Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00183575 Renewal 02/16/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.47(b)(1)Staff #1's orientation training did not include training on the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationshipsThe orientation must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.1. The Assistant Directors were retrained on the 6500/6100 Licensing Regulations as it pertains to the required orientation training. The date of the retraining was 3/18/2021. 2. The Lifesharing Coordinator received training on person-centered practices, community integration, individual choice, and supporting individuals to develop and maintain relationships by 1/29/2021. 3. The orientation training list was updated to include all the required orientation trainings on 3/19/2021. The Supervisor will ensure that all trainings be completed when required. 4. Training verification and supporting documentation will be emailed to C. Hadley for review. 03/19/2021 Implemented
6500.47(b)(3)Staff #1 did not have training on Individual Rights.The orientation must encompass the following areas: Individual rights.1. The Assistant Directors were retrained on the 6500/6100 Licensing Regulations as it pertains to the required orientation training Individual Rights, Recognizing and reporting incidents and job-related knowledge and skills. The date of the retraining was 3/18/2021. 2. The Lifesharing Coordinator received the Individual Rights training on 3/18/2021. 3. The orientation training list was updated to include all the required orientation trainings on 3/19/2021. The Supervisor will ensure that all trainings be completed when required. 4. Training verification and supporting documentation will be emailed to C. Hadley for review. 03/19/2021 Implemented
SIN-00129402 Renewal 12/19/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.103The annual furnace inspection and cleaning was late. The inspections went from 08-26-16 to 09-25-17.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.103- 1. The provider and coordinator were offered retraining on fire safety as it pertains to furnace cleaning requirements in the 6500 licensing regulations. The training occurred on 1/17/2018. 2. The coordinator will be ensuring that all future furnace cleanings will occur within a year's time. The supervisor will support the coordinator through routine audits and supervision. 3. Supporting documentation will be emailed. 01/17/2018 Implemented
6500.137(a)Individual #1 was prescribed Tessalon 200mg capsules according to what was directed on the MAR, but none were in the home. Staff and the provider said they were discontinued, but that was not reflected on the MAR and there was no physician order available. The meds were never administered during this month as prescribed.Prescription medications and insulin injections shall be administered according to the directions specified by a licensed physician, certified nurse practitioner or licensed physician's assistant.137 (a)- 1. The provider and coordinator were offered retraining on the medication administration requirements as outlined in the 6500 licensing regulations. The retraining occurred on 1/17/2018. Retraining also included the individual's health status and safety risks. 2. The coordinator received the physician's discontinuation script for the Tessalon Perles 200 mg tabs. The medication was discontinued on 1/1/2018. 3. The discontinued medication was removed from the MAR for the February 2018 cycle. 4. The coordinator will review the current medication and MAR to ensure that they match and all medication are present at the home and/or that discontinued medications receive documented physician orders and are removed from the MAR. The coordinator will check the medications and MARs at least monthly. 5. Supporting documentation will be emailed. 02/01/2018 Implemented
SIN-00088461 Renewal 12/10/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.103The furnace was cleaned on 09/22/2014 and then not until 11/30/2015 which exceeds the annual requirement.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.On 1/28/16, the Lifesharing provider and Lifesharing coordinator received retraining on the 6500 Licensing Regulations specifically related to the citation received and on the individual¿s ISP relating to their health and safety abilities. The Lifesharing Department¿s new program compliance coordinator, the LS Coordinator and the LS provider will ensure future licensing compliance through the following methods: monthly home monitorings by the LS coordinator with provider support, quarterly audits by the compliance coordinator and/or Assistant Director of all the individual¿s records and supervisory reviews of the audit results. *Please find attached our quarterly audit checklist. 01/28/2016 Implemented
SIN-00166604 Renewal 11/06/2019 Compliant - Finalized
SIN-00053816 Renewal 08/20/2013 Compliant - Finalized
SIN-00039879 Renewal 08/17/2012 Compliant - Finalized