Inspection ID

Reason for Inspection

Inspection Date

Inspection Status

SIN-00227389

Renewal

07/06/2023

Compliant - Finalized

Regulation	LIS Non-Compliance Area	Correction Required	Plans of Correction	Correction Date	POC Status
6400.81(k)(6)	Individual #1's bedroom did not have a mirror at the time of the inspection.	In bedrooms, each individual shall have the following: A mirror.	On 7/12/2023, a mirror was placed in Individual #1¿s bedroom. The dresser previously owned by Individual #1 had a mirror attached to it. Provider maintenance staff replaced the dresser in individual #1¿s bedroom due to several of the knobs on the drawers being broken and replaced it with a dresser that does not have the mirror attached.	08/31/2023	Implemented

SIN-00221754

Add an Addendum

03/30/2023

Compliant - Finalized

Regulation	LIS Non-Compliance Area	Correction Required	Plans of Correction	Correction Date	POC Status
6400.101	The exit door from the garage to the exterior of the home has a key lock that requires a key to be utilized to unlock the door to exit the home. In the event of an emergency, individuals and staff would not be able to utilize that exit unless they had a key on their person, was able to utilize a key and would impede the ability to evacuate quickly from the home.	Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.	Provider removed the key lock that required a key to be utilized to unlock the door to exit the home. The old key lock was replaced with a new deadbolt which does not require a key to be utilized to unlock the door.	04/03/2023	Implemented