Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00045720 Renewal 02/13/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103The facilities emergency evacuation procedures did not include the means of transportation should it be necessary to evacuate. There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. The emergency evacuation procedure has been revised to include the means of transportation. This can be found, highlighted, on page 3 of the document emailed on 3/13/2013. 03/13/2013 Implemented
6400.199(e)Individual #1 has a protocol for PRN Medication for Ativan to be given for aggressive behaviors. The Ativan was administered on 12/2/19, and 1/9/13. The regulation prohibits the use of PRNs for episodic behaviors. (e) A Pro Re Nata (PRN) order for controlling acute, episodic behavior is prohibited. Individual #1 will no longer receive PRN medication to address his aggressive behaviors. The team will meet with the psychiatrist and behavior specialist to discuss alternatives. The behavior specialist will revise the behavior plan accordingly. 03/13/2013 Implemented
SIN-00058176 Renewal 01/06/2014 Compliant - Finalized