| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | On 8/15/2024 at 12:01pm, dead bugs to include a wasp and multiple flies along with dust and debris were observed on the windowsills in the front sunroom. On 8/15/2024 at 12:06pm, trash to include dryer sheets and various pieces of paper were observed on the left-hand side of the washing machine in the basement. On 8/15/2024 at 12:07pm, trash to include pieces of cardboard and a small rubber O-ring were observed on the basement floor beneath the washtub. On 8/15/2024 at 12:16pm, the furnace vent in the dining room, on the wall near the kitchen door was packed with dirt and cat hair. On 8/15/2024 at 12:17pm, the main floor full bathroom was observed with dirt and soap scum built up on the shower bench and floor. The shelves in the bathroom closet were observed with dirt, debris, and yellow stains from what appeared to be spilt hygiene products. On 8/15/2024 at 12:18pm, the floor in the bathroom and the toilet base were observed with built up dirt, debris, and hair. On 8/15/2024 at 12:51pm, the vent in the living room, behind the recliner closest to the half bathroom was observed plugged with dirt and cat hair. [Repeat violation: 3/5/2024 et al and 7/17/2024] | Clean and sanitary conditions shall be maintained in the home. | The debris was removed from the front room in the basement near the washing machine and the bathroom. The vents in dining room and living room were cleaned. |
09/23/2024
| Implemented |
| 6400.64(f) | On 8/15/2024 at 12:41pm, the concrete planter box, located to the left of the front porch, was observed with trash to include plastic food wrappers in and around the planter. On 8/15/2024 at 12:53pm, trash to include two paper napkins were observed strewn throughout the front yard. [Repeat violation: 7/17/2024] | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | Immediately, all debris was removed from the front of the home. |
09/23/2024
| Implemented |
| 6400.67(a) | On 8/15/2024 at 12:04pm, The paneling on the right-hand side at the bottom of the basement steps was observed with two holes. There was a hole near the bottom of the paneling measuring approximately two inches by twelve inches and another hole near the middle of the paneling measuring approximately two inches by two inches. On 8/15/2024 at 12:07pm, in the basement of the home, a furnace duct runs overhead between the washing machine and the basement steps. The duct was observed with a hole, measuring approximately six inches by ten inches. The hole appears to be from a missing vent. On 8/15/2024 at 12:09pm, the small wall at the bottom of the basement steps was observed with, what appears to be, moisture damage and dark brownish staining. On 8/15/2024 at 12:10pm, a hold measuring approximately two inches by three inches was observed in the middle of the right side wall in the stairwell leading from the basement to the main floor. On 8/15/2024 at 12:10pm, two holes measuring approximately 3-inches in diameter were observed in the door frame on the inside of the basement door frame. On 8/15/2024 at 12:17pm, the mechanical vent in the full bathroom was missing the light cover. | Floors, walls, ceilings and other surfaces shall be in good repair. | The paneling was replaced. The duct and vents were replaced. The wall was cleaned. |
09/04/2024
| Implemented |
| 6400.67(b) | On 8/15/2024 at 12:06pm, a laundry detergent pd was observed on the basement floor in front of the washer and dryer. The pod had opened and had leaked detergent onto the floor, creating a slipping hazard. On 8/15/2024 at 12:07pm, in the basement of the home, walking from the washing machine to the basement steps, there is an alcove located on the lefthand side, just below the furnace duct. In this alcove is exposed fiberglass insulation. On 8/15/2024 at 12:14pm, Individual #1's bedroom floor was covered with clothes, bags, linens, and papers posing a potential tripping hazard in the case of an emergency. [Repeat violation: 3/5/2024 et al and 7/17/2024] | Floors, walls, ceilings and other surfaces shall be free of hazards. | Immediately, the basement made free from hazards. As the state representative mentioned, ¿the individual is high functioning.¿ She often refuses to allow staff to assist with cleaning her room. |
09/23/2024
| Implemented |
| 6400.72(b) | On 8/15/2024 at 12:25pm, the storm door on the front of the home leading into the living room was observed with a gap at the bottom, measuring approximately one-half inch. [Repeat violation: 3/5/2024 et al] | Screens, windows and doors shall be in good repair. | The storm dorm was replaced. |
09/04/2024
| Implemented |
| 6400.73(a) | On 8/15/2024 at 12:05pm, the railing on the exterior steps near the side basement exit was lose and wobbly. [Repeat violation: 3/5/2024 et al and 7/17/2024] | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | The wooden railing was removed and replaced. |
