Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00178808 Renewal 10/27/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.34(a)Individual #1 was informed and explained individual rights on 05/08/20. The rights document did not include the following rights: 6400.32a, to not be discriminated against based upon protected classes; 6400.32d through 6400.32g, to be treated with dignity and respect, choose, accept risks, refusal and control the individual's schedule, activities and services; 6400.32j, to voice concerns about services; 6400.32p through 6400.32u, choosing with whom they share a bedroom, decorating and furnishing bedroom and common areas, locking doors in bedrooms and in the home, access to food at any time, and making healthcare decisions.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.A new Individual Rights policy and procedure had been created according to the 6400 regulations. The Program Specialist have reviewed this policy with every individual, had him/her sign the policy and gave them a copy to keep. I will send the signed copy from this individual.[Individual #1 signed the updated individual rights documentation on 11/2/2020, copy provided to the Department on 11/25/2020. (AES,HSLS on 12/22/20)] 11/02/2020 Implemented
SIN-00157229 Renewal 06/13/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(e)The smoke detector on the second floor was not interconnected with the smoke detectors on the main level and in the basement of the home.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. A new wireless-interconnected fire alarm system was purchased and installed. Only one fire alarm was not working at the residence. Thoughtful Needs contacted the emergency response provider several times to fix the fire alarm equipment. The provider no longer services the equipment, so a new system was purchased. The residential staff will conduct fire drills in conjunction with the local fire department as well as monthly fire drills.[Immediately, the CEO or designee shall educate all staff persons working in community homes of their responsibilities of conducting unannounced monthly fire drills and testing and using the interconnected smoke detectors. Documentation of the trainings shall be kept. (DPOC by AES, HSLS on 6/27/19)] 06/24/2019 Implemented
SIN-00136725 Renewal 06/15/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(g)Direct Service Worker #1 had most recent fire safety training was 1-17-17.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (f).Thoughtful Needs will continue to have fire safety in orientation, but will do annual fire safety training twice a year to ensure nobody is missed. [On June 18, 2018, Direct service worker #1 was trained in areas related to fire safety. Immediately, the CEO or designee shall develop and implement a tracking system to ensure all Program specialists and direct service workers are trained annually by a fire safety expert in training areas related to fire safety. At least quarterly, the CEO or designee shall review the aforementioned tracking system to ensure program specialists and direct service workers are trained annually by a fire safety expert. (AS 6/29/18)] 07/02/2018 Implemented
SIN-00229742 Renewal 08/22/2023 Compliant - Finalized
SIN-00193806 Renewal 09/28/2021 Compliant - Finalized