Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00192851 Renewal 08/11/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The closet located in Individual 1's bathroom had a knob that was damaged and difficult to open.Floors, walls, ceilings and other surfaces shall be in good repair. The knob on the closet door was replaced (See attachment F) 08/12/2021 Implemented
6400.111(f)The fire extinguisher located in the attic was not inspected and approved annually by a fire safety expert. Last inspection was completed May 2020 A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. The fire extinguisher was inspected. (see attachment G) 09/23/2021 Implemented
6400.181(a)An annual Assessment was not completed annually for individual 2, previous assessment was completed 4/4/2019 and current assessment was completed 02/03/2021. The current assessment did not notate the individuals ability to swim and ability to be around large bodies of water. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. The assessment was updated to include information regarding water safety. 09/17/2021 Implemented
SIN-00145443 Renewal 11/13/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.186(a)The 3 month ISP review for the period covering 7/30/18-10/29/18 was not found in individual#1's record.The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. This quarterly report was completed but had not yet been signed by the individual as the consulting Program Specialist incorrectly believed that it was not due until 11/15/18. The report was signed on 11/13/2018 and placed in the file by the Program Specialist on 11/14/18. A review of all files was completed by 11/30/18 and no other 3 month ISP reviews were missing. The consulting Program Specialist resigned her position effective 12/1/18. A tracking chart was compiled for the new Program Specialist to refer to in order to insure reports are completed on time. Quality monitorings will continue to take place to review compliance with this and other regulations. 12/03/2018 Implemented
SIN-00101200 Renewal 07/21/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.111(a)There was no fire extinguisher in the attic, where items were stored.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. This is a rented home and the landlord uses the attic for his storage so the Program Director did not think there was a need for an extinguisher. A fire extinguisher was placed in the attic during the inspection. A checklist was developed to verify the presence of fire extinguishers in all necessary locations monthly. This will be done by each home's Program Coordinator. 07/22/2016 Implemented