| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | On 7/16/2025 at 10:46am, the interior of the microwave had a brownish color liquid and stains. At 10:50am, the walk-in shower had what appeared to be fecal matter on the non-slip mat, shower floor, and drain area. | Clean and sanitary conditions shall be maintained in the home. | A new microwave was purchased and delivered on 7/17/2025 to replace the one noted in the corrections. Area notated to have fecal was cleaned and sanitized on 7/16/2025. [A Blank "Physical Site Checklist" form, that includes "the home is clean and in good repair", was received on 8/27/2025 and reviewed 9/4/2025. DPOC by HDKP, HSLS, on 9/4/2025.] |
08/01/2025
| Implemented |
| 6400.64(b) | On 7/16/2025, at 10:53am dead flies were found in the windowsills of Individual #1 and Individual #2's bedrooms. | There may not be evidence of infestation of insects or rodents in the home. | Notated area was cleaned and sanitized on 7/16/2025. [A Blank "Physical Site Checklist" form, that includes "window seals are clean", was received on 8/27/2025 and reviewed 9/4/2025. DPOC by HDKP, HSLS, on 9/4/2025.] |
08/01/2025
| Implemented |
| 6400.216(a) | On 7/16/2025 at 11:10am, Individual #1's records were in an unlocked two-drawer filing cabinet in the living room.
On 7/16/2025 at 11:11am, The records for Individual #2 were unlocked on the kitchen counter next to the medication safe. | An individual's records shall be kept locked when unattended.
| The key was located, and documents and medications were secured on 7/16/2025. [A Blank "Physical Site Checklist" form, that includes "Individual records are to be stored in a locked area or cabinet", was received on 8/27/2025 and reviewed 9/4/2025. DPOC by HDKP, HSLS, on 9/4/2025.] |
08/01/2025
| Implemented |
| 6400.163(d) | On 7/16/2025 at 11:10am, The medications for Individual #1 were in an unlocked two-drawer filing cabinet in the living room. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | The key was located, and documents and medications were secured on 7/16/2025. [A Blank "Physical Site Checklist" form, that includes "the Med Cabinet is cleaned and locked", was received on 8/27/2025 and reviewed 9/4/2025. DPOC by HDKP, HSLS, on 9/4/2025.] |
08/01/2025
| Implemented |