Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00204640 Renewal 05/10/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(f)Individual #1 is diagnosed with hearing loss and wears bilateral hearing aids. There are no strobe lights throughout the home to alert Individual #1 in the event of a fire. If one or more individuals or staff persons are not able to hear the smoke detector or fire alarm system, all smoke detectors and fire alarms shall be equipped so that each person with a hearing impairment will be alerted in the event of a fire. RPD verbally requested strobes to be placed throughout the home to COO on 5/11/22. RPD additionally emailed a maintenance request to COO, for strobe lights throughout the home for individual diagnosed with hearing loss (attachment). On 6/9/22, the contracted company that provides alarm systems and maintenance for systems for the agency responded to COO and scheduled a site survey for June 15 at 1pm, to assess how many strobes and in what locations are needed via email. Additionally, a booster was previously installed to the fire system to magnify the volume of the alarm to ensure hearing impaired individual will be alerted of alarm. See Attachments: 3 emails for this particular home date 5/17/22, 6/09/22 and 06/15/22. All other homes were monitored for the need for strobe lights during fire drills by RPS on 5/13/22. One other strobe light was found to be needed at another location and a maintenance request was filed. 06/15/2022 Implemented
SIN-00161447 Renewal 10/16/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.216(a)At the time of inspection, the Individuals records were left in an unlocked overhead filing cabinet in an unlocked office. An individual's records shall be kept locked when unattended. Individual's records at the home were moved from the overhead cabinet to locking standing cabinet by Program Supervisor. A memo was sent by Program Director instructing staff to keep records locked was reviewed by all staff. See attachments #3a and #3b 10/29/2019 Implemented
SIN-00104637 Renewal 12/14/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103The emergency evacuation plan did not include individual and staff responsibilities.There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. The written evacuation plan was revised to include individual and staff responsibilities. The revised evacuation plan was replaced in all homes and in individual files. See ATTACHMENT #1. 12/15/2016 Implemented
6400.112(h)The 11/11/16 fire drill log did not indicate if all individuals met at the meeting place. Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill.Supervisors will check fire drill logs by the 20th of each month to ensure that drills have been completed and all information, including the meeting place is correct according to the regulations. If any errors in fire drill, Supervisors will have staff repeat fire drill immediately and review any errors with staff. All staff will be trained on fire emergency procedures including the fire drill form and it's contents. See ATTACHMENT #2 04/14/2017 Implemented
SIN-00068675 Renewal 10/20/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(b)Front side walk and back asphalt were broken up which created a unsafe condition. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.Due to inclement weather, the sidewalk and back yard will be assessed by a contractor in the Spring of 2015 with work expected to be completed by 7/2015 07/31/2015 Implemented