Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00218654 Renewal 03/28/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(f)The bathroom did not have a mirror.Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. A new medicine cabinet with a mirror was installed in the bathroom on 3/30/23 03/30/2023 Implemented
6400.111(a)The kitchen must have an operable fire extinguisher. The fire extinguisher in the kitchen was serviced in July 2022 however the gage was in the "needs recharging" area.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. The extinguisher was immediately replaced at the time of inspection with a serviced and charged extinguisher. 03/28/2023 Implemented
SIN-00170285 Renewal 02/27/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.163(h)The medication diphenhydramine, which was prescribed for Individual #1 to be administered on a pro re nata (PRN) basis, was labeled "discard after 12/26/19" and found stored with the individual's current medications.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.The medication was removed and destroyed in a safe manner according to Federal and State regulations, specifically by the use of PDC Pharmacy's, RX Destroyer. Kereen Palmer, Medication Administration Trainer took the action on 2/27/20. The same staff contacted the pharmacy ordering a current medication, that was placed in the home on 3/3/20. Our Pharmacy vendor does not track and autofill PRN medications. We have now instituted the practice of reviewing the list of all PRN's agency wide at our weekly Administrative Review meetings to prevent a reoccurrence of this incident. 03/03/2020 Implemented
SIN-00186093 Renewal 04/20/2021 Compliant - Finalized
SIN-00150495 Renewal 02/21/2019 Compliant - Finalized
SIN-00111055 Renewal 04/25/2017 Compliant - Finalized