| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.101 | On 2/20/2025 at 10:19am, the metal storm door at the front of the home was observed with a reversed door handle that requires individual, staff, and guests to input a 4-digit code to exit the home. This is the only exit from the first-floor apartment and the keypad is causing an obstructed egress. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| On February 21st, 2025, Program Director removed the wrong doorknob and installed an interior non-locking/exterior locking doorknob, on the front exit door of the home. |
03/01/2025
| Implemented |
| 6400.32(r)(1) | On 2/20/2025 at 10:09am, Individual #1's bedroom doorknob was observed with a thumb turn lock that would not provide them with the ability to lock their bedroom door. | 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 3/3/25, 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. |
03/03/2025
| Implemented |
| 6400.32(r)(4) | On 2/20/2025 at 10:09am, Individual #1's bedroom doorknob was observed with a thumb turn lock that does not have a unique mechanism to provide staff with immediate access to the room in case 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 |