Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00240575 Renewal 03/12/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(c)Coliform water test was completed on 6/5/2023, then not again until 9/11/2023. This exceeds the 3-month time frame.A home that is not connected to a public water system shall have a coliform water test by a Department of Environmental Resources¿ certified laboratory stating that the water is safe for drinking purposes at least every 3 months. Written certification of the water test shall be kept.i. Plan to correct immediate problem 1. Who? a. Jennifer Dones, Compliance Officer 2. What will be corrected? a. Tracking of Well-water testing to ensure that well-water testing sampling is done within regulatory requirements. 3. When and How? a. This will be tracked quarterly on a spreadsheet and spreadsheet was created on 3-15-24. 03/25/2024 Implemented
6400.108(b)At the time of the inspection, there was found to be a wood burning stove located in the basement. The wood stove had ashes and a piece of paper balled up in it. The wood burning fireplace is not currently being cleaned/inspected.Wood and coal burning stoves, including chimneys and flues, shall be cleaned at least every year if used more frequently than once per week during the winter season. Written documentation of the cleaning shall be kept.i. Plan to correct immediate problem 1. Who? a. Matthew Williams, Operations Manager b. Derek Shive, Executive Director 2. What will be corrected? a. Wood burning stove was cleaned out although not in use. b. Sign put up at wood burning stove as well as fireplace upstairs that neither is in use. c. Letter put in fire drill book to confirm this information and signed and dated. 3. When and How? a. Cleaning of Wood Burning Stove was completed by direct care staff on 3.13.2024 b. Signs placed into home on 3.13.2024 by Operations Manager c. Letter placed into fire drill book on 3.13.2024 by Operations Manager 03/25/2024 Implemented