Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00240011 Renewal 03/05/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(f)The upstairs bathroom did not have any paper towels or a hand towel at the time of the inspection.Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. Staff replenished paper towels in real-time during the survey. Support staff on duty at time of survey acknowledged responsibility for failing to timely replace paper towel product having just finished cleaning individual and bathroom following an accident. They volunteered understanding of the expectation, and they routinely complete site audits as a supervisor in which the standard is measured. This demonstrated that there was not a specific need for further staff education on the regulatory standard or program expectations. 03/15/2024 Implemented
SIN-00168079 Renewal 07/21/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66The exterior garage light, positioned closest to the side egress door of the house, did not have an operable light at the time of the 7/24/2020 inspection.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. This light has been replaced with an LED bulb. Use of LED replacement bulbs in all fixtures has been policy of IFC to limit inoperable light issues. The 5 homes that were not reviewed by ODP licensing representatives were inspected by their respective Program Managers to insure compliance with this regulation. All were found to have operable lighting. The LII physical site tool will be used to review all sites quarterly by a designated Program Manager in order to monitor ongoing compliance. Records of these inspections will remain filed with full LIIs annually. Attached is evening picture of this location demonstrating operable lights (38) and copy of sample inspection report by Program Manager (24). 08/11/2020 Implemented
6400.73(a)The eleven steps leading into the attic were not equipped with a handrail. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. A handrail was installed in the attic space. The 5 homes that were not reviewed by ODP licensing representatives were inspected by their respective Program Managers to insure compliance with this regulation. Of these, only one had an attic which has a handrail installed. All other stairwells inside/outside the homes were found to be compliant for installation of handrails. The LII physical site tool will be used to review all sites quarterly by a designated Program Manager in order to monitor ongoing compliance. Records of these inspections will remain filed with full LIIs annually. Attached is photograph of installation at this site (36), photograph from an additional site inspected (37), and copy of sample inspection report by Program Manager (24). 08/13/2020 Implemented
SIN-00062671 Renewal 06/09/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.164(a)All of Individual #1's medication administration records listed "HS" for the time the medication was administered. There was no specific time to administer the medications.A medication log listing the medications prescribed, dosage, time and date that prescription medications, including insulin, were administered and the name of the person who administered the prescription medication or insulin shall be kept for each individual who does not self-administer medication. This regulation has been reviewed by agency nurse who measures compliance through monthly reviews of MARs. 164(a) was addressed with the applicable, non-compliant site supervisors. 164(a) will be reviewed with all site supervisors via their scheduled staff meeting on 7/15/14. A copy of the meeting agenda and attendance sheet will be sent as addendum. A copy of July¿s MAR for this location will be sent as addendum reflecting compliance. 07/15/2014 Implemented
6400.186(b)Individual #1 did not sign off indicating they reviewed their ISP reviews on October 3, 2013 and July 14, 2014.The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. This regulation was included in a post-licensing training for Residential Specialists. A copy of the training records will be sent as addendum to the POC. A compliant, signed review will be sent as addendum. Additionally, a new PS has been assigned to this home. 07/10/2014 Implemented
6400.187Individual #1's October 3, 2013 ISP review was not sent to the Plan Team within 30days after the review.A copy of the ISP, including the signature sheet, shall be provided to plan team members within 30 calendar days after the ISP, annual update and ISP revision meetings. Program Specialists have been trained on 6400.187 and clarification was provided regarding the role of the Support Coordinator versus the Program Specialist with respect to the distribution of review materials. A copy of the training records will be sent as addendum. A compliant enclosure letter since the licensing inspection will be sent as addendum. 07/10/2014 Implemented
6400.195(d)The Program Specialist did not sign off on the October 7, 2013 Restrictive Procedure Review Committee meeting minutes.The restrictive procedure plan shall be reviewed, approved, signed and dated by the chairperson of the restrictive procedure review committee and the program specialist, prior to the use of a restrictive procedure, whenever the restrictive procedure plan is revised and at least every 6 months. Restrictive Review Committee Minutes form has been updated to clarify required signatures with respect to 6400.195(d) and having the required minimum ratio of members who do not provide direct services. The next Restrictive Review will be held on 7/17/14. A compliant review will be sent as an addendum. 07/17/2014 Implemented
SIN-00223660 Renewal 04/25/2023 Compliant - Finalized
SIN-00151044 Renewal 04/03/2019 Compliant - Finalized
SIN-00102686 Renewal 12/05/2016 Compliant - Finalized