| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.63(a) | At 10:04 AM on 10/7/25, the hot water temperature at the kitchen sink measured 125.4 degrees Fahrenheit. | Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. | Immediate Plan of action:
The hot water tank was lowered by the Compliance Officer during the inspection on 10/7/25. Staff began to get readings between 115 - 118 later that evening when the participants came back home from their programs. |
10/15/2025
| Implemented |
| 6400.66 | At 10:25 AM on 10/7/25, the two ceiling light fixtures in the home's attached garage were inoperable, and there was no sufficient lighting source nearby. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Immediate Plan of action:
A light fixture was installed in the garage area by RMPC maintenance team on 10/15/25.
*See emailed supporting documentation photos. |
10/16/2025
| Implemented |
| 6400.68(b) | At 10:15 AM on 10/7/25, the hot water temperature at the tub in the full bathroom located on the home's main floor measured 123.8 degrees Fahrenheit. [Repeated Violation-10/8/24, et al] | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Immediate Plan of action:
The hot water tank was lowered by the Compliance Officer during the inspection on 10/7/25. Staff began to get readings between 115 - 118 later that evening when the participants came back home from their programs. |
10/16/2025
| Implemented |
| 6400.72(a) | At 10:08 AM on 10/7/25, the only window in the room located to the right of the stairs in the home's finished attic area did not have a screen. At 10:09 AM, the only window in the room located to the left of the stairs in the home's finished attic area did not have a screen. At 10:16 AM, the window facing the side of the home in Individual #1's bedroom did not have a screen. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | Immediate Plan of action:
A screen was placed in both window by RMPC maintenance team on 10/15/25.
See emailed supporting documentation |
10/16/2025
| Implemented |
| 6400.72(b) | At 10:16 AM on 10/7/25, the room's window facing the side of the home in Individual #1's bedroom was in disrepair and would not stay open in a stationary position on its own, as it slammed shut in a downward, vertical motion. [Repeated Violation-10/8/24, et al] | Screens, windows and doors shall be in good repair. | Immediate Plan of action:
The window was replaced by RMPC maintenance team on 10/15/25.
See emailed supporting documentation |
10/15/2025
| Implemented |
| 6400.104 | The home's fire department notification letter, dated 3/15/23, indicates that Individual #1 requires verbal and physical assistance to evacuate. However, this letter did not provide the exact location of Individual #1's bedroom, as it stated only, "within the home there are two bedrooms, which one is occupied." | The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current.
| Immediate Action:
This violation does not require remediation; the fire letter does include the exact location of where the individual's room is located. This is the same letter that was sent to the Licensing rep as pre inspection material. RMPC keeps a binder of all files sent for pre licensing.
See emailed supporting documentation |
10/13/2025
| Implemented |
| 6400.214(b) | At 10:33 AM 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 assessment; an applicable restrictive procedure plan; a dental examination; an applicable dental hygiene plan; and 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 contains most current records 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 all these documents excluding the psychological evaluation are in the participants google drive folder which all staff who work that individual have access to. |
10/16/2025
| Implemented |
| 6400.46(a) | Senior Direct Service Provider #1 completed fire safety training on 5/1/24, and then again on 5/14/25. | Program specialists and direct service workers shall be trained before working with individuals in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the home, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered. | Immediate Plan of action:
We do not understand why this is a violation Senor Direct Service Provider 1 completed training on 5/1/24 and based on the example given in the RCG if a staff person hired on November 1, 2019, receives their first annual training on April 1, 2020, then their next annual training must be completed by April 30, 2021. Based on this provided example SDCP 1 would still be in compliance as of 5/31/25. |
10/17/2025
| Implemented |