| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.71 | On 9/23/2026 at 10:37 AM, the telephone numbers of the nearest hospital, police department, fire department, ambulance, and poison control center was not on or by the telephone in the sitting room of the home. | Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line.
| On 9/23/2026, a phone label with emergency phone numbers was placed on the noncompliant phone in the home (Correction Evidence B). |
10/12/2026
| Implemented |
| 6400.73(a) | On 9/23/2026 at 10:42 AM, there was no railing on the first three interior stairs leading from the living room to the second floor of the home. At 10:39AM, there was no railing on the three exterior stairs in the back of the home. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | On 9/23/2026, a handrail was installed on the wall next to the stairs leading to the second floor of the home. On 9/25/2026, a railing was installed on the exterior three steps of the home (Correction Evidence C). |
10/12/2026
| Implemented |
| 6400.32(r)(4) | On 9/23/2026 at 10:30 AM, a staff's key to Individual #1's bedroom door was not labeled to allow immediate access in case of an emergency. | The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. | On 9/23/2026, the key was labelled and placed on the staff's keys at the home (Correction Evidence D). |
10/12/2026
| Implemented |
| 6400.163(d) | On 9/23/2026 at 10:59 AM, a Nicotine Transdermal System Patch 21MG was unlocked and accessible on a stand in Individual #1's bedroom on the second floor of the home. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | On 9/23/2026, the Nicotine Transdermal System Patch 21MG was thrown away. |
10/12/2026
| Implemented |