Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00231095 Renewal 09/14/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.34(a)Individual Rights were reviewed with and signed by Individual #1 but the Rights statement that was reviewed was not complete and did not reflect all the current rights afforded to individuals as documented in the current Chapter 6400 regulations. The individual rights that are missing include: 32c, 32e ,32f, 32g, 32i, 32p, 32q, 32r1-5 32s, 32s1-3 and 32t.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.On 9/19/23, The individual rights statement was updated to include 32c, 32e ,32f, 32g, 32i, 32p, 32q, 32r1-5 32s, 32s1-3 and 32t. Updated Individual Rights were reviewed with and signed by the individuals between 9/19/23 to 9/29/23. 09/19/2023 Implemented
SIN-00215624 Unannounced Monitoring 11/30/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(c)A prescription medication shall be administered as prescribed. Individual #1is prescribed Bacitracin ZN 500 Unit/GM Oint, apply topically at bedtime (8PM) with bandaid on chest wound until healed. The pharmacy label documents filled 9/23/22. The Medication Administration Record (MAR) for November 2022 documents entries that the medication was administered on 11/7, 11/9, 11/10, 11/13, 11/22, 11/24, and 11/28. Staff at the home stated to the Licensing Representative at the time of the inspection that the wound was healed and that they were administering the mediation as a pro re nata (PRN). The medication is not being administered as prescribed as there is not prescription to administer the medication PRN.A prescription medication shall be administered as prescribed.On 11/30/22, SCS staff contacted the prescribing doctor to get clarity whether to change the order from routine to PRN or to discontinue it. On 12/2/22, Bacitracin ZN 500 Unit/GM Oint was discontinued. 12/02/2022 Implemented
SIN-00210658 Unannounced Monitoring 08/26/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(a)At time of inspection the water in the main bathroom of the home was 98.3°. Water in the home should be warm enough for comfortable bathing without exceeding the maximum allowable water temperature.A home shall have hot and cold running water under pressure. On 8/26/22, hot water temperature was adjusted. It is set at 111 degrees F. In addition, hot water temperature was checked at all SCS programs to ensure the temperature is not below the body temperature or exceeding the maximum allowable water temperature. 08/26/2022 Implemented
6400.73(a)There were eleven stairs leading from the street level rear garage area to the lower backyard by the wood supports of the deck. There was no handrail along the steps. Outside steps exceeding two steps shall have a well secured handrail. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. Effective 9/22/22, maintenance will install a secured handrail to the stairs leading from the street level rear garage area to the lower backyard by the wood supports of the deck. 09/22/2022 Implemented
6400.80(b)There were eleven brick and wood stairs leading from the street level rear garage area to the lower backyard by the supports of the deck. Six of the brick stairs had bricks that had sunken; leaving a raised wooden front edge on the step. The outside of the building and the yard or grounds shall be free from unsafe conditions. The sunken brick and raised wood create tripping hazards on the stairs. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.On 8/31/22, Spectrum maintenance team repaired the sunken bricks and raised wood. 08/31/2022 Implemented