| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | At 10:17AM on 7/1/2026, cleaning products including but not limited to Windex and Comet with Bleach were unlocked and accessible in the closet of the second-floor bathroom. At 10:32AM, cleaning products including but not limited to Gain multi-purpose cleaner, window cleaner, oven cleaner, Mean Green Super Strength cleaner were unlocked and accessible in the cabinet under the kitchen sink. At 10:40AM, cleaning products including Comet spray cleaner, Comet powder cleaner, Lysol toilet bowl cleaner, and insect killer were unlocked and accessible in the drawer in the bathroom in the basement. At 10:43AM, multiple cans of paint and other poisons were unlocked and accessible in the storage area in the laundry room of the basement. Bleach, Pine Sol, flea and tick home spray were unlocked and accessible on a shelf above the washer and dryer. At 10:44AM, two 128-ounce bottles of Steri-Fab insecticide and glass cleaner unlocked and accessible in the closet in the laundry room. Individual #1 was assessed to need physical assistance with poisons and has no awareness of any safety precautions. | Poisonous materials shall be kept locked or made inaccessible to individuals. | Upon discovery NFHCS immediately corrected by locking the poisons and making them inaccessible to the individual. This was completed on 7/1/26 |
07/01/2026
| Implemented |
| 6400.62(c) | At 10:17AM on 7/1/2026, a generic spray bottle, manufactured by ZEP, contained an unidentified clear liquid was on the second shelf in the closet of the second-floor bathroom. | Poisonous materials shall be stored in their original, labeled containers. | Upon discovery NFHCS immediately corrected by removing the generic spray bottle from the home. This was completed on 7/1/26. |
07/01/2026
| Implemented |
| 6400.64(a) | At 10:29AM on 7/1/2026, there was a white residue and brown, burnt substances on the bottom and door of the oven in the kitchen of the home. | Clean and sanitary conditions shall be maintained in the home. | NFHCS corrected this violation by cleaning the oven on 7/1/26. |
07/01/2026
| Implemented |
| 6400.68(b) | At 10:15AM on 7/1/2026, the hot water temperature measured 126.1 degrees Fahrenheit at the bathtub in the bathroom on the second floor of the home. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | NFHCS immediately adjusted the water temperature on 7/1/26 to bring the water temperature in compliance. |
07/01/2026
| Implemented |
| 6400.101 | At 10:47AM on 7/1/2026, the door between the basement and the garage had a key lock doorknob with the thumb turn on the basement side of the door posing an obstructed egress from the garage when engaged. There is not a swing door in the garage. [Repeat Violation, 7/8/2025 et.al.] | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| NFHCS corrected by having the turn lock was changed. This fix was in place on 7/1/2026. |
07/01/2026
| Implemented |
| 6400.181(e)(10) | Individual #1's assessment, completed 11/20/2025 did not include lifetime medical history. | The assessment must include the following information: A lifetime medical history. | NFHCS recognizes that we cannot correct this violation.[Immediately and continuing over the next 2 weeks, the program specialist shall audit and update all individuals' current assessment to ensure all required information is included and accurate. (DPOC by AES,HSLS on 7/24/2026)] |
07/17/2026
| Implemented |
| 6400.181(e)(12) | Individual #1's assessment, completed 11/20/2025 did not include recommendations for specific areas of training, programming and services. | The assessment must include the following information: Recommendations for specific areas of training, programming and services. | NFHCS recognizes that we cannot correct this violation.[Immediately and continuing over the next 2 weeks, the program specialist shall audit and update all individuals' current assessment to ensure all required information is included and accurate. (DPOC by AES,HSLS on 7/24/2026)] |
07/17/2026
| Implemented |
| 6400.46(b) | Direct Service Worker #1 was trained in general fire safety on 1/15/2026, 11/29/2025, and 7/21/2025. These trainings did not include site specific information. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | Upon discovery NFHCS corrected this by training Direct Service Worker #1 on site-specific fire safety training for each NFHCS residential location where the employee is assigned or my be scheduled to work. |
07/17/2026
| Implemented |
| 6400.50(a) | Direct Service Worker #1's training in Individual Support Plans, completed 10/14/2025 did not include a training source and length of training. Direct Service Worker #1's fire safety training dated 1/15/2026 did not include the length of training. | Records of orientation and training, including the training source, content, dates, length of training, copies of certificates received and staff persons attending, shall be kept. | NFHCS realizes we cannot correct this violation, however staff's training records have been reviewed for accuracy. |
07/20/2026
| Implemented |
| 6400.186 | Individual #1's Individual Support Plan, last updated 6/5/2026, indicates Individual #1 requires intensive supervision 24 hours per day, cannot be left alone, is at risk for falling so it is important that someone is next to them while ambulating, has seizures, and is a choking risk. As of 7/1/2026, Individual #1 is unsupervision during sleep hours as the live-in staff is also asleep during these times. [Repeat Violation, 7/8/2025 et.al.] | The home shall implement the individual plan, including revisions. | Upon discovery, NFHCS corrected by changing the sleeping hours of the live in to be while the individual is out of the home during the day. Also adding additional staffing for the days the individual is home during the day. |
07/19/2026
| Implemented |