Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00150939 Renewal 02/27/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(g)Direct Service Worker #1 had fire safety training on 1-24-18 and again on 2-5-19.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (f). Program Specialist and Program manager were trained on scheduling Fire safety 2 weeks prior to the previous year to ensure compliance. The Assistant Directors will also review the dates of the training to ensure compliance. [Immediately, the CEO or designee shall develop and implement a tracking system to ensure timely completion of fire safety training. Immediately and at least quarterly for 1 year, the CEO or designee shall audit all staff person's 2 most recent fire safety trainings to ensure all staff persons have completed fire safety training, timely. Documentation of the audits shall be kept. (DPOC by AES,HSLS on 4/4/19)] 03/18/2019 Implemented
SIN-00089321 Renewal 02/03/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.164(a)Individual #1 is prescribed Albuterol Sulfate 0.083% every 6 hours as needed (PRN) via inhale nebulizer. The medication log and the medication vial read Albuterol Nebulizer 0.083%; use 1 vial via nebulizer every 6 hours for Asthma. A medication log listing the medications prescribed, dosage, time and date that prescription medications, including insulin, were administered and the name of the person who administered the prescription medication or insulin shall be kept for each individual who does not self-administer medication. The label on the albuterol was changed to include PRN. The Team Leader will check the mar's against the blister pack weekly and the RPW will check the meds against blister pack nightly.Att#6 [Immediately and at least quarterly, Program specialists will review all individuals' medications, doctors orders and medication logs to ensure all required information is present and accurate on the medication log. Documentation of all aforementioned medication review/checks shall be kept. (AS 4/15/16)] 02/27/2016 Implemented
SIN-00239587 Renewal 02/13/2024 Compliant - Finalized
SIN-00201560 Renewal 03/08/2022 Compliant - Finalized