Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00210483 Unannounced Monitoring 08/05/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(a)(9)Individual #1 is prescribed Omeprazole cap 40MG, take 1 capsule by mouth every morning with breakfast for GERD." This medication is listed as a Pro Re Nata on the August 2022 Medication Administration Record.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Frequency of administration.The agency immediately verified the medication with the provider and corrected the MAR. The agency will hire a medication trainer to ensure compliance. Lead Supervisors will verify that all medications have been administered by the prescriber¿s directions. Any incident of failure to administer medication by the prescriber¿s directions will be reported in the EIM system within 24 hours and corrective action will be developed and issued. The electronic MAR was corrected the same day as the violation. The staff was trained on the Plan of Correction and how not to cause a violation. 10/31/2022 Implemented
6400.166(a)(11)Individual #1's August 2022 Medication Administration Record does not include the diagnosis or reason for Chlorhexidine.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.The agency immediately verified the medication with the provider and corrected the MAR. The agency will hire a medication trainer to ensure compliance. Lead Supervisors will verify that all medications have been administered by the prescriber¿s directions. Any incident of failure to administer medication by the prescriber¿s directions will be reported in the EIM system within 24 hours and corrective action will be developed and issued. The electronic MAR was corrected on the same day as the violation. The staff was trained on the Plan of Correction and how not to cause a violation. 10/31/2022 Implemented
SIN-00207057 Unannounced Monitoring 06/03/2022 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(d)At 11:54 AM, a white kitchen trash bag full of trash was on the floor next to the trash receptacle in the utility room adjacent to kitchen.Trash in the bathroom, dining and kitchen areas shall be kept in cleanable receptacles that prevent the penetration of insects and rodents. The lead supervisor was responsible for ensuring the homes were cleaned and sanitary. Unfortunately, this did not happen, and the lead supervisor was terminated. The provider will develop a daily chore list for all staff to understand their household duties. This will include taking out the trash at the end of each shift. This was completed on 7/11/22. The provider will develop a weekly site audit sheet to ensure that lead supervisors complete a weekly checklist to ensure that all sites are clean and sanitary. This project was due on 7/15/22 and completed on 7/11/22. The lead supervisors will go into the sites and complete a weekly site audit for to ensure the home is cleaned and in sanitary conditions. 08/31/2022 Not Implemented
6400.64(f)At 11:46 AM, an unsealed large black trash bag was on its side on the floor just outside the door of the side porch of the home. The bag was leaking liquids and food scraps from a ripped hole in the bag from what appears to have been made by an animal. In addition, there were flies swarming in and around the spill of liquids and food debris.Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents.The lead supervisor was responsible for ensuring the homes were cleaned and sanitary. Unfortunately, this did not happen, and the lead supervisor was terminated. The provider will develop a daily chore list for all staff to understand their household duties. This will include taking out the trash. This was completed on 7/11/22. The provider will develop a weekly site audit sheet to ensure that lead supervisors complete a weekly checklist to ensure that all sites are clean and sanitary. This project was due on 7/15/22 and completed on 7/11/22. The lead supervisors will go into the sites and complete a weekly site audit for to ensure the home is cleaned and in sanitary conditions. 08/31/2022 Implemented
6400.67(a)At 11:51AM, the microwave in the kitchen of the home did not have the outside covering of the door and the door handle. One of the four vanity lightbulbs over the sink in the bathroom is inoperable.Floors, walls, ceilings and other surfaces shall be in good repair. The lead supervisor did not inform the corporate office the microwave was broken. Nor did she report the need for new light bulbs. On July 6th ¿ the office manager placed a repair order to the property manager about the broken microwave and the vanity lightbults. On July 8th ¿ new light bulbs were replaced in the vanity mirror Only July 12th ¿ a brand new microwave was installed. 08/31/2022 Not Implemented
6400.68(b)At 11:46AM, the hot water temperature measured 151.8°F at the sink in the kitchen of the home. At 12:13PM, the hot water temperature measured 154.7°F at the bathtub in the bathroom of the home. Hot water temperatures in bathtubs and showers may not exceed 120°F. The provider will ensure that the water temperatures are below 120 at all houses immediately. There was not an anti-scalding device in this site. The provider hired a plumbing contractor who installed the anti-scalding device on 7/13/22. 08/31/2022 Implemented
6400.72(b)At 11:44AM, the sliding glass door does not have a handle. The sliding glass door was restricted in the track requiring a great deal of force to open and shut the door. The closet door in the hallway of the home does not have a handle. Screens, windows and doors shall be in good repair. Provider will ensure that all Screens, windows and doors shall be in good repair. The office manager submitted a maintenance ticket to the property manager this issue. On the day of violation - the provider purchased WD-40 to ensure the door opened with ease. 07/31/2022 Not Implemented
