| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | At the time of the 04/30/24 inspection, there was water damage on a ceiling tile in the living room. | Floors, walls, ceilings and other surfaces shall be in good repair. | Ceiling tile was painted; a picture was taken of the ceiling as Attachment # 101. The Residential Director, Residential Program Specialist and Residential Coordinator were trained on Regulation 6400.67(a) on 5/15/2024 and 5/17/2024 by Director of Quality Assurance, see attachment #102. |
05/17/2024
| Implemented |
| 6400.70 | At the time of the 04/30/24 inspection, there was no active telephone in the home. | A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.
| Comcast installed a phone line on 5/10/2024, copy of email of installation date as Attachment #103. Picture of phone in the home along with emergency numbers sent as attachment # 104. Residential Program Specialist and Residential Coordinator were trained on Regulation 6400.70 on 5/15/2024 and 5/17/2024 by Director of Quality Assurance, see attachment #105. |
05/17/2024
| Implemented |
| 6400.77(c) | At the time of the 04/30/24 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 #106. |
05/17/2024
| Implemented |