| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.73(a) | At the time of the inspection on 6/10/26, the left side of the front porch was unsteady and was loose. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | The handrails on front ramp and porch are scheduled to be fixed on or by 7/1/26. The back porch landing will also be repaired/replaced on the same date. All staff retrained on 6400.73(a) by 7/1/26 by program specialist. |
07/01/2026
| Implemented |
| 6400.80(b) | At the time of the inspection on 6/10/26, the front porch had a nail sticking up from the bottom wood plank and the plank was loose. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | The nail will be removed on or by 7/1/2026 by our handyman service, and the plank secured. All staff re-trained on 6400.80(b) by program specialist |
07/01/2026
| Implemented |
| 6400.181(e)(13)(i) | Individual #1's 5/12/26 annual assessment does not identify the individual's progress and current level in health. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Health.
| Assessment was corrected by program specialist to include the individual's current level and progress in the area of health. An addendum was created and sent with a letter to the entire team on 6/10/26. |
06/10/2026
| Implemented |