Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00171473 Renewal 02/19/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(14)Individual #1's assessment completed on 1/21/2020 did not include the individual's knowledge of water safety and ability to swim. This section of the assessment was marked "NA".The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. Individual #1¿s assessment will be edited via the electronic health record form to include Individual #1¿s knowledge of water safety and ability to swim by 3-20-2020. The edited assessment will be sent to all plan team members as evidenced by a completed critical exchange form. All Program Specialists will be retrained to ensure that they understand that N/A is not an acceptable response on the Assessment for areas requiring assessment. This training will be completed and documented by 3-24-2020. All Program Specialists will complete a review of all Assessments within 30 days (by 4-23-2020) to ensure that there are no other Assessments marked N/A for areas requiring assessment. During these reviews, any areas marked N/A will be assessed and edited in the electronic health record. Any changes to the Assessment forms will be sent to all team members. 04/23/2020 Implemented
SIN-00059399 Renewal 01/22/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.31(b)The rights form signed by individual #1 on 1/2/14, did not state the full rights per regulations 33(g) regarding visitors and 33(k) regarding religion. Per 6400. 33(g), An individual has the right to receive scheduled and unscheduled visitors, communicate,associate and meet privately with family and persons of the individual's own choice." Individual #1's signed statement included that, "I have the right to have visitors in my home and talk to people I want unless my health or safety is at risk." Per 6400. 33(k), An individual has the right to practice the religion or faith of the individual's choice." Individual #1's signed statement included that, "I have the right to attend religious services of my choice."(b) Statements signed and dated by the individual, or the individual's parent, guardian or advocate, if appropriate, acknowledging receipt of the information on rights upon admission and annually thereafter, shall be kept. the individual rights statement form was revised to reflect the exact wording of state regulation 6400.31(b)33(g), 33(k)the individual#1 reviewed signed a new rights statment on 03/21/2014, attachment A. All other individuals will sigh the revised statement by 4/30/14. The program specialist is responsible for the completion of this corrective action. All agency ID services residential staff will be trained on the changes to the form by 04/30/2014. The program specialist is responsible for ensuring completion of the staff training. 04/30/2014 Implemented
SIN-00222370 Renewal 04/04/2023 Compliant - Finalized
SIN-00112648 Renewal 04/20/2017 Compliant - Finalized