Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00212766 Renewal 12/08/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency did not complete a self-assessment of the home within 3 to 6 months prior to the expiration date of the agency's certificate of compliance.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. A self assessment for the Grandview Street home was started on 4/21/22 and completed on 6/9/22. It is signed by Katie Goetz, Program Specialist. 12/29/2022 Implemented
SIN-00142871 Renewal 11/13/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71The emergency numbers by the phone did not list the number for the nearest hospital.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. Linda Reilly has changed phone cards by all phones to include nearest hospital, poison control and direct numbers for local police, fire dept., and ambulance, in addition to 911. 12/06/2018 Implemented
6400.81(k)(6)There was no mirror in Individual #1's bedroomIn bedrooms, each individual shall have the following: A mirror. Program Specialist, Teresa DeRoss, has contacted SJC maintenance department to purchase and install a mirror to hang on individual #1's bedroom door. Linda Reilly, Director of CLA Program will assure mirror is purchased and hung by the correction date. 12/14/2018 Implemented
SIN-00068096 Renewal 09/10/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.101In the attic, to the right of the stairs a door to a small room has an obstructed egress. This door has a double skeleton key lock. Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. At time of inspection the door was removed and the skeleton key lock was disabled. The door was later reinstalled. 09/11/2014 Implemented
6400.168(a)Staff #1 has a medication administration training form on record that does not have a signature from the Medication Administration Trainer. Staff #1 is administrating medications at this time. In a home serving eight or fewer individuals, a staff person who has completed and passed the Department's Medications Administration Course is permitted to administer oral, topical and eye and ear drop prescription medications. Medication Trainer for Staff #1 verified that this person passed the Training and signed the required documentation. The CLA Program Coordinator will assure that all medication training documents are accurately completed and signed before staff can administer medications. The Director provided training in new process to all Trainers in a meeting held on September 18, 2014. The change of procedure has been implemented as of 9/18/14. 09/18/2014 Implemented
SIN-00124142 Renewal 11/07/2017 Compliant - Finalized
SIN-00082684 Renewal 10/15/2015 Compliant - Finalized