Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00283724 Renewal 02/24/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
20.34There was a lock on the upper laundry room cabinet, preventing access for inspection.The facility or agency shall provide to authorized agents of the Department full access to the facility or agency and its records during both announced and unannounced inspections. The facility or agency shall provide the opportunity for authorized agentsof the Department to privately interview staff and clients.A maintenance request was placed to Merakey's facilities Department the week of the audit to unlock the upper laundry room cabinet. The Facilities team expects all outstanding maintenance requests to be completed by 4/30/26. 04/30/2026 Implemented
6400.62(d)Food such as pop tarts and bins of snack bags were found stored in the office closet alongside bottles of hydrogen peroxide. This was corrected at the time of inspection.Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.All poisonous materials were locked and/or removed from areas with food upon discovery during the audit. 04/30/2026 Implemented
6400.67(a)When testing the water in the main bathroom shower, there was a loud noise each time the bathtub faucet was turned on. The noise stopped when the water was switched from the tub faucet to the shower spray; however, the type of noise usually indicates a problem that requires repair. The cabinet door to the lower laundry room cabinet was missing the bottom screws and had fallen off the hinge.Floors, walls, ceilings and other surfaces shall be in good repair. Program leadership submitted maintenance requests to Merakey's facilities Department the week of the audit to fix the water pressure in the main bathroom shower and to fix cabinet door to the lower laundry room cabinet. The Facilities team expects all outstanding maintenance requests to be completed by 4/30/26. 04/30/2026 Implemented
6400.80(a)The rear porch egress and stairs were not cleared of snow. This was corrected at the time of the visit. Outside walkways shall be free from ice, snow, obstructions and other hazards. As noted in the deficiency, staff immediately removed snow from the rear porch egress and stairs upon discovery during the audit. 04/30/2026 Implemented
6400.110(a)The attic was not equipped with a smoke detector or fire alarm. This was corrected at the time of visit. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. As stated in the Plan of Correction, a smoke detector was placed in the attic at the time of the inspection visit. 04/30/2026 Implemented
6400.111(a)The attic was not equipped with a fire extinguisher or fire alarm. This was corrected at the time of inspection.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. As stated in the Plan of Correction, a smoke detector was placed in the attic at the time of the inspection visit. 04/30/2026 Implemented