Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00204453 Renewal 04/26/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)The screen in Individual #2's bedroom window is approximately two inches shorter than the size of the window.Windows, including windows in doors, shall be securely screened when windows or doors are open. New Screen was installed in window 5/1/2022. Screen fits frame securely. 05/01/2022 Implemented
6400.101There is a turn lock on the basement side of the door leading to the garage that would prevent egress from the garage when engaged. The garage does not have a man door.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. Provider removed previous doorknob and replaced with a non-locking doorknob 4/29/2022. 04/29/2022 Implemented
6400.166(a)(4)Individual #1's April 2022 Medication Administration Record states, "Albuterol HFA 90MCG INH. The medication label states, "Proair HFA 108MCG."A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of medication.Medication Administration Record was corrected 4/29/2022 to match the medication label. Team Lead and Program Supervisor checked MAR to ensure that all medications matched labels. 04/29/2022 Implemented
6400.166(a)(5)Individual #1's April 2022 Medication Administration Record states, "Acetaminophen 650MG Arthritis Tab take two tablets (1,300MG) by mouth every eight hours as needed." The medication label states, "Acetaminophen 500MG Tablets take two tablets by mouth three times a day."A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Strength of medication.On 4/29/2020, Primary Care Physician was contacted to ensure that orders were up to date and clarify . Medication Administration Record was corrected by Program Supervisor on 4/29/2022 to match the correct medication label. 04/29/2020 Implemented
6400.166(a)(11)Individual #1's April 2022 Medication Administration Record does not include the purpose or diagnosis for Melatonin.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.Medication Record was corrected by Team Lead on 04/29/2020 to include purpose for Melatonin. Program Supervisor reviewed the record on 04/29/2020 to ensure accuracy. 04/29/2020 Implemented
SIN-00187409 Renewal 05/06/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.32(d)The Office of Developmental Programs requires that staff who provide direct services wear a mask that covers the nose and mouth during the entirety of service provision. None of the staff persons were wearing masks while the individual(s) were present in the home on May 7, 2021. Failure to wear masks is undignified and disrespectful in that it creates a risk of transmitting the COVID-19 virus from staff to individuals.An individual shall be treated with dignity and respect.Provider will ensure that all staff working within individual homes are wearing masks at all times. Program Supervisor will provide retraining to all staff via email bulletin and ensure compliance through weekly unannounced in-person checks at all homes. 05/21/2021 Implemented
SIN-00171337 Renewal 02/06/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(d)Benztropine 0.5 mg, take 1 tablet by mouth twice daily, prescribed for Individual #1 was not administered at 8:00AM on 2/4/2020.The directions of the prescriber shall be followed.Program Specialist has developed a weekly/monthly checklist for all 8a-4p house staff. This checklist includes a weekly check of medication to assess the following: amount of medication left in bubble pack and number of refills. Staff will report anytime there is less than 7 days worth of medication by contacting the pharmacist at Genoa Pharmacy via email and including Program Specialist. If there are no refills on a medication with less than 7 days, staff will immediately contact the prescribing doctor to request necessary refills. All AMP Home Care staff received medication refresher training in February/March to address/correct common problem areas relating to medication administration. This included how to properly read medication labels, assess when refills are needed and who to contact. [Documentation of aforementioned trainings shall be kept. At least monthly, a designated staff person certified to administer medications, shall audit all individuals' medications, physician's orders and medication administration record to ensure all individuals are administered medications as prescribed and documented as required. (DPOC by AES,HSLS on 3/20/20)] 03/16/2020 Implemented
SIN-00150844 Renewal 02/26/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.70The home did not have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons. AMP Home Care has installed a landline in the home. The following emergency numbers are posted next to the phone- Fire, Ambulance, Police, Nearest Hospital and Poison Control. A photo will be attached to this plan of correction. Moving forward, AMP Home Care will ensure that all homes are compliant with chapter 6400.70 and have a non-coin operated telephone that is easily accessible to individuals and staff. Program Director will monitor compliance through utilization of new-site assessment tool and ongoing compliance through weekly house visits. educate the Program Director that when completing documentation and attesting that completion is 03/04/2019 Implemented
6400.83(a)The home did not have a refrigerator or cooking equipment. A home shall have a kitchen area with a refrigerator, sink, cooking equipment and cabinets for storage. AMP Home Care has purchased and installed a refrigerator and stove at the location. A photo of these items will be attached to this plan of correction. Moving forward in accordance with chapter 6400. 83 (a) AMP Home Care will ensure that each home has a kitchen area with a refrigerator, sink, cooking equipment and cabinets for storage. Program Director will monitor compliance through completion of new site assessments and will monitor on-going compliance through weekly house visits of existing sites. 03/04/2019 Implemented
6400.110(e)The home, which has three stories including the basement, did not have smoke detector that were interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. On 3/4/19, AMP Home Care has purchased and installed 3 interconnected smoke detectors in the following locations : 1 detector in the basement, 1 detector on the main floor near the kitchen area and 1 detector in the basement. A photo of each detector will be attached to this plan of correction. Moving forward, in accordance with chapter 6400. 110 (e) any AMP Home Care dwelling with three stories will have interconnected smoke detectors on each floor. AMP homecare will monitor all detectors monthly through unannounced fire and safety checks. Program Director will ensure compliance with this regulation and monitoring moving forward. This will be documented on the self-assessment checklist utilized to assess new homes and though records of monthly fire and safety checks. 03/04/2019 Implemented