Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00198281 Renewal 09/20/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.24(f)On 7/12/2021 Life Sharing Provider made a purchase from Sams Club in the amount of $177.65. Individual #1's items were totaled to $35.96 for the individual to reimburse the funds to the life sharing provider. On 7/07/2021 Life Sharing Provider made a purchase from Mad Mex in the amount of $33.87. Individual #1's items were totaled to $15.95 for the individual to reimburse the funds to the life sharing provider. On 7/30/2021 Life Sharing Provider made a purchase from Walmart in the amount of $55.34. Individual #1's items were totaled to $32.99 for the individual to reimburse the funds to the life sharing provider.There may not be commingling of the individual's personal funds with agency or household funds.Life Sharing Providers retrained on ledger procedures and appropriate financial practices. 09/27/2021 Implemented
6500.77On 9/21/2021 during the inspection the home did not have tape.Each home shall have antiseptic, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and syrup of Ipecac if any individual 4 years of age or younger, or an individual likely to ingest poisons, is served.Tape was added to the First Aid Kit Provider was retrained on the necessity of tape in the First Aid Kits 09/27/2021 Implemented
SIN-00060980 Renewal 02/27/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.74There was no nonskid surface located on the three front steps to the home. Interior stairs and outside steps that are accessible to individuals shall have a nonskid surface.Non skid strips were applied to the outside steps on 3/20/14. The Program Specialist retrained the Provider on 6500 regulations, specifically regulation 6500.74 related to nonskid surfaces on 3/20/14. Pictures of the correction and a copy of the training form were submitted to Ms. Caroline Goedert, BHSL. 03/31/2014 Implemented
6500.137(a)On 2/10/14, Individual #1 was ordered Omeprazole, 20 mg capsule, take two capsules before breakfast. A review of the MAR as well as an interview with the family living provider indicated that the medication continued to be administered as of the day of the inspection as Omeprazole, 20 mg capsule, take two capsules twice a day at 8:00 AM and 5:00 PM. On approximately 2/21/14, Individual #1 was ordered Atorvastatin, 40 mg tablet, take one tablet daily. A review of the MAR as well as an interview with the family living provider indicated that the medication continued to be administered as of the day of the inspection as Atorvastatin, 20 mg tablet, take one tablet daily.Prescription medications and insulin injections shall be administered according to the directions specified by a licensed physician, certified nurse practitioner or licensed physician's assistant.The provider corrected the MAR and administered the medication as per the Dr order effective 3/1/2014. The Program Specialist retrained the Provider on 6500 regulation, specifically 6500.137 for medication administration on 3/20/14. The Provider completed the DPW/ODP ¿Giving Medications at home¿ training on 3/12/14. The Program Specialist will conduct random monthly reviews of the MAR to ensure that medications are being administered as per the physician¿s order. The Program Specialist will document the MAR review on the Program Specialist Visit Form. The following documents were submitted to Ms Caroline Goedert, BHSL: Corrected MAR form Regulation and ¿Giving Medication at Home¿ Training records 03/31/2014 Implemented
SIN-00229608 Renewal 08/01/2023 Compliant - Finalized
SIN-00133762 Renewal 04/24/2018 Compliant - Finalized
SIN-00091803 Renewal 03/24/2016 Compliant - Finalized
SIN-00041269 Renewal 09/05/2012 Compliant - Finalized