and the upper yard and the six steps between the back porch and the side yard were covered with moss, mud, and foliage posing a slipping and falling hazard. | Outside walkways shall be free from ice, snow, obstructions and other hazards. | Maintenance addressed six concrete steps between backyard and upper yard and the six steps between the back porch and side yard 8/16/24 to ensure moss, mud, and foliage was removed to prevent slipping and falling hazard. |
08/16/2024
| Not Implemented |
| 6400.80(b) | On 7/24/24 at 1:15 PM, the plastic hood above the glass block basement window was cracked and broken exposing sharp edges posing a laceration and puncture hazard. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | 8/16/24 Maintenance replaced plastic hood above the glass block basement window. |
08/16/2024
| Not Implemented |
| 6400.101 | On 7/24/24 at 1:49 PM, the door to the vacant bedroom was equipped with a key lock mechanism posing a blocked egress from the bedroom when engaged without access to a key. The staff did not have access to the key. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| 8/16/24 Maintenance changed lock to ensure key was available for staff to access the room. |
08/16/2024
| Not Implemented |
| 6400.32(r)(5) | Individual #1's bedroom door had a key lock on it. The direct service workers did not have a key or any other entry device to lock and unlock the door. | Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door. | 8/16/24 Maintenance changed lock to ensure key was available for staff to access the room. |
08/16/2024
| Not Implemented |