Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00233741 Renewal 10/31/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.182(c)Individual #1's annual assessment, dated 2/22/2023, instructs that he able to swim independently. Individual #1's Individual Service Plan, dated 7/20/2023, reads, "[Individual #1] should be supervised for general safety around bodies of water. He states that he enjoys being in shallow bodies of water but should be supervised to ensure safety. [Individual #1] should swim with a certified life guard present." [Repeat Violation, 3/29/2023]The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.1. A date/comment section was improved on the annual skills assessment to record exact time changes and addendums to make clear when changes occurred. This was done on 11/5/2023. 2. On 11/6/23, the program specialist was re-trained on ISP documentation. The discussion included, when and how to update client annual assessments and other changes within the ISP. 3. On 11/6/23, the residential supervisors were trained on the proper steps to get a consumer¿s ISP updated. Residential supervisors must document pertinent information. This information must be brought to the consumer, service coordinator, and program specialist¿s attention for any updates in review to be made to the ISP. 11/12/2023 Implemented
SIN-00230364 Unannounced Monitoring 08/30/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)At 10:33AM, a one-inch by a half-inch shard of glass was on a rug in the bathroom on the second floor of the home.Floors, walls, ceilings and other surfaces shall be in good repair. The one inch by a half-inch shard of glass that was found on a rug in the bathroom on the second floor of the home was removed and disposed of immediately after observation. 09/12/2023 Implemented
6400.72(b)The screen on the right side of Individual #1's bedroom had multiple holes. The screen on the right side of Individual #2's bedroom had two, one-inch-long holes. [Repeat Violation, 3/29/2023] Screens, windows and doors shall be in good repair. Window screens in Individual #1's and Individual #2's bedrooms were replaced with brand new screens. All window screens were replaced by Tucker Family Supports maintenance crew on August 30th, 2023 between the times of 12pm-2pm. 09/19/2023 Implemented
6400.76(a)At 10:54AM, the chair at the table in the dining room of the home was unsturdy and wobbles back and forth when in use. Furniture and equipment shall be nonhazardous, clean and sturdy. The chair in the dining room was replaced with a brand-new sturdy chair. The chair was replaced on 9/5/23 at 10am. The replacement was done by Tucker Family Supports maintenance. 09/18/2023 Implemented
6400.101At 10:18AM, there was a padlock and a latch lock on the door leading to the staff office in the basement of the home. [Repeat Violation, 3/29/2023]Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. Tucker Family Supports maintenance removed the padlock on the door and installed a push button passcode doorknob. This will not allow a person to get locked inside the room. This was remediated on August 31st, 2023, at 12:00pm. 09/18/2023 Implemented
6400.111(c)At 10:05AM, the fire extinguisher located in the kitchen of the home did not have a minimum 2A-10BC rating. A fire extinguisher with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a). Tucker Family Supports maintenance replaced the fire extinguisher in the kitchen with a minimum 2A-10BC rating in the kitchen. This was remediated on August 31st. 09/18/2023 Implemented
6400.163(a)At 10:10AM, in a cabinet in the staff office in the basement of the home, there were three medication tablets in a plastic storage bag along with labeled medication in bottles belonging to Individual #1 and a medication tablet was in a plastic storage bag with "Fluoxetine 8AM" hand-written on it.Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.All medication tablets found in a plastic storage bag along with labeled medication in bottles belonging to Individual #1 and a medication tablet was in a plastic storage bag with "Fluoxetine 8AM" hand-written on it were sent back to the pharmacy for disposal. This was remediated on 8/30/23. 09/18/2023 Implemented
6400.163(h)At 10:10AM, Individual #1's prescribed medication, Hydroxyzine with an expiration date of 4/12/2023, was in a cabinet in the staff office.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.All expired and discontinued medications were destroyed in a safe manner according to applicable Federal and State statutes and regulations. This was remediated on 8/30/23. 09/18/2023 Implemented
SIN-00221738 Renewal 03/28/2023 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(f)The front door was used as exit route for monthly fire drills from 4/1/2022 to 3/1/2023. The home has two exits.Alternate exit routes shall be used during fire drills. Supervisors and staff will be retrained on fire drill/safety documentation to state 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. 04/07/2023 Not Implemented
6400.15(b)The agency completed a self-assessment of the home on 2/28/2023; however, the agency did not use the Department's most current licensing inspection instrument (reflecting regulatory changes promulgated in February 2020) to measure and record compliance for this chapter.(b) The agency shall use the Department's licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance.TFS administration and supervisors retrieved the department's most current licensing inspection instrument on 4/7/23. 04/24/2023 Implemented
SIN-00203762 Renewal 04/18/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At approximately 11:22 AM, the water temperature measured 125.0 degrees Fahrenheit at the 2nd floor shower and bathroom sink. At approximately 11:26 AM, the water temperature measured 125.0 degrees Fahrenheit at the kitchen sink. Hot water temperatures in bathtubs and showers may not exceed 120°F. The water was tested before any adjustments to the water heater. The water heaters temperature was reduced to 119F. The supervisor then turned on the water in the bathroom and kitchen sink and let it run until it's fully hot. The water tested 118F. The water was tested 3 times to get an accurate reading. [Documentation of daily water temperature measurements received on 5/18/22 and reviewed on 5/20/22. Training for staff, dated 4/20/22, received 5/18/22 and reviewed 5/20/22. DPOC by HSKP, HSLS, on 5/20/22]. 05/03/2022 Implemented
6400.73(a)The 3 concrete steps leading from the sidewalk and the 4 concrete steps leading to the front entrance of the home did not have a handrail. The 3 steps at the rear exit leading from the kitchen did not have a handrail. The 6 interior steps at the top of the staircase leading to the 2nd floor of the home did not have a handrail. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. A handrail was attached leading from the 3 concrete steps to the sidewalk. A handrail was attached to the wall leading from the 4 concrete steps leading from the front entrance of the home. A handrail was attached to the wall leading from the 6 interior steps at the top of the staircase leading to the 2nd floor of the home. [Two pictures showing installed handrails, as indicated above, were received on 5/18/22 and reviewed on 5/20/22. Weekly reviews of physical site, to include handrails, received on 5/18/22 and reviewed on 5/20/22. DPOC by HDKP, HSLS, on 5/20/22]. 05/04/2022 Implemented
6400.111(a)The fire extinguishers in the basement, on the 1st floor in the kitchen, and in the 2nd floor hallway of the home had a 1A rating.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. Fire extinguishers were replaced with a minimum 2-A rating. The violation was fully corrected. [Three pictures showing fire extinguishers installed were received on 5/18/22 and reviewed on 5/20/22. Receipt showing purchase of 4 fire extinguishers, dated 5/4/22, received 5/18/22 and reviewed on 5/20/22. DPOC by HDKP, HSLS, on 5/20/22]. 05/06/2022 Implemented