| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | On 8/7/2024 at 11:12am, a tube of Co-Poly Rubber Elastomer, with instructions to call a physician immediately if ingested, was observed in the unlocked cold cellar of the home. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Maintenance threw away the tube of CO-Poly rubber elastomer immediately on 08/07/2024 |
08/07/2024
| Implemented |
| 6400.64(a) | On 8/7/2024 at 11:17am, the mechanical vent on the ceiling in the upper-level full bathroom was observed with a significant amount of built-up dirt and debris. | Clean and sanitary conditions shall be maintained in the home. | Maintenance cleaned the vent on 08/08/2024 |
08/08/2024
| Not Implemented |
| 6400.66 | On 8/7/2024 at 11:10am, the only light fixture in the cold cellar of the home was observed without a lightbulb. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Maintenance immediately put a light bulb in the light fixture soon as it was deserved on 08/7/2024. |
08/07/2024
| Implemented |
| 6400.67(b) | On 8/7/2024 at 11:09am, a puddle of water measuring approximately 3-inches in diameter was observed on the basement floor in front of the dryer. On 8/7/2024 at 11:10am, a puddle of water measuring approximately 1-foot wide by 2-feet in length was observed on the floor in the cold cellar. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Maintenance, dry locked the walls on 08/14/2024 |
08/14/2024
| Not Implemented |
| 6400.72(b) | On 8/7/2024 at 11:05am, the screen in the window in the rear mudroom, overlooking the backyard, was observed with multiple small holes throughout the screen. On 8/7/2024 at 11:14am, the screen in the dining room window, overlooking the backyard, was observed with two 1-inch tears near the bottom of the screen. On 8/7/2024 at 11:21am, Individual #1's bedroom door was observed with chipped paint and wood near the doorknob on the hallway side of the door. On 8/7/2024 at 11:19am, The screen in Individual #2's bedroom window, overlooking the driveway, was observed with an approximately 2-inch tear at the top of the screen. On 8/7/2024 at 11:19am, the window in Individual #2's bedroom, overlooking the backyard, was observed with the lower windowpane broken out. The window had been fixed by duct taping a piece of plexiglass over the opening. On 8/7/2024 at 11:23am, the attic door, located in the staff office, was observed with a broken doorknob. The portion of the doorknob on the attic side of the door was missing and the handle on the office side became dislodged when Incident Manager #1 attempted to open the door. | Screens, windows and doors shall be in good repair. | Maintenance repaired the screens, doorknob, windows, also repainted the door on 08/09/2024 |
08/09/2024
| Not Implemented |
| 6400.80(b) | On 8/7/2024 at 10:58am, the floorboards on the porch, directly above the front steps, were chipped and broken exposing jagged and sharp edges. On 8/7/2024 at 11:06am, multiple shards of broken glass were observed in the grass between the home and the exterior walkway at the bottom of the steps at the rear egress. On 8/7/2024 at 11:07am, the exterior walkway at the bottom of the steps at the mudroom egress was covered with mud and gravel. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | Maintenance repaired the porch boards and cleaned up the mud and gravel and the broken glass on 08/19/2024 |
08/19/2024
| Implemented |
| 6400.82(f) | On 8/7/2024 at 11:16am, the upper-level full bathroom did not contain individual clean paper or cloth towels. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | DSP put a hand towel in the bathroom on 08/07/2024 |
08/07/2024
| Implemented |
| 6400.101 | On 8/7/2024 at 11:12am, the door leading into the cold cellar in the basement of the home, was observed with an engaged hook and eye latch on the basement side of the door creating a potential blocked egress. This is the only door to the cold cellar. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| Maintenance removed the lock on the door on 08/07/2024 |
08/07/2024
| Implemented |
| 6400.111(f) | On 8/7/024 at 11:03am, a Kidde Multipurpose Dry Chemical Fire Extinguisher was observed under the kitchen sink. The extinguisher did not have a tag on it to verify that that the device had been inspected by a fire safety expert within the last year. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | Maintenance removed the fire extinguisher immediately on 8/7/2024. |
08/07/2024
| Implemented |
| 6400.171 | On 8/7/2024 at 11:10am, two quart-sized canning jars were observed on a shelf in the cold cellar of the home. The jars were not dated and contained an unidentified red liquid that appeared to be expired. The liquid had separated and the jar on the right had a bubbly yellow substance near the top of the jar. | Food shall be protected from contamination while being stored, prepared, transported and served.
| Maintenance removed the canning jars of unidentified red liquid on 08/09/2024 |
08/09/2024
| Implemented |