Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00185828 Unannounced Monitoring 04/05/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.24(e)(3)Individual #1 and Staff #1 have a joint checking account in which Staff #1 is the representative payee. Transactions and withdrawals have been made from this account. No receipts or expense records were provided or maintained for the transactions exceeding $15 for this bank account.If the agency or family assumes the responsibility for an individual's financial resources, the following shall be maintained: documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by family members or agency staff.A meeting was held on 4/15/2021 with all LSSs along with CEO (SM) and Director of Quality Assurance (MP), this meeting was held to develop a procedure to address the responsibilities of LSPs who are designated Representative Payees, LSPs for house accounts and the responsibilities of the LSSs who will be auditing bank records and house accounts. A copy of the meeting signature page is being sent as Attachment # 6. A copy of the procedure is being sent as Attachment # 7. LSS was trained on the new procedure on 4/16/2021. A copy of the training sheet signed by LSS is being sent as Attachment # 8. The LSP will be trained on the procedures and it will be sent no later than 4/30/2021 as Attachment # 9. LSS received training for regulation 6500.24 (e) (3) on 4/14/2021, signature sheet is being sent as Attachment #10. LSP will be trained on regulation 6500.24 (e) (3) and it will be sent no later than 4/30/2021, signature sheet will be sent as Attachment # 11. A copy of Individual # 1s May bank statement will be reviewed by LSS to ensure all receipts are accounted for and balance is accurate along. Copies of the May statement along with required receipts and house account with receipts will be sent as Attachment # 12 once the home visit is completed in June 2021. 05/30/2021 Implemented
6500.182(c)(1)(iv)Individual #1's individual record does not identify the religious affiliation. For religious affiliation, the record indicates: "not known."Each individual's record must include the following information: Personal information, including: The religious affiliation.Updated face sheet to include religious affiliation as NONE for individual #1. A copy of her face sheet is being sent in as Attachment # 1. LSS received training for regulation 6500.182 (c) (1) (iv) on 4/14/2021, signature sheet is being sent as Attachment # 2. 04/30/2021 Implemented
SIN-00127696 Renewal 04/10/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.73The side porch steps leading to the backyard and the side steps near the pool were not equipped with a handrail.An interior stairway exceeding two steps that is accessible to individuals, ramp and outside steps exceeding two steps, shall have a well-secured handrail.Handrails were added to the sidesteps that exceeded two steps. Pictures of both of these steps to indicate handrail placement will be sent as an attachment. A signature sheet reviewing regulation 6500.73 signed by Lifesharing Specialist CH and staff 1 PH will be sent as an attachment. 04/18/2018 Implemented
6500.83(b)Individual #1 required supervision around bodies of water and was assessed to be safe with water up her waist. The above ground pool was approximately 5 feet deep and was not made inaccessible to Individual #1.An aboveground swimming pool shall be made inaccessible to individuals when the pool is not in use.Gate was added to the swimming pool with a locked latch making it inaccessible to the client so the client is supervised at all times around bodies of water. A signature sheet reviewing regulation 6500. 83 b was reviewed with staff 1 PH and Lifesharing Specialist CH will be sent as an attachment. 04/18/2018 Implemented
SIN-00082125 Renewal 07/21/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.45(a)Staff #1 did not receive any training related to mental retardation, family dynamics, community participation, individual planning and delivery, relationship building and the requirements specified in this chapter. The adult family member who will have primary responsibility for caring for and providing services to the individual shall have at least 24 hours of training related to mental retardation, family dynamics, community participation, individual service planning and delivery, relationship building and the requirements specified in this chapter, prior to an individual living in the home.Regulation 6500.45a-Staff # 1 completed 80 hours of training for the training year. The training records and certificates will be scanned and emailed by Natasha Caruso Lifesharing Coordinator. 08/25/2015 Implemented
6500.109(f)The front door was the only exit used on all the fire drills during the past year. Alternate exit routes shall be used during fire drills.Regulation 6500.109f-There are two exits to in the home, a 1st floor exit out of the basement and a second floor exit. A fire drill was completed by staff # 1 utilizing the basement door exit. This was completed on 08/26/2015. Staff # 1 reviewed regulation 6500. 109.A new fire manual and a fire safety checklist for the Lifesharing Specialists to complete during home visits was created for each home to better organize and track content a copy of the appendix of the fire manual and checklist will be scanned and emailed by Natasha Caruso Lifesharing . 08/31/2015 Implemented
SIN-00242305 Renewal 04/15/2024 Compliant - Finalized
SIN-00204085 Renewal 04/25/2022 Compliant - Finalized
SIN-00153647 Renewal 05/14/2019 Compliant - Finalized