| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.110(a) | The home does not have a written fire safety plan that includes all household family members. | A written fire safety training plan shall be developed for all family members and individuals including children. | A written detailed fire safety plan was created and implemented on 7/21/25. |
07/21/2025
| Accepted |
| 6500.110(c) | Staff #6 has not completed fire safety training as of 07/15/25. | Family members and individuals, including children, shall be trained within 31 calendar days of an individual living in the home and retrained annually, in accordance with the training plan specified in subsection (a). | Staff #6 received fire safety training on 7/16/25. |
07/16/2025
| Accepted |
| 6500.181(b)(3) | Individual #1's record does not include who to contact to receive consent for emergency medical treatment. | Emergency information for an individual shall include the following: The name, address and telephone number of the person able to give consent for emergency medical treatment, if applicable. | Medical Consent was added to Individual #1's emergency information |
07/21/2025
| Accepted |