Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
SIN-00212766
|
Renewal
|
12/08/2022
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC 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
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.71 | The 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 bedroom | In 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
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.101 | In 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
|
|