Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00190271 Renewal 07/20/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.103There are no records maintained of a furnace cleaning in 2020 or 2021. The family living provider, staff person #1, reported that a new furnace was installed on 5/26/2020. There are no records maintained of the installation from a heating/cooling company or an annual cleaning. The last record of a furnace cleaning was completed on 9/23/19.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.Providers Plan of Correction: 1. Immediate fix: 10501 Tanyard Hill Rd will complete a furnace cleaning with documentation no later than 8/27/21. 2. Program Director, will train all Team Supervisors on the regulation no later than 8/27/21. 3. The Team Supervisors will train all Life Sharing Specialists on the regulation no later than 8/27/21. 4. The Life Sharing Specialists will train all primary caregivers on the regulation no later than 8/27/21. 5. Team Supervisors will create a chart with furnace cleaning due dates in all homes that have a furnace no later than 8/27/21. 6. A program check will be conducted in all homes not inspected no later than 8/27/21. 7. If any additional violations are found, they will be corrected no later than 9/30/21 or an extension will be requested. 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 (Attachment #3). A copy will be sent to ODP no later 9/30/21. 4. Training Summary Form for all Primary Caregivers (Attachment #7). A copy will be sent to ODP no later 9/30/21. 5. A copy of the current furnace cleaning at 10501 Tanyard Hill Rd will be sent to ODP no later than 9/30/21 (Attachment #21). 6. A copy of the furnace cleaning due date chart (Attachment #19) will be sent to ODP no later 9/30/21. 7. Program check log sheet (Attachment #20) will be completed and sent to verify compliance in all homes not inspected no later than 9/30/21. 09/30/2021 Implemented
SIN-00127741 Renewal 03/08/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.107(d)Each smoke detector was not tested on a monthly basis.A smoke detector shall be tested each month to determine if the detector is operative.Non-compliance: 6500.107(d) Is each smoke detector tested each month to determine if the detector is operative? Reason: The non-compliance was caused due to the home not listing all smoke detectors on the monthly smoke detector check form. All detectors were functional and they have more than they need according to the regulations. Correction: ¿ Family Living Specialist and Primary Caregiver training will be conducted on this regulation. Anthony Fisher will provide the clarification and the family living specialist will train the primary caregiver in the homes. ¿ Anthony Fisher will revise the monthly fire detector check form to help make it clear to new caregivers that all detectors need listed on the form. ¿ The caregiver will correct their documentation using the revised form and complete a monthly smoke detector check. ¿ The family living specialist will provide a copy of this completed smoke detector check. Validation: ¿ All training will be completed before 4/15/18. Anthony Fisher is responsible for all corrections and will provide training records to the ODP Licensing Administrator no more than 30 days after ODP accepts the POC. ¿ There were no repeat physical non-compliances in any homes which seem to indicate that there are no systematic program physical site corrections necessary; however, everyone will receive training on all areas of non-compliance. The physical non-compliances this year were primarily due to opening 7 new homes. It is believed that once additional training is provided in the specific homes that had the non-compliance, the issue will be corrected now and into the future. There were 3 homes inspected that have been opened with the agency for several years and were inspected in the past. All 3 of these homes had no violations. ¿ Anthony Fisher will send a revised monthly smoke detector check form and a completed monthly check from this home clearly listing all detectors in the home to the ODP Licensing Administrator. Attachments: All documents sent for validation will be organized on a list and include attachment numbers for easy reference. All corrections will be made by 4/30/18. 04/30/2018 Implemented
SIN-00205995 Renewal 06/14/2022 Compliant - Finalized
SIN-00174730 Renewal 08/14/2020 Compliant - Finalized
SIN-00105122 Renewal 01/24/2017 Compliant - Finalized