Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00163470 Renewal 10/28/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.79(a)Individual #1 has a bedroom in the basement. The home is a bilevel and the only way out of the lower level is up approximately six steps to the foyer and front door. There is no exit leading directly outside to ground level.An individual's bedroom may not be located in basements. Any level from which there is a standard door leading from that level directly outside to grade level is not considered a basement.The individual was moved from the basement bedroom to upstairs. Please see attached pictures of the empty bedroom and the new bedroom. 10/29/2019 Implemented
SIN-00106737 Renewal 01/10/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.102There were 11 plastic bottles of hygiene products (body wash, shampoo, conditioner) sitting on top of the baseboard heater in the bathroom.Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.The bottles were removed the day of licensing. Provider will not put anymore bottles on the baseboard heater. 01/11/2017 Implemented
6500.121(c)(1)This section was blank on Individual #2's physical exam.The physical examination shall include: (1.) A review of previous medical history.The Assistant Vice President of the ID Dept. will review all annual physical forms to ensure they are properly completed by the physician. if they are not, then the form will be taken back to the physician to be completed. 02/24/2017 Implemented
6500.121(c)(14)This section was blank on Individual #2's physical exam. The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.The Assistant Vice President of the ID Dept. will review all annual physical forms to ensure they are properly completed by the physician. if they are not, then the form will be taken back to the physician to be completed. 02/24/2017 Implemented
SIN-00088440 Renewal 12/02/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(a)This home did not have a self-assessment completed throughout the past 12 months. If an agency is the legal entity for the family living home, the agency shall complete a self-assessment of each home 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 self-assessment was completed on 12/30/15 and is scheduled to be done on July 18, 2016. This appointment is in the Assistant Vice President of the ID Department Outlook calendar. See attached. 12/30/2015 Implemented