| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | Excessive bread crumb droppings were observed inside the toaster and in the catchment tray. This was immediately corrected during inspection. | Clean and sanitary conditions shall be maintained in the home. | As noted in the citation, the toaster was immediately cleaned upon discovery during the audit. |
02/25/2026
| Implemented |
| 6400.66 | The garage and sunroom exterior light fixtures with bulbs that did not light. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Program leadership submitted a maintenance request to Merakey's facilities Department the week of the audit to fix the exterior light fixtures of the garage and sunroom. The Facilities team expects all outstanding maintenance requests to be completed by 4/30/26. |
04/30/2026
| Implemented |
| 6400.106 | Annual Furnace Inspection for the home was not provided. | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| The Director of Programs is actively collaborating with Merakey's real estate team and safety team to have the furnaces at each cited home reinspected as soon as possible. Copies of each inspection will be maintained in the Fire Safety Binder by the Director of Programs. |
04/30/2026
| Implemented |
| 6400.111(a) | A ladder was not available to access the attic to the residence and to verify that a minimum 2-A fire extinguisher existed. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | Program leadership submitted a maintenance request to Merakey's facilities Department the day of the audit to have a ladder available to access the attic and to ensure that the attic has one operable fire extinguisher. The Facilities team expects all outstanding maintenance requests to be completed by 4/30/26. |
04/30/2026
| Implemented |
| 6400.143(a) | The 9/25/25 dental appointment was refused by individual One and there were no documented attempts to train the individual about the need for dental care. | If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. | The Director of Programs completed a retraining with the staff to include individual training on the need for healthcare as a part of documentation. Individual 1 attended a scheduled dental appointment on 3/27/26. |
04/30/2026
| Implemented |