| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.109(e) | Per the fire drill record, the two most recent fire drills held during sleeping hours at this location took place on 02/28/2025 and 04/20/2026---more than 12 months apart. A fire drill must be held during sleeping hours at least once every 12 months. | A fire drill shall be held during sleeping hours at least every 12 months. | Fire Drills will be created by the Life Sharing Coordinator and reviewed by the Director of Residential Services prior to them being given to the Life Sharing Provider to complete. |
05/27/2026
| Implemented |
| 6500.121(c)(10) | Individual #1's most recent individual physical examination, dated 07/22/2025, did not note whether this individual was free from communicable disease. An item on the form asked, "FREE FROM COMMUNICABLE DISEASES," offering a choice of "Yes" or "No." Neither choice was filled out for this item. This information was not found elsewhere in the physical examination. | The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. | Life Sharing Provider has located a new primary care physician (PCP). The PCP will be educated on the importance of completing the annual physical in its entirety to meet regulation. |
05/27/2026
| Implemented |
| 6500.151(a) | Per Individual #1's Individual Record, this individual's two most recent individual assessments were completed on 04/05/2024 and 05/06/2025---more than one year apart. Individual assessments must be updated annually. | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the home. | A tracker was created by each Life Sharing Coordinator to monitor the due dates of annual paperwork, including the assessment, to ensure they are completed annually. |
05/27/2026
| Implemented |