Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00117365 Renewal 08/21/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)There is a 2 foot scratch mark on the wall behind the rocking chair in Individual #1¿s bedroom. The baseboard behind the rocking chair was also broken.Floors, walls, ceilings and other surfaces shall be in good repair. Who: Director of Services, Assistant Director of Services, RPS and all staff in residential program. Maintenance Department will complete repairs when necessary. What: ensure that all floors, walls, ceilings and other surfaces are in good repair. Wall was painted and baseboard was fixed. How: 1. Administrative Regulation Monitoring Form was updated ¿ Check walls and baseboards ¿ especially near furniture that rocks. 2. Retraining - RPS agenda ¿ reviewed information with Residential Program about ensuring that all floors, walls, ceilings and other surfaces are in good repair and to submit a maintenance request when an item is out of compliance. RPS will review RPS agenda with their staff. When: 1. Administrative Regulation Monitoring Form will be completed at least twice during any quarter (July/August/September, October/November/December, etc.). 2. Residential Program Supervisor and staff ¿ ongoing, as those staff are in the home on a daily basis. Attachments: ¿ Updated and completed Administration Regulation Monitoring Form (completed by DOS on 9/13/2017). (#6 ¿ 9 pages) ¿ RPS agenda showing information was reviewed with RPS. (#7 ¿ 4 pages) ¿ Copy of maintenance request and documentation that wall/baseboard was repaired. (#25) ¿ Picture of wall/baseboard (#26) 09/13/2017 Implemented
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