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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.72(b) | There were two screen doors on the backside of the home that had missing screens. | Screens, windows and doors shall be in good repair. | Plan to fix the immediate problem: House manager will walk through the sites to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly to make sure are sites are on clean and sanitary conditions, especially when it comes screens in doors, to ensure good repair.
Who (job title) will be responsible for correcting the problem (each step in the process) in the future: House Manager will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially when it comes steps having a railing free of rusty nails. The owner will purchase the materials and have them installed to ensure the home is in good standing.
What will be corrected: Make sure are sites are on clean and sanitary conditions, especially when it comes the steps having a railing free of rusty nails and getting it replaced in the homes to ensure the home is presented in good repair.
When and How: House Manager will review the components of the 6400 regulations and how it should be applied to the areas of non-compliance and will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially comes the steps having a railing free of rusty nails .
- House Manager will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially when it comes the steps having a railing free of rusty nails so that its, in good repair.
- House manager will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly, and to make sure are sites are on clean and sanitary conditions, especially when it comes the steps having a railing free of rusty nails, by 03/01/2026 |
03/01/2026
| Implemented |
| 6400.216(a) | There were books with the individual's personal information left unlocked in the home. | An individual's records shall be kept locked when unattended.
| Plan to fix the immediate problem: Compliance Manager will work with house staff and upper management team to establish the best strategy to ensure An individual has the right of privacy, by locking all personal information up to assure safety and to avoid any violations of rights.
Who (job title) will be responsible for correcting the problem (each step in the process) in the future: Compliance Manager will work with house staff and upper management team to establish the best strategy to ensure An individual has the right of privacy, by locking all personal information up to assure safety and to avoid any violations of rights.
What will be corrected: Compliance Manager will work with house staff and upper management team to establish the best strategy to ensure An individual has the right of privacy, by locking all personal information up to assure safety and to avoid any violations of rights.
When and How: Compliance Manager will review the components of the 6400 regulations and how it should be applied to the areas of non-compliance. Compliance Manager will work with house staff and upper management team to establish the best strategy to ensure An individual has the right of privacy, by locking all personal information up to assure safety and to avoid any violations of rights.
- Compliance Manager will work with house staff and upper management team to establish the best strategy to ensure An individual has the right of privacy, by locking all personal information up to assure safety and to avoid any violations of rights.
- Compliance Manager will work with house staff and upper management team to establish the best strategy to ensure An individual has the right of privacy, to assure safety and to avoid any violations of rights. ensure An individual has the right of privacy, by locking all personal information up to assure safety and to avoid any violations of rights, by 02/01/2026. |
03/01/2026
| Implemented |
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | The railing in the back outside exit has rusted nails protruding out of the frame. The step landing in the doorway of the back area of the home is sinking and very soft and not sturdy, which poses a potential hazard. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Plan to fix the immediate problem: House manager will walk through the sites to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially when it comes to the steps having a railing free of rusty nails, to ensure good repair.
Who (job title) will be responsible for correcting the problem (each step in the process) in the future: House Manager will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially when it comes steps having a railing free of rusty nails. The owner will purchase the materials and have them installed to ensure the home is in good standing.
What will be corrected: Make sure are sites are on clean and sanitary conditions, especially when it comes the steps having a railing free of rusty nails and getting it replaced in the homes to ensure the home is presented in good repair.
When and How: House Manager will review the components of the 6400 regulations and how it should be applied to the areas of non-compliance and will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially comes the steps having a railing free of rusty nails .
- House Manager will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially when it comes the steps having a railing free of rusty nails so that its, in good repair.
- House manager will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly, and to make sure are sites are on clean and sanitary conditions, especially when it comes the steps having a railing free of rusty nails, by 06/01/2025 |
06/01/2025
| Implemented |
| 6400.70 | Telephone is not connected in the home. | A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.
| -Plan to fix the immediate problem: House manager will walk through the sites to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially when it comes to a working telephone. Site is new and not currently be operated, no occupies at the home.
Who (job title) will be responsible for correcting the problem (each step in the process) in the future: House Manager will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially when it comes to a working telephone. Site is new and not currently be operated, no occupies at the home.
What will be corrected: Make sure are sites are on clean and sanitary conditions, especially when it comes to a working telephone. Site is new and not currently be operated, no occupies at the home.
When and How: House Manager will review the components of the 6400 regulations and how it should be applied to the areas of non-compliance and will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially when it comes to a working telephone. Site is new and not currently be operated, no occupies at the home.
- House Manager will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly and to make sure are sites are on clean and sanitary conditions, especially when it comes to a working telephone. Site is new and not currently be operated, no occupies at the home.
- House manager will walk through the sites weekly to examine all furniture, surfaces, floors, walls and ceilings to ensure they are in good repair. The broke items will be removed or replaced correctly, and to make sure are sites are on clean and sanitary conditions, especially when it comes to a working telephone. Site is new and not currently be operated, no occupies at the home by 06/01/2025. |
03/13/2025
| Implemented |
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