Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00223001 Renewal 04/17/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)The first aid kit did not contain tape. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. The House Manager found medical tape on the dresser of one of the participants who was having woundcare conducted. The Tape was placed back into the first aid kit and the first aid kit was put away. In addition backup tape was purchased on 4/18/23. 04/18/2023 Implemented
6400.144Individual #2's Medication OXYBUTYNIN 10mg, medication LORSARTAN 25mg and medication MELATONIN 3mg all are being signed as administered on the MAR and the medication is not present in the home.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. The CEO mandated all SCALP staff to attend medication training scheduled on 5/10/23, to minimize unwanted medication errors by participating in a refreshers course to prevent encounters such as #2s medication not being inside the box where it belongs and documenting properly as required by state regulations. 05/10/2023 Implemented
6400.165(b)Individual #2's medication AMMONIUM LAC LOTION 12% was located in the individual's med box and not listed on the MAR.A prescription order shall be kept current.The CEO mandated all SCALP staff to attend medication training scheduled on 5/10/23, to minimize unwanted medication errors by participating in a refreshers course to prevent encounters such as #2s medication not being inside the box where it belongs and documenting properly as required by state regulations. 05/10/2023 Implemented
SIN-00204799 Renewal 04/21/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.169(b)(1)Staff #4 works in a home with an insulin dependent diabetic individual, and has not fulfilled the medication requirements to give medication. An annual practicum, instead of the appropriate initial medication training, was completed in 4/2022, despite this staff's last medication training expiring 7/2020. The required observations were also not completed.A staff person may administer insulin injections following successful completion of both: The medication administration course specified in subsection (a).Staff #4 completed Diabetic Training (see attachment 2) on 5/4/22 as well as medication training on 5/1/22 (see attachment 3). 05/04/2022 Implemented
SIN-00186379 Renewal 04/20/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71There were no emergency numbers posted near the phone during the inspection.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. The emergency numbers were taken down by a hired painting company, who forgot to place and tape them back in place. Another emergency list of contact numbers were placed and taped down by the house phone's location. 04/23/2021 Implemented
6400.77(b)The first aid kit did not contain tape. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. The CEO went and purchased 5 new first aid kits and extra tape on April 24th 2021. The new 5 first aid kits were placed in our emergency baskets so that no first aid items will be missing. 04/24/2021 Implemented
SIN-00163647 Renewal 09/23/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106There was no documentation of a furnace inspection.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. Furnace inspection was conducted but the receipts did not prove that it was done by the company. The company was contacted and asked to produce company issued documentation for correcting inspection violation. New receipts were produced and shown to ODP inspector before the end of inspection and was accepted as verifying documents. 07/23/2019 Implemented