| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.32(r)(3) | Individual #1's rights dated 3/13/2025 did not include assistive technology shall be provided as needed to allow the individual to lock and unlock the door without assistance. | Assistive technology shall be provided as needed to allow the individual to lock and unlock the door without assistance. | On 11/13/25, it was noted that the individual rights did not state that assistive technology shall be provided as needed to allow the individual to lock and unlock their bedroom door without assistance. The co-CEO updated the individual rights to include this statement, and it was signed by the individual on 11/17/25 (Attachment 7). All individuals will sign the updated individual rights by 12/15/25. A training was completed by the COO with PDS managers on this regulation and plan of correction on 11/28/25 (Attachment 2). |
12/15/2025
| Implemented |
| 6400.32(s)(1) | Individual #1's rights dated 3/13/2025 did not include assistive technology shall be provided as needed to allow the individual to lock and unlock the door without assistance. | Assistive technology shall be provided as needed to allow the individual to lock and unlock the door without assistance. | On 11/13/25, it was noted that the individual rights did not state that assistive technology shall be provided as needed to allow the individual to lock and unlock their entrance door without assistance. The co-CEO updated the individual rights to include this statement, and it was signed by the individual on 11/17/25 (Attachment 7). All individuals will sign the updated individual rights by 12/15/25. A training was completed by the COO with PDS managers on this regulation and plan of correction on 11/28/25 (Attachment 2). |
12/15/2025
| Implemented |
| 6400.32(s)(2) | Individual #1's rights dated 3/13/2025 did not include the locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. | The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. | On 11/13/25, it was noted that the individual rights did not state that the locking mechanism for the entrance door shall allow easy and immediate access by the individual and staff persons in the event of an emergency. The co-CEO updated the individual rights to include this statement, and it was signed by the individual on 11/17/25 (Attachment 7). All individuals will sign the updated individual rights by 12/15/25. A training was completed by the COO with PDS managers on this regulation and plan of correction on 11/28/25 (Attachment 2). |
12/15/2025
| Implemented |
| 6400.32(s)(3) | Individual #1's rights dated 3/13/2025 did not include direct service workers who provide service to the individual shall have the key or entry device to lock and unlock the door. | Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door. | On 11/13/25, it was noted that the individual rights did not state that direct service workers who provide service to the individual shall have the key or entry device to lock and unlock the entrance door of the home. The co-CEO updated the individual rights to include this statement, and it was signed by the individual on 11/17/25 (Attachment 7). All individuals will sign the updated individual rights by 12/15/25. A training was completed by the COO with PDS managers on this regulation and plan of correction on 11/28/25 (Attachment 2). |
12/15/2025
| Implemented |