Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00207218 Renewal 06/28/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.101The basement's only exit door to the outside opens into a passageway measuring 3 feet wide and 6 feet high with five steps leading to two Bilco basement doors that require precision movement of latches and tension rods to unlock in order to gain direct access to the outside. The basement's exit door contains a key lock facing the passageway enclosed by the two Bilco basement doors. This passageway is both a blocked egress and a potential entrapment.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The agency will have the latches and tension rods removed from the Bilco doors so that they do not latch and can be just pushed open without having to struggle with the latches and rods. This will be completed by 8/26/2022. Documentation of completion will be sent once completed. The check to make sure that all stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed will be added to the regulation monthly checklist and all staff, supervisors and directors will be trained on the update to the form and how to complete it by 8/26/2022. Documentation will be sent once completed. 08/26/2022 Implemented
6400.24The agency does not possess a Certificate of Operation from the Department of Labor and Industry for the boiler used in this home.The home shall comply with applicable Federal and State statutes and regulations and local ordinances.The Residential Program Director will schedule to have a certified inspector inspect the boiler at the 499 East High Street home. A valid Certificate of Boiler or Pressure Vessel Operation issued by the Department of Labor and Industry for this facility will be completed by 8/26/2022. A copy of the certificate will be forwarded once received. 08/26/2022 Implemented
6400.32(r)(1)Individual #1's bedroom door has a key-locking mechanism. Individual #1 does not possess of a key to unlock and lock this door.Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.Individual #1's latest assessment shows that he does not wish to have his door locked. He will have his desire to have his bedroom door locked reviewed with him again, using the Option to Lock Bedroom Door, Assessment Attachment by the Program Specialist by 7/29/2022. If he so chooses to continue to have his door unlocked the doorknob on his door will be replaced with a non-locking pass though doorknob. This will be completed by 8/26/2022. A copy of the Assessment attachment and the replacement of the doorknob will be forwarded once completed. 08/26/2022 Implemented
SIN-00097072 Renewal 06/24/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65The bathroom on the second floor of the home did not have an operable window or mechanical ventilation.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. A battery operated fan was purchased for the bathroom on 7/11/16. The fan will be kept in the bathroom and the supervisor of the facility will check weekly that the fan is working properly and immediately replace the batteries or replace the fan if necessary. Extra batteries for the fan are kept on hand at all times so that the batteries can be replaced as needed. A copy of the receipt from the purchase of the fan and a picture of the fan in the bathroom will be forwarded.[Immediately and at least monthly, the CEO or designated staff person will complete a site visit at all community homes to ensure living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms are ventilated by at least one operable window or by mechanical ventilation. Within 30 Days of receipt of the plan of correction, the CEO will develop and implement procedures for staff working in community homes and completing site visits to ensure living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms are ventilated by at least one operable window or by mechanical ventilation. Within 60 days of receipt of the plan of correction, all staff working in community homes and responsible for site checks shall be trained in aforementioned procedures. Documentation of the site visits and training shall be kept. (AS 7/21/16)] 07/22/2016 Implemented
SIN-00058294 Renewal 07/01/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(f)There are four uncovered trash receptacles containing trash located outside the home. Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents.Trash cans not meeting regulation requirements were discarded on July 1, 2014. A checklist is being formulated for facility program staff to complete monthly beginning August 2014, verifying compliance with specific regulation requirements regarding phyiscal site and safety. The checklist will be reviewed by the program supervisor prior to the end of each month and forwarded to the administrative office for review and approval of repair or replacement. All completed checklists will be used by program directors when conducting self inspections. 07/01/2014 Implemented
SIN-00244059 Renewal 05/07/2024 Compliant - Finalized
SIN-00154114 Renewal 04/23/2019 Compliant - Finalized