Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00251191 Renewal 09/18/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.135(a)A prescription medication shall be prescribed in writing by an authorized prescriber. There were 5 packets each of Aspirin, Non-Aspirin and Antacid located in the first aid kit, these medications were not prescribed to the individual living in the home.A prescription medication shall be prescribed in writing by an authorized prescriber.At the time of licensing the life sharing provider removed the medication from the first aid kit. 09/18/2024 Implemented
SIN-00129741 Renewal 01/23/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.103The annual furnace inspection was late. One was completed on 04-12-16, then not again until 06-05-17.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.Life Sharing Coordinator met with Life Sharing Provider and informed them of the annual requirement for furnace inspection. Life Sharing Coordinator will remind Provider of the inspection so that it is not missed again. 02/01/2018 Implemented
SIN-00105514 Renewal 12/14/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.110(c)Individual #1 & staff #1 had fire safety training on 4/2/2015. They didn't have it again until 6/30/2016, which exceeds the annual requirement.Family members and individuals, including children, shall be trained within 31 calendar days of an individual living in the home and retrained annually, in accordance with the training plan specified in subsection (a).The Life Sharing Specialist will provide the Life Sharing Provider with the training DVD yearly. The provider family will sign a completed training form after viewing the video. Life Sharing Specialist will check the fire safety gook on a monthly basis to ensure compliance with this regulation. (All family members and the individual will review the fire safety training plan annually - CH 2/10/17) 01/24/2017 Implemented
6500.121(c)(8)Individual #1 is 59 years old. She had a mammogram on 10/21/2015. She didn't have another mammogram until 11/14/2016, which exceeds the annual requirement. The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older.The Life Sharing Specialist will keep track of the individuals last mammogram on a spreadsheet. The Life Sharing Specialist will provide the Life Sharing Provider with the appointment date for the scheduled mammogram. Life Sharing Specialist will check the spread sheet on a monthly basis so no appointments are over looked 01/24/2017 Implemented
SIN-00069565 Renewal 10/15/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.24(d)(1)Individual' #1's cash on hand indicates a balance of 14.09, Individual #1 has 13.09 of availabe cash. An up-to-date financial and property record shall be kept for each indivudal that includes the personal possessions and funds received by or deposited with the family or agency.Life Sharing provider was reeducated on agency required policy and procedures as it relates to accurate accounting of program particpant funds. Life Sharing provider was required to reimburse program particpant $1.00 because of unaccounted for receipts or cash. Life Sharing Specialist will monitor and reconcile accounts when visiting the site but no less than bi-monthly to ensure accuracy of program particpant's account. 10/30/2014 Implemented
SIN-00231147 Renewal 09/05/2023 Compliant - Finalized
SIN-00210845 Renewal 09/27/2022 Compliant - Finalized
SIN-00163497 Renewal 10/28/2019 Compliant - Finalized