Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00130042 Renewal 01/17/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(6)Individual #1 had a TB test on 04/08/14, then not again until 08/09/16.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 physician's office did not have the Mantoux medication to administer when it was due. When it was available, it was administered. see attached note to file. 01/18/2018 Implemented
6500.151(a)Individual #1's assessment was late. One was completed 04/05/16, then not again until 05/11/17.Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the family living home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the family living home.The reminder to complete the Assessment annually has been inputted into the Program Specialists Outlook Calendar. 02/01/2018 Implemented
6500.151(e)(13)(i)Individual #1's assessment did not document progress and growth in the area of health.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Health.The Assessment has been updated and the new Assessment requires that progress be explained. See attached new Assessment form 01/18/2018 Implemented
6500.151(e)(13)(ii)Individual #1's assessment did not document progress and growth in the area of motor and communication skills.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Motor and communication skills.The Assessment was revised to indicate progress- see attached updated assessment. The Assessment form used by FCS has been revised and asks specifically to describe progress. See attached new Assessment 01/18/2018 Implemented
6500.151(e)(13)(iii)Individual #1's assessment did not document progress and growth in the area of activities of residential living. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Activities of residential living.The assessment was revised to indicate progress - see attached. The Assessment that FCS now uses specifically asks to describe progress in this area. See attached assessment form 01/18/2018 Implemented
6500.151(e)(13)(iv)Individual #1's assessment did not document progress and growth in the area of personal adjustment. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Personal adjustment.The assessment was revised to indicate progress in this area - see attached assessment. FCS now uses a new Assessment and it specifically asks to describe progress in this area. See attached 01/18/2018 Implemented
6500.151(e)(13)(v)Individual #1's assessment did not document progress and growth in the area of socialization.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization.The Assessment was revised to indicate progress- see attached updated assessment. The Assessment form used by FCS has been revised and asks specifically to describe progress. See attached new Assessment 01/18/2018 Implemented
6500.151(e)(13)(vi)Individual #1's assessment did not document progress and growth in the area of recreation. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation.The Assessment was revised to indicate progress- see attached updated assessment. The Assessment form used by FCS has been revised and asks specifically to describe progress. See attached new Assessment 01/18/2018 Implemented
6500.151(e)(13)(vii)Individual #1's assessment did not document progress and growth in the area of financial independence. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence.The Assessment was revised to indicate progress- see attached updated assessment. The Assessment form used by FCS has been revised and asks specifically to describe progress. See attached new Assessment 01/18/2018 Implemented
6500.151(e)(13)(viii)Individual #1's assessment did not document progress and growth in the area of managing personal property. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas : Managing personal property.The Assessment was revised to indicate progress- see attached updated assessment. The Assessment form used by FCS has been revised and asks specifically to describe progress. See attached new Assessment 01/18/2018 Implemented
6500.151(e)(13)(ix)Individual #1's assessment did not document progress and growth in the area of community integration. 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.The Assessment was revised to indicate progress- see attached updated assessment. The Assessment form used by FCS has been revised and asks specifically to describe progress. See attached new Assessment 01/18/2018 Implemented
6500.182(c)(1)(ii)The record for Individual #1 did not document the individual's identifying marks. Each individual's record must include the following information: Personal information, including: The race, height, weight, color of hair, color of eyes and identifying marks.Identifying marks were added during licensing. Going forward, the Administrative Assistant will input that information when added the individual into our electronic files 01/18/2018 Implemented
6500.182(c)(1)(iv)Individual #1's file did not document his religious affiliation.Each individual's record must include the following information: Personal information, including: The religious affiliation.The religious affiliation was added at licensing. See attached. The Department's Administrative Assistant will input this information into our electronic record when adding this individual to our system 01/18/2018 Implemented
SIN-00163462 Renewal 10/28/2019 Compliant - Finalized