Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00190264 Renewal 07/20/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(b)The 6/23/21 Self-Assessment did not measure the following regulation- 121c6.The agency shall use the Department's licensing inspection instrument for this chapter to measure and record compliance.Immediate fix: The Life Sharing Specialist will complete the entire self-assessment no later than 8/27/21. The Team Supervisor will also sign the self-assessment to verify completion. Correction: 1. Program Director, will train all Team Supervisors on the regulation no later than 8/27/21. 2. The Team Supervisors will train all Life Sharing Specialists that did not complete the self-assessment correctly no later than 8/27/21. 3. The self-assessment that had the violation will be corrected by 8/27/21. 4. Program check not needed since all self-assessments were already reviewed during inspection. Attachments: 1. Attachment Log Sheet to organize all the attachments with a reference number (Attachment #1). A copy will be sent to ODP no later 9/30/21. 2. Training Summary Form for all Team Supervisors (Attachment #2). A copy will be sent to ODP no later 9/30/21. 3. Training Summary Form for all Life Sharing Specialist that were out of compliance with this regulation (Attachment #3). A copy will be sent to ODP no later 9/30/21. 4. A copy of the corrected self-assessment including the Team Supervisor signature will be sent to ODP no later than 9/30/21 (Attachment #5). 09/30/2021 Implemented
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