Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00204464 Renewal 05/03/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The expiration date of the certificate of compliance was 3/4/2022. The self assessments provided were on dates of 3/21/22 and 8/15/20 which are not in compliance with the regulatory time frame.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. The regulation is essential in always keeping the homes safe and sanitary and in good condition. The assessment was done but not within the regulatory guidelines or timeframe. The program specialist has been retained by the supervisor and will ensure all regulations are implemented fully. Corrected on 05/09/2022 05/09/2022 Implemented
SIN-00186534 Renewal 04/13/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(14)The assessment does include that individual is safe with water in the shower and able to adjust himself, however there is no area which clearly shows the ability to swim.The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. Assessment regulation is important for other supporting team members to know how to support the individuals and give people idea on the individual¿s capability of what they can or can not do. The individual knowledge of water temperature and ability to swim was not accessed. The program specialist felt the individual has recently moved in and he did not have the opportunity to know him. As for the water temperature not being included was documentation error 04/28/2021 Implemented
6400.32(r)(5)Individual #1 had a lock on the bedroom door that required a tool to open. There were no unlocking devices in the home. Staff were using coins.Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door.The regulation is important because it is the right of the individuals to have privacy in their room. Maintenance used an unauthorized pin hole lock. Maintenance did not understand the regulation about the lock. ((door knob was replaced with regular key lock knob -CH 5/27/21)) 04/27/2021 Implemented
SIN-00221319 Renewal 03/06/2023 Compliant - Finalized