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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | On 11/25/2025 at 10:46 AM, Individual #1's bedroom, located at the end of the upstairs hallway, was observed with a large accumulation of personal belongings on the floor. This excessive number of belongings obstructed the walkway throughout the bedroom, causing a tripping hazard for staff and Individual #1. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The Program Director, Quality Assurance Associate, Program Specialists, Program Managers, and the behavior team were retrained. ABDD met with the SCO on 12/8/25 to discuss the ongoing condition of his room. The provider will offer the individual the option to put excess belongings in a storage unit. The team has initiated the process of inventorying property and decluttering the bedroom. The behavior team will continue to provide behavior supports to address the hoarding-like behavior. The BSP was reviewed by licensing personnel. |
12/30/2025
| Implemented |
| 6400.82(f) | On 11/25/2025 at 10:45 AM, the only bathroom on the upper level of the home was observed without soap. | 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. | The Program Director, Quality Assurance Associate, Program Managers, and Program Managers were retrained on the regulation. Soap was available at the home and corrected immediately by the Program Specialist. |
12/12/2025
| Implemented |
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