101700.3(b)(1) · 101700.3 ...Lead Action Level... (b) ...(1) If testing indicates an Action Level Exceedance at any water outlet, the water... is deemed not safe to drink and an immediate response... shall be required.

The facility corrected the deficiency by placing "DO NOT USE" signs on the outlets and closed off to prevent use. LPA cleared the deficiency. Based on record review the facility did not comply with the above regulation as the lead action level was exceeded in three water outlets, which poses Health, Safety, or Personal Rights risk to persons in care. Amanda Blesi NAME OF LICENSING PROGRAM MANAGER: Christopher Bello NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/09/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.