Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00222358 Renewal 04/04/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(a)Individual #1, date of admission 8/3/22, had an initial assessment completed on 10/29/22. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. On 4/12/23, the Vice President of Residential Services retrained all Program Specialists on regulation 6400.181(a) relating to the timeframes for completing individual assessments. 04/12/2023 Implemented
6400.181(f)The program specialist provided Individual #1's assessment, completed 10/29/22, to the plan team members on 12/15/22, for an annual plan team meeting on 11/30/22.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.On 4/12/23, the Vice President of Residential Services retrained all Program Specialists on regulation 6400.181(f) relating to the timeframes for providing plan team members with the individual assessment for the annual plan meeting. 04/12/2023 Implemented
SIN-00183224 Renewal 02/09/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(a)Individual #1's most recent assessment was completed on 6-3-20; and the previous assessment was completed on 4-1-19. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. All Program Specialists will be retrained on regulation 6400.181(a) by the Quality, Compliance, and Safety manager. At least quarterly for one year the Quality, Compliance and Safety Manager or designated management employee will conduct audits of 10% of individual records to ensure individuals assessments are completed within 1 year to or 60 calendar days after admission to the home. 02/17/2021 Implemented