| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | The hot water temperature in the bathtub was measured at 124.7 degrees. After the conclusion of the inspection, the agency indicated the issue had been addressed. The water was retested on 12/22/21 and was observed to range between 99 and 100 degrees at that time. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Provider/renter maintenance teams adjusted the water temperature on 12/15/21. |
12/15/2021
| Implemented |
| 6400.104 | The home did not provide licensing with a notification letter to the fire department. | The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current.
| A notification letter has been sent to the fire department along with the unit floor plan on 12/16/21. |
12/17/2021
| Implemented |
| 6400.151(c)(3) | The physical form for Staff Member 1 did not indicate if staff was free of communicable disease. | The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. | The staff has provided the missing information from their medical provider on 04-13-22. |
01/06/2022
| Implemented |
| 6400.52(a)(1) | The record reviewed for Staff Member 1 did not include the actual date trainings and specified hours in subsections. | The following shall complete 24 hours of training related to job skills and knowledge each year: Direct service workers. | Provider has reevaluated and completed new training documentation system to include date of training and total training hours.
Medflyt is the software contracted and being implemented to allow staff to complete trainings and track the completed trainings by WLI management. |
12/29/2021
| Implemented |
| 6400.52(a)(3) | The record reviewed for Staff Member 3 did not include the actual date trainings and specified hours in subsections. | The following shall complete 24 hours of training related to job skills and knowledge each year: Program specialists. | Provider has reevaluated and completed new training documentation system to include date of training and total training hours.
Medflyt is the software contracted and being implemented to allow staff to complete trainings and track the completed trainings by WLI management. |
12/29/2021
| Implemented |