Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00101193 Renewal 07/21/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(c)A cabinet in the basement stored two spray bottles, one bottle was hand written with "Windex", and the other bottle was not labeled.Poisonous materials shall be stored in their original, labeled containers.The bottles were removed and the contents disposed of. All cleaning supplies were moved to the locked cabinet in the dining area where they are supposed to be kept. The regulations were reviewed with the Program Coordinator. Program Coordinators will conduct regular, at least monthly, sweeps of the home to insure no cleaning/poisonous materials are stored with food, outside of the locked cabinet or not in their original containers. 07/25/2016 Implemented
6400.62(d)A cabinet in the basement stored "The home store all-purpose cleaner" with spices, grits, and a pasta mix.Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.The bottle was removed and it's contents disposed of. All cleaning supplies were moved to the locked cabinet in the dining area where they are supposed to be kept. The regulations were reviewed with the Program Coordinator. Program Coordinators will conduct regular, at least monthly, sweeps of the home to insure no cleaning/poisonous materials are stored with food or outside of the locked cabinet. 07/25/2016 Implemented
6400.64(a)The kitchen cabinets and the hood above the stove had grease build-up. In the second floor bathroom there was a strong odor of urine. Clean and sanitary conditions shall be maintained in the home. The regulations regarding cleanliness were reviewed with the Program Coordinator. The area was cleaned. Chore checklists were revised to include cleaning the stove/fan area and cabinets regularly. Cleaning will be completed by assigned staff and the checklists and condition of the areas reviewed by the Program Coordinators at least monthly. 07/25/2016 Implemented
6400.67(a)The railing leading from the first floor to the second floor, and the second floor railing had chipped paint. The back bedroom door had a loose knob. Floors, walls, ceilings and other surfaces shall be in good repair. The door knob was tightened. At the time of the inspection, we had identified a new home to move this location as we were having difficulty having the landlord address maintenance issues such as painting. We moved from this home on October 31, 2016. Quality Monitorings have been revised to more closely address safety, cleanliness and cosmetic concerns with the home. These monitorings are completed at least twice per year by the Quality Assurance Coordinator. 10/31/2016 Implemented
6400.67(c)-1Individual #1 has a diagnoses of PICA and there was no lead paint testing done in the home. If the home serves an individual 4 years of age or younger or an individual who ingests paint or paint substances, the home shall test all layers of paint at the home for lead content. There was a lead paint inspection done at the home on 10/27/2014. At that time it was noted that there were two areas above the 1.0 mg/sq.com which is defined as the positive reading for lead. Both of these areas were on the front door, interior and exterior. The landlord was notified and the door was replaced. The lead paint inspection results have been forwarded to the licensing representative. 11/17/2016 Implemented
SIN-00045659 Renewal 02/20/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.18(b)The agency Unusual Incident policy did not include detailed prevention procedures.(b) Written policies and procedures on the prevention, reporting, investigation and management of unusual incidents shall be developed and kept at the home. Incident prevention is an important provider responsibility to insure individuals' health and well-being. The Unusual Incident Policy has been revised to include detailed prevention procedures and has been distributed to staff by the Director of Quality Assurance. 04/04/2013 Implemented
6400.112(f)Alternate exits were not used during monthly fire drills. The front exit was used for fourteen months from 12/11/ to 2/13.(f) Alternate exit routes shall be used during fire drills. The importance of using alternate exits to insure the safety of the individuals supported was reviewed with Program Coordinators on March 21, 2013. They will review the fire drill with their staff at the next monthly staff meeting. All drills will now be conducted, reviewed by the Program Coordinator and brought to the office by the 20th of the month. They will be additionally reviewed by the Program Director or her designee and Quality Assurance staff to insure completeness in the future. The March fire drill used an alternate exit. 03/21/2013 Implemented