Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00184414 Renewal 03/09/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.151(e)(1)Individual #2's assessment dated 4/15/2020 did not included preferences of the individual.The assessment must include the following information: Functional strengths, needs and preferences of the individual.Program Specialist has since update assessment to include the preferences of individual #2. The assessment itself has also been updated to include the word preferences. Documentation of the updated and revised plan is attached. 03/25/2021 Implemented
6500.48(b)(5)Staff #1s annual trainings did not include safe and appropriate use of behavior supports.The annual training hours specified in subsection (a) must encompass the following areas: The safe and appropriate use of behavior supports.On 3/22/2021 staff #1 received the required training with regards to the safe use of Behavioral Supports. This training will be part of the required annual training for all life sharing providers. Supporting documents attached. 03/22/2021 Implemented
6500.152(c)Individual #2's assessment dated 4/15/2020 states that they can have up to 5 hours of independent unsupervised time at the home, and they can have up to 7 hours of independent unsupervised time in the community. Individual #2's ISP states she is able to have 6 hours of unsupervised time at home, and 8 hours of unsupervised time in the community. The individual plan she be revised when an individual's needs change based upon a current assessment.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.The assessment for individual #2 has been updated to reflect the proper level of supervision needs. The assessment now reads, individual #2 can have up to 6 hours of unsupervised time at home and up to 8 hours unsupervised time in the community. Supporting documents of the changes attached. 03/25/2021 Implemented
SIN-00169145 Renewal 01/14/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.104At the time of the inspection, a portable gas space heater was in use in the family room on the lower level of the home, and an electric space heater was in use in the living room on the main living floor of the home. In addition, another electric space heater was observed in the garage work area of the home but was not in use at the time of the inspection. The Individual who resides in the home, was present in the home at the time of the inspection when the portable space heaters were in use. Portable space heaters defined as heaters that are not permanently mounted or installed, may not be used while individuals are in the home.Lifesharing specialist reviewed the regulation with family living provider. Also with the individual that resides in the Home. (MM) 02/01/2020 Implemented
6500.107(a)The smoke detector located on the lower level of the home was not operable/did not sound when tested at the time of the inspection. (corrected during inspection)A home shall have a minimum of one operable automatic smoke detector provided on each floor, including the basement and attic.family living provider was trained on the regulation and every three months the battery will be changed. It is checked on every monitoring visit. 02/01/2020 Implemented
SIN-00147550 Renewal 01/30/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(f)Fire drills were held on 3/17/2018 and 9/21/2018. The front door was the only exit utilized during these drills.Alternate exit routes shall be used during fire drills.Family Living Program Specialist will review the importance of using alternate exit routes with all Family Living Providers so individuals residing in the home are aware of different exits in case of a fire. Family Living Specialist will require Family Living Providers to hand in fire drill forms immediately after conducting the unannounced fire drill. Family Living Program Specialist will track drills for each home and ensure different routes are being used to evacuate. Residential Program Manager will also require Family Living Program Specialist to submit a copy of fire drills once received from the Family Living Provider. The Residential Program Manager will also keep fire drill records and ensure alternate routes are being used for Family Living homes. 02/21/2019 Implemented
SIN-00108250 Renewal 03/07/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(d)A sleep drill was held on 3/8/2016. However, the time that the drill was held was not documented. A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative.Family Living providers will be retrained on documentation of fire drill. Records of all fire drills will meet regulations. 04/24/2017 Implemented
6500.121(c)(7)Individual #2 did not have a breast exam performed in 2016. The physical examination shall include: A gynecological examination, including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations.Individual scheduled for breast exam on April 20, 2017. Medical information will be reviewed monthly during home visits and Family Living providers will be retrained on prostate, TBS, and breast exams at the monthly visist. 04/20/2017 Implemented
SIN-00088206 Renewal 02/09/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.103The 2014 furnace cleaning was done on 10/3/2014, and not again until 11/22/2015.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.Furnace inspections for all lifesharing homes will be completed by October 31st of every year. A calendar will be kept and followed and reviewed by both the Lifesharing Provider, The Manager of Residential Services and Lifesharing Specialist. Person Responsible: Noreen Cosmark, Lifesharing Specialist Completion Date: 10/31/2016 04/20/2016 Implemented
SIN-00072054 Unannounced Monitoring 12/01/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.108(a)The fire extinguisher in the attic was discharged and inoperable.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic.All fire extinguishers are operable and will be checked weekly by Family Living Provider and monthly by Program Specialist. 12/02/2014 Implemented
6500.134(c)Individual #1 self medicates but there wasn't a current and accurate list of prescription medications, the prescribed dosage and the name of the prescribing physician.A list of prescription medications, the prescribed dosage and the name of the prescribing physician shall be kept for each individual who self-administers medication.A current medication list was completed and will be checked monthlly by Program Specialist. 12/02/2014 Implemented
SIN-00129601 Renewal 02/22/2018 Compliant - Finalized
SIN-00069115 Renewal 11/06/2014 Compliant - Finalized
SIN-00054565 Renewal 10/23/2013 Compliant - Finalized