| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.101 | At the time of the inspection, the door in the veranda leading to the outside would not open. Staff had to go outside and put their full body weight into the door to get the door to open. | Stairways, halls, doorways and exits from rooms and from the home shall be unobstructed. | WHO: Lifesharing Director will be responsible for implementing this plan of correction.
WHAT: Lifesharing Director will contact staff #5 and have them fix the door leading to the outside that would not open by September 13th, 2026. If they are unable to have this fixed by then due to having a company come out to the home, they will notify Lifesharing Director to request additional time. |
09/01/2026
| Accepted |
| 6500.184(a) | Self-assessments completed for the records are not being kept for four years. | Information in the individual's record shall be kept for at least 4 years or until any audit or litigation is resolved. | WHO: Staff #1; CEO, will be responsible for implementing this plan of correction.
WHAT: Staff #1 will train the Lifesharing Director on the regulation 6500.184 which includes keeping information in the individual's record for at least 4 years or until any audit or litigation is resolved by August 20th, 2026. |
09/01/2026
| Accepted |
| 6500.43(e)(4) | Staff #2 does not have the experience/education needed to qualify as an FLS. | A life sharing specialist shall have one of the following groups of qualifications: A high school diploma or general education development certificate and 6 years of work experience working directly with persons with an intellectual disability or autism. | WHO: CEO will be responsible for implementing this plan of correction.
WHAT: Staff #1 will have Lifesharing Director complete a waiver exemption form by August 20th, 2026, for Staff #2 and sent to the appropriate parties needed. Staff #1 will train Lifesharing Director on the requirements needed for new life sharing specialists being hired for the program by August 20th, 2026. |
08/20/2026
| Accepted |