| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.109(d) | 6/22/24, 9/21/24, 21/21/2024/3/22/2025 does not indicate the time of drill.
The drills also do not indicate if any problems encountered, that section was left blank. | A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative. | JEVS Administration met with the life sharing team on 6/11/25 to discuss this issue and others pertaining to licensing. The program specialist met with this provider to discuss how to complete fire drills correctly. The specialist was counseled and instructed to check fire drill forms to ensure regulatory compliance |
07/10/2025
| Implemented |
| 6500.109(e) | Fire drill for 3/22/2025, 12/21/2024 -does not indicate if the drill was asleep or awake at time of inspection. | A fire drill shall be held during sleeping hours at least every 12 months. | JEVS Administration met with the life sharing team on 6/11/25 to discuss this issue and others pertaining to licensing. The program specialist met with this provider to discuss how to complete fire drills correctly. The specialist was counseled and instructed to check fire drill forms to ensure regulatory compliance |
07/10/2025
| Implemented |
| 6500.109(f) | 6/22/2024, 9/21/2024, 12/21/2024, 3/22/2025 -- No alternate route indicated, only Front door. | Alternate exit routes shall be used during fire drills. | JEVS Administration met with the life sharing team on 6/11/25 to discuss this issue and others pertaining to licensing. The program specialist met with this provider to discuss how to complete fire drills correctly. The specialist was counseled and instructed to check fire drill forms to ensure regulatory compliance |
07/10/2025
| Implemented |