Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00234012 Renewal 10/17/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(a)Direct Services Worker #1, date of hire 8/8/22, had a physical examination completed on 8/10/22. 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. The provider will change its onboarding process to allow new hires to complete their physical prior to orientation 12/31/2023 Implemented
SIN-00213186 Unannounced Monitoring 09/20/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)At 10:22AM a spray bottle of Clorox Clean-up Disinfectant Cleaner with Bleach, with instructions to contact Poison Control if ingested, was under the sink in the second floor bathroom. Individual #1's Individual Service Plan, dated 6/15/2022, states, "[Individual #1] REQUIRES VERBAL ASSISTANCE AND TOTAL PHYSICAL ASSISTANCE REGARDING THE STORING AND HANDLING OF POISONOUS OR DANGEROUS SUBSTANCES. [Individual #1] DOES NOT KNOW HOW TO CONTROL HIS IMPULSES TO SMELL OR TASTE THESE SUBSTANCES. STAFF NEED ONLY TO MONITOR, VERBALLY PROMPT, AND PHYSICALLY REMOVE THE ITEMS IF HE COMES CLOSE TO THEM."Poisonous materials shall be kept locked or made inaccessible to individuals. Lead supervisor locked up all poisonous materials immediately after survey. All staff were verbally educated on-site immediately after survey. 12/31/2022 Implemented
6400.72(b)There is not a screen in the window next to the closet in Individual #2's bedroom and the window does not close securely. [Repeat Violation, 6/3/2022, 8/5/2022] Screens, windows and doors shall be in good repair. Maintenance repair order was placed to provide a proper screen. The screen has been placed and is currently correctly installed. 11/01/2022 Implemented
6400.214(b)The most current copies of Individual #1's record information required in § 6400.213(2)-(8) were not present in the home.The most current copies of record information required in § 6400.213(2)¿(8) shall be kept at the residential home.The provider will ensure that all homes have the individuals¿ most current copies of record information required to be kept in the residential homes. The provider will work closely with the lead supervisors, program specialist, and other designated staff to ensure that each individuals¿ record information remains current with required documents. 10/31/2022 Implemented
6400.163(d)The first aid kit that is stored in the unlocked cabinet in the kitchen of the home contained packets of Ibuprofen, Aspirin, Diphenhydramine and Acetaminophen. [Repeat Violation, 6/3/2022]Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.Lead supervisor immediately removed all medications from the first aid kit. All staff were educated verbally on-site immediately after survey. All of houses¿ first aid kits were also immediately inspected for any medications that should be kept in an area or container that is locked. Staff will check at the beginning and end of each shift to ensure all medications are in a locked container. 10/31/2022 Implemented
SIN-00186732 Renewal 04/13/2021 Compliant - Finalized