| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.78(b) | A large amount of debris including a couch, home repair materials, children's toys, tables, and various other household items, were found scattered throughout the yard and exterior areas of the home alongside the house. | The yard and outside of the home shall be well maintained and free from unsafe conditions. | On 12/22/2025, a meeting was held with the lifesharer to discuss the household items that were scattered throughout the yard. A request was made to have the couch, tables, children's toys, home repair materials, and various other household items removed by February 28, 2026. |
02/28/2026
| Implemented |
| 6500.109(d) | The 03/28/25 Fire Drill does not note a time in which the drill was conducted. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative. | The incomplete fire drill was returned to the Lifesharer to be completed. The completed fire drill was submitted to the Supervisor on 12/10/25. A new fire drill was also completed and submitted on 12/10/25. Please see documents attached. |
01/05/2026
| Implemented |
| 6500.110(c) | There was no documentation on record to show that Individual #1 and Family members were trained on the Fire Safety Training Plan. | Family members and individuals, including children, shall be trained within 31 calendar days of an individual living in the home and retrained annually, in accordance with the training plan specified in subsection (a). | Individual #1, and family members were trained on the annual fire safety training plan on 12/11/2025 and will be trained annually. Please see attached document. |
12/11/2025
| Implemented |
| 6500.121(c)(9) | Individual #1 is diagnosed with an enlarged prostate and a prostate exam was not noted on the 07/06/25 physical examination. A prostate examination was last completed on 07/15/24 which exceeds the annual requirement. | The physical examination shall include: A prostate examination for men 40 years of age or older. | Individual #1 has a urology appointment scheduled for 3/30/2026. At this appointment the prostate exam
will be completed. |
03/30/2026
| Implemented |
| 6500.123(a) | Individual #1 last completed a hearing screening on 06/24/24. On the 07/06/25 physical examination, the individual's PCP recommended following up with a specialist. To date, follow-up has not been completed, and there was no documentation on record to show that follow-up was attempted. Per the provider, the individual is refusing treatment; however, refusals and continued attempts to train the individual about the need for health care was not documented in the individual's record. | If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. | Individual #1 visited his PCP on 12/16/2025 and received a referral for a new audiologist. The Lifesharer is in the process of setting up an appointment with the new audiologist. They currently do not have any openings but will call her back as soon as an appointment becomes available. |
04/01/2026
| Implemented |
| 6500.124 | Individual #1 was last seen by Urology on 05/15/24 and had prostate needle biopsies completed on 09/11/24. Documentation shows that on 01/10/25, the Urologist cancelled a scheduled follow-up appointment; however, there is no further documentation on file to show that the appointment was rescheduled. A follow-up appointment date of 03/30/26 was provided at the time of inspection. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. | Individual #1 has a urology appointment scheduled for 3/30/2026. At this appointment the prostate exam
will be completed. |
03/30/2026
| Implemented |