| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.17(c) | The most recent self-assessment completed on 4/6/26 identified the following violations, 48b1and 48b2. Acceptable plans of correction were not documented. | A copy of the agency's self-assessment results and a written summary of corrections made shall be kept for at least 1 year. | Quality Assurance Director will retrain Director of Non-Residential Services on completing self-assessments in their entirety with an acceptable plan of correction if needed. |
05/07/2026
| Implemented |
| 6500.24(d)(1) | At the time of the inspection there was not a current financial ledger kept for individual SNAP benefits. | An up-to-date financial and property record shall be kept for each indivudal that includes the personal possessions and funds received by or deposited with the family or agency. | Fiscal/Rep Payee created a financial ledger for SNAP benefits in the electronic health record system on 5/1/2026 to track SNAP benefits, balances, and purchases. |
05/07/2026
| Implemented |
| 6500.24(e)(3) | At the time of the inspection, there were no receipts available for SNAP purchases over $15. | If the agency or family assumes the responsibility for an individual's financial resources, the following shall be maintained: documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by family members or agency staff. | Director of Non-Residential Services and/or Lifesharing Program Specialist will collect any receipts the individual has over $15 on or after 5/1/2026 to enter into the tracking system. |
05/15/2026
| Implemented |
| 6500.133(d) | At the time of the inspection on 4/29/26, the medications for individual #1 were kept unlocked in the kitchen cabinet to the left of the sink. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | Director of Non-Residential Services will purchase a lockable case to keep medications safely stored in Lifesharing homes. |
05/15/2026
| Implemented |