@Tracy Mahood38 - first, congratulations on becoming an Integrator!
The first issue regarding the Visionary is something you should address directly during your next Same Page meeting. Be open and honest about how what you perceive to be a lack of focus is impacting you and your ability to run an effective L10. A lot of times Visionaries don't realize it's happening or there is an underlying issue that needs to be resolved that hasn't been identified yet.
As far as the second issue goes, I don't recommend pre-determining what issues are going to be discussed during the meeting. Ideally the issues list will be growing during the week between meetings and may continue to grow during the earlier stages of the L10 as you go through the Scorecard, To-dos and Rocks. Then when you get to IDS, you should be identifying the biggest issues facing the company that need to be resolved to move the company forward to accomplish its goals. One suggestion if they're having problems solving issues is to try to break the issue down into smaller pieces and assign To-dos to be completed by the next meeting, which provides them with the time they need to go away and think. Learning how to IDS can be hard and takes time, start slow and try to build on success.
It's also possible that you have a RPRS issue, so you may need to address that as well at some point.