Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00217361 Renewal 01/10/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(4)Individual #1, date of admission 4/27/2022, has not had a hearing screening completed.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. Appointments at Children's Hospital Sedation clinic was completed on 1/31/2023(it was scheduled in September). Verification will be submitted. [Documentation of the visual calendar for regulatory requirements 3/16/2023 and reviewed 3/17/23. DPOC by HDKP, HSLS, on 3/22/23]. 02/28/2023 Implemented
6400.165(b)The following medication prescribed for Individual #1 was discontinued on 12/02/2022 but was listed as current on the January 2023 Medication Administration Record: Fluoxetine 20 MG Cap -- Take 1 capsule by mouth every morning for mood.A prescription order shall be kept current.Prescription was D/C on 1/11/2023 by supervisor. [Documentation of quarterly monitoring form the includes MAR checklist, dated 2/10/23, was received 3/16/23 and reviewed 3/17/23. DPOC by HDKP, HSLS, on 3/22/23]. 02/09/2023 Implemented
6400.166(b)The following medication for Individual #1 was discontinued on 12/02/2022; however, the medication has been recorded as administered through 1/11/2023: Fluoxetine 20 MG Cap -- Take 1 capsule by mouth every morning for mood.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.The Fluoxetine 20 M Cap, was D/C on the MAR on 1/11/2023 03/09/2023 Implemented
SIN-00167338 Renewal 12/11/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(a)Individual #1 most recently had a physical examination completed on 11/2/18.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. individual #1 Received his physical and Tuberculin Testing by Mantoux which yielded a negative result on 11/13/2019 TB read 11/16/2019 Preventative Corrective Action: Valley Advantages LLC, will be adding MITC Software to our electronic capabilities in 2020, we will be incorporating a scheduling component,which will notify the medical department of impending regulatory requirements with all HCBS clients. This function will alert the residential manager, along with the House supervisors of all scheduled appointments and prompt the medical department 2 months prior to make necessary appointments. Implementation to begin in march 2020. [At least quarterly for 6 month after the implementation of the aforementioned system, the CEO or designee shall audit the aforementioned tracking system and a 10% sample of individuals physical examinations including tuberculin testing to ensure completion of individuals' physical examinations, timely. Documentation of the audits shall be kept. (DPOC by AES,HSLS on 12/26/19)] 12/16/2019 Implemented
6400.141(c)(6)Individual #1 most recently had a Tuberculin skin testing by Mantoux method with negative results completed on 11/21/17.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Individual #1 Received his physical and Tuberculin Testing by Mantoux which yielded a negative result on 12/13/2019 TB read 12/16/2019 Preventative Corrective Action: Valley Advantages LLC, will be adding MITC Software to our electronic capabilities in 2020, we will be incorporating a scheduling component,which will notify the medical department of impending regulatory requirements with all HCBS clients. This function will alert the residential manager, along with the House supervisors of all scheduled appointments and prompt the medical department 2 months prior to make necessary appointments. Implementation to begin in march 2020 [At least quarterly for 6 month after the implementation of the aforementioned system, the CEO or designee shall audit the aforementioned tracking system and a 10% sample of individuals physical examinations including tuberculin testing to ensure completion of individuals' physical examinations, timely. Documentation of the audits shall be kept. (DPOC by AES,HSLS on 12/26/19)] 12/16/2019 Implemented
SIN-00184876 Renewal 03/11/2021 Compliant - Finalized
SIN-00148136 Renewal 01/08/2019 Compliant - Finalized