09/04/2024
| Implemented |
| 6400.80(a) | On 8/15/2024 at 12:40pm, the black metal railing on the front porch of the home was observed with two metal brackets protruding into the walkway, causing a potential laceration hazard. Additionally, a black metal swing gate was observed on the front porch. When engaged, the gate has the potential to obstruct the exterior walkway that leads to the front door of the home. [Repeat violation: 7/17/2024] | Outside walkways shall be free from ice, snow, obstructions and other hazards. | The gate and potential hazards were removed. |
09/04/2024
| Implemented |
| 6400.80(b) | On 8/15/2024 at 12:55pm, a white cable was observed protruding from the ground. Approximately five feet of cable was laying in the grass and the rest of the cable appeared to be buried underground. The cable could potentially create a tripping hazard. [Repeat violation: 3/5/2024 et al and 7/17/2024] | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | The white cable/potential tripping hazard was removed from the front yard. |
09/04/2024
| Implemented |
| 6400.101 | On 8/15/2024 at 12:47pm, a hook and eye latch was observed on the living room side of the shutter doors that are located between the living room and dining room. On 8/15/2024 at 12:53pm, the exterior maintenance shed, located on the right side as you are facing the front of the home, was observed with rope, bags of concrete mix, tiles, and various buckets on the floor. There was no clear path that could be utilized to safely exit the shed. Additionally, a deadbolt was observed on the outside of the shed door. This door is the only means of egress from the inside of the shed. [Repeat violation: 3/5/2024 et al and 7/17/2024] | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| The shutter door between the living room and dining does not pose a risk for blocked egress. There is an exit on both sides of the shutter. The maintenance shed is operated by the property owner. The property owner was notified to remove his deadbolt from his maintenance shed. |
09/13/2024
| Implemented |
| 6400.107 | On 8/15/2024 at 12:25pm, a Pelonis portable space heater was observed in the locked closet in the living room. [Repeat violation: 7/17/2024] | Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms.
| The space heater was removed from the home immediately. |
08/30/2024
| Implemented |
| 6400.114(b) | On 8/15/2024 at 12:41pm, the concrete planter box, located to the left of the front porch, was observed with trash to include plastic food wrappers and cigarette butts in and around the planter. The agency's safe smoking policy states "We advise our employees and residents to extinguish their cigarette and discard the only in appropriate containers." | Written smoking safety procedures shall be followed. | The debris was immediately removed from the front of the home. |
09/23/2024
| Implemented |
| 6400.171 | On 8/15/2024 at 12:14pm, a white plastic grocery bag, containing an open Bag of Twizzlers was observed on the floor in Individual #1's bedroom, near their bedroom door. The food was open and not protected from contamination. [Repeat violation: 3/5/2024 et al and 7/17/2024] | Food shall be protected from contamination while being stored, prepared, transported and served.
| As the state representative mentioned, ¿The individual is high functioning.¿ She is encouraged to keep her snacks stored properly to prevent pests. She often refuses staff assistance with cleaning her room. FSU has a policy which ensures that all individuals receiving services have access to food at any time and has the flexibility about where and when individuals eat within the home or in the community during the provision of services. |
09/23/2024
| Implemented |
| 6400.163(e) | On 8/15/2024 at 12:31pm, Individual #1's Epinephrine Injection 0.3mg was observed in the locked closet in the living room. During the inspection, Individual #1 was at the grocery store with staff. According to Staffing and Payroll Coordinator #1, Individual #1 did not have any Epinephrine with her on the outing. Individual #1's medication was not easily accessible to the staff working with her and could not have been administered in the event of an emergency allergic reaction. | Epinephrine and epinephrine auto-injectors shall be stored safely and kept easily accessible at all times. The epinephrine and epinephrine auto-injectors shall be easily accessible to the individual if the epinephrine is self-administered or to the staff person who is with the individual if a staff person will administer the epinephrine. | Immediately, the Epi-Pen (epinephrine auto-injector) was placed in the desk drawer and labeled for easy access in the event of an emergency. |
09/23/2024
| Implemented |