Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00175994 Renewal 09/09/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(a)(7)Clonazepam 1mg tablet, take 1 tablet by mouth every night at bedtime prescribed to Individual #1 is listed on Individual #1's September 2020 Medication Administration Record to take two (1mg) by mouth every night at bedtime.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication.This violation was corrected in individual#1's MAR on 9/10/20 via Therap when the licensing representative brought it to our attention. All staff reviewed regulation 166(a)(7) and were trained on the importance of comparing labels to MAR's and reporting any discrepancies immediately. CCC has recently transitioned to a new pharmacy and electronic MAR system. All supervisory staff was trained on reviewing and acknowledging all medications in this system. [Immediately, and continuing at least weekly for 3 months and then continuing at least monthly, a designated staff person qualified to administer medications shall audit all individual's current medication record to ensure all individual are administered medications as prescribed and all medications are documented on the medication record as required. Documentation of the audits shall be kept. (DPOC by AES,HSLS on 9/28/20)] 09/23/2020 Implemented
SIN-00134844 Renewal 05/14/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(d)Individual #1's assessment dated 1/8/18 was not signed by a program specialist.The program specialist shall sign and date the assessment. The program specialist had dated, typed and printed her name on the document, but failed to put her signature on it. The assessment that was completed and dated on 1/3/18 has now been signed by the program specialist (5/15/18.) The program director reviewed the 181 (d) regulation with the PS on 5/17/18. To prevent us from leaving a signature off of the assessment in the future, we will add a separate line that specifically says "program specialist signature". This will be completed on all future assessments, from this date forward. [At least quarterly for 1 year, the program director shall audit a 25% sample of assessments to ensure the program specialist has signed and date all individuals' assessments as required. (AS 6/25/18)] 05/17/2018 Implemented
SIN-00228373 Renewal 07/10/2023 Compliant - Finalized
SIN-00208767 Renewal 07/26/2022 Compliant - Finalized
SIN-00115947 Renewal 06/13/2017 Compliant - Finalized
SIN-00077768 Renewal 05/04/2015 Compliant - Finalized
SIN-00063408 Renewal 05/07/2014 Compliant - Finalized