| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | At the time of the 04/30/24, the basement stairs were loose from the supports and had broken treads. The clothes dryer in the basement had a golf ball size amount of lint. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The lint was removed from the dryer lint trap at the time of inspection. The Residential Director and Residential Program Specialist were trained on 5/15/2024 and 5/17/2024 on Regulation 6400.67(b) by Director of Quality Assurance, see Attachment #108. The CEO has contacted the property owner via email on 5/6/2024 and requested for the basement to be made inaccessible both from the inside of the home and outside as attachment # 109. If property owner will not padlock the basement to make it inaccessible, then it will be requested for the basement stairs to be repaired. A maintenance request form will be completed for the basement steps and submitted to the CEO and sent as attachment # 110. If the Landlord does not complete the work by 6/30/2024 then the agency will not use this location and request to have it removed from the license. If the work is completed, a picture will be taken of the work and sent in as attachment # 111. |
06/30/2024
| Implemented |
| 6400.72(b) | At the time of the 04/30/24 inspection, the paint on the windows was chipping and peeling. | Screens, windows and doors shall be in good repair. | The Residential Director and Residential Program Specialist were trained on 5/15/2024 and 5/17/2024 on Regulation 6400.72(b) by Director of Quality Assurance, see Attachment #112. 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 maintenance needs and submitted to the CEO on 5/3/2024 as attachment # 113. The CEO has contacted the property owner via email on 5/6/2024 to address the maintenance needs of 20 S Chestnut St as attachment # 109. If the property owner does not complete the work by 6/30/2024 then the agency will not use this location and request to have it removed from the license. If the work is completed, a picture will be taken of the work and sent in as attachment # 114. |
06/30/2024
| Implemented |
| 6400.73(a) | At the time of the 04/30/24 inspection, there was no handrail in the inside of the basement exit, nor the exterior steps leading to the backyard from the Bilco door. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | The Residential Director and Residential Program Specialist were trained on 5/15/2024 and 5/17/2024 on Regulation 6400.73(a) by Director of Quality Assurance, see Attachment #115. The CEO has contacted the property owner via email on 5/6/2024 and requested for the basement to be made inaccessible both from the inside of the home and outside as attachment # 109. If property owner will not padlock the basement to make it inaccessible then it will be requested for handrails to be placed inside of the basement exit and the exterior of the steps leading to the backyard from the Bilco door. A maintenance request form will be completed for the basement steps and submitted to the CEO and sent as attachment # 116. If the Landlord does not complete the work by 6/30/2024 then the agency will not use this location and request to have it removed from the license. If the work is completed, a picture will be taken of the work and sent in as attachment # 117. |
06/30/2024
| Implemented |
| 6400.80(b) | At the time of the 04/30/24 inspection, the plants next to the home were overgrown and covering the kitchen windows. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | The Residential Director and Residential Program Specialist were trained on 5/15/2024 and 5/17/2024 on Regulation 6400.80(b) by Director of Quality Assurance, see Attachment #118. 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 maintenance needs and submitted to the CEO on 5/3/2024 as attachment # 119. The CEO has contacted the property owner via email on 5/6/2024 to address the maintenance needs of 20 S Chestnut St as attachment # 109. If the property owner does not complete the work by 6/30/2024 then the agency will not use this location and request to have it removed from the license. If the work is completed, a picture will be taken of the work and sent in as attachment # 120. |
06/30/2024
| Implemented |
| 6400.82(e) | At the time of the 04/30/24 inspection, the shower did not have a nonskid surface or mat. | Bathtubs and showers shall have a nonslip surface or mat. | Director of Quality Assurance will purchase a mat for in the shower no later than 5/25/2024. A picture of the mat in the bathtub will be sent as Attachment # 121. The Residential Director and Residential Program Specialist were trained on 5/15/2024 5/17/2024 on Regulation 640082(e) by Director of Quality Assurance, see Attachment #122. |
05/25/2024
| Implemented |
| 6400.82(f) | At the time of the 04/30/24 inspection, the bathroom did not include toilet paper, soap, a trash can and a method for drying hands, or a shower curtain. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | Director of Quality Assurance will purchase soap, toilet paper, shower curtain, trashcan, paper towels and towels for the bathroom no later than 5/25/2024. A picture of the bathroom with all required supplies will be sent as Attachment # 123. The Residential Director and Residential Program Specialist were trained on 5/15/2024 and 5/17/2024 on Regulation 640082(e) by Director of Quality Assurance, see Attachment #124. |
05/25/2024
| Implemented |
| 6400.110(a) | At the time of the 04/30/24 inspection, there was no smoke detector in the basement. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | The Residential Director and Residential Program Specialist were trained on 5/15/2024 and 5/17/2024 on Regulation 6400.110(a) by Director of Quality Assurance, see Attachment #125. The CEO has contacted the property owner via email on 5/6/2024 and requested for the basement to be made inaccessible both from the inside of the home and outside as attachment # 109. If property owner will not padlock the basement to make it inaccessible then a smoke detector will be placed in the basement and a picture will be taken and sent in as attachment # 126. |
05/17/2024
| Implemented |
| 6400.111(a) | At the time of the 04/30/24 inspection, there was no fire extinguisher in the basement. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | The Residential Director and Residential Program Specialist were trained on 5/15/2024 and 5/17/2024 on Regulation 6400.111(a) by Director of Quality Assurance, see Attachment #127. The CEO has contacted the landlord via email on 5/6/2024 and requested for the basement to be made inaccessible both from the inside of the home and outside as attachment # 109. If landlord will not padlock the basement to make it inaccessible then a fire extinguisher will be purchased and placed in the basement and a picture will be taken and sent in as attachment # 128. |
05/17/2024
| Implemented |
| 6400.111(f) | At the time of the inspection, there was no documentation verifying the fire extinguishers have been inspected in the past year or are newly purchased. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | The Residential Director and Residential Coordinator were trained on Regulation 6400.111(f) on 5/15/2024 by the Director of Quality Assurance as Attachment # 129. |
05/20/2024
| Implemented |