Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00157480 Renewal 08/06/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(7)Individual #1 had an annual gynecological exam on 05/03/18, and not again until 06/24/19.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. 1. The medical services director was re-trained on regulation 6400.141(c)(7) that states that the physical examination shall include a gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations on 8/27/19 by Courtney Gibat-Estock, PDS VP of Quality Management. (Attachment 11) 2. Residential appointment trackers were updated for all individuals which includes the dates of their previous appointments and when their next appointments are due. (Attachment 12) 3. The medical services director was re-trained on reviewing the residential appointment trackers to ensure that all appointments are scheduled within compliance on 8/27/19 by Courtney Gibat-Estock, PDS VP of Quality Management. (Attachment 11) 4. Validation- Residential appointment trackers were reviewed for each individual on 9/4/19 and 9/5/19 to ensure all necessary appointments were scheduled as recommended by their physicians. (Attachment 12) 09/05/2019 Implemented
SIN-00173976 Renewal 01/12/2021 Compliant - Finalized
SIN-00113649 Renewal 05/23/2017 Compliant - Finalized
SIN-00072920 Initial review 12/30/2014 Compliant - Finalized