| 6500.109(d) | The 03/16/25 Fire Drill does not note a time in which the drill was conducted. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative. | The incomplete fire drill was returned to the Lifesharer to be completed. The completed fire drill was submitted to the Supervisor on 12/10/25. A new fire drill was also completed and submitted on 12/10/25. Please see documents attached. |
01/05/2026
| Implemented |
| 6500.110(c) | There was no documentation on record to show that Individual #4 and Family members were trained on the Fire Safety Training Plan. | Family members and individuals, including children, shall be trained within 31 calendar days of an individual living in the home and retrained annually, in accordance with the training plan specified in subsection (a). | Individual #4 and family members were trained on the annual fire safety training plan on 12/10/2025 and will be trained annually. Please see attached document. |
12/10/2025
| Implemented |