Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00126911 Renewal 12/21/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65The bathroom on the first floor of the home did not have an operable window or mechanical ventilation.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. A fan was installed in the bathroom on 12/21/2017 to provide ventilation. The Program Specialist conducted a site visit on 12/21/2017 and observed that the fan was installed and operable (Attachment #1). The Program Specialist took a photograph to show the placement of the fan in the bathroom (Attachment #2). The Program Specialist will document at each monthly site visit that the fan remains in the bathroom and is operable. The monthly site visit documentation will be submitted to the Executive Director or designee within 3 business days of the site visit for review. 12/21/2017 Implemented
SIN-00087555 Renewal 12/10/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65The bathroom on the main floor of the home does not have an operable window or mechanical ventilation.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. A fan has been placed in the bathroom on the main floor of the home to provide ventilation. Program Specialist will inform all staff in the house that this fan is to remain in the bathroom as a means of ventilation. Assigned staff will ensure that the fan is still in the bathroom during monthly site visits. A copy of the site visit form along with a photograph of the fan in the restroom will be sent to BHSL for review.[Activity Coordinator will complete site visit checklist and submit to Program Coordinator for review. Program Coordinator will assign needed work to the Program Specialists to be completed or coordinate with maintenance department within one week and then report back to Program Coordinator. (AS 12/31/15)] 12/23/2015 Implemented
6400.71The telephone number of the police department was not on or by the telephone in the living room.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. A label has been created that lists the nearest hospital, police department, fire department, ambulance and poison control center. Label has been placed on the living room telephone. A monthly site visit form has been created and this item is listed as one of the items to monitor for compliance on a monthly basis. A copy of the site visit form will be sent to BHSL for review along with a picture of the phone with the appropriate label.[Activity Coordinator will complete site visit checklist and submit to Program Coordinator for review. Program Coordinator will assign needed work to the Program Specialists to be completed or coordinate with maintenance department within one week and then report back to Program Coordinator. (AS 12/31/15)] 12/23/2015 Implemented
SIN-00068565 Renewal 12/17/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(c)A first aid manual was not located with the first aid kit. A first aid manual shall be kept with the first aid kit.Program Specialist has placed a first aid manual in the first aid kit. Program Specialists will train the direct care staff on what items are required to be in the first aid kit and the proper procedure for when items are missing from the first aid kit, which is to notify Program Specialist immediately so that a replacement may be purchased and placed in the kit. In addition, this item has been added to the monthly site inspection list to ensure future compliance for all items being present in the first aid kit. 12/19/2014 Implemented
SIN-00201675 Renewal 03/03/2022 Compliant - Finalized
SIN-00166122 Renewal 11/14/2019 Compliant - Finalized
SIN-00105950 Renewal 12/21/2016 Compliant - Finalized