Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00154054 Renewal 05/01/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.73(a)There are 6 steps leading out through Bilco doors in the finished basement. These steps do not have a handrail. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. Handrail has been installed. See attached picture 06/12/2019 Implemented
6400.163(c)Individual #1 primary doctor reviews his psych medications on the following dates which are not 3 months apart: 4/25/2018, 10/4/2018 and 4/15/2019. The form does not include the need to continue the medication and the necessary dosage. If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage.FCS Psychiatric Visit form has been revised to indicate next appointment needs to be within 3 months and we have created a spreadsheet called Psychiatric Visit Tracker. See attachment ((Program Specialist and all FCS staff will be trained on the requirements of this regulations to ensure that the need to continue the medication and necessary dosage are included on visit forms. -CH 7/16/19)) 06/13/2019 Implemented
SIN-00094183 Renewal 05/03/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(4)The physical for Individual #3 dated 4/11/16 does not include information regarding a vision screening.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. Individual #1 had a vision screening on 5/17/16 and is scheduled for his next one on 5/23/17. See attached Physician Visit form and Outlook Calendar 05/17/2016 Implemented
6400.181(d)The assessment for Individual #3 which covers the period of 6/26/2014-6/26/2015 was not signed and dated by the Program Specialist.The program specialist shall sign and date the assessment. The Program Director who completed the Assessment no longer works for FCS but the Assessment has been reviewed by the AVP. An Excel spreadsheet has been created to track required ISP documentation. See attached ID ISP Tracking dates 05/20/2016 Implemented
SIN-00211287 Renewal 08/23/2022 Compliant - Finalized