Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00210755 Renewal 09/01/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(a)Direct Service Worker #1, date of hire 7/18/2022, had a physical examination completed on 8/07/2022. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. All employees will be required to have turned in all completed required documentation including their physical before beginning to train. 09/13/2022 Implemented
SIN-00193810 Renewal 09/28/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The home's furnace was inspected and cleaned on 05/01/20 and then again on 05/25/21.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. Maintenance will now take care of all yearly furnace inspections. Maintenance has entered the yearly date in his google calendar and he also entered a date as a reminder to schedule an appointment for the inspection in the calendar. 10/06/2021 Implemented
SIN-00178812 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 12/01/19. 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
6400.213(1)(i)The record for Individual #1 did not include identifying marks and the means of communication.Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number.All vital record information sheets were updated and now include both the means of communication and identifying marks for every individual. I will send her vital information sheet along with the other documents. [Individual #1's record was updated to include "n/a" for identifying marks on 11/2/2020, copy provided to the Department on 11/25/2020. At least quarterly, the CEO or a designated staff persons educated in the requirements of individual records shall audit all individual records to ensure all required information is included and up to date. (AES,HSLS on 12/22/20)] 11/02/2020 Implemented
SIN-00229745 Renewal 08/22/2023 Compliant - Finalized
SIN-00197443 Unannounced Monitoring 12/06/2021 Compliant - Finalized