| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.63(a) | On 5/4/2026 at 10:12 AM, the hot water temperature at the kitchen sink measured 126.8°F. On 5/4/2026 at 10:19 AM, the hot water temperature at the sink in the full bathroom adjacent to the kitchen measured 129.5°F. | 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. | CLASS immediately corrected by adjusting the water temperature on hot water tank. This correction was in place on 5/4/2026. |
06/16/2026
| Implemented |
| 6400.67(b) | On 5/4/2026 at 10:35 AM, the door to the full bathroom adjacent to the kitchen had been removed; however, the three hinge pins were observed in the corresponding knuckles of the hinge mechanisms. The hinge pins were severely rusted and had the potential to cause injury or infection. | Floors, walls, ceilings and other surfaces shall be free of hazards. | CLASS immediately corrected by removing the hinge pins and hinge mechanisms. This correction was in place on 5/4/2026. |
06/16/2026
| Implemented |
| 6400.110(a) | On 5/4/2026 at 10:25 AM, the empty attic space measuring approximately 4-feet in height, which is accessible via a retractable ladder in the attached garage, was observed without an automatic smoke detector. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | CLASS corrected by installing an operable automatic smoke detector in the attic of this home. This fix was in place on 5/19/2026. |
06/16/2026
| Implemented |
| 6400.111(a) | On 5/4/2026 at 10:25 AM, the attic space measuring approximately 4-feet in height, which is accessible via a retractable ladder in the attached garage, was observed without a fire extinguisher with a minimum 2-A rating. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | CLASS corrected by installing an operable fire extinguisher with a minimum 2-A in the attic of the home. This fix was in place on 6/9/2026. |
06/16/2026
| Implemented |
| 6400.141(c)(4) | Individual #2 last had a vision screening or examination completed on 4/2/2025. This exceeds teh annual requirement.[Repeat violation 09/24/25, et. al.] | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | CLASS recognizes that we cannot correct this violation. |
06/16/2026
| Implemented |
| 6400.142(g) | Individual #1's most recent written dental hygiene plan was completed on 9/18/24. This exceeds the annual requirement. | A dental hygiene plan shall be rewritten at least annually. | CLASS understands this cannot be corrected in the required time frame. A dental hygiene plan was written and signed after 5/4/2026. |
06/16/2026
| Implemented |
| 6400.144 | Individual #1 was seen for a routine vision screening on 3/26/2024 where the physician indicated the need for a twelve-month follow-up appointment, which was completed on 5/21/2025. The agency failed to ensure such prescribed health services were arranged for and provided in a timely manner. Individual #1 was seen for a routine dental examination on 6/17/2024 where the physician indicated the need for a six-month follow-up appointment; however, the agency failed to ensure that such health services were arranged for or provided, as follow-up appointment documentation was not provided. Individual #1 was seen for a routine podiatry examination on 7/31/2024 where the physician indicated the need for a three-month follow-up appointment; however, the agency failed to ensure such health services were arranged for or provided as prescribed, as follow-up appointment documentation was not provided. Individual #2 had a vision examination conducted on 4/2/2025 where the physician indicated the need for an annual follow-up examination; however, the agency failed to ensure such health services were arranged for and provided as prescribed, as follow-up appointment documentation was not provided. Individual #2 was discharged from the hospital on 4/3/2025 where the aftercare instructions indicated the need for a follow-up with their Primary Care Practitioner within three to five days; however, the agency failed to ensure such health services were arranged for and provided as prescribed, as follow-up appointment documentation was not provided. Individual #2 was seen for a sleep consultation on 5/13/2025 where the physician indicated the need for a follow-up with a BiPAP Specialist; however, the agency failed to ensure such health services were arranged for and provided as prescribed, as follow-up appointment documentation was not provided. Individual #2 was seen for a routine dental examination on 6/23/2025 where the physician indicated the need for a follow-up on 1/26/2026. Agency staff indicated that the appointment on 1/26/2026 was cancelled and was rescheduled for 2/23/2026; however, no documentation or explanation for the cancellation could be provided, as the agency failed to ensure Individual #2's dental services were completed as prescribed. Individual #2 was seen for a routine wound care appointment on 8/27/2025 where the physician indicated the need for a one-month follow-up; however, the agency failed to ensure such health services were arranged for and provided as prescribed, as follow-up appointment documentation was not provided. Individual #2 was seen for routine nail care at the podiatrist on 11/20/2025 where the physician indicated the need for a return visit on 3/12/2026; however, the agency failed to ensure such health services were arranged for and provided, as follow-up appointment documentation was not provided. [Repeat violation 09/24/25, et. al.] | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| CLASS recognizes that we cannot correct this violation. |
06/16/2026
| Implemented |
| 6400.171 | On 5/4/2026 at 10:23 AM, a pot of, what appeared to be, tomato soup was observed uncovered on the rear left burner of the stove. The stovetop burner was neither on nor warm. It was unknown how long the soup had been left unprotected on the stove; however, it appeared to be old, as there were dried streaks of soup stained along the sides of the pot as well as a layer of biofilm on top of the soup. [Repeat violation 09/24/25, et. al.] | Food shall be protected from contamination while being stored, prepared, transported and served.
