| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.107 | On 9/25/2025 at 10:52AM, there was a portable space heater on a shelf in the closet in the craft room of the home. | Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms.
| The portable space heater was removed from the home immediately upon discovery during the inspection on 9/25/25. |
09/25/2025
| Implemented |
| 6400.141(c)(3) | Individual #1 had an immunization booster on 9/17/25, and the previous immunization booster was administered on 6/2/15. | The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | Individual #1's immunization record has been reviewed and updated prior to inspection with their annual physical. The immunization booster is now current and documented in the individual's health file. |
09/25/2025
| Implemented |
| 6400.32(r)(1) | On 5/25/2025 at 10:50AM, there was pinhole lock on the door leading to Individual #1's bedroom. Individual #1 has not been provided with a designated mechanism to lock and unlock the door independently. | Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door. | An appropriate locking mechanism has been obtained and installed. A copy of the key is secured in the designated key area and accessible to the individual and the staff in case of emergency, as needed. |
10/02/2025
| Implemented |
| 6400.32(r)(5) | On 5/25/2025 at 10:50AM, there was pinhole lock on the door leading to Individual #1's bedroom. Staff did not have a designated mechanism to unlock the door in case of an emergency. | Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door. | A designated unlocking mechanism has been obtained and made available to staff. A copy is secured in the designated key area and accessible to authorized staff at all times for emergency use. |
10/02/2025
| Implemented |