Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00213391 Renewal 10/17/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(c)The self-assessment completed on 3/29/22 identified the following regulations: 161e4. There was no written summary of corrections.A copy of the agency's self-assessment results and a written summary of corrections made shall be kept by the agency for at least 1 year. 10/26/2022- All program specialists and working managers were trained on their responsibility that self-assessment results and a written summary of corrections made shall be complete and kept by the agency for at least one year. 10/26/2022- A training record was signed indicating their attendance and understanding. (Attachment #1) All program specialists and working managers will continue to complete self-assessments per the regulations and regulatory compliance guide to ensure all regulations are answered and a written summary of corrections is completed if a regulation is in violation. 10/25/2022- The Self-Assessment front page was updated to include the program specialist and program director signatures to indicate the self-assessment was completed correctly. The signatures verify all regulations were reviewed and documented. They also verify a written summary of corrections were completed for all regulatory violations (if applicable). 10/26/2022 Implemented
6400.67(b)At the time of the inspection, there was a plum-sized amount of lint located in the dryer. Floors, walls, ceilings and other surfaces shall be free of hazards.10/26/2022- All program specialists and working managers were trained on their responsibility that floor, ceilings, and other surfaces shall be free of hazards. In particular, checking dryer vents and cleaning out lint was specifically included in the training. 10/26/2022- A training record was signed indicating their attendance and understanding. (Attachment #1) All program specialists and working managers will continue to review and assure floors, walls, ceilings and other surfaces shall be free of hazards. 10/26/2022- All program specialists and working managers have reviewed and verified that all floors, ceilings and other surfaces are free of hazards. 10/25/2022- The Safety Inspection Checklist review form was revised to include a review and cleaning of all dryer units. 10/26/2022- A maintenance request was submitted and completed for the dryer at 1632 Circleville Rd. The lint trap was cleaned out. (Attachment #2) 10/26/2022 Implemented
SIN-00118878 Renewal 09/27/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(13)(ix)Individual #1's 6/27/17 annual assessment did not include progress and growth over the past year. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration.All Program Specialists were trained on their responsibilities concerning regulation 181(e)(13)(ix). The assessment must include the individuals progress over the last 365 calendar days and current level in the area of community integration. (See Attachment #1) Individuals #1 assessment has been updated to include progress and growth over the last 365 calendar days and current level in the area of Community Integration. ( See Attachment # 2 ) The SFI Annual Assessment was revised to reflect each specific regulation and the information to be reviewed. All future assessments will have this information included. (See Attachment # 3 ) A review of all individual assessments was completed to ensure they all included progress and growth over the last 365 calendar days and current level in the area of Community Integration. 10/25/2017 Implemented
SIN-00081849 Renewal 05/18/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103The evacuation procedures for all individuals in the home was missing the the individual responsiblites. There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. Program Specialists were trained on their responsibilities on 7/28/15. See Attachment #1. The Emergency Removal and Transfer Plan has been revised to include individual responsibilities during an evacuation. All current forms have been updated and verified by the Program Specialists to be corrected and in compliance. See Attachment #2. This updated form will be part of all New Admission Paperwork and updated as needed. 06/18/2015 Implemented
SIN-00160803 Renewal 10/16/2019 Compliant - Finalized
SIN-00048011 Renewal 05/30/2013 Compliant - Finalized