Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.66 | On 1/8/2025, at 10:20AM, there was no light outside the exit at the side of the home leading from the mud room. On 1/8/2025, at 10:43AM, there was no light outside the exit in the back of the home leading from the garage. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Maintenance installed a light outside the exit leading from the mud room and at the exit in the back of the home leading from the garage on 1/14/2025. |
01/14/2025
| Implemented |
6400.73(a) | On 1/8/2025, at 10:45AM, there was no well-secured handrail for the four exterior cement stairs at the end of the patio outside the back exit of the home. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | Maintenance installed wooden hand railing for the four exterior cement steps at the end of the patio outside the back exit of the home. |
01/14/2025
| Implemented |
6400.74 | On 1/8/2025, at 10:30AM, there was no nonskid surface on the exterior, wooden stairs leading from the deck at the exit in the living room of the home. | Interior stairs and outside steps shall have a nonskid surface.
| A maintenance request was submitted and fulfilled on 1/14/2025. Maintenance placed non-skid strips on the wooden exterior stairs. |
01/14/2025
| Implemented |
6400.32(r)(1) | On 1/8/2025, at 10:34AM, a doorknob with a turn lock on the inside and a thumbnail mechanism on the outside was on Individual #1's bedroom door. Individual #1 has not been provided with a designated mechanism to lock and unlock the door independently. On 1/8/2025, at 10:35AM, a doorknob with a turn lock on the inside and a thumbnail mechanism on the outside was on Individual #2's bedroom door. Individual #2 has not been provided with a designated mechanism to lock and unlock the door independently | Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door. | Both individuals at the location had signed consents declining door locks on their bedroom doors. The doorknobs were replaced with non-locking knobs on 1/9/2025. |
01/09/2025
| Implemented |
6400.166(a)(13) | Direct Service Worker #1 administered Individual #1's prescribed medications at 8AM on 1/2/2025. Direct Service Worker #1's full name is not listed on Individual #1's January 2025 Medication Administration Record | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name and initials of the person administering the medication. | The administering staff signed the back of the MAR on 1/09/2025. |
01/09/2025
| Implemented |