Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00225885 Renewal 06/20/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)There was no self-assessment fully completed 3-6 months prior to the certificate expiration or 6-9 months after 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. All C-NTA staff responsible for the self assessments will be trained on the proper time frames for completion of self assessments. 08/07/2023 Implemented
SIN-00189831 Renewal 07/07/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At the time of inspection, the water temperature in the hallway bathroom sink was measured at 122.3 degrees Fahrenheit, and the master bathroom sink measured at 128.7 degrees Fahrenheit. Hot water temperatures in bathtubs and showers may not exceed 120°F. The hot water heater temperature was turned down and now reading 117 degrees F. During the inspection process it was noted that the thermometers used by each home were not adequate for measuring water temperatures. The agency has purchased new thermometers for every home. In addition, the agency has implemented b-weekly water temperature checks in each home which will be performed by the house manager. 07/19/2021 Implemented
SIN-00174715 Renewal 08/04/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(d)An overnight drill was held on 12/08/19 at 1:05 AM. The individuals took 2 minutes and 35 seconds to evacuate the home. Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. Assigned House Managers are responsible for ensure monthly fire drills are accurately completed each month and that a sleeping fire drill is completed at least every 6 months. Each house manager has been retrained on this regulation including what is classified as sleeping hours. The house managers have also been retrained on the length of time individuals should safely evacuate the residence Each house manager will turn in their fire drill sheets within 3 days of completion, each month, for the Program Specialist and/or the Residential Director to review for accuracy. All drills are completed by the 15th of each month in order to allow time for retraining as needed and to complete a new fire drill for accuracy. The agency's Certified Safety Committee with also review all documentation of fire drills during their quarterly inspection of each home. 08/11/2020 Implemented