Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00226519 Renewal 07/05/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(c)(Repeated Violation - 7/11/22) The self-assessment for the home completed on 11/3/22 did not include a written summary of corrections for 6400.46b.A copy of the agency's self-assessment results and a written summary of corrections made shall be kept by the agency for at least 1 year. Director of Operations and Associate Directors of Operations will model after RCG guide to follow the five steps and instruct point people to write an effective Plan of Correction and focus on prevention of citations by 9/1/23. 10/01/2023 Implemented
SIN-00157462 Renewal 08/13/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71The telephone number to the nearest hospital was not located on or near the telephones in the staff office or kitchen.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. Immediate: Emergency Numbers, including the nearest hospital, were immediately placed on the phone in all locations where a phone is present within the home on 8/15/19 by the Program Manager. Global Immediate: Program Managers and Program Coordinators received retraining by the Director of Operations on 8/15/19 regarding the necessity to have all emergency numbers, including the nearest hospital, located on or near each phone in the home. Program Managers shall verify all required Emergency Numbers are located either on or near every phone within their program. Verification of this review shall be sent to the Associate Directors of Operations by 8/31/19. Any occurrences of phones missing any of the Emergency Numbers shall be rectified immediately upon discovery. Global Preventative: A standardized template for each program shall be developed that contains all necessary information/phone numbers by Operations Leadership. This shall be developed by 8/31/19 and distributed to every 6400 program. Program Coordinators shall receive retraining on the necessity to verify during their monthly monitoring that all emergency numbers are present on or by every phone within the program. This retraining shall be provided by the Associate Directors of Operations on or before 8/31/19. All training/retraining documentation shall be kept on file. 08/31/2019 Implemented
SIN-00207964 Renewal 07/11/2022 Compliant - Finalized