| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 20.34 | On 2/6/26 at 10:30 AM, Department representatives were denied access to a closet on the second floor that was located outside of the bathroom. The door to this room was locked, and agency representatives did not have a key available to provide access. | The facility or agency shall provide to authorized agents of the Department full access to the facility or agency and its records during both announced and unannounced inspections. The facility or agency shall provide the opportunity for authorized agentsof the Department to privately interview staff and clients. | Upon being notified of the violation by the state inspector on 2/6/2026, The Vice president instructed the maintenance department to access the locked doors that were sited by the inspector. The doors were opened and areas were inspected to ensure the area was free from any hazards, the locks were changed on 2/6/2026 the door noted. |
02/17/2026
| Implemented |
| 6400.67(b) | On 2/6/26 at 10:14 AM, the first-floor walk-in pantry contained an electrical receptacle without a wall plate covering it. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Upon being notified of the violation by the state inspector on 2/6/2026, The Vice president instructed the maintenance department to install a wall plate to cover the exposed outlet. The plate was installed on 2/6/2026. |
02/17/2026
| Implemented |
| 6400.101 | On 2/6/26 at 10:07AM, a sliding door bolt lock was on the basement door obstructing egress when engaged. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| Upon being notified of the violation by the state inspector on 2/6/2026, The Vice president instructed the maintenance department to remove all sliding bolt locks located in the basement of site 440. The locks were removed on 2/6/2026. |
02/17/2026
| Implemented |