| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.63(a) | On 1/15/2026 at 10:15AM, the hot water temperature measured 129.5 degrees Fahrenheit at the sink in the kitchen of the home. | Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. | On 1/15/206, management team reached out to the property Management to lower the water temp. Later that evening 5pm it was rechecked and measured at 120. At 9pm it was measured at 117. On 1/23/26 CEO went to the Property management and discussed ways to address the water temp due to the temp constantly changing. Property Management agree to try utilize a protective guard to prevent burning and will place it on the pipes. A temp gauge can't be used due to it regulating all the water heaters in the building itself. |
01/26/2026
| Implemented |
| 6400.64(a) | On 1/15/2026 at 10:20AM, there was a black substance that appeared to be mold and/or mildew above the shower, on the ceiling, in the bathroom. | Clean and sanitary conditions shall be maintained in the home. | On 1/15/2026 another request was put in to the property Management to address the mold on top of the bathroom ceiling. On 1/15/2026 later that evening, it was checked after the maintenance indicated they completed the job. |
01/15/2026
| Implemented |
| 6400.182(c) | Individual #1's assessment, completed 4/14/2025, states that "[Individual #1] has 1hr of downtime to walk around [their] apartment complex." Individual #1's service plan, last updated 11/15/2025, states "[Individual #1] is usually supervised in the community" and "Staff feel [Individual #1] can safely do this up to 30 mins/day". | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | On 1/14/2026, an email was sent to the SC addressing the discrepancy of the down time and how to use it safely. CEO sent examples of discrepancies and conflicting statements in the ISP. (see attached) |
01/21/2026
| Implemented |