| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.77(b) | There was no thermometer in the first aid kit. | 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. | Direct Support Supervisor located and placed the thermometer in the first aid kit during the on-site inspection 6/25/24 in order to ensure that all required items are present in the first aid kit. |
06/25/2024
| Implemented |
| 6400.111(c) | The fire extinguisher for the home was located in the dining area instead of the kitchen. (This was corrected at time of inspection). | A fire extinguisher with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a). | During on-site inspection the fire extinguisher was moved from its existing location to be closer to the stove/heat source. Growth Horizons maintenance supervisor wall mounted the extinguisher on 7/10/24 to ensure that a fire extinguisher is located in the kitchen. |
07/10/2024
| Implemented |
| 6400.181(e)(12) | The annual assessment for individual #2 does not include recommendations for specific areas of training, programming and services. | The assessment must include the following information: Recommendations for specific areas of training, programming and services. | The Qualified Professional for individual#2 met with the team on 7/23/24 to review the assessment area that addresses specific area of training, programming and services. Suggestions were agreed upon and added to individual#2's assessment.
Lead Qualified Professional provided training to QP team on 7/9/24 to ensure that this area is completed correctly in the assessment. |
07/23/2024
| Implemented |