Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00188075 Renewal 05/25/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.34(a)Individual #1, admitted on 07/14/20, was informed and explained individual rights and the process to report a rights violation on 08/03/20 .The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.LCARC has informed Individual #1 of its neglect to inform him of his rights upon admission, and has furnished him with a list of the rights as specified in 6400.34. LCARC's Quality Manager has reviewed the records of all its admissions within the last 18 months to ascertain whether this is a systemic issue--no other violations or concerns were found. 06/18/2021 Implemented
SIN-00172312 Renewal 03/10/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(a)An unannounced fire drill was not held in February 2020. An unannounced fire drill shall be held at least once a month. Provider ID¿100010132-0007 112.a¿An unannounced fire drill must be held at least once per month. Violation¿An unannounced drill was not held in February 2020. Correction¿An additional fire drill was conducted on 3/19/2020. Residential Program Directors reviewed all other fire drill logs and found no other violations. This does not appear to be a systemic issue. A new procedure was developed to prevent similar occurrences in the future. Residential Program Directors have developed a spreadsheet to track monthly fire drills at the sites. Program Specialists will ensure that the drill for each group home is completed before the 15th of the month and submit the required paperwork to the Program Director. If the RPD does not receive documentation of the drill by the 15th of the month, he or she will meet with the Program Specialist and ensure that it is completed. All Program Specialists were trained on this plan of correction and the new procedure on 3/19/2020. [As per conversation with the residential program director on 3/24/20, unannounced fire drills at all community homes will be held throughout the month and not limited to prior to the 15th of the month as previously stated. Immediately, the residential program director or designee will educate the program specialists of this change. At least quarterly for 1 year, the residential program directors shall audit the fire drill documentation to ensure unannounced fire drills are held at all community homes as required and documented as required. Documentation of the audits shall be kept. (DPOC by AES,HSLS on 3/24/20)] 03/19/2020 Implemented
6400.181(a)Individual #1's most recent assessment was completed on 12/14/2018. 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. MPI¿100001083 Provider ID¿100010132-0007 All attachments referenced in this document will be submitted via email. 181.a--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. Violation¿Individual #1¿s last assessment was 12/14/2018. Correction¿Assessment was completed 3/13/2020 by Program Specialist KK. To prevent similar lapses in the future, RPDs have developed a tracking spreadsheet to monitor assessments completed for all clients. Residential Program Directors reviewed all clients¿ assessments and found no other violations. This has not been found to be a systemic issue. The Program Directors expect to see future assessments completed 5 days prior to the 365-day due date. If it is not received and reviewed by this time, Program Directors will meet with Program Specialists and ensure timely completion of the assessment. All Program Specialists were trained on this plan of correction and the new procedure on 3/19/2020. [Documentation of aforementioned audits shall be kept. (DPOC by AES,HSLS on 3/24/20)] 03/19/2020 Implemented
SIN-00223386 Renewal 04/26/2023 Compliant - Finalized
SIN-00113768 Renewal 05/09/2017 Compliant - Finalized
SIN-00058508 Renewal 04/23/2014 Compliant - Finalized