Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00213417 Renewal 10/19/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)During the inspection conducted on 10/19/2022, the window in individual #1's bedroom, adjacent to the head of the bed, did not contain a screen.Windows, including windows in doors, shall be securely screened when windows or doors are open. Window screens were ordered on 10/25/22 and installed on 10/27/22. 10/27/2022 Implemented
6400.77(b)During the inspection conducted on 10/19/2022, the first aid kit did not contain tweezers. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Tweezer were replaced in the first aid kit at this location on 10/24/2022. 10/25/2022 Implemented
6400.81(k)(6)During the inspection conducted on 10/19/2022, no mirror was present in individual #1's bedroom.In bedrooms, each individual shall have the following: A mirror. A mirror was purchased on 10/25/22 and put in the individual bedroom. 10/25/2022 Implemented
SIN-00196577 Renewal 11/16/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106Furnace inspections completed on 1/18/2021, 4/22/2021, 7/06/2021, and 10/12/2021 were not completed by a professional furnace cleaning company.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. We previously had our maintenance manager completing the furnace inspections for all homes. The Residential Director contacted and scheduled to have Central Heating and Plumbing inspecting the furnaces at all locations on 12-15-2021 and 12-16-2021. 12/16/2021 Implemented
SIN-00101885 Renewal 09/29/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.164(b)Zinc Oxide cream, apply 4 times daily at 8:00AM, 12:00PM, 4:00PM and 8:00PM prescribed for Individual #1 was not initialed as administered on 9/14/16 at 4:00PM and on 9/24/16 at 12:00PM. The information specified in subsection (a) shall be logged immediately after each individual's dose of medication. The staff member who failed to initial the MAR for the Zinc Oxide cream was retrained on medication administration by Jocelyn Miller, Medication Administration Trainer. The training included Documentation Practice 1 and included completing a Medication Administration Record. This documentation will be sent to you for review.[Immediately and at least weekly, designated staff person shall review all individuals' medication administration records (MAR) to ensure all individuals' are administered medications as prescribed and documented as required. If medications are not logged as required, staff person responsible shall be retrained on medication administration training by a certified medication administration trainer. Documentation of MAR reviews and trainings shall be kept. (AS 11/1/16)] 10/30/2016 Implemented
SIN-00160622 Renewal 08/12/2019 Compliant - Finalized
SIN-00140804 Renewal 08/28/2018 Compliant - Finalized