Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00217360 Renewal 01/10/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.171On 1/11/2023, at 11:32AM, a gallon of 1% milk with a sell by date of 12/20/2022 was on the top shelf inside the refrigerator located in the kitchen.Food shall be protected from contamination while being stored, prepared, transported and served. Residential Manager disposed of spoiled milk during time of inspection. [Documentation of quarterly monitoring form, dated 2/18/23, was received 3/16/23 and reviewed 3/17/23. DPOC by HDKP, HSLS, on 3/22/23]. 02/01/2023 Implemented
6400.214(b)On 1/11/2023 Individual #1's, date of admission 9/13/2021, most recent assessment, dental hygiene plan and psychological evaluation were not present at the home. The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. On 1/11/2023, a RESIDENTIAL RECORDS binder was created: Binder contains Individual Demographics (ID Sheet), individual Assessments, most recent phycological evaluation, annual physical, dental hygiene plan, recent incident reports(90days) was placed in all service locations, this will assure compliance with 6400.214(b) 01/11/2023 Implemented
SIN-00127859 Renewal 01/18/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.195(d)Individual #1, date of admission 7/28/17 had a restrictive procedure plan implemented upon admission. The chairperson of the restrictive procedure review committee did not review, approve, sign and date Individual #1's restrictive procedures.The restrictive procedure plan shall be reviewed, approved, signed and dated by the chairperson of the restrictive procedure review committee and the program specialist, prior to the use of a restrictive procedure, whenever the restrictive procedure plan is revised and at least every 6 months. Program Specialist held a team meeting for review of the adapted RPP for Individual #1 on 1/24/2018. The plan was approved signed, and dated by the chairperson of the RPP committee. Program Specialist will review all documentation upon admission and ensure all plans are reviewed and appropriated for this Individual. [Within 30 days of receipt of the plan of correction, the plan team members for Individual #1 shall meet to discuss the least restrictive plan for individual #1 to ensure the safety of others and Individual #1. Consideration shall be taken to encourage Individual #1's rights to the fullest extent possible. Within 60 days of receipt of the plan of correction, the restrictive procedure plan shall be revised with the program specialist, direct care staff, the interdisciplinary team and other professionals including behavior supports as appropriate. The plan should included methods for modifying or eliminating behavior as well as the other requirements as per 6400.195(e)(1)-(8). Within required timeframe, the restrictive review committee shall review Individual #1's restrictive procedures to ensure the least restrictive plan is implemented with consideration of Individual #1's rights, safety and the safety of others and to ensure all requirements of restrictive procedures as per 6400.191-206 are followed. Documentation of the aforementioned reviews and meeting shall be kept. (AS 2/16/18)] 01/04/2018 Implemented
SIN-00184875 Renewal 03/11/2021 Compliant - Finalized
SIN-00167337 Renewal 12/11/2019 Compliant - Finalized