Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00220390 Renewal 02/28/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(f)Program Specialist #1 sent Individual #1's assessment, completed on 07/07/22, to the plan team members on 08/02/22 for an annual ISP meeting held on 08/23/22.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Specific change: Core Member's assessment will be sent to plan team members within 30 days prior to the individual ISP meeting. Who will make the change: Assigned Program Specialist When will the change be made: This change went into effect immediately as of today, April 3rd, 2023. How will the change be made: Dates will be monitored by the assigned PS, and Outlook reminders have been put in place as a method of tracking. To ensure the violation does not occur again, the assigned PS will utilize Outlook calendar reminders in addition to their existing methods as duplicate means of tracking to ensure dates are not missed moving forward. Training: Program Specialists reviewed regulation 6400.181(f) and an in-service / retraining form has been signed and dated by our PSs as of April 3, 2023. The in-service record will be maintained in the employees file. [Documentation of training, dated 4/3/23, related to 6400.181f was received on 4/4/23 and reviewed 4/5/23. DPOC by HDKPO, HSLS, on 4/5/23]. 04/03/2023 Implemented
SIN-00082104 Renewal 08/06/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(6)Individual #1 admitted on 1/28/15 had Tuberculin skin testing by Mantoux completed on 5/8/15.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. The program specialist and healthcare coordinator were trained on 9/29/2015 on the requirements of 6400.141(c)(6) regarding the inclusion of Tuberculin skin testing in the physical examination prior to admission to services. [As per conversation with CEO on 10/23/15, the healthcare coordinator will review physical examination documentation for completion prior to admission; as well as, the ongoing required physical examination to include all required information and follow up as needed. Healthcare coordinator will review all current physical examinations for all individual for required information and follow up as needed. PS will review individual records including the physical examinations at least quarterly. (AS 10/23/15)] 09/29/2015 Implemented
6400.141(c)(7)Individual# 1 admitted on 1/28/15 had gynecological examination completed on 3/4/15.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. The program specialist and healthcare coordinator were trained on 9/29/2015 on the requirements of 6400.141(c)(7) regarding the inclusion of a gynecological exam in the physical examination prior to admission to services. [As per conversation with CEO on 10/23/15, the healthcare coordinator will review physical examination documentation for completion prior to admission; as well as, the ongoing required physical examination to include all required information and follow up as needed. Healthcare coordinator will review all current physical examinations for all individual for required information and follow up as needed. PS will review individual records including the physical examinations at least quarterly. (AS 10/23/15)] 09/29/2015 Implemented
SIN-00201928 Renewal 03/16/2022 Compliant - Finalized
SIN-00160062 Renewal 08/01/2019 Compliant - Finalized
SIN-00120722 Renewal 08/31/2017 Compliant - Finalized
SIN-00099471 Renewal 08/17/2016 Compliant - Finalized
SIN-00066965 Renewal 07/29/2014 Compliant - Finalized
SIN-00049332 Renewal 04/24/2013 Compliant - Finalized