Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00217098 Renewal 12/20/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.103The most recent furnace cleaning was completed on 5/6/2021.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.The provider had a furnace inspection completed on 12/29/2022 (proof of the furnace inspection will be emailed to the licensing supervisor). 01/22/2023 Implemented
6500.45(b)Family Living provider #1's cardio-pulmonary resuscitation and first-aid trainings were completed on 3/11/2020 and 5/18/2022.The primary caregiver shall be trained and certified by an individual certified as a trainer by a hospital or other recognized health care organization, in cardiopulmonary resuscitation, if indicated by the medical needs of the individual, prior to the individual living in the home and annually thereafter.The provider had been scheduled for 2 separate trainings prior to the expiration of their current CPR/First Aid certification and failed to attend those trainings or communicate a barrier that prevented the attendance of those trainings. As soon as it was communicated to the training coordinator that the recertification did not occur, the provider was notified to attend and complete the required training which was done on 5/18/2022 which was the first available class. 01/22/2023 Implemented
6500.139(a)Family Living provider #1's most recent modified medication administration training was completed on 11/11/2020.A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6500.132 (relating to medication administration).The provider completed their modified medication administration training as quickly as possible upon discovering that the training was overdue - that training was done on 12/22/2022 (proof of the completed training will be emailed to the licensing supervisor) 01/22/2023 Implemented
SIN-00074092 Renewal 01/20/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(7)The physical examination for Individual # 1, dated 9/25/14, did not include a breast examination and a pap test. The physical examination shall include: A gynecological examination, including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations.when breast exams and pap smears are completed during the gynecological exam, specialists will make sure those dates are listed and told to refer to the gyne results.if nto specialists will request those from the examining physician [CEO or designee will ensure Individual #1 receives a physical examination that includes all the required examinations within the next 2 months. All individual physical examinations records will be reviewed to ensure physical examination include regulatory requirements. (AS 3/11/15)] 03/10/2015 Implemented
6500.133(c)The psychiatric medication review for Individual # 1, dated 12/2/14, did not document the need to continue the medication.If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage.specialists will audit each others files each month and will identify upcoming med reviews. memos will be sent out to specialists reminding them of upcoming med reviews and the need to review the form prior to leaving the office to assure that all sections and questions are fully completed 03/10/2015 Implemented
SIN-00235781 Renewal 11/29/2023 Compliant - Finalized
SIN-00169252 Renewal 01/13/2020 Compliant - Finalized
SIN-00128489 Renewal 01/31/2018 Compliant - Finalized
SIN-00077802 Renewal 01/21/2016 Compliant - Finalized
SIN-00041951 Renewal 09/05/2012 Compliant - Finalized