6400.101At 12:22PM, the right sliding glass door has a metal locking bar mounted to the door frame, restricting the door's opening. The metal locking bar is required to be pushed upward for clearance in order for the door to be open.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The lead supervisor failed to report the sliding glass door had a metal locking bar on it. The lead supervisor was retrained on how to conduct a site audit. The metal locking bar was removed. 08/31/2022 Not Implemented
6400.171At 11:52AM, an unlabeled deep frying pan covered with the glass lid containing what appeared to be a piece of cooked meat in red liquid with coagulating areas of grease, was in the refrigerator of the home.Food shall be protected from contamination while being stored, prepared, transported and served. The provider will retrain all staff on safe food handling practices to ensure that food shall be protected from contamination while being stored, prepared, transported and served. The lead supervisor immediately wrapped all uncovered food in the refrigerator. On July 5th ¿ the Executive Assistant went and purchased an abundance of food containers for storage, and glad ziplock bags for the staff to use. The Lead supervisors will retrain all staff on safe food handling practices to ensure that food shall be protected from contamination while being stored, prepared, transported and served. This shall be documented on the site audit forms. 08/31/2022 Not Implemented
6400.163(d)At 11:55 AM, approximately twelve packets labeled "Rx only" of "Sevelamer Carbonate for Oral Suspension. 2.4 g" were unlocked and accessible in clear plastic bag in an open container, containing various item including a stethoscope, a plastic chain, bandages, in a lower cabinet in the kitchen cabinet.Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.The provider will ensure that all prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked immediately. The lead supervisor locked all medications in the proper medication box with a combination lock. 09/30/2022 Not Implemented
6400.166(a)(5)Individual #1's June 2022 Medication Administration Record states, "Vitamin D3 5000 IU (125 mcg)," and the medication label states, "Vitamin D3 tab 25mcg."A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Strength of medication.The provider will ensure that a medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Strength of medication immediately. The lead supervisor went to the site to correct the strength of the medication on the MAR. 09/30/2022 Not Implemented
6400.166(d)The prescribed Omeprazole DR 40 mg cap was placed on hold and from May 1-25, 2022, and then discontinued on 5/25/22. The prescribed Paliperidone ER 6 mg tab was placed on hold from May 1-31, 2022, and then discontinued on 6/7/22. The provider did not present any prescriber documentation directing these medications to be placed on hold for the above time frames.The directions of the prescriber shall be followed.The provider will ensure that the directions of the prescriber shall be followed immediately. All MAR¿s Was be reviewed immediately, and followed as prescribed. 09/30/2022 Not Implemented
SIN-00202441 Renewal 03/24/2022 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.107At 10:30AM, a portable space heater was in the closet in Individual #1's bedroom.Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms. The portable space heater was removed from Individual #1¿s residence on 3/28/22 by the Program Specialist and returned to the office. Individual #1¿s mother made arrangements to have the space heater returned to her. 03/28/2022 Implemented
6400.181(e)(10)Individual #1's assessment, completed on 9/15/2021, does not address lifetime medical history. This section says, "N/A."The assessment must include the following information: A lifetime medical history. The Program Specialist will be responsible for ensuring provider¿s annual assessments include a lifetime medical history. If there is a vacancy with the Program Specialist position. The Sr. Director will assume responsibility for ensuring the annual assessment includes a lifetime medical history.[Immediately, the program specialist will complete the lifetime medical history for Individual #1 and all other individuals in the community homes. Over the next 2 weeks, the Sr. Director shall review all individuals' current assessment to ensure all required information is included in all individuals' current assessment. (DPOC by AES,HSLS on 5/4/2022)] 04/11/2022 Implemented
6400.181(e)(11)Individual #1's assessment, completed on 9/15/2021, does not include psychological evaluations. This section says, "N/A."The assessment must include the following information: Psychological evaluations, if applicable. The Program Specialist will be responsible for ensuring the annual assessments will include a psychological evaluation, when applicable. Beginning 5/1/22 and re-occurring for each annual assessment completed afterwards. If there is a vacancy with the Program Specialist position. The Sr. Director will assume responsibility for ensuring the annual assessment includes a psychological evaluation.[Immediately, the program specialist will obtain a psychological evaluation for Individual #1 and all other individuals in the community homes, as required. Over the next 2 weeks, the Sr. Director shall review all individuals' current assessment to ensure all required information is included in all individuals' current assessment. (DPOC by AES,HSLS on 5/4/2022)] 05/01/2022 Implemented
