| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | The floor to the left of the vanity and the heating register to the right of the vanity located in the bathroom in individual #2's room were visibly dirty. The chair rail located in the main room next to the kitchen & laundry room were visibly covered with dust. | Clean and sanitary conditions shall be maintained in the home. | These areas were not cleaned prior to the inspection. The bathroom, registers and chair rail were cleaned immediately following the inspection (Attachment #1). |
03/26/2026
| Implemented |
| 6400.72(b) | A rubber piece was dislodged from the bottom of the window located in individual #3's bedroom. This was the window next to the closet. | Screens, windows and doors shall be in good repair. | Rubber piece became loose in the window and was not repaired. Work order submitted to property management for repair on 4/22/26 (Attachment #2) |
05/01/2026
| Implemented |
| 6400.76(a) | The handrails in the shower of the main bathroom outside of Individual #3's bedroom were visibly rusty. | Furniture and equipment shall be nonhazardous, clean and sturdy. | The age and condition of the handrails created rust on the handrails. Work order was submitted to replace the existing handrails on 4/22/26 (Attachment #3) |
05/01/2026
| Implemented |
| 6400.82(f) | In the bathroom located next to Individual #3's bedroom, the toilet paper was off the roll and placed on the back of the tank which is unsanitary. There was no soap available in the bathroom for use. Staff indicated that the individual's behavioral concerns caused them to put the items away and provide them only when needed for use. However, a review of the individual's ISP did not reveal any reasons for these items not to be readily available for use in the bathroom as per regulatory standards. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | The individual living in the home moved the toilet paper while using the bathroom. Toilet paper was returned to the holder at the time of the inspection. Soap was replaced (Attachment #4) |
05/06/2026
| Implemented |