Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00202792 Renewal 04/05/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.24(f)At the time of the 4/5/22 inspection, $39 of individual #1's funds were located between two of the FLP's wallets instead of being located in the specified envelope where the remaining balance of $504.24 was held for this individual.There may not be commingling of the individual's personal funds with agency or household funds.FLP was retrained on commingling individuals money. PS added a section to prompt PS to check location and total funds to the home checklist. The PS then verified that individual #1 funds are now stored separately and signed off on a home checklist. 04/25/2022 Implemented
6500.70At the time of the 4/5/22 inspection, the only phone available to individual #1 was the FLP's cellphone.A home shall have an operable telephone that is easily accessible.FLP purchased a phone on 4/27/22. It will be installed and activated upon arrival. Emergency numbers were left at the home for the new phone on 4/25/22. 04/27/2022 Implemented
6500.121(a)(REPEAT VIOLATION FROM 1/11/21) Individual #1 had a physical examination completed on 3/11/21 and not again until 4/1/22.An individual shall have a physical examination within 12 months prior to living in the home and annually thereafter.Program Specialist uses an excel spreadsheet to track all appointments and due dates. In addition, reminders will be sent to individuals and FLP about pending appointments and time frames. At monthly home checks, upcoming medical appointments and necessary appointments to be scheduled will be reviewed. Six months prior to a physical appointment being due, PS will provide FLP with a written reminder and a call log to keep track of attempts made to schedule the appointment. 04/19/2022 Implemented
6500.121(c)(13)Individual #1's current physical dated 4/1/22 lists only Sulfa as an allergy. Per individual #1's ISP dated 3/31/22, individual #1 is allergic to Sulfa, Penicillin, Bactrim and Acetazolamide. The physical examination shall include: Allergies or contraindicated medications.Physical form was updated to include explicit instructions for completing the form. Forms will be pre-filled (the sections that are possible) by the program specialist prior to physical appointments with this information. 04/25/2022 Implemented
6500.124Individual #1's podiatrist recommended that the individual was to obtain special insoles L5000 on 8/24/21 and again on 1/31/22. At the time of the 4/5/22 inspection, individual #1 did not have these recommended soles.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.Individual 1 was seen again by the Podiatrist on April 11th, (attached) and fitted for her insoles at that appointment. They have been ordered and will return when they arrive for the final fitting. 04/11/2022 Implemented
SIN-00239289 Renewal 02/27/2024 Compliant - Finalized