| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | Clean and sanitary conditions shall be maintained in the home. The Kitchen cabinet doors tacky, sticky film indicative of a buildup of grease and grime.
((REPEAT VIOLATION 5/20/2024)) | Clean and sanitary conditions shall be maintained in the home. | QLHS designated staff and Supervisor cleaned the bathroom vent to ensure it is in clean and sanitary conditions. QLHS also removed the Country Sausage Gravy from the kitchen cabinet during inspection. |
08/11/2025
| Implemented |
| 6400.66 | There was no light in the attached garage of the home.
((REPEAT VIOLATION 5/20/2024)) | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| QLHS maintenance staff has repaired the exterior light that was located in the rear exit of the home to ensure the health and safety of the individual in the home to avoid accidents. |
06/16/2025
| Implemented |
| 6400.67(a) | Surfaces shall be in good repair. The door handle on the clothes dryer was broken. | Floors, walls, ceilings and other surfaces shall be in good repair. | QLHS maintenance staff will repair the door handle of the clothes dryer to ensure all surfaces are in good repair t ensure the health and safety of the individual and staff in the home. |
06/16/2025
| Not Implemented |
| 6400.67(b) | Surfaces shall be free of hazards. The knob for the left rear burner of the gas stove was broken and did not lock in the OFF position, increasing the possibility that the gas burner could inadvertently be left in the ON position. | Floors, walls, ceilings and other surfaces shall be free of hazards. | QLHS contacted the landlord to report the knob on the gas stove was broken and to ask him to repair or replace the stove. On 6/30/25 the landlord replaces the knob on the gas stove to ensure the health and safety of the individual and staff. |
06/16/2025
| Not Implemented |
| 6400.72(b) | Screens, windows and doors shall be in good repair. The screen in the front left window located in the living room had a hole, approximately the diameter of a penny in size. The window was open at the time of the inspection. | Screens, windows and doors shall be in good repair. | QLHS maintenance staff repaired the front left screen in the window located in the living room as required by ODP regulations |
06/30/2025
| Not Implemented |
| 6400.106 | Furnaces shall be inspected and cleaned at least annually. A furnace inspection and cleaning occurred on 2/02/2024, then again on 4/07/2025 which is a greater time span than the required 365 days, plus a 15-day grace period. | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| QLHS designated person will schedule an appointment to have the furnace checked to ensure the health and safety of the individual served. |
07/30/2025
| Implemented |
| 6400.112(a) | There was no documentation to show that a fire drill occurred during the month of November 2024.
((REPEAT VIOLATION 5/20/2024)) | An unannounced fire drill shall be held at least once a month. | QLHS will train the staff and the supervisors on the importance of completing a monthly fire drill as required by ODP regulation to ensure the safety of the individuals. |
08/05/2025
| Implemented |
| 6400.112(e) | A fire drill must be held during sleeping hours at least every six months. A fire drill during sleeping hours was held on 6/03/2024, and all monthly fire drills from 6/03/2024 to the present were held during waking hours.
((REPEAT VIOLATION 5/20/2024)) | A fire drill shall be held during sleeping hours at least every 6 months. | QLHS will retrain staff on conducting a fire drill during sleep hours to ensure the health and safety of the individuals we serve. |
08/01/2025
| Implemented |
| 6400.15(b) | The provider did not utilize the Department's licensing inspection instrument (form) when completing the self-assessment to measure record compliance of this home. | (b) The agency shall use the Department's licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance. | QLHS Director that completed the self-assessment form has been shown where to find the correct inspection instrument self-assessment measure form. |
07/01/2025
| Implemented |
| 6400.32(r) | The lock on the bedroom door of Individual #1was an "any key-style" lock which does not require a key specific to the lock and can be opened with any tool or coin. This style of lock does not afford the privacy and security of possessions expected by this regulation and is not allowed.
((REPEAT VIOLATION 5/20/2024)) | An individual has the right to lock the individual's bedroom door. | QLHS maintenance replaced the lock on individual #1-bedroom door to ensure the privacy and the security of the individual as required by ODP regulations. |
06/30/2025
| Implemented |
| 6400.163(d) | Medications shall be stored in a locked container or area. The medications were found in an unlocked file cabinet in the staff office, and the staff office door was open and unlocked at the time of the inspection. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | QLHS director has replaced the cabinet that the individual medications were stored in to ensure the medication is stored in a locked container. |
06/30/2025
| Implemented |