| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | The home contained poisonous cleaning substances that were not locked up. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Secured storage has been installed: All poisonous cleaning agents (e.g., bleach, ammonia, degreasers, disinfectants) were secured in the under sink storage cabinet located in the kitchen by installing internal magnet operated open proof locking systems and kept locked; only authorized staff have access. Completed on 10/13/2025. All chemicals are in original, labeled containers and stored away from food, prep, and dining areas. Additionally a "Poison---Keep Locked" decal has been affixed to the cabinet. |
10/13/2025
| Implemented |
| 6400.65 | The vent in Bathroom is fully blocked off from inside and needs to be operable. | Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.
| A standing work order escalation has been submitted to the property maintenance group for this citation by the program specialist on 10/23/2025. The provider has purchased a ventilation system for this citation and placed it onsite for installation by maintenance. |
10/23/2025
| Implemented |
| 6400.67(b) | One of the hinges in on the toilet seat was disconnected from the toilet, posing a potential risk. | Floors, walls, ceilings and other surfaces shall be free of hazards. | House manager has placed an out of order sign on the door of the bathroom with a non sturdy toilet seat. Other restroom facility will be used. Provider has purchased an elongated toilet seat replacement. The Program specialist has scheduled maintenance to replace the toilet seat cover on 10/23/2025. |
10/23/2025
| Implemented |
| 6400.68(b) | The water temperature in the home is 135 degrees. The provider had made attempts to get regulators put on in the past, but nothing was done. Some individuals in the home cannot regulate their water temperature and so this is a potential safety risk and needs to be remediated. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Provider has acquired Thermostatic mixing controls. The mixing controls have been installed in the site so that tub/shower delivery cannot exceed 120°F. |
10/13/2025
| Implemented |
| 6400.70 | The telephone in the living room was inoperable. | A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.
| The Program Specialist has confirmed balance paid with the Chief Financial Officer (CFO) and obtained written restoration confirmation from the carrier; The House Manager (HM) has verified dial tone and successful inbound/outbound calls on the landline. |
10/20/2025
| Implemented |