Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00235788 Renewal 12/05/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.63(a)On 12/6/2023 at 10:16am, the water temperature taken at the bathroom sink measured 129.5 degrees Fahrenheit. On 12/6/2023 at 10:19am, the water temperature taken at the kitchen sink measured 131.0 degrees Fahrenheit. [Repeat violation: 12/20/2022, et al.]Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. On 12/6/2023 after the temperature was measured to be above 120 degrees Fahrenheit UCIP maintenance went into the home and adjusted the water temperature to be below 120 degrees Fahrenheit. 12/13/2023 Implemented
SIN-00216719 Renewal 12/20/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.63(a)At 11:42 AM on 12/21/22, the hot water tested at 129.7 degrees Fahrenheit at the sink of the half bathroom located off the kitchen. At 11:43 AM on 12/21/22, the hot water tested at 127.7 degrees Fahrenheit at the kitchen sink. At 11:48 AM on 12/21/22, the hot water tested at 127.9 degrees Fahrenheit at the sink of the bathroom located in the hallway.Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. Water was adjusted by UCIP maintenance on 12/21/2022 to be under 120 degrees Fahrenheit at the sink of the half bathroom located off the kitchen, at the kitchen sink, and at the sick of the bathroom located in the hallway. 02/28/2023 Implemented
SIN-00129024 Renewal 02/08/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.31(b)Individual #1 signed the statement acknowledging receipt of information on individual rights on 8/24/16 and then again on 9/12/17.Statements signed and dated by the individual, or the individual's parent, guardian or advocate, if appropriate, acknowledging receipt of the information on rights upon admission and annually thereafter, shall be kept. Individual rights are included. The Program Specialist will add the rights to an Program tracker that will track it on and yearly basis. The Program Specialist will update the tracker monthly to make sure all paperwork is up to date. [Within 30 days of receipt of the plan of correction, the Director of Residential shall educate all program specialists of their responsibilities and procedures to ensure all individuals are informed of their rights and a signed the statement acknowledging receipt of information on individual rights is completed, timely. Documentation of the trainings shall be kept. At least quarterly for 1 year, the Director of Residential shall audit the aforementioned tracking system to ensure all individuals are informed of their rights and a signed the statement acknowledging receipt of information on individual rights is completed, timely. Documentation of the audits shall be kept. (AS 3/9/18)] 02/28/2018 Implemented
6400.46(g)Direct Service Worker #1 had fire safety training on 3/9/16 then again on 5/9/17.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (f). The DSP training is included. The UCIP trainer will add the DSP's to a list to ensure that the training are done on an annual basis. [Immediately, the Director of Residential Services along with the UCIP trainer shall develop and implement a tracking system to ensure all program specialists and direct service workers are trained in fire safety, annually. Documentation of the tracking system shall be kept and audited by the Director of Residential Services at least quarterly for 1 year. Documentation of the audits shall be kept. (AS 3/9/18)] 02/28/2018 Implemented
6400.141(c)(14)Individual #1's physical examination completed 9/11/17 did not include medical information pertinent to diagnosis and treatment in case of emergency. This section was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. The emergency medical information has been added to the physical. The Program Specialist and agency nurse will check the physical upon completions to make sure it is complete. This will all happen before the physical is filed. [Within 15 days of receipt of the plan of correction, the Director of Residential Services shall educate the program specialist(s) and agency nurses of the required information to be included in individuals' physical examination as per 6400.141(c)(1)-(15) and of the responsibilities and procedures for them to review. Documentation of the training shall be kept. Immediately and upon completion the program specialist(s) shall review all individuals' current physical examination to ensure all required information as per 6400.141(c)(1)-(15) is included and there are not any required areas left blank. (AS 3/9/18)] 02/28/2018 Implemented
SIN-00088530 Renewal 01/12/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)The corner of the area rug located in the shared bedroom was hanging over the doorframe approximately two inches posing a tripping hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.Program Specialist while doing their monthly monitoring of the house will check to make sure the whole physical site is free from any dangers. If any are noted the Program Specialist will turn a maintenance order into their Manager for his review. He will then pass it on to maintenance to be repaired..[Repairs to the kitchen drawer and cupboard door was completed the day of the onsite inspection. Immediately, the program specialist and a maintenance staff person will do an onsite monitoring at all homes to ensure floors, walls, ceilings and other surfaces are in good repair and will make all necessary repairs. Immediately, the CEO will develop, implement and train staff as to a policy and procedures to monitor, request and complete repairs to ensure floors, walls, ceilings and other surfaces are in good repair. Documentation of trainings, requests and repairs shall be maintained and reviewed at least monthly by the Residential Director to ensure floors, walls, ceilings and other surfaces in all community homes are in good repair. (AS 5/4/16)] 04/21/2016 Implemented
SIN-00096986 Renewal 01/12/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)The corner of the area rug located in the shared bedroom was hanging over the doorframe approximately two inches posing a tripping hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.4.21.16 Program Specialist while doing their monthly monitoring of the house will check to make sure the whole physical site is free from any dangers. If any are noted the Program Specialist will turn a maintenance order into their Manager for his review. He will then pass it on to maintenance to be repaired..[Repairs to the kitchen drawer and cupboard door was completed the day of the onsite inspection. Immediately, the program specialist and a maintenance staff person will do an onsite monitoring at all homes to ensure floors, walls, ceilings and other surfaces are in good repair and will make all necessary repairs. Immediately, the CEO will develop, implement and train staff as to a policy and procedures to monitor, request and complete repairs to ensure floors, walls, ceilings and other surfaces are in good repair. Documentation of trainings, requests and repairs shall be maintained and reviewed at least monthly by the Residential Director to ensure floors, walls, ceilings and other surfaces in all community homes are in good repair. (AS 5/4/16)] Implemented
SIN-00168225 Renewal 12/18/2019 Compliant - Finalized
SIN-00058327 Renewal 12/18/2013 Compliant - Finalized
SIN-00041232 Renewal 08/22/2012 Compliant - Finalized