Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00211202 Renewal 09/07/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(b)The window in Individual #1's bedroom, facing the east side of the home did not have screen in the window. Screens, windows and doors shall be in good repair. Screens of this home were repaired/replaced by 9/12/22. 09/16/2022 Implemented
6400.106The home had a furnace inspection completed on 10/03/20 and then again on 10/23/21, exceeding the annual requirement.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
6400.112(a)The home did not conduct a fire drill in the month of January 2022. An unannounced fire drill shall be held at least once a month. All Drills compliant at this time. Fire drills shall be conducted monthly by the 25th of each month. If Fire drill is not conducted by the 25th of the month. House Manager will go to the home to ensure that staff complete the drill that day or before the end of the month. 09/21/2022 Implemented
SIN-00157701 Renewal 06/18/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(a)Individual #1 had an initial assessment completed on 07/26/17 and the next assessment completed 08/31/18. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. MCAR POC is that Case Managers have been retrained on 7/4/19 on the regulation for individuals assessments. Case Managers have pre scheduled all the annual assessments due for the individuals on there case load on their outlook calendars. All outlook calendars are shared with Residential director. The residential director will randomly check that assessments have been complete on a quarterly basis. The first quarterly check will be on 8/18/19. [The residential director will audit at least a 10% sample of individuals' assessments, quarterly, to ensure timely competition of individuals' assessments by the Program Specialists. Documentation of aforementioned audits shall be kept. (DPOC by AES,HSLS on 9/9/2019)] 08/18/2019 Implemented
SIN-00096254 Renewal 06/09/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(a)Individual #1, date of admission 3/27/16, did not have an initial assessment. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. First day Packet was made to address this area. RPS will have date of admission as well as date assessment is due when a new individual comes into the Residential Program. All RPS's to be trained on this at Residential Meeting on 7/5/2016,documentation will be kept and sent. [Individual #1's assessment was completed on 6/10/16. Immediately, the RPS will review all individual records to ensure assessments are completed within the required timeframes. At least quarterly CEO or designated management staff person will review a 25% of assessments to ensure timely completion. Documentation of reviews shall be kept. (AS 8/4/16)] 07/01/2016 Implemented
SIN-00090531 Unannounced Monitoring 01/26/2016 Compliant - Finalized
SIN-00046685 Renewal 02/07/2013 Compliant - Finalized