| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.66 | There is not a light that sufficiently illuminates the interior stairs leading to the basement of the home. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Touch-Stone maintenance placed a motion sensor light in the stairway to provide illumination on 3/6/2023 (Attachment #19). Program Specialist, conducted a site inspection on 3/8/2023 and found no violations. (Attachment #20). |
03/08/2023
| Implemented |
| 6400.114(b) | The agency's smoking policy, effective 8/3/2020, states, "smoking must occur outside the home where a safe container can be used to discard ashes and butts." At 11:58AM on 2/28/2023, there was previously used food tin can containing a multitude of cigarette butts, on the wood deck near the exit door at the rear of the home. | Written smoking safety procedures shall be followed. | Program Specialist, conducted a site inspection on 3/8/2023 and removed the non-fire safe container previously used for cigarette butts from the home. This is noted on her 3/8/2023 site inspection (Attachment #20). Program Specialist also noted that she took a fire safe container to the home (Attachment 21). Smoking policies were reviewed with staff on 3/6/2023 (Attachment #22). |
03/08/2023
| Implemented |
| 6400.171 | At 11:59AM on 2/28/2023, a carton of eggs with a "best by" date of 2/8/2023 was on the top shelf in the refrigerator in the kitchen of the home. | Food shall be protected from contamination while being stored, prepared, transported and served.
| A staff meeting was help with all Program Specialists on 3/6/2023 to address compliance and 6400 regulations. (Attachment #1). Program Specialist, held a staff meeting to review 6400.171 with house staff and stress the importance of checking labels for best by, sell by and expired dates daily.(Attachment #22). Staff are expected to discard all food items that are past their best by, sell by, or expired dates. Program Specialist, Shelly Spanopoulos conducted a site inspection on 3/8/2023 and noted no expired foods were present in the home. (Attachment #20). |
03/08/2023
| Implemented |