Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00199827 Renewal 02/08/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(a)There was no documentation of an unannounced fire drill conducted in the month of January 2022. An unannounced fire drill shall be held at least once a month. In response to this violation of 6400.112(a) discovered during the licensing inspection for the McGuire Memorial Community Home program held from 2/8 to 2/10 of 2022, the plan of correction is as follows: Effective immediately, the house managers of the McGuire Memorial community home program will be trained that they are required to hold and document an unannounced fire drill every month at each house that is currently occupied regardless of current conditions and circumstances of the home. These fire drills will be held during normal staffing conditions, held at different times of day and night, different days of the week, and will use alternate exit routes. One ¿sleeping¿ drill will occur every three months. [Training on fire drills, including maximum evacuation time, occurring on various dates, received on 4/4/22 and reviewed on 4/19/22 by HDKP, HSLS.] 03/09/2022 Implemented
SIN-00147216 Renewal 12/18/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.164(b)Aquaphor Ointment, apply to affected area once a day, prescribed to Individual #1 was not initialed as administered on 10/30/18 and 11/19/18 at 6:00AM. HM Baby Shampoo Lid Scrub, apply to the affected area once a day, prescribed to Individual #1 was not initialed as administered on 12/9/18 at 6:00AM. The information specified in subsection (a) shall be logged immediately after each individual's dose of medication. McGuire Memorial will ensure that medication logs include all prescription medications given including both oral and topical medications and the information is logged immediately after each individual¿s dose of medication is administered. All staff will be in-serviced that medications must be entered into the medication administration record, (MAR), immediately after each individual¿s dose of medication, both oral and topical by the Community Home Professionals The in-service will include; staff is to double check that the medications have been recorded when completing medication administration for the individuals. The Community Home Nurses will responsible review the MARs monthly for the next 90 days and quarterly thereafter to ensure all medications are documented appropriately. The Community Home Nurses will document the audits to verify completion. The Director of Health Services will complete randomly audit 10% of the MARs to ensure all documentation is completed quarterly for the next 6 months. Any documentation found to be incorrect will be corrected by nursing and the responsible staff will be retrained by nursing. 01/08/2019 Implemented
SIN-00096264 Renewal 11/24/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71The telephone numbers for the nearest police department and ambulance were not on or by the telephone in the dining area. 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. The telephone number for the police was added to every phone with an outside line in addition to the numbers for fire, ambulance, the nearest hospital and the poison control center. A copy of the new postings were given to the inspector prior to the end of the survey. The Community Home Managers will inspect the phones monthly and document this on the Monthly House Inspection. The monthly house inspections are reviewed by the Program Specialist and the Director and Assistant Director of Community Homes. 07/02/2016 Implemented