Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00219650 Renewal 03/13/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(6)Individual #1's two latest Mantoux tests occurred on 07/22/2020 and 09/26/2022. The interim between these two Mantoux tests exceeds the two-year time frame requirement.Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest x-ray with results noted.The Provider will ensure a Tuberculin skin test, with negative results, is done every 2 years or a chest xray if a positive skin test. 04/03/2023 Implemented
6500.151(e)(14)Individual #1's Individual Assessment, dated 09/09/2022, does not note the individual's ability to swim. There is an item labeled "Able to Swim," but the space next to it is completely blank. The assessment must include the following information: The individual's knowledge of water safety and ability to swim.The assessment will note the consumer's knowledge of water safety and ability to swim. The Assessment was revised on 3-31-23. 03/31/2023 Implemented
SIN-00207324 Renewal 04/26/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.70During the inspection, the home did not have operable telephone as it didn't have a dial tone to call out.A home shall have an operable telephone that is easily accessible.Each home will have an operable telephone 05/16/2022 Implemented
6500.103Furnace inspection was completed on 3/30/21 and there was no record of one being completed since. This exceeds the requirement.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.Furnaces will be cleaned and inspected on an annual basis. 10/12/2022 Implemented
6500.17(a)The 3 to 6 months completion window for the agencies self-assessments prior to the expiration date of the agency's certificate of compliance was 10/15/21 to 1/15/22, and the self- assessment was dated 4/1/22. This exceeds the requirement.If an agency is the legal entity for the home, the agency shall complete a Self-Assessment of Homes the agency is licensed to operate 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.The Provider will complete the Self Assessment within the 3-6 month window prior to the expiration date of the agency¿s certificate of compliance. 10/20/2022 Implemented
SIN-00170282 Renewal 02/25/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.77The home did not have first aid tape.Each home shall have antiseptic, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and syrup of Ipecac if any individual 4 years of age or younger, or an individual likely to ingest poisons, is served.1. The company will ensure that each home has antiseptic, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors, and syrup of Ipecac if any individual 4 years of age or younger, or an individual who is likely to ingest poisons is supported in the home. 2. To remedy the immediate deficiency, the life sharing provider purchased the appropriate medical tape for the home's first aid kit. 3. To prevent any re-occurrence, the Family Living Program Specialist will check the home's first aid kit on a monthly basis to that adequate medical medical is on hand at all times. 03/31/2020 Implemented