| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | On 11/5/25 at 10:17 AM, three bottles of Clorox bleach were on the floor next to the washing machine in the laundry room on the first floor of the home. At 11:24 AM, containers of Shout spray, Gain Laundry detergent, Lysol Laundry Sanitizer, Oxi Clean and Tide Pods were unlocked and accessible in a cabinet in a storage room on the first floor of the home. At 11:26 AM, an aerosol spray bottle of Surf Onn Electronic Duster was unlocked and accessible on the counter of a storage room in the basement of the home. Individual #3's Service Plan, last updated, 9/25/25, reads, "Poisons and medications should be locked up due to [Individual #3's] curiosity and unawareness of dangers." | Poisonous materials shall be kept locked or made inaccessible to individuals. | On 11/5/2025 containers of Shout spray, Gain Laundry detergent, Lysol Laundry Sanitizer, Oxi Clean and Tide Pods that were unlocked and accessible in a cabinet in a storage room on the first floor of the home were locked in a secure area. In addition an aerosol spray bottle of Surf Onn Electronic Duster was unlocked and accessible on the counter of a storage room in the basement of the home was also locked up at that time. These items remain locked to follow Individual #3's Service Plan, last updated, 9/25/25, reads, "Poisons and medications should be locked up due to [Individual #3's] curiosity and unawareness of dangers." |
11/05/2025
| Implemented |
| 6400.64(f) | On 11/5/25 at 10:39 AM, a trash receptacle with no lid, containing miscellaneous articles of trash was in the patio area in the back of the home. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | On 11/5/2025 the garbage can on the outside Patio area was removed from the location. This garbage can was not necessary in that location and was removed that it is no longer on the outside patio area. |
11/05/2025
| Implemented |
| 6400.73(a) | On 11/5/25 at 10:30 AM, there was no railing on the thirteen, interior wooden stairs leading to the attic of the home. [Repeated Violation-12/3/24, et al] | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | On 11/6/2025 a railing was installed on the thirteen interior wooden stairs leading to the attic of the home. |
11/06/2025
| Implemented |
| 6400.74 | On 11/5/25 at 10:30 AM, there was no nonskid surface on the thirteen, interior wooden stairs leading to the attic of the home. At 10:42 AM, there was no nonskid surface on the nine, exterior, wooden stairs leading to the deck on the side of the home. | Interior stairs and outside steps shall have a nonskid surface.
| On 11/6/2025 anti skid was installed on the thirteen, interior wooden stairs leading to the attick of the home. Also on 11/6/2025 anti skid was installed on the surface of the nine exterior wooden stairs leading to the deck on the side of the home. |
11/06/2025
| Implemented |
| 6400.80(a) | On 11/5/25 at 10:38 AM, a cement cinder block was on the walkway two feet away from the exit door in the back of the home. | Outside walkways shall be free from ice, snow, obstructions and other hazards. | On 11/6/2025 the cement cinder block was on the walkway two feet away from the exit door in the back of the home was removed. |
11/06/2025
| Implemented |
| 6400.80(b) | On 11/5/25 at 10:41 AM, a two-foot by one-foot section of a concrete post was in the yard directly next to the walkway in the back of the home. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | On 11/6/2025 a two-foot by one-foot section of a concrete post that was in the yard directly next to the walkway in the back of the home was removed. |
11/06/2025
| Implemented |
| 6400.105 | On 11/5/25 at 10:44 AM, an artificial, wooden fireplace with a heating element, a wooden spool of wires, a cardboard box containing air filters, and a plastic toy was one foot away from the furnace in the furnace room, which connected to Individual #3's bedroom in the basement of the home. Additionally, there were papers and foam material on the floor to the right of the hot water tank in the furnace room connected to Individual #3's bedroom in the basement of the home. | Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.
| On 11/5/2025 the artificial, wooden fireplace with a heating element, a wooden spool of wires, a cardboard box containing air filters, and a plastic toy was one foot away from the furnace in the furnace room, which connected to Individual #3's bedroom in the basement of the home were all removed from this area. Additionally, on 11/5/2025, the papers and foam material on the floor to the right of the hot water tank in the furnace room connected to Individual #3's bedroom in the basement of the home were removed. |
11/05/2025
| Implemented |
| 6400.107 | On 11/5/25 at 10:44 AM, an artificial, wooden fireplace with a heating element was inside the furnace closet that is attached to Individual #3's bedroom in the basement of the home. | Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms.
| On 11/5/2025 the artificial, wooden fireplace with a heating element was inside the furnace closet that is attached to Individual #3's bedroom in the basement of the home was removed. |
11/05/2025
| Implemented |
| 6400.110(f) | On 11/5/25 at 10:59 AM, the bed shaker on Individual #2's bed was not interconnected with the smoke alarm system in the home. The bed shaker was only connected to a smoke detector inside Individual #2's bedroom that was located approximately four feet from the bed. There were no strobes inside Individual #2's bedroom. [Repeated Violation-12/3/24, et al] | If one or more individuals or staff persons are not able to hear the smoke detector or fire alarm system, all smoke detectors and fire alarms shall be equipped so that each person with a hearing impairment will be alerted in the event of a fire. | On 11/26/2025 Canahdota Security installed a new bed shaker and a strobe light in individual #2's bedroom. This new bedshaker and strobe light are interconnected with the house alarm system. |
11/26/2025
| Implemented |
| 6400.181(e)(2) | Individual #1's assessment, completed 7/3/25, did not include dislikes anywhere in the document. This assessment read, "[Individual #1] could not think of anything [Individual #1] dislikes." | The assessment must include the following information: The likes, dislikes and interest of the individual. | Individual #1's assessment was updated on 12/3/2025 to include dislikes of spicy food, sports, activities that requre a lot of walking and large crowds, exercise, and waiting for the bathroom. |
12/03/2025
| Implemented |