Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00149890 Renewal 02/13/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(a)An unannounced fire drill was not held in May 2018. An unannounced fire drill shall be held at least once a month. Residential Program Director reviewed the fire drill records for this residence from June 2018 until the current month and all other drills were conducted as scheduled and documented properly. The current Program Specialists will be retrained in the area of Fire Safety in accordance with the regulations with a focus on how/when to conduct an unannounced drill by March 18, 2019; the training will be completed by the Residential Program Director. All new Program Supervisors/Specialists will be trained in this area upon initial orientation by the Training Coordinator. The Residential Program Director will monitor and log all monthly fire drill reports and will request an unannounced drill be conducted, if not submitted by staff, by the 28th day of each month, starting March 1, 2019. [Fire Safety/ Fire Drill Hot Water Temperature Monitoring Procedure Training documentation for Program Specialist training on 3/14/19 submitted to the Department on 3/18/19. (AES,HSLS 3/19/18)] 03/18/2019 Implemented
SIN-00110351 Renewal 03/09/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not on or by the telephone in the staff office in the basement of the home. Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. while making house visits, Managers will make sure that every phone has a current list of all required phone numbers. Each manager will sign the House Visit Log verifying that all phones are correctly labeled. This will be completed by May 1. After May 1, Managers will verify on their House Visit Log monthly that all phones are correctly labeled.[Immediately, the house manager shall put the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center on or by the telephone in the staff office in the basement of the home. Immediately, and at least quarterly a designated staff person shall complete an onsite check of all telephones in all community homes with an outside line to ensure the required telephone numbers on or by it and are legible. In addition, all staff person working in community homes shall be instructed to ensure the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center are on or by each telephone in the home with an outside line throughout the course of their daily duties and to replace or follow up with managers as needed. (AS 4/21/17)] 03/26/2017 Implemented
SIN-00061482 Renewal 03/14/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.186(a)A 3-Month Review for Individual #1 was not done for the period between 9-23-13 and 12-22-13. (a) The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. in December 2013 we hired a new Supervisor of the program coordinators, who will assure that all regulatory requirements are complied with. the Supervisor will send an email to the coordinators, by the 15th of each month, reminding them of the 3 month reviews due the following month. [Staff persons were educated on the requirement on 5/7/149CHG 6/6/14)] 04/01/2014 Implemented
SIN-00201574 Renewal 03/08/2022 Compliant - Finalized
SIN-00185631 Renewal 03/30/2021 Compliant - Finalized