| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | No self-assessment completed. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| Provider immediately completed the self-assessment for the recently new CLA when apprised by the inspector. Self-assessment form will be forward as proof of compliance. |
02/17/2026
| Implemented |
| 6400.64(a) | The shower fixture was rusting and dirty. | Clean and sanitary conditions shall be maintained in the home. | Provider had the shower fixture clean to remove dirt and rust. Video will be forwarded as proof of compliance. |
03/10/2026
| Implemented |
| 6400.68(a) | The kitchen water temperature did not get above 90.3°F. | A home shall have hot and cold running water under pressure. | Provider apprised the building maintenance to adjust the water temperature stating that the hot water should be above 90 degrees. Video will be forwarded as proof of compliance. |
03/10/2026
| Implemented |
| 6400.71 | There were no emergency numbers by the telephone. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| Provider placed the emergency telephone list by the telephone. Video will be forwarded as proof of compliance. |
03/10/2026
| Implemented |
| 6400.72(b) | There was no screen in the bathroom window. | Screens, windows and doors shall be in good repair. | Provider had the screen fixture placed in the bathroom window. Video will be forwarded as proof of compliance. |
03/10/2026
| Implemented |
| 6400.77(b) | There were no scissors or a thermometer in the first aid kit. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | Provider placed scissors and a thermometer in the first aid kit. Picture will be forwarded as proof of compliance. |
03/10/2026
| Implemented |