Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00211827 Renewal 09/14/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.71The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not on or by the telephone in the basement of the home.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home.Telephone numbers were posted by the phone in basement. FLP and FLS was trained in regulation 6500.71 10/05/2022 Implemented
SIN-00137354 Renewal 06/20/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(a)The self assessment completed on 12/18/17 did not measure compliance with regulations 6500.162 through 6500.176.If an agency is the legal entity for the family living home, the agency shall complete a self-assessment of each home the agency is licensed to operate 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.the self assessment will be completed 3-6 months prior to expiration of certificate of compliance. director and coordinator will review each assessment once completed by the FLS to ensure each assessment is accurately completed in its entirety. training docs for all staff included for reg 6500.17 [Documentation of aforementioned audits of each assessment by the Director and the Coordinator shall be kept. (DPOC by AES,HSLS on 8/14/18)] 07/27/2018 Implemented
SIN-00117832 Renewal 07/05/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.31(b)A statement acknowledging receipt of the information on individual rights was signed by Individual #1 on 3/17/16 and then again 4/13/17.A statement signed and dated by the individual, or the individual's parent, guardian or advocate if appropriate, acknowledging receipt of the information on individual rights upon admission and annually thereafter, shall be kept.FLS was trained on 7/20/17 on reg 6500.31(b). all consents will be reviewed and signed within 1 year of prior consents. Clinical coordinator will review files quarterly to ensure all documents including consents are signed off on annually. [Within 30 days of receipt of the plan of correction, the Program Manager shall develop and implement a tracking system to ensure individuals are informed of the individuals' rights, timely. Within 45 days of receipt of the plan of correction, the program specialist shall be trained on the tracking system. At least quarterly, for 1 year the Program Manager shall review the tracking system to ensure individuals are informed of the individuals' rights, timely. (AS 8/10/17)] 08/03/2017 Implemented
6500.121(a)Individual #1 had a physical examination completed on 5/18/16 and then again on 6/7/17.An individual shall have a physical examination within 12 months prior to living in the home and annually thereafter.FLS was trained on 7/20/17 on reg 6500.121(a). all physicals will be completed within 1 year of prior exam. Clinical coordinator will review files quarterly to ensure all medical appointments occur annually[Within 30 days of receipt of the plan of correction, the Program Manager shall develop and implement a tracking system to ensure individuals have a physical examination, timely. Within 45 days of receipt of the plan of correction, the program specialist shall be trained on the tracking system. At least quarterly, for 1 year the Program Manager shall review the tracking system to ensure individuals have a physical examination, timely. (AS 8/10/17)] 08/03/2017 Implemented
6500.156(a)Individual #1's most recent ISP review was completed 4/1/16. The family living specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the family living home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change, which impacts the services as specified in the current ISP.Family living specialist held quarterly ISP reviews but did not file appropriate supporting documents, signature pages. FLS was trained on 6500.156(a) Clinical coordinator will review all files quarterly to ensure proper documentation is maintained for quarterly ISP reviews. [Documentation of reviews shall be kept. (AS 8/11/17)] 08/03/2017 Implemented
SIN-00233475 Renewal 09/12/2023 Compliant - Finalized
SIN-00195484 Renewal 10/21/2021 Compliant - Finalized
SIN-00178424 Renewal 10/27/2020 Compliant - Finalized
SIN-00157709 Renewal 06/20/2019 Compliant - Finalized