| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.73(a) | During the inspection conducted 9/27/2023, there was no handrail on the three steps, in the back of the home leading to the concrete walkway. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | The two steps up onto a wall, which counts as 3 steps total, will have a secure handrail installed to meet requirements of regulation 6400.73(a). This location is a leased home and we gained approval from the owners to meet this regulation. The Facilities Manager is in the process of installing a new handrail that will be safe and in working order for the 3 steps. The Facilities Manager began this project on 10/12/23 and has a goal for completion early next week. No one is currently living at this location so therefore, not a hazard. But, regardless this regulation will be maintained going forward. A well-secured handrail will be in working order. |
10/20/2023
| Implemented |
| 6400.80(b) | During the inspection conducted 9/27/2023, the three exterior stairs in the back of the home leading to the concrete walkway, are not secured and move when stepped on. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | The facility Manager began working on securing the steps in the back of the home, but only two steps were technically involved. The third step is onto a wall that is secure. The Facilities Manager began this project on 10/12/23 and has a goal to be done by early next week. No one is living at this location at the time so it does not prevent itself to be a unsafe condition at this time. However, the steps will be corrected by the Facility Manager ASAP and are in the process. |
10/20/2023
| Implemented |
| 6400.101 | During the inspection conducted 9/27/2023, there was a turn lock and deadbolt on the door inside of the basement leading to the garage, and no exit door from the garage to the outside posing a potential entrapment risk. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| 6400.101 No swing doors , or door with Chain locks/hotel type locks, etc. The garage is not considered an exit, as in the event of a fire, the power would be inoperable, therefore garage doors would not be able to open via an individual with IDD.
Regulation 6400.101 was fixed upon Inspection completion on 9/28/23 by the Emmaus Facilities Manager. This regulation was discussed at a Management training, via the CEO, that was on 10/3/23, where the Facilities Manager and the Director of IDD Services participated in. |
10/20/2023
| Implemented |