Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00211196 Renewal 09/07/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The home had a furnace inspection completed on 10/03/20 and then again on 10/23/21.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. Residential Director will contact maintenance to ensure that the Inspector is notified to complete the Inspection a week prior to 10/23/22. Residential Director will check to ensure that the Inspection has been completed by 10/24/22. 10/23/2022 Implemented
6400.165(g)Individual #1 is prescribed psychiatric medications to treat symptoms of mental illness. A psychiatric medication review was completed on 01/19/22 and then again on 05/13/22, exceeding the 3-month requirement.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.Individual #1 had his last psych med review on 8/5/22. If the individual is unable to get in to see Psychiatrist for any reason for Medication monitoring and the medication has not been changed. Licensed physician will be contacted to confirm no changes in medication and this will be documented for the individual record. Individual #1 is scheduled as a part of our Psychiatric Clinic which occurs approximately every 90 days to ensure that he is on a proper medication monitoring schedule. 09/21/2022 Implemented
SIN-00192990 Renewal 09/15/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment dated 01/31/21 did not include indications of compliance or non-compliance for regulations 6400.104-106, 111f-112h, 113a-114b, or 161a-167d1.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. Self Assessments will be reviewed by Residential Administrator once completed . Self Assessments will be completed Prior to 12/31/21 so that they can be thoroughly checked over. 12/31/2021 Implemented
SIN-00117447 Renewal 07/12/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.171At approximately 3:45 PM, half of an apple pie was uncovered in the refrigerator in the kitchen of the home.Food shall be protected from contamination while being stored, prepared, transported and served. Program Specialist will document weekly on the PS weekly checklist if all food is being stored properly by staff. If there are any concerns staff will be addressed immediately. Memo attached was reviewed with all homes/placed in all kitchens as a reminder. The PS checklist will be reviewed with the assistant administrator of Residential and Administrator of Residential Services at the Residential Meeting weekly on Tuesdays at 1 PM (Minutes of meetings are kept). This will be on going and begins 7/25/17. PS checklist attached. [Within 60 days of receipt of the plan of correction, staff person working in community homes shall be educated to monitor that food is protected from contamination while being stored, prepared, transported and served and monitor throughout the course of their daily duties. (AS 7/27/17)] 07/27/2017 Implemented
SIN-00137131 Renewal 06/20/2018 Compliant - Finalized
SIN-00060167 Renewal 06/17/2014 Compliant - Finalized