Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00229170 Renewal 08/07/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.70On 8/8/2023 the home did not have operable, noncoin-operated telephone with an outside line.A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons. This site has an operable telephone that is easily accessible to individuals and staff persons. [Additional information provided by the agency via email on 10/24/23: Telephone service was restored to the location on or about 8/16/23. Random calls to the service location are occurring on different days of the week, including weekend, on a monthly basis by the Chief Operating Officer or Director of Facilities. DPOC by HDKP, HSLS, on 11/1/2023]. 08/09/2023 Implemented
SIN-00194379 Renewal 09/28/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66On 9/29/21 the attic had an inoperable light. The attic is accessible to individuals.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. An operable light has been installed. 09/30/2021 Implemented
6400.81(k)(6)On 9/29/21, Individual #1's bedroom did not contain a mirror.In bedrooms, each individual shall have the following: A mirror. A mirror was installed in the individuals bedroom. 09/30/2021 Implemented
6400.110(a)The accessible attic, which includes a set of pull-down stairs, did not have a smoke detector. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. An operable light has been installed. 09/30/2021 Implemented
6400.111(a)On 9/29/21, the attic did not have a fire extinguisher present. The attic is accessible to individuals.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. A fire extinguisher was placed in the attic. 09/30/2021 Implemented
6400.166(a)(11)The September 2021 Medication Administration Record for Individual #1 does not indicate the diagnosis or purpose for prescribed medications, including, but not limited to: Benztropine Tab 1 mg with instructions take 1 tablet by mouth every night at bedtime; Bupropion Tab 200 MG SR with instructions take 1 tablet by mouth every morning; Haloperidol Tab 10 mg with instructions take 1 tablet by mouth every night at bedtime; Haloperidol Tab 5 mg with instructions take ½ tablet (2.5 MG) by mouth every morning; Levothyroxin Tab 25 mcg with instructions take 1 tablet by mouth daily before breakfast.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.Diagnosis and purpose are written on the MAR. 10/01/2021 Implemented
SIN-00179084 Renewal 10/20/2020 Compliant - Finalized