| CLASS corrected this immediately citation by disposing of the soup sitting on the stove on 5/4/2026. |
06/16/2026
| Implemented |
| 6400.163(a) | On 5/4/2026 at 12:21 PM, the following medications that were previously and exclusively prescribed to Individual #3 were observed in the staff office without a pharmacy issued medication label: three 24-capsule boxes of Anti-Diarrheal Loperamide HCL Tablets 2mg, two 100-softgel bottles of Vitamin D3 5000 IU (125mcg), and one 30-tablet bottle of Non-Drowsy 24-hour Allergy Relief Antihistamine 10mg. Individual #3, has been deceased since 2/28/2026. Repeat violation 09/24/25, et. al.] | Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy. | CLASS immediately removed medications of deceased individual from the home. This was completed on 5/4/26. Medications were disposed of on 5/5/26 (SB Med Disposal Form Attachment #6). |
06/16/2026
| Implemented |
| 6400.163(h) | Individual #1 is prescribed, Acetamin Tab 325mg, with instructions to "Take 2 tablets (650mg) by mouth every four hours as needed for pain/fever." On 5/4/2026 at 12:17 PM, this medication was observed with an expiration date of 3/25/2026. Individual #2 is prescribed, Calc Antacid Chw 750mg, with instructions to "Chew 2 tablets (1500mg) by mouth as needed for dyspepsia *NTE 15 tablets per 24 hours." At 12:10 PM, this medication was observed with an expiration date of 4/27/2026. At 12:21 PM, three 24-capsule boxes of Anti-Diarrheal Loperamide HCL Tablets 2mg that had previously been prescribed to Individual #3 were observed in the staff office with an expiration date of 4/2026. Additionally, at 12:21 PM, two 100-softgel bottles of Vitamin D3 5000 IU (125mcg) and one 30-tablet bottle of Non-Drowsy 24-hour Allergy Relief Antihistamine 10mg that had previously been prescribed to Individual #3 were observed in the staff office. Individual #3 has been deceased since 2/28/2026. [Repeat violation 09/24/25, et. al.] | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | CLASS immediately removed expired and/or discontinued medications from the home. This was completed on 5/4/26. |
06/16/2026
| Implemented |
| 6400.166(a)(5) | Individual #2 is prescribed, Budesonide Sus 0.5mg/2mL, with instructions to "Use 1 vial (2mL) via nebulizer twice a day for asthma/wheezing." On 5/4/2026, Individual #1's May 2026 Medication Administration Record did not include the strength of this medication. [Repeat violation 09/24/25, et. al.] | A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Strength of medication. | CLASS corrected this by updating the medication record. |
06/16/2026
| Implemented |
| 6400.166(b) | On 5/4/2026, Individual #2's prescribed medications including, but not limited to the following, were not initialed by staff as having been administered as reflected on Individual #2's April 2026 Medication Administration Record for the corresponding times and dates: Baclofen Tab. 10 MG with instructions to "Take 1 tablet by mouth four times a day (In addition to 20 MG dose) for muscle spasm" at 4 PM on 4/18/2026 and at 8 PM on 4/23/2026; Famotidine Tab. 20 MG with instructions to "Take 1 tablet by mouth twice a day at 12 PM and 8 PM for antacid" at 12 PM on 4/13/2026 and at 8 PM on 4/23/2026; and Pot Citra ER Tab. 1080 MG with instructions to "Take 1 tablet by mouth three times a day with meals for kidney stones" at 12 PM on 4/13/2026 and at 8 PM on 4/23/2026. [Repeat violation 09/24/25, et. al.] | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | CLASS recognizes that we cannot correct this violation |
06/16/2026
| Implemented |
| 6400.167(a)(1) | Individual #2 is prescribed, Budesonide Sus 0.5mg/2mL, with instructions to "Use 1 vial (2mL) via nebulizer twice a day for asthma/wheezing." This medication was not initialed by Direct Service Worker #1 as having been given on 5/1/2026 at 8:00 AM as reflected on Individual #2's May 2026 Medication Administration Record. Furthermore, Direct Service Worker #1 was unavailable to interview on 5/4/2026, and Individual #2's prescribed, Budesonide Sus 0.5mg/2ml, is in liquid form. Therefore, verification that this medication had been administered on 5/1/2026 at 8:00 AM could not be measured. [Repeat violation 09/24/25, et. al.] | Medication errors include the following: Failure to administer a medication. | CLASS recognizes that we cannot correct this violation |
06/16/2026
| Implemented |
| 6400.207(5)(III) | On 5/4/2026 at 12:39 PM, Individual #2's bed contained bilateral upper-half bedrails that restricted the movement or function of the individual's body. The agency obtained a prescription on 10/7/2024, indicating that the bedrails are medically necessary; however, the order did not include the diagnosis for which the device was intended to treat or a statement of direct correlation between the diagnosis and the behavior of concern. In addition, Individual #2's current physical examination, completed on 1/9/2026, did not contain such information. Although the bed rails are prescribed by the medical practitioner, Individual #2's assessment, last updated 9/8/2025, did not indicate if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual. Individual #2's Support Plan, last updated 10/17/2025, did not include periodic relief of the device to allow freedom of movement. [Repeat violation 09/24/25, et. al.] | A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement. | CLASS recognizes that we cannot correct this violation. |
06/16/2026
| Implemented |