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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.65 | On 02/07/24, at 01:04 PM, Individual #1's en suite bathroom was not equipped with a window or mechanical ventilation system. | Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.
| The bathroom will have a ventilation system installed. Our General Contractor was notified on Friday, February 9th and has provided us a work order.
Our General Contractor will install a ventilation system.
The ventilation system will be installed by March 23, 2024.
A ventilation system will be installed. A review of regulations was completed with the Program Specialists on Monday, February 12th. |
03/22/2024
| Implemented |
| 6400.68(b) | On 02/07/24, at 01:03 PM, the water temperature measured 150.8 degrees Fahrenheit at Individual #1's en suite bathroom sink. On 02/07/24, at 01:05 PM, the water temperature measured 151.3 Fahrenheit at the main level hallway bathtub. On 02/07/24, at 01:07 PM, the water temperature measured 151.1 Fahrenheit at the main level hallway bathroom sink. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The Home Leader will monitor the water temperature on a daily basis and has ensured the water temperature was turned down to the appropriate setting.
The Home Leader adjusted the temperature and began monitoring as of February 8th, 2024.
A correction was made 2/8/2024 and the water temperature is being monitored on a daily basis.
The Home Leader adjusted the temperature and began monitoring as of February 8th, 2024.
A daily monitoring is being completed by the Home Leader. The Assigned Program Specialist is reviewing the water temperature on a monthly basis moving forward.
A retraining was provided to the Home Leader regarding water temperature on February 8, 2024 and a daily monitoring plan was established. |
02/08/2024
| Implemented |
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