Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00211303 Renewal 08/23/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)The annual physical examination completed on 4/15/2022 for Individual #1 did not document medical information pertinent to diagnosis and treatment in case of an emergency. The area on the physical examination form for that information was blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. Although this was not her annual physical, we retrained the manager on the importance of completing forms thoroughly as well as, to be sure, moving forward, she uses the correct medical forms and that all spaces on any forms need to be complete. 09/23/2022 Implemented
6400.163(h)The topical medication mupiricin 2% ointment was discontinued on 12/17/2021. The medication had not been properly disposed of and was still stored with Individual #1's current medications at the time of inspection.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.We immediately disposed of the medication in accordance to our procedures and retrained the manager and Director of the importance of checking medications regularly to ensure only current medications are in the home and discontinued medications are properly disposed of. 09/23/2022 Implemented
SIN-00227066 Renewal 08/15/2023 Compliant - Finalized