| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.80(b) | At the time of the inspection, outside leaning up against the garage was an approximate 3 foot carboard box/container that had become wet from the outside weather conditions and water marks on it as well as the carboard layers starting to show/peel away, and bend from the weather and not maintain an upright position. The cardboard box/container had a plastic wrapping around the bottom ¼ of it, and it also had a gray carpet inside the plastic wrapping. The cardboard box/container also had several areas of snow on it | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | Cardboard box to be disposed of on 2/24/26 |
02/24/2026
| Implemented |
| 6400.141(c)(9) | Individual #1 had a Prostate-Specific Antigen (PSA) test competed on 8/16/24 and not again until 9/5/25. | The physical examination shall include: A prostate examination for men 40 years of age or older. | ECP documents and notifies staff of medical appointments for each individual. It is an assigned task designated to them for the day. |
02/19/2026
| Implemented |
| 6400.181(e)(13)(vii) | Individual #1's assessment dated 6/19/25 under the financial independence section states Individual #1 possesses limited financial skills. He understands that money has a value and enjoys making money by working. He is able to complete financial transactions at the bank and make purchases with staff assistance to ensure he is given the proper amount of change. Individual #1 does not possess the skills necessary to budget his money independently. The house manager and staff log all of Bills' financial transactions and balance his books. Individual #1's Individual Support Plan (ISP) last updated on 1/14/2026 states under the learning/cognition section that Individual #1 needs support in money management skills. Individual #1's financial records documented that Individual #1 was given pocket money on 5/16/25 for $20.00, 5/23/25 $20.00, 6/4/25 Individual #1 was given $2.00 and 10.00 of pocket money, 10/15/25 Individual #1 was given 20.00 of pocket money, and on 12/8/25 $20.00 of pocket money. Agency staff stated that pocket money is given directly to Individual #1 to spend. The agency did not assess Individual #1 appropriately in their financial management/independence. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence.
| All managers were contacted to ensure that the Residential Director was notified if pocket money is given to any individual. Emails are provided to show that pocket money is used only for one individual. This individual's assessment has been corrected |
02/18/2026
| Implemented |