| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | This home had some areas of disrepair to include:
Three missing knobs on cabinets/drawers in the kitchen.
Tiles were falling off or missing from the front face of the fireplace.
One of the drawers in the bedroom was missing a knob. | Floors, walls, ceilings and other surfaces shall be in good repair. | Broken items were fixed on 11/16/2023 |
11/16/2023
| Implemented |
| 6400.141(a) | Individual #1 had more than one year elapse between annual physical examinations. These exams occurred on 2/3/22 and 3/29/23. | An individual shall have a physical examination within 12 months prior to admission and annually thereafter. | Annual Physical will be completed by the due date of 3/29/2024. |
03/29/2024
| Implemented |
| 6400.151(a) | Staff #1 hired 6/6/22, did not have a physical exam or tuberculosis test in human resource file. | A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | Staff #1 had a physicals exam, including tuberculosis testing completed on 12/4/2023. |
12/04/2023
| Implemented |