| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.74 | On 11/6/25 at 12:50 PM, there was no nonskid surface or treads on the exterior wooden stairs leading from the kitchen exit of the home. | Interior stairs and outside steps shall have a nonskid surface.
| On 11/14/2025 a nonskid surface was added to the exterior wooden stairs leading from the kitchen exit of the home. |
11/14/2025
| Implemented |
| 6400.81(k)(2) | On 11/6/25 at 12:20 PM, the mattress and boxspring was directly on the floor with no foundational bedframe in Individual #1's bedroom. | In bedrooms, each individual shall have the following: A clean, comfortable mattress and solid foundation. | On 12/4/2025 individual #1's mattress and box spring were placed on a solid foundation. |
12/04/2025
| Implemented |
| 6400.81(k)(3) | On 11/6/25 at 12:20 PM, there was a stained pillow with no pillowcase on top of the bed in Individual #1's bedroom. | In bedrooms, each individual shall have the following: Bedding, including pillow, linens and blankets appropriate for the season. | On 11/6/2025 the individual's stained pillow was replaced with a new pillow by UCIP. The individual has and had clean pillow cases. A clean pillow case has been applied to the individuals new pillow. |
11/06/2025
| Implemented |
| 6400.163(d) | On 11/6/25 at 12:21 PM, bottles of Fish Oil, GNC Phase Two Carb Controller Dietary Supplement, Equate Apple Cider Vinegar Dietary Supplement, Nature Made Calcium Magnesium Zinc with D3 Supplement, Centrum Men Multivitamins, Spring Valley Turmeric Curcumin Dietary Supplement and Spring Valley Ginger Root Dietary Supplements were unlocked and accessible on the shelf in the closet of Individual #1's bedroom. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | On 11/6/2025 the bottles of Fish Oil, GNC Phase Two Carb Controller Dietary Supplement, Equate Apple Cider Vinegar Dietary Supplement, Nature Made Calcium Magnesium Zinc with D3 Supplement, Centrum Men Multivitamins, Spring Valley Turmeric Curcumin Dietary Supplement and Spring Valley Ginger Root Dietary Supplements were removed from the indviduals bedroom and locked up. |
11/06/2025
| Implemented |