6400.32(r)(1)Individual #1 would like to exercise the right to lock her bedroom door. The agency has not provided Individual #1 a mechanism for Individual #1 to lock and unlock her bedroom door.Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.By 4/27/22 The Office Administrator will submit the maintenance request for the bedroom door of Individual #1 to provide a mechanism to lock and unlock the door. [Immediately, the CEO or designee will ensure Individual #1's right to lock and unlock Individual #1's bedroom door is provided. Immediately, the CEO or designee with ensure all individual in community homes are exercising their right to lock and unlock their bedroom doors and maintain documentation. Immediately, the CEO or designee shall educate all staff person the individual right to lock and unlock and their responsibilities to ensure this right. Documentation of the training and responsibilities shall be kept. (DPOC by AES,HSLS on 5/4/2022)] 04/27/2022 Not Implemented
6400.166(a)(4)Individual #1 is prescribed Naproxen Tab 500mg. The March 2022 Medication Administration Record does not include the name of the medication.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of medication.The provider is actively searching for an LPN/RN who will be responsible for monitoring of all medication and medical administration records. The hiring process is expected to be completed by 5/15/22. The LPN/RN will verify that all medications include the name of the medication by completing a weekly monitoring of medication and medical administration records for each home. If a medication does not have the name of the medication, the LPN/RN will contact the pharmacy to provide the name of the medication. Until the LPN/RN position if filled, the Lead Supervisors will be responsible for monitoring all medication and medical administration records. 05/30/2022 Not Implemented
6400.166(a)(5)Individual #1 is prescribed Naproxen Tab 500mg. The March 2022 Medication Administration Record does not include the strength of the medication.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Strength of medication.The provider is actively searching for an LPN/RN who will be responsible for monitoring of all medication and medical administration records. The hiring process is expected to be completed by 5/15/22. The LPN/RN will verify that all medications include the strength of the medication by completing a weekly monitoring of medication and medical administration records for each home. If a medication does not have the strength of the medication, the LPN/RN will contact the pharmacy to provide the strength of the medication. Until the LPN/RN position if filled, the Lead Supervisors will be responsible for monitoring all medication and medical administration records. 05/30/2022 Not Implemented
6400.166(a)(6)Individual #1 is prescribed Naproxen Tab 500mg. The March 2022 Medication Administration Record does not include the dosage form of the medication.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dosage form.The provider is actively searching for an LPN/RN who will be responsible for monitoring of all medication and medical administration records. The hiring process is expected to be completed by 5/15/22. The LPN/RN will verify that all medications include the dosage form of the medication by completing a weekly monitoring of medication and medical administration records for each home. If a medication does not have the dosage form of the medication, the LPN/RN will contact the pharmacy to provide the strength of the medication. Until the LPN/RN position if filled, the Lead Supervisors will be responsible for monitoring all medication and medical administration records. 05/30/2022 Not Implemented
6400.166(a)(7)Individual #1 is prescribed Naproxen Tab 500mg. The March 2022 Medication Administration Record does not include the dose of the medication.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication.The provider is actively searching for an LPN/RN who will be responsible for monitoring of all medication and medical administration records. The hiring process is expected to be completed by 5/15/22. The LPN/RN will verify that all medications include the dose of the medication by completing a weekly monitoring of medication and medical administration records for each home. If a medication does not have the dose of the medication, the LPN/RN will contact the pharmacy to provide the dose of the medication. Until the LPN/RN position if filled, the Lead Supervisors will be responsible for monitoring all medication and medical administration records. 05/30/2022 Not Implemented
6400.166(a)(8)Individual #1 is prescribed Naproxen Tab 500mg. The March 2022 Medication Administration Record does not include the route of administration.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Route of administration.The provider is actively searching for an LPN/RN who will be responsible for monitoring of all medication and medical administration records. The hiring process is expected to be completed by 5/15/22. The LPN/RN will verify that all medications include the route of administration by completing a weekly monitoring of medication and medical administration records for each home. If a medication does not have the route of administration, the LPN/RN will contact the pharmacy to provide the route of administration. Until the LPN/RN position if filled, the Lead Supervisors will be responsible for monitoring all medication and medical administration records. 05/30/2022 Not Implemented
