Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00203148 Unannounced Monitoring 04/04/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66Kitchen egress light did not work at the time of the inspection.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. The kitchen egress light will be fixed by 4/15/22. 04/08/2022 Implemented
6400.67(b)Inside Individual #3's bedroom closet, there was exposed insulation visible. Floors, walls, ceilings and other surfaces shall be free of hazards.The insulation will be removed or covered by 4/15/2022. 04/08/2022 Implemented
6400.71Emergency telephone numbers are not legible on phone located in the dining room.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. The emergency numbers will be replaced by 4/15/2022. 04/06/2022 Implemented
SIN-00168457 Renewal 07/14/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)The first aid kit located in the downstairs closet did not contain scissors or tweezers at the time of the inspection. And the upstairs first aid kit did not contain a thermometer. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. On 7/21/20 staff were re-trained on Regulations 77(b) and (c) with regard to what needs to be in the First Aid Kit. The First Aid Kit has been added to the CPARC Group Home Monthly Site Inspection, performed by the Program Supervisor each month to ensure that the kits are checked for compliance with regulations. The Inspection form s forwarded to the Property Manager who reviews them; should error be noted, the Program Supervisor and Program Specialist are notified to make corrections, as necessary.[Attachment #7] 07/21/2020 Implemented
6400.77(c)The first aid kit located in the downstairs closet did not contain a first aid manual. A first aid manual shall be kept with the first aid kit.On 7/21/20 staff were re-trained on Regulations 77(b) and (c) with regard to what needs to be in the First Aid Kit. The First Aid Kit has been added to the CPARC Group Home Monthly Site Inspection, performed by the Program Supervisor each month to ensure that the kits are checked for compliance with regulations. The Inspection form s forwarded to the Property Manager who reviews them; should error be noted, the Program Supervisor and Program Specialist are notified to make corrections, as necessary.[Attachment #7] 07/21/2020 Implemented
SIN-00132146 Renewal 04/23/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(a)Staff #1 and staff #2 begin working with individuals prior to completing orientation on responsibilities, daily operations of the home, and policies and procedures.The home shall provide orientation for staff persons relevant to their responsibilities, the daily operation of the home and policies and procedures of the home before working with individuals or in their appointed positions. Recognizing that our training for New Hires was not as in-depth for staff¿s needs as we wanted, a Training Work Group was created at the beginning of April by the Executive Director to look at, revise current training practices and expand new hire initial training to include more up-front training. The Work Group is comprised of DSP¿s, Home Supervisors, Program Specialists, Associate Directors, Training Specialist and Director of Residential Services. We recognize that some aspects of training must occur prior to training in the home(s). As such, the Work Group is revising the Training Outline to reflect meeting regulations. It is in process and will be implemented on or about 6/1/18. Completed documentation, of new hires, reflecting the corrected order/timing of certain trainings, will be submitted by 7/1/18. The Director of Residential Services and the Training Specialist are responsible for implementation. 07/01/2018 Implemented
6400.62(c)There were 2 spray bottles in basement closet labeled floor cleaner unlocked.Poisonous materials shall be stored in their original, labeled containers. Memo sent to Group Home Supervisor, Staff, Program Specialist reiterating poisonous materials regulation. Attachment #5 05/04/2018 Implemented
SIN-00070512 Renewal 01/07/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.104The fire logs indicate an indivdual in the home needs verbal assistance to evacuate during an emergency. The fire letter dated 9/8/2011 does not indicate her need of assistance nor does the floor plan of the home.The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. The local fire company was notified of specific assistance needed, as well as location of individual's bedroom. This was done in writing on January 12, 2015. (See document #1 and #2). A memo was issued to all Associate Directors and Program Specialists to remind them of the need to send notification to the fire company in the event of an individual's needs changing in the future. This was done on 4/17/15. (See document #3) All current letters were checked by the Administrative Assistant, by comparing the letters to recent fire drills to assure that all information is up to date. This was completed during the month of April. 04/17/2015 Implemented
SIN-00214520 Unannounced Monitoring 10/24/2022 Compliant - Finalized
SIN-00208205 Unannounced Monitoring 07/18/2022 Compliant - Finalized
SIN-00107731 Renewal 04/04/2017 Compliant - Finalized