Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00228875 Renewal 09/19/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(c)The self-assessment that was completed for dated 8/25/23 through 9/13/23 identified a violation for regulations 151a, 182a, 183c, but did not have an attached summary of correction.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. Director of Residential Services provided verbal and written education/retraining to Program Specialists on 10-23-23 regarding regulation 15C that specifies the summary of corrections and attached proof that the plan of correction is completed with the self-assessments. Director of Residential Services met with the Instructional Technology department on 9-25-23 regarding the syncing issues of the agency's drive that maintains the summary of corrections and assessments. The Director of Residential uploaded the plan of corrections for the Home on 10-13-23. 10/30/2023 Implemented
SIN-00176485 Renewal 09/22/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(f)Hand soap was not available in the bathroom located in the basement. A hand towel or paper towels were not available in the bathroom located in Individual #1's bedroom.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. The Program Specialist has read and understands regulation 82f regarding the items needing to be in each bathroom and toilet area. Program Supervisor placed a bottle of hand soap in the bathroom and placed paper towels, and a back up roll of paper towels, in Individual #1's bathroom during inspection. An email was sent to all Program Specialist as well as home Supervisors as a reminder of the requirements and expectations of regulation number 82 f. 10/08/2020 Implemented
SIN-00105080 Renewal 02/07/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.168(d)Staff # 1 completed the medication practicum on 04/18/14 and not again until 04/30/15. The recertification date on the 2015 annual practicum states 04/20/15 however the MAR review was signed off by staff #2 (medication trainer) on 04/30/15. A staff person who administers prescription medications and insulin injections to an individual shall complete and pass the Medications Administration Course Practicum annually. 168 (d) A staff person who administers prescription medications and insulin injections to an individual shall complete and pass the Medications Administration Course Practicum annually. Staff # 1 completed the medication practicum on 04/18/14 and not again until 04/30/15. The recertification date on the 2015 annual practicum states 04/20/15 however the MAR review was signed off by staff #2 (medication trainer) on 04/30/15. In the future, medication trainers and practicum observers will make sure that a medication practicum is completed within the annual time frame for all staff who administers prescription medications and insulin injections to individuals. A plan of correction was completed individually with staff #2 (medication trainer) and an e-mail sent to all medication administrators, as well as practicum observers stating that two medication practicum¿s and four MAR reviews must be completed and passed by the annual recertification date. 03/01/2017 Implemented
SIN-00046959 Renewal 04/01/2013 Compliant - Finalized