Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00184882 Renewal 03/16/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.142(a)Individual #1's most recent dental examination was completed on 12-12-19.An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. A dental appointment was scheduled for [Individual #1] and will take place on April 7th at 2:00p Program specialists maintain a list of due dates for annual appointments of individuals on their caseload. At the beginning of each month program specialists will verify with house staff that appointments that are due that month have been scheduled and are entered into HAP¿s documentation platform (Therap) At the end of the month, Program specialists will review Therap documentation to ensure annual appointments were completed. 03/24/2021 Implemented
SIN-00108982 Renewal 02/23/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(9)The physical examination completed 9-13-16 for Individual #1, date of birth 2-20-1972 does not include a prostate examination.The physical examination shall include: A prostate examination for men 40 years of age or older. The Residential Program Coordinators were all re-trained on the Plan of Correction for the 6400 audit. The Program Director has sent a memo to all male Residential homes informing them that the PSA blood work is acceptable if the individuals¿ physician puts that in writing and it is filed in the individuals¿ records. If an individual refuses a Prostate exam and the subsequent blood work they are to desensitizate the individual each month. This training/desensitization can be talking with the individual, taking them to the physicians¿ office to become comfortable, having the individual watch an informational video about the prostate exam, etc. [Individual #1 had a prostate examination completed on 3/9/17. Within 30 days of receipt of the plan of correction the Program Director shall train all residential program coordinators as to the required information for individual physical examinations as per 6400.141(c)(1)-(15). Documentation of the training shall be kept. Immediately and upon completion, the residential program coordinators shall review all individuals' physical examination to ensure all required information is included and there are not any areas of required information left blank. Designated staff persons shall obtain missing information or follow aforementioned refusal plan as needed. (AS 3/10/17)] 03/04/2017 Implemented
SIN-00217763 Renewal 01/18/2023 Compliant - Finalized
SIN-00169630 Renewal 01/22/2020 Compliant - Finalized