Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00212786 Unannounced Monitoring 08/23/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.186Individual #1's Individual Service Plan (ISP) is not being implemented. Individual #1's ISP states that a seizure protocol is located at Individual #1's home for staff to follow. It further states that Individual #1 benefits from line-of-sight supervision if the individual were to go outside of the home to visit the yard or take out the trash. It also states Individual #1 showers independently, however due to a seizure disorder; staff perform visual checks to ensure safety and Individual #1 can spend time alone in the individual's bedroom and the bathroom with staff completing visual checks due to seizure disorder. On August 21, 2022, Individual #1 was observed to have bruises of various sizes and shapes on the individual's left arm, under the individual's breast, right arm, and left leg. The bruises were documented and reported by staff on August 21, 2022. It is unclear how these bruises were obtained as Individual #1 stated during two separate interviews "I fell taking out the garbage." There were not any witnesses to Individual #1 falling while taking out the garbage. Staff who were interviewed reported that Individual #1 had not taken out the garbage leading up to the time that the bruises were observed. Through interviews with Individual #1 and staff assigned to work in Individual #1's home, it was unable to be ascertained how the individual received the bruises. Information obtained through interviews during the investigation regarding the unknown bruises, showed that Individual #1's ISP is not being implemented as all staff are not completing visual checks of Individual #1 while the individual is in the bathroom and showering. Individual #1 was observed through the bathroom door being open on 8/20/22 after showering, to be unclothed and walking around appearing confused. Individual #1 had been in the bathroom to complete a shower and visual checks were not completed until it was observed that the individual had opened the door and staff observed the individual to be naked. The individual was instructed to close the door and only after being nonresponsive did the staff proceed to go to check on the individual. Individual #1 did not have any injuries upon staff checking on the individual. It is unknown if the individual had a seizure, or was not hearing or dismissing staff speaking to the individual.The home shall implement the individual plan, including revisions.Individual #1¿s seizure protocol was updated to include seizure symptoms specific to the individual. The seizure protocol was added to the ISP for individual #1. All staff in the home were retrained on the seizure protocol and visual checks. 10/10/2022 Implemented
SIN-00077598 Unannounced Monitoring 04/16/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.18(c)Staff #3 and Staff #4 stated that during a house meeting in January 2015, Staff #5 informed them that an allegation of sexual abuse had been reported to her. It was stated that it was suspected that Individual #2 had been sexually abusing her roommate Individual #1. This incident of suspected abuse was not reported.The home shall orally notify the county mental retardation program of the county in which the home is located, the funding agency and the appropriate regional office of mental retardation, within 24 hours after abuse or suspected abuse of an individual or an incident requiring the services of a fire department or law enforcement agency occurs. On January 13, 2015 the residential director of Keystone Community Resources North Lincoln Residence was informed of allegation of sexual abuse to individual #1. This allegation was brought to the attention of individual #1¿s supports coordinator by mother of individual #1. Upon receiving the allegation, individual #1 was interviewed. At the time of the interview individual #1 denied this allegation. Staff questioned at this time noted no change in mood or affect of individual #1. On April 17, 2015 a formal investigation of the alleged abuse was initiated. Karen Harrity a certified investigator was assigned to complete the investigation. Upon completion of this investigation the findings were unconfirmed / not confirmed for sexual abuse. In the future Keystone Community Resources identified incident point person will notify the following representatives within 24 hours after abuse or suspected abuse of an individual: The county mental retardation program of the county in which the home is located, the funding agency, the individual¿s supports coordinator, and the appropriate regional office of mental retardation. 04/28/2015 Implemented
SIN-00208566 Renewal 06/27/2022 Compliant - Finalized
SIN-00154004 Renewal 04/16/2019 Compliant - Finalized
SIN-00114027 Renewal 05/09/2017 Compliant - Finalized
SIN-00058852 Renewal 01/22/2014 Compliant - Finalized
SIN-00045033 Renewal 01/25/2013 Compliant - Finalized