Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00161207 Renewal 08/20/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(6)Individual #1 had a tuberculin skin testing completed on 11/18/15 and then again 3/30/18.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. The agency created a new position entitled Medical Compliance Coordinator in August 2018. The job qualifications included a Licensed Practical Nurse (LPN) requirement. One of the main job responsibilities of this position was ensuring all annual medical licensing requirements under 6400.141 and 6400.142 were completed in a timely manner for all individuals. In addition, a procedure was created entitled "Yearly Medical Appointment and Medical Information Chart Audit". This procedure included the Program Specialist conducting a quarterly audit of the MCC's documentation to ensure compliance with 6400.141 and 142. The MCC is also required to follow the "Procedure for Tracking Medical Compliance Appointments which includes tracking annual physicals including vision and hearing, annual dental, 90 day med checks, prostate, mammogram, pap test, TB test every 2 years and D-TAP every 10 years for every individual. Our current MCC, Kathy Otto (LPN) received training of all medical compliance regulations and the above procedures during her initial training on 02/26/2019. 08/27/2019 Implemented
SIN-00077927 Renewal 09/08/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment did not include a completion date; therefore, compliance was unable to be measured.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. A procedure will be written and staff trained that the Executive Director will disburse the current Licensing Inspection Instrument Scoresheet Facility Chapter 6400 Community Homes annually on or before January 19th which is 6 months prior to the expiration date of the Certificate of Compliance. The inspection instruments will be due from the following positions on or before March 31st: Residential Program Supervisor and Program Specialist. The inspection instrument will be due from the Administrative Officer who completes the Staffing section including the training requirements in Regulation 46 and Staff Health including physicals on or before April 15th which is approximately 3 months prior to the expiration of the Certificate of Compliance. The Executive Director will ensure the deadlines are met and then compile the data into one scoresheet for each residential home on or before April 18th which is 3 months prior to the expiration date. 10/04/2015 Implemented
SIN-00232241 Renewal 10/03/2023 Compliant - Finalized
SIN-00213316 Renewal 10/19/2022 Compliant - Finalized
SIN-00196569 Renewal 11/22/2021 Compliant - Finalized
SIN-00180241 Renewal 12/17/2020 Compliant - Finalized
SIN-00140656 Renewal 08/28/2018 Compliant - Finalized
SIN-00120684 Renewal 08/30/2017 Compliant - Finalized
SIN-00100978 Renewal 09/01/2016 Compliant - Finalized
SIN-00062975 Renewal 09/05/2014 Compliant - Finalized
SIN-00051313 Renewal 06/27/2013 Compliant - Finalized