| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.82(e) | At the time of the inspection on 3/12/25, there was not a shower mat available in the upstairs bathroom. | Bathtubs and showers shall have a nonslip surface or mat. | A shower mat has been installed per requirements, on 3/13/25, and a picture has been provided as confirmation. |
03/27/2025
| Implemented |
| 6400.82(f) | At the time of the inspection on 3/12/25, there was not hand soap available in the downstairs bathroom. | 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. | Hand soap was immediately placed per requirements - on 3/13/25, and a picture has been provided as confirmation. |
03/27/2025
| Implemented |
| 6400.111(f) | The fire extinguishers were inspected on 1/4/24 and not again until 1/9/25, which is outside of the annual timeframe. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | The next annual inspection has been scheduled to ensure continued adherence to fire safety regulations. The Program Director has been scheduled the annual inspection for December 2025.
See attached for appointment confirmation. |
03/18/2025
| Implemented |