| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | 64(a). Sanitation. Inside of the oven has baked-on oven grime. | Clean and sanitary conditions shall be maintained in the home. | Violation 64 (a) was corrected. See POC attachment #15 . Accordingly, Provider retrained staff and individual on sanitation and documented outcomes. |
04/26/2024
| Implemented |
| 6400.72(b) | 72(b). Screens, windows and doors. The kitchen window's screen has a tear in it. | Screens, windows and doors shall be in good repair. | Violation 72 (b) was repaired by apartment maintenance department following Agape request to repair kitchen windows screen. See POC attachment #16 . |
04/25/2024
| Implemented |
| 6400.104 | 104 The agency did not provide documentation showing notice was provided to the fire department for this property. | The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current.
| 104 violation has been noted and corrected. Please be informed that notice letter was available but just never presented to the agents timely. Moving forward, Provider will ensure timely presentation of documentation to inspectors following Entrance Conference. See POC attachment # |
04/25/2024
| Implemented |
| 6400.112(c) | 112c The 5/24/23 fire drill record does not list the exit route used. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. | Violation 112 (c) was completed and documented accordingly including a tracking sheet for all future fire drills. Additionally, staff were retrained on Fire Drills and documentation protocols to maintain compliance. See POC attachments #18 and POC attachment #30 |
05/03/2024
| Implemented |