Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00051282 Renewal 09/05/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71The telephone in the in hallway near the backdoor did not have emergency numbers on or near the phone.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 with an outside line. Emergency numbers were posted on the telephone in the hallway near the backdoor on 9/4/2013.On a monthly basis, the Community Homes Supervisor will utilize the portion of the LII related to Physical Site & Fire Safety as a resource to ensure that the home is in compliance. If any areas need addressed, the Community Homes Supervisor will make corrections to meet the regulations. If a correction needs to be made, they will e-mail this information to their Specialist. On the next visit to the home, the Community Homes Specialist will review the correction to ensure that it was completed and meets the regulations. On a quarterly basis, the Community Homes Specialist will complete the Quarterly Physical Site & Fire Safety Inspection form to ensure that the home is in compliance and submit this to the Residential Director. Should the Quarterly Physical Site & Fire Safety Inspection form reflect any concerns that need addressed in the work order system, the Community Homes Specialist will promptly enter the repair request. When the repair is completed, this will be documented on the form and submitted to the Residential Director. 09/22/2013 Implemented
6400.77(b)The first aid kit did not contain tape.(b) A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. The tape which was used for an Individual's care on the morning of 9/4/2013 was replaced in the First Aid Kit on 9/4/2013.On a monthly basis, the Community Homes Supervisor will utilize the portion of the LII related to Physical Site & Fire Safety as a resource to ensure that the home is in compliance. If any areas need addressed, the Community Homes Supervisor will make corrections to meet the regulations. If a correction needs to be made, they will e-mail this information to their Specialist. On the next visit to the home, the Community Homes Specialist will review the correction to ensure that it was completed and meets the regulations. On a quarterly basis, the Community Homes Specialist will complete the Quarterly Physical Site & Fire Safety Inspection form to ensure that the home is in compliance and submit this to the Residential Director. Should the Quarterly Physical Site & Fire Safety Inspection form reflect any concerns that need addressed in the work order system, the Community Homes Specialist will promptly enter the repair request. When the repair is completed, this will be documented on the form and submitted to the Residential Director. 09/22/2013 Implemented
6400.80(a)The ramp on the right side of the home 4 feet from the bottom had a board sunken down an inch causing a possible tripping hazards.(a) Outside walkways shall be free from ice, snow, obstructions and other hazards. The ramp on the side of the home was scheduled to be repaired on 9/4/2013. The repair began on that date and was completed on 9/5/2013. Pictures of the ramp will be submitted.When a repair is needed, it is communicated to the Community Homes Specialist of the home, who promptly enters it into the work order system. Once entered, the Facilities Director reviews the request and coordinates the repair. The Residential Director and the Facilities Directors discussed and will amend the work order system to identify the urgency and timeframe needed for repairs. The current categories are ¿low; medium; high; and emergency¿. The urgency and timeframe for repair of these categories will be re-defined as follows: ¿ Emergency: repair immediately/ health & safety concern ¿ High: repair within one week ¿ Medium : repair within two weeks ¿ Low: repair within a month The Facilities Director, upon receipt of the work order and classification, will assign the repair to a vendor and oversee the completion. Once completed, the Facilities staff will indicate on the work order system that the repair has been completed. The Communities Homes Specialist is then alerted via e-mail that the repair has been completed. They will verify that the repair was completed satisfactorily and make the final comment in the work order system. 09/22/2013 Implemented
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