| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.81(h) | On 12/4/2024 at 10:34am, Individual #1's bedroom was observed with one window that was located on the exterior wall at on the back side of the home. This window was observed with textured and frosted panes of glass that did not permit Individual #1 with a view to the outside. | Each bedroom shall have at least one exterior window that permits a view of the outside. | Individual #1's bedroom window will be replaced with a window that does not have textured and frosted panes of glass. Individual #1 will then have a window that permits individual #1 with a view to the outside. |
01/31/2025
| Implemented |
| 6400.81(i) | On 12/4/2024 at 10:34am, Individual #1's bedroom window was observed without drapes, curtains, shades, blinds, or shutters. | Bedroom windows shall have drapes, curtains, shades, blinds or shutters. | Individual #1's bedroom window will have drapes, curtains, shades, blinds, or shutters added to the window. |
12/31/2024
| Implemented |
| 6400.34(a) | Individual #1, date of admission 4/1/2024, was informed of their individual rights and the process to report a rights violation on 4/2/2024. Individual #2, date of admission 4/1/2024, was informed of their individual rights and the process to report a rights violation on 4/2/2024. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | Program Specialists will complete rights packets upon admission of the individual. When visiting the home on intake the Program Specialists will complete this packet with incoming individuals. |
12/19/2024
| Implemented |