Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00183368 Renewal 01/19/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.76(a)The dresser in individual #8's room needs to be replaced as the drawers are off the track. Drawers are not able to open and close properly. Furniture and equipment shall be nonhazardous, clean and sturdy. A dresser drawer in an individual's room could not be opened during inspection. This was due to the drawer being repeatedly being forced open and closed because of the amount of clothes in it. A work order was placed on 2/4/2021 (5A), and the track was fixed on the same day, 2/4/2021. Also on 2/4/2021, staff and the individual went through her clothes in the drawer and removed items she didn't want. This lessened the amount in the drawer so it can now be easily opened and closed. 02/04/2021 Implemented
6400.163(h)Prescription for individual #9's current medication listed on MAR, ammonium lactate 12%, expired on 8/14/19.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.Expired foot cream was found in the medication box for one of the individuals. This occurred because Site Supervisor was not checking the medications that weren't in a blister pack. On 1/20/2021, Site manager returned the expired foot cream to Elwin Specialty Care pharmacy (5C). 01/20/2021 Implemented
SIN-00068003 Renewal 09/09/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)The hot water temperature reached 128 degrees. Hot water temperatures in bathtubs and showers may not exceed 120°F. Hot water temperature checks are completed monthly. Water temp setting was adjusted 09/10/14. Temperature checked on 10/7/14 and was 116 degrees. Site supervisors will ensure that monthly water temperatures are checked by maintenance and house staff. 09/10/2014 Implemented
SIN-00132322 Renewal 01/22/2018 Compliant - Finalized