Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00220857 Renewal 03/09/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(b)The self-assessment completed 9/07/2022, was last updated in 2018 and did not include all of the regulations.The agency shall use the Department's licensing inspection instrument for this chapter to measure and record compliance.The Snr. Dir. of IDD provided the LS Specialists with the current / correct self-assessment form and older versions of the form have been discardedas of 3/10/23. The LS Specialists will re-do the self-assessments for all licensed homes on the new forms by 7/31/23. 03/10/2023 Implemented
SIN-00202821 Renewal 03/31/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(d)The written fire drill record for the fire drill conducted on 2/2/22 did not include the exit route used.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative.Fire Drill records were reviewed by the Life Sharing Specialists and Director on 4/8/22 and the incomplete fire drill log was determined to be an isolated error and not systemic. All Life Sharing Providers were informed and reminded of the requirement to fill out fire drill logs on 4/11/22. Moving forward, Life Sharing Specialists will be reviewing fire drill records as part of the monthly onsite visit with providers and documenting the review on the monthly visit log. 04/11/2022 Implemented
SIN-00075113 Renewal 02/24/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.182(c)(1)(ii)Individual #1's record did not include identifying marks. Each individual's record must include the following information: Personal information, including: The race, height, weight, color of hair, color of eyes and identifying marks.Identifying marks were added to the individual's record. Photo included.[CEO or designee will review all records to ensure all required information is present. (AS 3/20/15)] 03/08/2015 Implemented
SIN-00171246 Renewal 02/21/2020 Compliant - Finalized
SIN-00110411 Renewal 03/15/2017 Compliant - Finalized
SIN-00109696 Unannounced Monitoring 01/19/2017 Compliant - Finalized
SIN-00041293 Renewal 09/17/2012 Compliant - Finalized