| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | The hot water temperature was measured at 141.6° F in the bathroom tub/shower at the time of the inspection. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The landlord was contacted to turn the water temperature down to regulatory requirements immediately following inspection. |
10/05/2025
| Implemented |
| 6400.77(b) | The first aid kit did not contain antiseptic. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | Antiseptic was placed in the first aid kit following the inspection. |
10/05/2025
| Implemented |
| 6400.112(h) | The fire drill records for the fire drills completed during the review period of September 2024 to August 2025 did not document whether all individuals met at the designated meeting place. | Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill. | Program Manager's and DSP's will be retrained on fire safety and fire drill requirements under Chapter 6400.112 (h). Program Managers will review all fire drill records and provide individual feedback to employees of missing or incorrect data. IHRS's Quality Assurance and Regulatory Compliance Manager will be responsible to collect and review all sites fire drill records on a monthly basis. All employees and consumers will be trained on meeting places for their respective sites. |
10/05/2025
| Implemented |