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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.107(a) | On 1/7/2026 at 10:10am, it was observed that the only smoke detector on the basement level of the home was not operational. On 1/7/2026 at 10:25am. It was observed that there was no smoke detector present on the attic level of the home. | A home shall have a minimum of one operable automatic smoke detector provided on each floor, including the basement and attic. | A home shall have a minimum of one operable automatic smoke detector provided on each floor, including the basement and attic. The regulation is important for early warning, as fires spread rapidly, especially at night when people sleep, and smoke/gases can incapacitate life sharing participants and family members before they wake. Detectors in basements catch appliance/electrical fires, while attics catch smoldering insulation fires, preventing smoke from getting rapped and ensuring alerts reach everyone, providing vital extra minutes for escape and significantly cutting fire death risk. The smoke detector on the basement and attic level of the home was not operational. The smoke detector on the basement and attic level was malfunctioning. The smoke detector on the basement and attic level was replaced immediately. The detectors were tested three times and were operational as of January 7, 2026. |
01/12/2026
| Implemented |
| 6500.121(b) | Individual #1's physical examination, completed 11/14/2025, was not dated by the physician. The agency's physical examination form did not include a space for the physician to record the date with their signature. | The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or licensed physician's assistant. | A physical examination must be completed, signed, and dated by an authorized medical professional (a licensed physician, certified nurse practitioner, or licensed physician's assistant). This regulation is essential for administrative accountability, authenticating the exam's accuracy, establishing a legal health record baseline, ensuring continuity of care, confirming the documented health status is current and validated.
The physical examination form was date on the front page, not immediately accompanying the healthcare provider's signature. To address this, the form was revised on January 9, 2026, to include a dedicated date line adjacent to the signature of the licensed physician, certified nurse practitioner, or licensed physician's assistant. This ensures the date is clearly linked to the professional's attestation. |
01/15/2026
| Implemented |
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