| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.73(b) | The steps outside the back of the home have more than an 18-inch drop and do not have a railing. | Each porch that has over an 18-inch drop shall have a well-secured railing. | Upon identification that the steps outside the back of the home had a drop greater than 18 inches without a railing, corrective action was initiated. A well-secured railing has been installed to meet regulatory requirements. The Director inspected the railing and confirmed it is secure and compliant. |
01/31/2026
| Implemented |
| 6400.111(a) | There was no fire extinguisher in the lower level of the home. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | Corrective action was completed on 1/7/26. An operable fire extinguisher with a minimum 2-A rating was installed in the lower level of the home. The extinguisher was inspected to ensure it is functional and properly placed. The home was checked to confirm that each floor, including the basement, is equipped with the required fire extinguisher. |
01/24/2026
| Implemented |
| 6400.165(a) | Prescription medications are not prescribed in writing by an authorized prescriber. There were 6 packets of aspirin located in the first aid kit of the home. There was not prescription for this medication. | A prescription medication shall be prescribed in writing by an authorized prescriber. | Corrective action was completed on site during the inspection. The six packets of aspirin were immediately removed from the first aid kit, as there was no written prescription from an authorized prescriber. The first aid kit was reviewed to ensure no unauthorized medications were present. |
01/05/2026
| Implemented |