Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00218929 Renewal 02/13/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(c)Individual #1's refusals were not communicated to the prescriber as stated in the refusal plan.If an individual refuses to take a prescribed medication, the refusal shall be documented on the medication record. The refusal shall be reported to the prescriber as directed by the prescriber or if there is harm to the individual.Upon daily review of Medication Records, Sunset's Medical Compliance Specialist will contact Sunset's Medical Coordinator anytime that any individual refuses to take a medication or refuses to follow the medical provider's medical orders. The Medical Coordinator will review the individual's current medical protocols and contact the prescribing doctor for further instructions if the protocols state to do so. If the individual does not have a protocol pertaining to that medication or treatment, Sunsets Medical Coordinator will contact the prescribing provider for further instruction. 02/22/2023 Implemented
SIN-00168043 Renewal 02/19/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)Self-assessment was not completed 3 to 6 months prior to expiration of certification or 3 to 6 months following the last inspection.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. Self-assessment will be completed by the CEO (or who he delegates it to) 3-6 months prior to the expiration of the license. 02/24/2020 Implemented
6400.110(e)The home did not have interconnected fire alarms despite having three or more stories including the basement and attic.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. Sunset's electrician installed interconnected smoke alarms at the home. Sunset will work with our electrician to ensure that the other 2 location with 3 floors, have interconnected smoke alarms before March 31, 2020. 02/24/2020 Implemented
SIN-00104680 Renewal 12/07/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.73(a)Repeat - 03/26/15-The basement stairs leading to the exterior door did not have a handrail. Attic staircase did not have a handrail. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. Sunset Support Services maintenance personal will build hand railings to code on the attic and basement stairways. 02/15/2017 Implemented
6400.103The written evacuation procedure did not include individual responsibilities.There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. The CEO will implement and ensure that an emergency evacuation plan will be written and will include individual and staffing responsibilities. As well as transportation, emergency shelter location to comply with the POC. The CEO will be responsible to implement and train staff and individuals to know their responsibilities. 02/15/2017 Implemented
6400.104No current written notification to the local fire department was contained in the record. The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. Sunset Support services has contacted the chief of the local fire dept. to require an official version of said document in order to meet the necessary guidelines set forth for this particular POC 02/15/2017 Implemented
6400.145(3)The emergency staffing procedure was not included on the emergency medical plan. The home shall have a written emergency medical plan listing the following: An emergency staffing plan.The CEO will be responsible in identifying staff members to report to work or remain during extended periods 02/15/2017 Implemented
SIN-00127803 Renewal 02/27/2018 Compliant - Finalized