| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(d) | At the time of inspection, there was an unlabeled glass mason jar located next to the home's kitchen oven that contained what staff on site identified as leftover grease and oil from cooking. This trash was not kept in a trash receptacle prior to disposal. | Trash in the bathroom, dining and kitchen areas shall be kept in cleanable receptacles that prevent the penetration of insects and rodents. | Item disposed of properly at time of discovery. Staff training/retraining to be completed by 3/25/2026 |
03/25/2026
| Implemented |
| 6400.67(a) | The home's basement contained a large closet with two folding doors on tracks. The left door was off of its track at the time of inspection and was in a state of disrepair. | Floors, walls, ceilings and other surfaces shall be in good repair. | Upon inspection, it was identified that the two closet doors in the basement were off track. To correct this issue, maintenance repaired the faulty tracks. Additionally, all active staff assigned to the home will be retrained by the Asst. Vice President of Operations on the agency's work order policy no later than 03/25/2026 |
03/25/2026
| Implemented |
| 6400.80(a) | At the time of inspection, there was a large, 3-foot-by-3-foot puddle of water and mud at the end of the home's driveway on the righthand side. This puddle had frozen over, leading to unsafe, icy conditions in that area of the driveway. | Outside walkways shall be free from ice, snow, obstructions and other hazards. | Upon inspection and notifification the agency Maintenance department was notified and contracted repair of the section of the driveway. Area was cleaned, stones were reset and morter was applied to the area. |
03/25/2026
| Implemented |