Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00217692 Renewal 01/12/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)Individual #1's physical examination, dated 8/18/2022, did not include medical information pertinent to diagnosis and treatment in case of an emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. Provider has updated their physical form to mirror the state recommended form that was revised on 1/10/23 and emailed to all providers. This change will make it easier for doctors to complete the physical form in its entirety. 01/23/2023 Implemented
SIN-00236485 Renewal 12/19/2023 Compliant - Finalized