| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | At 12:13 PM on 11/5/25, the end cap on the right side of the protective, aesthetic casing enveloping the only radiator unit in the full bathroom located in the bedroom hallway on the home's main level was detached and laying on the floor, exposing sharp metal edges of the radiator unit itself. | Floors, walls, ceilings and other surfaces shall be free of hazards. | On 11/14/2025 the end cap on the right side of the protective, aesthetic casing enveloping the only radiator unit in the full bathroom located in the bedroom hallway on the home's main level was attached and the sharp metal edges of the radiator unit are no longer exposed. |
11/14/2025
| Implemented |
| 6400.72(a) | At 12:12 PM on 11/5/25, the only window in the full bathroom located in the bedroom hallway on the home's main level did not have a screen. At 12:17 PM, both windows in the home's vacant bedroom located on the main level did not have screens. At 12:23 PM, the only window in the home's staff office located on the main level did not have a screen. [Repeated Violation-12/3/24, et al] | Windows, including windows in doors, shall be securely screened when windows or doors are open. | On 11/14/2025 the window in the full bathroom located in the bedroom hallway on the home's main level has had a fitting screen installed. In addition both windows in the home's vacant bedrrom located on the main level have had fitting screens installed. The only window in the home's staff office located on the main level has also had a screen installed. |
11/14/2025
| Implemented |
| 6400.101 | At 12:30 PM on 11/15/25, the interior door leading from the kitchen to the basement was equipped with a privacy lock having a pop mechanism on the kitchen side and a thumbnail, straight edge access point on the basement side. The basement did not have an exterior exit door to prevent entrapment in that area. [Repeated Violation-12/3/24, et al] | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| On 11/14/2025 the interior door leading from the kitchen to the basement had it's doorknob replaced with a doorknob with no locking mechanism. |
11/14/2025
| Implemented |
| 6400.104 | The home's Fire Department Notification Letter, dated 1/2/25, stated that there is one individual residing there. This letter also explained that Individual #1, "may need some verbal reminders" to evacuate. However, neither the home's Fire Department Notification Letter, dated 1/2/25, nor its attached floor plan, which depicted the home's three total bedrooms, did not provide the exact bedroom location of the only resident, Individual #1, who requires verbal assistance to evacuate, by identifying which bedroom they occupy. | The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current.
| On 11/12/2025 the home's fire department notification letter was updated and sent to reflect that individual #1 is ambulatory needing guidance to evacuate the building. The floor plan has also been updated to show the location of individual's bedrooms and it was also sent to the fire department. |
11/12/2025
| Implemented |
| 6400.171 | At 11:04 AM on 11/5/25, in the refrigerator were the following unsealed foods unprotected from contamination: in the left crisper drawer: an open bag of two celery stalks that wilted and were soft to the touch; in the right crisper drawer: an open package of one tomato with light brown spots showing visible signs of decomposition; and an open bag of six green bell peppers. Three of the bell peppers were covered in black spots with visible signs of decomposition. | Food shall be protected from contamination while being stored, prepared, transported and served.
| On 11/5/2025 the two celery stocks in the left crisper drawer were discarded. In addition the tomato with light brown spots showing visible signs of decomposition were removed. Also, six green bell peppers three of which displayed black spots and visible signs of decomposition were discarded. |
11/05/2025
| Implemented |