Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00231623 Renewal 11/16/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)Clean and sanitary conditions are not maintained in the the home. There was black substance next to the drain pipe at the bottom of the basement steps. It is unknown what the substance is.Clean and sanitary conditions shall be maintained in the home. The floor area where the black substance was found in the basement was thoroughly cleaned. There is no sign of any further black substance on the basement floor. 11/22/2023 Implemented
6400.165(c)Medications are not administered as prescribed. Individual #1 is prescribed Flonase 2 squirts in each nostril daily for 7 days and then 7 days off. Repeat pattern monthly. The medication was last filled on 6/8/23. The bottle contains a 30 day supply. The bottle contains a 30 day supply. Based on the dosage, the bottle should last for 60 days. The. Bottle of medication was more than ½ full. The medication should have been filled 2 times since June if administered as prescribed.A prescription medication shall be administered as prescribed.All staff who work with the individual who is prescribed the nasal spray will be re-trained on proper medication administration of the nasal spray and the importance of administrating medications as prescribed. 12/08/2023 Implemented
SIN-00212763 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 Oak Street home was started on 5/12/22 and completed on 6/29/22, signed by Katie Goetz, Program Specialist. 12/29/2022 Implemented
SIN-00163427 Renewal 10/25/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)In the basement, there was a black substance resembling mold on the wood paneling at the base of the wall located at the bottom of the stairs on the right side. A Provider representative stated that there had been a leak from a pipe in that area which had been repaired. Floors, walls, ceilings and other surfaces shall be free of hazards.the wall was cleaned, sealed with mold resistant primer, (paint) then finished with a larger trim piece on 12/4/19. Going forward, maintenance staff will inspect the basement, every 3 months, for mold/mildew. 12/04/2019 Implemented
SIN-00124139 Renewal 11/07/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(a)Fire drills are not unannounced at this residence. On the cover of their fire book is a list of when fire drill are to be held from 6/2017-12/2017 and on what shift these fire drills are to be held. An unannounced fire drill shall be held at least once a month. fire drill schedule was removed from the Oak St. fire book on 11/7/17 by Program Specialist. Program Specialist was retrained on 11/17/17 on regulation 6400.112a by Linda Reilly. All fire books were checked by Linda Reilly for assurance that there are no schedules showing advanced dates and shift of fire drills. Linda Reilly will recheck all fire books during the month of June 2018 for assurance that there are no fire drill schedules. 11/17/2017 Implemented
SIN-00082679 Renewal 10/14/2015 Compliant - Finalized
SIN-00068091 Renewal 09/10/2014 Compliant - Finalized