6400.166(a)(9)Individual #1 is prescribed Naproxen Tab 500mg. The March 2022 Medication Administration Record does not include the frequency of administration.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Frequency of administration.The provider is actively searching for an LPN/RN who will be responsible for monitoring of all medication and medical administration records. The hiring process is expected to be completed by 5/15/22. The LPN/RN will verify that all medications include the frequency of administration by completing a weekly monitoring of medication and medical administration records for each home. If a medication does not have the frequency of administration, the LPN/RN will contact the pharmacy to provide the frequency of administration. Until the LPN/RN position if filled, the Lead Supervisors will be responsible for monitoring all medication and medical administration records. 05/30/2022 Not Implemented
6400.166(a)(11)Individual #1 is prescribed Naproxen Tab 500mg. The March 2022 Medication Administration Record does not include the diagnosis or purpose of the medication.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.The provider is actively searching for an LPN/RN who will be responsible for monitoring of all medication and medical administration records. The hiring process is expected to be completed by 5/15/22. The LPN/RN will verify that all medications include the diagnosis or purpose of the medication. If a medication does not have the diagnosis or purpose of the medication, the LPN/RN will contact the pharmacy to provide the diagnosis or purpose of the medication. Until the LPN/RN position if filled, the Lead Supervisors will be responsible for monitoring all medication and medical administration records. 05/30/2022 Not Implemented
6400.166(c)Individual #1 refused prescribed medication, Sucralfate, from March 16, 2022 through March 19, 2022 at 8:00AM and March 16, 2022 through March 24, 2022 at 8:00PM. The provider does not have documentation of the providers notification of the individual's refusal to take the medication and the prescriber's response.If an individual refuses to take a prescribed medication, the refusal shall be documented on the medication record. The refusal shall be reported to the prescriber as directed by the prescriber or if there is harm to the individual.By 4/27/22 All ACHC staff who administer medications will receive training that will cover refusal of medication. The training will include how to document the refusal on the medication record and how to document the report to the prescriber. The report to the prescriber will require an e-mail. The sent e-mail will serve as documentation of the requirement to notify the prescriber of the refusal or if there is harm to the individual. Until the LPN/RN position if filled, the Lead Supervisors will be responsible for monitoring all medication and medical administration records. 05/30/2022 Not Implemented
6400.167(a)(1)Sucralfate prescribed to Individual #1 was not administered on 3/22/2022 and 3/23/2022 at 8:00PM.Medication errors include the following: Failure to administer a medication.The provider is actively searching for an LPN/RN who will be responsible for weekly monitoring of all medication and medical administration records. The hiring process is expected to be completed by 5/15/22. The LPN/RN will verify that all medications have been administered and documented. Any incident of failure to administer medication will be reported in the EIM system within 24 hours and corrective action will be developed and issued. Until the LPN/RN position if filled, the Lead Supervisors will be responsible for monitoring all medication and medical administration records. 05/30/2022 Not Implemented
6400.167(c)Individual #1 was not administered a prescribed medication on 3/22/2022 and 3/23/2022. This medication error was not reported in the Enterprise Incident Management system as of 3/25/2022 at 4:00PM.A medication error shall be reported as an incident as specified in § 6400.18(b) (relating to incident report and investigation).The medication error was reported in the Enterprise Management System on March 25, 2022, after discovery. 03/25/2022 Not Implemented
SIN-00171313 Renewal 02/24/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.171There was an unsealed bag of frozen shrimp in the freezer in the kitchen of the home.Food shall be protected from contamination while being stored, prepared, transported and served. (1) Description - There was an unsealed bag of frozen shrimp in the freezer in the kitchen of the home. (2) Correction Required -- Food Shall be protected from contamination while being stored, prepared, transported, and served. (3) Allegheny Community Home Care Program Manager will ensure all food shall be protected from contamination while being stored, prepared, transported, and served. (4) Program Manager will retrain each house supervisor on food safety. (5) The House Supervisor will retain each DSP on food safety. (6) Program Manager will complete weekly site audit to track compliance. (7) CEO will complete random site audit to ensure compliance. TARGET DATE ¿ 02/24/2020 COMPLETED DATE ¿ On 2/24/20 the CEO placed the open shrimp bag in a Ziplock bag. On 2/24/20, the Program Manager checked all sites to ensure no other open food was improperly stored and not labeled. [Food safety training for all staff was completed by 2/28/20 and will continue at least annually and upon hire. (AES,HSLS on 3/6/20)] 02/24/2018 Implemented
