Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00213218 Renewal 10/12/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)There is not a screen in the window behind the bed in Individual #1's bedroom. The window on the left side of Indiivdual #1's bedroom has a screen that is not securely attached.Windows, including windows in doors, shall be securely screened when windows or doors are open. All proper size screens were installed in windows to bring the violation into compliance. Please see attached photos. 10/20/2022 Implemented
6400.101There is a turn lock on the door in the dining room leading to the garage with no man door.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. Turn lock on the door was replaced with a non locking knob. See attached photos 11/07/2022 Implemented
6400.163(a)Epinephrine Inj 0.3 prescribed to Individual #1 was in an unlabeled small clear plastic storage bag without the original label issued by a pharmacy.Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.We do not feel this is a violation. Participant AH carries his epipen with him. The epipen that was in the medication drawer was found in his room the day prior. We placed it in his medication drawer as a spare. 10/20/2022 Implemented
SIN-00179427 Renewal 11/17/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(b)Tuberculin Mantoux test completed 05/13/19 for Individual #1 was completed, signed and dated by a medical assistant. Tuberculin skin testing is required to be completed, signed and dated by a registered nurse or licensed practical nurse, licensed physician, certified nurse practitioner or licensed physician's assist.The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or licensed physician's assistant. As of 11/19/20 Review of our TB Test documentation will go through an extra step of review to ensure that the person who signed off on the test is one of the following. ¿ registered nurse ¿ licensed practical nurse, ¿ licensed physician, ¿ certified nurse practitioner ¿ licensed physician's assist RMPC Compliance Officer/Program Specialist will be the person responsible for reviewing TB test documentation no later than 24hours of receipt of the documentation. In addition, CEO will review TB test documentation for all participants who received a TB test in the previous month.This will occur during our Monthly Review of All RMPC Documentation which occurs no later than the 15th of every month. If it is found that the TB test was not completed by any of the listed above the participant will be sent to a near Med Express or equivalent urgent care facility within 24 hours to have a TB test completed. All PS¿s and house supervisors have been trained on this new review process, and have been retrained on regulation 6400.141.(d) 11/20/2020 Implemented
SIN-00138462 Renewal 07/20/2018 Compliant - Finalized