Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00228359 Renewal 07/05/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)Drills from 6/1/23, 5/3/23, 10/10/22, 9/13/22, 8/8/22 do not indicate smoke detectors were used and their operative status was not tracked. The forms indicate shouting "Fire! Fire!" or similar was used during these drills instead of an alarm.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. The Fire Drill form has been updated to reflect that the smoke detector was operable at the time of the drill. There is now a direct question asking if the smoke detector is operable. 07/12/2023 Implemented
6400.151(b)The physical exam for staff member #1 is incomplete, it does not include physician's signature. The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or licensed physician's assistant. Patient First faxed a completed copy of the entire physical form to our office. A copy will be emailed to you. 07/05/2023 Implemented
6400.151(c)(3)The physical exam for staff member#1 did not include if the staff member is free of communicable disease. The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. Patient First faxed the entire physical to the office. Human Resources also had the form confirming the TB shot and it's results. Copies will be emailed to you. 07/05/2023 Implemented
6400.151(c)(4)The physical exam for staff member#1 was incomplete, it does not include medical problems which might interfere with the health of individuals.The physical examination shall include: Information of medical problems which might interfere with the health of the individuals.on July 5, 2023 Patient First faxed over the entire physical form. A copy will be emailed to you. 07/05/2023 Implemented
SIN-00207661 Renewal 07/07/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)There was grease and burnt food build up on the oven door to such a degree that warrants cleaningClean and sanitary conditions shall be maintained in the home. The oven was cleaned during the overnight shift on July 8, 2022. It was done again on, July 9, 2022 using an odorless oven cleaner as the fist cleaning was not thorough. 07/08/2022 Implemented
6400.112(c)The fire drill dated June 14 2022 did not indicated the amount of time it took to evacuate,. The fire drill dated April 13, 2022 did not indicate AM or PM but was able to determine individuals were asleepA written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. We can't go back to correct this error. The fire drill for July was done timely and the fire drill form was completed entirely. 07/15/2022 Implemented
SIN-00168482 Renewal 12/17/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(3)Up to date immunizations were not found in individual #1's record. Verification of the DTAP immunization was missing from record and most recent physical examination left field blank.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. We have requested copies of this person's immunization. He has a physical due in February where we will get this test done if there is no record of it with his PCP. 02/14/2020 Implemented
6400.141(c)(10)Communicable diseases precautions were not noted on admission physical exam completed on 2/1/19 for individual #1.The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. This information will now be part of the new admission checklist to ensure individual is free from communicable disease.We have requested the immunization records. Our physical form has been updated to include this question 12/31/19. 02/14/2020 Implemented
6400.168(d)Staff 1 did not have an updated annual medication practicum in the year 2019 and actively administers medications. (expired 4/2019). Staff member is a certified trainer but the practicum to administer was expired .A staff person who administers prescription medications and insulin injections to an individual shall complete and pass the Medications Administration Course Practicum annually. Staff is retaking the online medication administration followed by the face-to-face training. Staff will continue to train and observe but will NOT administer medication until the medication training is complete. 12/17/2019 Implemented
6400.181(d)The program specialist did not sign and date the assessment print dated on 3/23/19 for individual #1.The program specialist shall sign and date the assessment at the time the assessment is completed. Signatures also will be part of the annual binder checklist to ensure completion.The Program Specialist will sign immediately and file in the corresponding binder immediately after reviewing with individual. 12/20/2019 Implemented
6400.34(a)Individual #1's record did not contained a signed copy of individual rights or verification that they have been explained to the individual.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. An annual binder checklist has been developed along with annual self audits to ensure completion.Program Specialist will file the completed form immediately in the corresponding person's binder. 01/01/2020 Implemented
SIN-00190312 Renewal 07/08/2021 Compliant - Finalized
SIN-00144129 Renewal 10/25/2018 Compliant - Finalized