| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | At the time of the inspection, the bathroom sink drained extremely slowly. | Floors, walls, ceilings and other surfaces shall be in good repair. | Residential Coordinator used Drain-O to clean out the sink drain on 5/1/2024. This was verified by the Director of Quality assurance on 5/20/2024. The Residential Coordinator was trained on Regulation 6400.67(a) on 5/15/2024 by the Director of Quality Assurance, see Attachment # 91. |
05/20/2024
| Implemented |
| 6400.68(b) | At the time of the inspection, the water temperature in the bathtub measured at 122.5 degrees. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The Residential Coordinator was trained on 5/15/2024 on Regulation 6400.68(b) by Director of Quality Assurance, see Attachment #92. The Director of Quality Assurance developed a maintenance request form on 5/1/2024 to be used for reporting and tracking progress for all maintenance needs of the home. The new maintenance request form was completed for the water temp and submitted to the CEO on 5/3/2024 as attachment # 93. The CEO has contacted the landlord via email on 5/6/2024 and requested for the front door light to be fixed as attachment # 94. Director of Quality assurance will verify the water no later than 5/25/2024, a picture of the water temp will be sent as Attachment #95 |
05/25/2024
| Implemented |
| 6400.77(c) | At the time of the inspection, there was no first aid manual in the first aid kit. | A first aid manual shall be kept with the first aid kit. | First aid manual was placed in the first aid kit on 5/1/2024, a picture was taken to show that the manual was added to the kit, see Attachment #96. |
06/03/2024
| Implemented |
| 6400.104 | (Repeat from 5/1/23 Inspection) The fire department notification letter dated 2/23/24 does not include the exact location of the individual bedrooms and a description of the mobility needs of the individual served. | 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.
| Residential Program Specialist and Residential Coordinator were trained on regulation 6400.104 on 5/15/24 and 5/17/2024 by the Director of Quality Assurance, see Attachment # 98. Director of Quality Assurance developed a layout for each home showing the exact location of areas of the home including the individual(s) bedroom along with a photo of the home itself. The floor plan was developed on 5/13/2024 along with the picture of the home. Program Specialist updated the fire department letters on 5/6/2024. The fire department letter, floor plan and picture of the home was sent to the fire department on 5/13/2024, see Attachment # 99. |
05/17/2024
| Implemented |
| 6400.171 | At the time of the inspection, there was yogurt in the refrigerator that had expired on 4/14/24. | Food shall be protected from contamination while being stored, prepared, transported and served.
| The yogurt was thrown out at the time of the inspection. |
05/20/2024
| Implemented |