| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(d)(1) | The agency is not Individual #1's representative payee. Individual #1's Service Plan, last updated 5/19/25, states that "[Individual #1] requires assistance with budgeting/ money management." However, on 10/7/25, the home did not keep an up-to-date financial and property record for Individual #1 that included the following: personal possessions and funds received by or deposited with the family or home. | The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. | Immediate Plan of action:
List of Personal Property:
The Participant Program binder in Section 3 contains all inventory of personal property. All participant program binders were at RMPC's Main office for licensing. That binder has since been placed back at the site for Individual #1.
Financial Record:
Individual #1 representative payee is her sister. Individual 1 receives funds from her sister every Sunday via cash. Individual 1 elects to keep the cash on her person and does not like to deposit the funds into the money pouch provider to her by RMPC so staff can assist her with managing her funds. To correct this violation we have spoken with her individual 1 sister and explained although she is providing her sister with money on a weekly basis we need to know how much she is giving individual 1 so we can document the deposit to show she is receiving spending from her rep payee. Communication was done via phone call by RMPC PS and via email from PS as a follow up to the phone call. Individual 1 and her sister have agreed to provide individual 1 with 20.00 every sunday.
See emailed supporting documentation |
10/10/2025
| Implemented |
| 6400.22(d)(2) | The agency is not Individual #1's representative payee. Individual #1's Service Plan, last updated 5/19/25, states that "[Individual #1] requires assistance with budgeting/ money management." However, on 10/7/25, the home did not keep an up-to-date financial and property record that included the following: disbursements made to or for Individual #1. | (2) Disbursements made to or for the individual.
| Immediate Plan of action:
Financial Record:
Individual #1 representative payee is her sister. Individual 1 receives funds from her sister every Sunday via cash. Individual 1 elects to keep the cash on her person and does not like to deposit the funds into the money pouch provider to her by RMPC so staff can assist her with managing her funds. To correct this violation we have spoken with her Individual 1's sister and explained that although she is providing her sister with money on a weekly basis we need to know how much she is giving individual 1. We need to confirm and document the deposit to show she is receiving spending from her rep payee. Communication was done via phone call by RMPC PS and via email from PS as a follow up to the phone call. Individual 1 and her sister have agreed to provide individual 1 with 20.00 every sunday.
*See emailed supporting documentation |
10/10/2025
| Implemented |
| 6400.62(a) | Individual #2's Service Plan, last updated 8/25/25, states that "[Individual #2 recognizes poisonous substances but does not have access to them at home. [Individual #2] can use cleaning products independently, but staff should be aware of what [Individual #2] is doing and will have to assist [them] with getting the supplies, as [Individual #2] does not have access to them." At 12:01 PM on 10/7/25, unlocked and accessible underneath the kitchen sink were the following poisonous cleaners: a 32 fluid-ounce bottle of Clorox Multi-Surface Cleaner; a 1.2-quart bottle of Mr. Clean Anit-bacterial Multi-Surface Cleaner; and a 32 fluid-ounce bottle of Member's Mark Glass Cleaner. At 12:14 PM, unlocked and accessible underneath the sink located in the home's full bathroom were the following poisonous cleaners: a 21 ounce can of Comet Bleach; and a 32 fluid-ounce bottle of Sprayway Glass Cleaner. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Immediate Plan of action:
Individual 2 has been in Rehab for an ankle surgery since 9/24/25. As explained to the licensing Rep at the time of inspection. If FB were home those products would not be readily available under the kitchen sink or bathroom sink but rather in the laundry room located in the lower level of the split level home. This area of the home is a low traffic area for both individuals who reside there. They are not in this area due to the need to utilize the stairs and they both require staff assistance to do so.
*In preparation for licensing, staff had been using products for both areas of the home and placed those items there as they knew FB had been in Rehab. |
10/14/2025
| Implemented |
| 6400.101 | At 12:06 PM on 10/7/25, the interior game room door leading to the attached garage is equipped with a privacy door lock having a pop mechanism on the basement side and a pinhole access point facing the garage side. The attached garage does not have an exterior swing door to prevent entrapment. [Repeated Violation-10/8/24, et al] | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| Immediate Plan of action:
A new door knob without a locking mechanism was replaced on 10/15/25 by the RMPC maintenance Team. The door knob on the game room door is extremely old and we weren't even aware they could lock. This knob has been on the gameroom door for all of our licensings at this site dating back to 2015.
