Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00210863 Renewal 09/06/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(c)The self-assessment completed on 2/27/22 indicated a violation for 141c4. A written summary of correction was not noted for this violation.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. The management team was retrained by Director of Residential Services on 9-27-22 in regard to regulation 6400.15. The management team was retrained by Residential Services Director on 9-27-22 in regard to Regulation 141c4. 10/03/2022 Implemented
SIN-00192184 Renewal 09/07/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(f)During the virtual walkthrough completed on 9/8/21, a trash receptable was not in the bathroom.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. Effective 9/10/2021, two alternate trash receptacles were ordered for the home. On 9/15/2021 the trash receptacles arrived at the home and are now being used. 09/17/2021 Implemented
SIN-00131173 Renewal 05/01/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(e)A fire drill was held during sleeping hours on 4/12/2017, and none since.A fire drill shall be held during sleeping hours at least every 6 months. The Program Specialist has read and understands the regulation 112(e) in regards to fire drills, specifically during sleeping hours. I, Kristin Kondratowski, as the Program Specialist will ensure that a fire drill will be held during sleeping hours at least every 6 months. I will document and utilize a monthly fire drill checklist that will track when these drills occur throughout the year. 05/07/2018 Implemented
SIN-00064664 Renewal 04/08/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.164(a)The following medications for Individual #1 did not contain a specific time the medication was to be administered: Dianzapine 20mg 1 tab -bedtime, Konsyl Pow 28.3% 1 teaspoon daily with dinner and Fluoxetine (Prozac liquid) 20mg every evening. 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 and agency policy was reviewed with the Program Specialist (4/16/14) and house Supervisors (5/16/14) who were responsible for ensuring compliance. Documentation of these reviews is being submitted for verification. Individual #1's PCP was contacted and specific times for the medications were added to the label and the MAR. Documentation of this review is being submitted for verification. 05/16/2014 Implemented
SIN-00105061 Renewal 02/07/2017 Compliant - Finalized