Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00210819 Renewal 10/04/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(a)The annual physical examination for Individual#1 was late; the current physical examination occurred on 4/13/2022 and the previous physical examination occurred on 3/03/2021.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. The Program Supervisor will schedule upcoming Physical for individual #1 in a timely manner to ensure the next physical is obtained by 4/13/2023. 12/01/2022 Implemented
6400.165(g)Individual#1 did not have psychiatric medication reviews completed every 3 months. The Individual had a psychiatric medication review on 3/24/2022, then not again until 9/08/2022 which exceeds the requirement.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.The Program Supervisor will schedule upcoming psychiatric medication review for individual #1 in a timely manner to ensure the next psychiatric medication review is obtained by 12/08/2022. 12/01/2022 Implemented
SIN-00130242 Renewal 02/28/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(a)Staff #3 is a full time staff in the home and Staff #4 is a fill in staff person in the home. There was no documentation on the agency's Acknowledgment of Responsibility form that either staff was trained re: the diet and health protocols for the three individuals in the home, all who require an intensive level of care. ((repeat 7/18/2017))The home shall provide orientation for staff persons relevant to their responsibilities, the daily operation of the home and policies and procedures of the home before working with individuals or in their appointed positions. New Employee Orientation has been revised to include a review of all protocols and for employees to sign an acknowledgement form indicating they have reviewed the protocol. Support Professionals will be scheduled to meet with the Program Specialist or designee at the start of their first shift at a home. At this meeting, Support Personnel will receive an orientation of the home relevant to their responsibilities to include daily operations of the home and all protocols.. The Program Specialist will be responsible for ensuring this meeting is scheduled and all documentation of training is completed. When new protocols are introduced to a home, all Support Personnel will be trained on the new protocols at the start of their next shift in the home by the Program Specialist or designee. The Program Specialist will be responsible for ensuring this training occurs and all documentation of training is complete. 03/27/2018 Implemented
6400.68(b)The water temperature in the home measured 124.8 degrees. Hot water temperatures in bathtubs and showers may not exceed 120°F. Water temperature is checked monthly. Procedure will be reviewed with management on March 27, 2018 Employees will be instructed to inform management immediately if temperature exceeds 120 degrees. Managers will be expected to review by April 15, 2018 Maintenance will be contacted to adjust water temperature. ((maintenance adjusted water temperature on 3/1/18)) 03/27/2018 Implemented
SIN-00105516 Renewal 12/12/2016 Compliant - Finalized
SIN-00066524 Renewal 09/18/2014 Compliant - Finalized