See emailed supporting documentation photo |
10/16/2025
| Implemented |
| 6400.107 | At 12:10 PM on 10/7/25, situated within the recessed cavity of a fireplace was a portable electric faux firewood heating element, which was neither permanently mounted, nor hardwired to the home, as the device had an external cord. | Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms.
| Immediate Plan of action:
The portable electric faux firewood heating element was thrown out by the CEO on 10/7/25 at the time of the inspection.
RMPC would like to note that this was a good find by the licensing rep. That fireplace has never been used and we never noticed that it was not hardwired to the fusebox adjacent to it as this area of the home is treated more like a storage space than part of the daily living areas the participants of the home frequently use. |
10/15/2025
| Implemented |
| 6400.141(c)(14) | Individual #1's current physical examination, completed on 7/24/25, did not address medical information pertinent to diagnosis and treatment in case of an emergency, as the corresponding field was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Immediate Plan of action:
RMPC PS contacted individual 1's the physicians office to ask what should be the protocol for individual 1 in the event of an emergency pertinent to diagnosis and treatment. PS was advised to simply notify 911 in the event of an emergency. The same recommendation was documented on individual 1 previous physical for 2024. |
10/14/2025
| Implemented |
| 6400.181(e)(12) | Individual #1's current assessment, completed on 2/8/25, did not adequately address recommendations for specific areas of training, programming, and services to support new skill growth, as the corresponding field read, "It is recommended that [Individual #1] continue residential services with [Agency #1]. It is important for [Individual #1] to remain with staff that is familiar with [their] behaviors. [Individual #1] will continue to benefit by following this plan as it provides continuity in strengthening [their] interaction in the community and meeting new peers for socialization." | The assessment must include the following information: Recommendations for specific areas of training, programming and services. | Immediate Plan of action:
To correct this violation individual 1's assessment was updated by the PS on 10/16/25 to include specific areas of training, and services. The updated assessment for individual 1 will be submitted as supporting documentation. |
10/15/2025
| Implemented |
| 6400.214(b) | At 1:10 PM on 10/7/25, neither hard nor electronic copies of the following regarding Individual #1's most current records were kept at the home: an applicable psychological evaluation. | The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home.
| Immediate Plan of action:
The Participant Program binder in Section 7 contains psychological evaluations past and present.The program binders were at the main office for licensing. To correct this violation immediately the binder was taken back to the site on 10/7/25 by PS. In addition an electronic copy of the psychological evaluation was scanned to individual 1's google drive folder by the PS. |
10/17/2025
| Implemented |
| 6400.182(c) | Individual #1's Service Plan, last updated 5/19/25, contained the following discrepancies between their current assessment, completed on 2/8/25, in the following health and safety skill domains: regarding the self-administration of medication, Individual #1's Service Plan, last updated 5/19/25, stated "[Individual #1] is able to take [their] medication independently." However, Individual #1's assessment, completed on 2/8/25, indicated, "No," staff administration is required for Individual #1's medication administration; and regarding supervision within the home, Individual #1's Service Plan, last updated 5/19/25, informed only that "[Individual #1] is able to be alone for up to four hours." In contrast, Individual #1's assessment, completed on 2/8/25, indicated only that Individual #1 is permitted alone time their bedroom. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | Immediate Plan of action:
To correct this violation individual 1's assessment was updated on 10/16/25 to reflect the current needs of the individual with input form dcsp's, the participant and other plan team members. Any information that was not accurate in the ISP was sent to the SC to be updated to reflect the same information updated in the residential assessment. This notification was sent via email. PS will follow up with the SC weekly to ensure the revisions were submitted for approval. The Updated Individual 1 assessment and proof sc notification will be sent as supporting documentation |
10/15/2025
| Implemented |