| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | Individual #2's updated Individual Service Plan dated, 2/23/26 indicates, "If the [individual] were to utilize cleaning products, supervision within eyesight and verbal direction is needed to maintain proper levels of safety." On 3/11/26, at 10:04am a can of Lysol Disinfectant spray was unlocked and accessible on the file cabinet in the downstairs staff area; at 10:09am in the upstairs hallway closet at 10:09 am a bottle of 43 fluid ounce of Clorox Bleach was unlocked and accessible. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Poisons were immediately locked in a secured cabinet. |
04/01/2026
| Implemented |
| 6400.141(c)(13) | Individual #1 had a physical examination on 2/20/26; however, the examination did not address allergies. This section of the form was left blank. | The physical examination shall include: Allergies or contraindicated medications. | Program Specialist updated the form with " no known allergies" upon discovery. |
03/11/2026
| Implemented |
| 6400.163(a) | Individual #2 is prescribed, Qelbree 200 MG capsule take 1 capsule by mouth every day 8am for ADHD. On 3/11/26 at 9:49 am the medication was not labeled with a label issued by the pharmacy. | Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy. | Provider obtained a label from the pharmacy to ensure that the medication was properly labeled. |
04/01/2026
| Implemented |