| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.72(a) | Two of the windows in Individual #2's bedroom and two of the windows in Individual #3's bedroom lacked window screens. As there were no screens within the home that could be fit into these windows should they be opened, these windows were incapable of being securely screened when in use. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Due to the height and size screens would have to be custom made. The windows will be secured on 08/09/2024. |
08/09/2024
| Implemented |
| 6400.82(f) | The home's basement bathroom lacked a sink, wall mirror, soap, and individual clean paper or cloth towels. | 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. | A sink, mirror, soap and paper towels will be installed adjacent to the bathroom. |
09/18/2024
| Implemented |
| 6400.142(f) | There was no dental hygiene plan found for Individual #2 within the individual record. A document titled "Dental Plan" and dated 02/27/2024 was located. This document contained instructions to, "Brush teeth twice daily, floss if tolerated;" however, it did not specify the level of assistance, if any, that Individual #2 would need to complete this task as directed successfully. It was unclear whether or not the individual was independent in this area, as this information was not found elsewhere in the Individual Record. | An individual shall have a written plan for dental hygiene, unless the interdisciplinary team has documented in writing that the individual has achieved dental hygiene independence. | The consumers Dental Plan was written but did not include the level of independence necessary to complete his hygiene routine. The plan was updated to include the Individuals level of independence. |
07/17/2024
| Implemented |