Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00229167 Renewal 08/07/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(7)Individual #1, date of admission 7-10-23, does not have documentation of a gynecological examination, including a breast examination and Pap test. Individual #1 is 18 years of age or older.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. We have made Indiviudal an appointment to see their gynecologist which is on 9/26/23. At this appointment, we will get the doctor's recommendation in writing for the pap smear for our records. [Additional information provided by the agency via email on 10/24/23: Training on the regulation has occurred, but no date or documentation was provided. Monthly reviews of the appointment tracker by the Program Specialist and Director will be maintained. DPOC by HDKP, HSLS, on 11/1/2023]. 09/08/2023 Implemented
SIN-00210785 Renewal 08/30/2022 Compliant - Finalized
SIN-00190320 Unannounced Monitoring 07/15/2021 Compliant - Finalized
SIN-00179079 Renewal 10/20/2020 Compliant - Finalized
SIN-00159825 Initial review 07/22/2019 Compliant - Finalized