Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00177219 Unannounced Monitoring 09/09/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Liquid hand soap with a label that stated "contact poison control if ingested" was found unlocked and accessible near the kitchen sink. Individuals residing in the home are not assessed to be safe with poisons.Poisonous materials shall be kept locked or made inaccessible to individuals. IHRS has issued a memo to all sites regarding appropriate hand soaps. All soaps have been assessed to ensure they are safe to be unlocked. IHRS compliance department assisted Program Specialists in calling the CLA's to ensure proper soap was accessible to the clients. 10/31/2020 Implemented
6400.166(a)(7)There was a discrepancy in the stated prescribed dosage of the medication Divalproex Sodium ER prescribed for Individual #1. The Medication Administration Record (MAR) states that the medication dosage is 500mg. tabs, 1 tab twice per day at 8am and 8pm; the pharmacy label states that the medication dosage is 250mg. tabs, 1 tab twice per day at 8am and 8pm.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication.Pharmacy was contacted and correct label was received. All staff were retrained and issued corrective action on proper checking and administration of medications. Nursing reviewed MAR's to ensure compliance. 10/31/2020 Implemented
SIN-00160703 Renewal 08/27/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment was completed late. The expiration date of the Agency's certificate of compliance is 8/01/2019 and the self-assessment was completed on 8/12/2019.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. IHRS will develop a protocol that requires all self assessments to be completed by May 1st of the current calendar year. This will ensure that all homes are assessed prior to the expiration date of our certificate of compliance. Our compliance manager, will ensure that these assessments are completed. 10/31/2019 Implemented
6400.110(b)The smoke detector located in the living room was more than 15 feet of the first floor bedrooms.There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. A smoke detector will be placed in the hallway outside of the bedrooms. This will be completed by a licensed electrician. All homes will be assessed to ensure that this regulation is met. 10/31/2019 Implemented
SIN-00065160 Renewal 06/03/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The bathtub shower wall is water damaged, soft and cracked.Floors, walls, ceilings and other surfaces shall be in good repair. A new tub, drain faucet were installed. Shower walls were removed & replaced. 06/13/2014 Implemented
6400.112(d)Individuals #1, 2 and 3 did not evacuate during an awake fire drill held on 02/25/2014. Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. IHRS will continue to run monthly fire drills at the home. Staff will continue to remind the individuals about the importance of evacuating the site during a drill. Individuals will continue to receive annual fire safety training. Staff will continue to verbally prompt the individuals during a fire drill. 06/04/2014 Implemented
SIN-00124087 Renewal 10/17/2017 Compliant - Finalized