| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | On 9/23/2026 at 11:54 AM, there was a multitude of what appeared to be previously wet, dried, crumpled tissue paper stuck to a large area of the basement floor of the home. | Clean and sanitary conditions shall be maintained in the home. | On 9/30/2026, the basement floor was cleaned of all debris (Correction Evidence E). |
10/12/2026
| Implemented |
| 6400.67(b) | On 9/23/2026 at 11:54 AM, a three-foot by six-foot area of water that appeared to be leaking from the hot water heater onto the floor of the basement of the home. Additionally, the bottom of the hot water heater is rusting and peeling. | Floors, walls, ceilings and other surfaces shall be free of hazards. | On 9/30/2026, the hot water tank was replaced (Correction Evidence F). |
10/12/2026
| Implemented |
| 6400.72(a) | On 9/23/2026 at 11:56 AM, there was no screen in the window in the basement of the home. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | On 10/1/2026, a customized window screen was placed in the basement window (Correction Evidence G). |
10/22/2026
| Implemented |
| 6400.72(b) | On 9/23/2026 at 12:01 PM, a four-inch by ten-inch area was detached from the bottom, right side of the screen in the window across from the door in Individual #1's bedroom. | Screens, windows and doors shall be in good repair. | On 9/29/2026, the window screen was repaired and installed in the individual's bedroom (Correction Evidence H). |
10/22/2026
| Implemented |
| 6400.81(k)(3) | On 9/23/2026 at 11:51 AM, there were no linens on the two pillows on the bed in Individual #2's bedroom. At 12:01PM, there were no linens on two of the pillows on the bed in Individual #1's bedroom. | In bedrooms, each individual shall have the following: Bedding, including pillow, linens and blankets appropriate for the season. | On 9/25/2026, pillow cases were placed on both individuals' pillows. |
10/12/2026
| Implemented |
| 6400.107 | On 9/23/2026 at 12:02 PM, there was a portable space heater hanging from a hook in the closet in Individual #1's bedroom. | Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms.
| Upon identification on 9/23/2026, the space heater was removed from the closet and thrown away. The House Manager and Site Coordinator of the home were issued disciplinary action for their error of oversight and magnitude of the regulation. |
10/12/2026
| Implemented |
| 6400.163(d) | On 9/23/2026 at 11:50 AM, a bottle of Equate Sore Throat Oral Anesthetic/Analgesic Spray, a box of Cold and Head Congestion Severe Tablets, Metabolism Vitamin Capsules Dietary Supplements, and Lemme Tone Daily Metabolism Gummies Dietary Supplements were unlocked, and accessible on a shelf, in Individual #2's bedroom. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | Upon identification on 9/23/2026, the medications were removed from the individual's bedroom. The DSP working as the primary and the Site Coordinator of the home were issued disciplinary action for their error of oversight and magnitude of the regulation. |
10/12/2026
| Implemented |