| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.72(a) | On 2/202/5, at 10:20 AM, the kitchen window facing the left side of the home, and the kitchen window facing the back porch did not have screens. At 10:28 AM, in Individual #1's bedroom, the window facing the front of the home and the window located on the right side of the home did not have screens. At 10:30 AM, the window facing the right side of the home located in Individual #2's bedroom did not have a screen. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | On March 3rd, 2025, Maintenance Personnel installed window screens in the windows of the kitchen and both bedrooms. All other homes were checked for compliance to ensure that all windows, including windows in doors, shall be securely screened when windows or doors are open. |
03/03/2025
| Implemented |
| 6400.214(b) | On 2/20/25, at 10:55 AM, hard or electronic copies of the following regarding Individual #1's most current records were not kept at the home: Individual Support Plan, which was last updated on 12/14/22; a dental hygiene plan, and a psychological evaluation. | The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home.
| On 2/20/25, the most current copies of the individuals psychological evaluation, dental plan, and Individual Support Plan was uploaded to her electronic record. |
03/05/2025
| Implemented |
| 6400.32(r)(1) | At 10:27 AM and 10:29 AM, respectively, on 2/20/25, the door locks to Individual #1's and Individual #2's bedrooms were equipped with a pop lock on the inside and a push-pinhole access point on the entry side. Both Individual #1 and Individual #2 do not have unique entry mechanisms to lock and unlock their bedroom doors. | 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. | On 3/5/25, the Individual¿s lock preference was installed. Copies of the keypad codes are kept in the staff office in a designated space consistent across all locations. |
03/05/2025
| Implemented |
| 6400.32(r)(4) | At 10:27 AM and 10:29 AM, respectively, on 2/20/25, the door locks to Individual #1's and Individual #2's bedrooms were equipped with a pop lock on the inside and a push-pinhole access point on the entry side. These bedroom door lock mechanisms do not allow easy and immediate access by the individuals and staff persons in the event of an emergency. | The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. | Copies of the keypad codes are kept in the staff office in a designated space consistent across all locations. |
03/05/2025
| Implemented |