SIN-00151855 Renewal 03/13/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(6)Individual #1 had Tuberculin skin testing completed on 2/19/17. Individual #1 had a Tuberculin skin testing placed on 2/15/19; however, the result of the test was not read.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. 1. Tuberculin skin testing by Mantoux method with negative results every 2 years. If skin test is positive, an initial chest x-ray with results noted. Future chest x-rays will be obtained as recommended by a physician. The Program Manager will accompany the clients to each annual exam to ensure they receive their TB test, when necessary. Once completed, the results will be submitted to the CEO for final approval prior to filing. This change was effective 3/16/19. The CEO provided the management team training on 3/18/19. [Individual #1 had a TB test with completed while admitted to the hospital. Agency nurse read the TB test with negative results on May 18th, 2019. CEO reviewed all individuals current physical examinations to ensure all required information was included on 3/18/19. (AES,HSLS on 6/12/19)] 03/18/2019 Implemented
6400.168(d)Direct Service Worker #1, date of hire 11/18/18, who administers medications to the individuals in the home completed the initial Medication Administration Course on 12/20/17; however, the annual Medication Administration Course Practicum was not completed.A staff person who administers prescription medications and insulin injections to an individual shall complete and pass the Medications Administration Course Practicum annually. 90 Day Training Procedures: Within 90 days of initial employment, each employee shall receive training, intended to build additional competencies, to secure necessary position-related certifications, and to comply with all applicable service-delivery regulations and requirements. These include, but are not limited to: 1. Staff Mentor "In House" Training, 2. Medication Administration Certification: ¿ No employee will be permitted to administer medications until they have successfully completed the Medication Administration Training and Practicum in line with the curriculum. ¿ The Medication Administration Practicum must be completed annually. ¿ Other agencies medication training will not be accepted. Staff will receive 16 hours of onsite training through Allegheny Community Home Care. The CEO designated the Program Manager to ensure staff are appropriately certified in medication training. This change is effective 3/16/19. The CEO and/or their designee will review the employees training record and sign off on it prior to the staff working with an individual. The CEO provided the management team training on 3/18/19. [DSW #1 was retrained in medication administration by agency's certified medication trainer on 3/21/19. CEO reviewed all staff person's medication training documentation to ensure all staff persons who administer medication are certified to administer medication. (AES, HSLS on 6/12/19)] 03/18/2019 Implemented
6400.186(a)The program specialist completed the ISP review for Individual #1 for the review period of 11/1/18 to 1/31/19 on 2/26/19. The program specialist completed the ISP review for Individual #1 for the review period of 5/1/18 to 7/31/18 on 8/28/18.The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. 1. A Quarterly Outcome Review shall be completed every three months and will provide a review of the individual's status, financial, medical information, and a review of services. The Quarterly Review must be reviewed and signed by the individual and Program Specialist within 15 days of the completion of the review. a. The Outcome Review and the Quarterly Review shall be compiled and written by the Program Specialist or another qualified program specialist. b. Monthly reviews shall consist of a thorough review of the daily ISP training records that have been maintained by direct staff for that month. c. Monthly and Quarterly reviews are to be submitted to the CEO for review on or by the eighth of each month following the month of actual implementation. d. Copies of the individual's reviews shall be submitted to the assigned Supports Coordinator for review and approval. e. As with other records, the monthly and quarterly reviews shall be maintained on file for a period of five (5) years. f. CEO provided 1.0 hours of training to the Program Specialist to ensure continuous compliance. The CEO made immediate changes to the agency¿s policy on 3/15/19. The Program Specialist will meet with the individual to review the quarterly documents by the 15th of the month to ensure PS and individual sign and date. The CEO, or their designee will review all quarterly paperwork before the 12th of the month. 03/16/2018 Implemented
SIN-00111817 Renewal 03/24/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.213(1)(i)The record for Individual #1 did not include color of hair, color of eyes and the religious affiliation. Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph.ACHC will ensure all individuals served will have a face sheet completed upon admission. The information it will contain is the following: Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph. The CEO, Tonja Smith will ensure that the face sheet is completed moving forward within 5 days of admission. The house supervisor will complete the admission face sheet, and the CEO will review and make any appropriate corrections within 48 hours after submission. After approval, the face sheet will be placed in the individuals file by the CEO. On March 27th, the CEO conducted onsite training with each house supervisor to explain the current infraction, and how the agency has implemented checks and balances to assure accuracy according to the regulations. ACHC has completed a new face sheet for everyone we serve, and has submitted a copy to licensing for verification. .[The record for Individual #1 was update to include color of hair, identify marks and religious affiliation. (AS 5/9/17)] 05/05/2017 Implemented
SIN-00214319 Renewal 11/03/2022 Compliant - Finalized
SIN-00186728 Renewal 04/13/2021 Compliant - Finalized
SIN-00131411 Renewal 03/16/2018 Compliant - Finalized