| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.73 | In the basement, there were approximately 11 steps leading out of the Bilco door exit which did not have a handrail | An interior stairway exceeding two steps that is accessible to individuals, ramp and outside steps exceeding two steps, shall have a well-secured handrail. | The Provider will insure all stairways exceeding two steps will have a securely installed handrail. |
10/21/2022
| Implemented |
| 6500.83(a) | The in-ground swimming pool located in the backyard did not have a fence with a gate that is locked. The Lifesharing provider reports that Individual #3 can stand in the pool and could swim, however as per Individual #4's ISP she is a weak swimmer so she should be supervised in any large bodies of water. Individual #4 will and prefers to stay in the shallow end of the water. | An in-ground swimming pool shall be fenced with a gate that is locked when the pool is not in use. | The Provider will insure an inground swimming pool shall be fenced with a gate that is locked when the pool is not in use. A swimming pool does not need to be locked or inaccessible if all individuals in the home understand water safety and can swim. Documentation of each individual¿s understanding and ability shall be in each individual¿s assessment. |
10/21/2022
| Implemented |
| 6500.17(a) | The 3 to 6 months completion window for the agencies self-assessments prior to the expiration date of the agency's certificate of compliance was 10/15/21 to 1/15/22, and the self- assessment was dated 3/11/22. This exceeds the requirement. | If an agency is the legal entity for the home, the agency shall complete a Self-Assessment of Homes the agency is licensed to operate within 3 to 6 months prior to the expiration date of the agency's certificate of compliance, to measure and record compliance with this chapter. | The Provider will complete the Self Assessment within the 3-6 month window prior to the expiration date of the agency¿s certificate of compliance. |
10/21/2022
| Implemented |
| 6500.32(r)(4) | Individual #4 had a "pin key" lock on their bedroom door and there was no key in the home. This type of lock is not compliant under the regulations. | An individual has the right to lock the individual's bedroom door. The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. | Should a consumer desire a lock on his/her door, a lock with a key or keypad will be installed. |
10/21/2022
| Implemented |