Inspection ID

Reason for Inspection

Inspection Date

Inspection Status

SIN-00235698

Renewal

12/12/2023

Compliant - Finalized

Regulation	LIS Non-Compliance Area	Correction Required	Plans of Correction	Correction Date	POC Status
6400.112(c)	The fire drill conducted on 5/15/23 did not include whether the fire alarm or smoke detector was operable.	A written fire drill record shall be kept of the 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.	The staff member responsible for not completing all aspects of the fire drill correctly was retrained by our Fire Safety Trainer on 12/18/2023. Additionally, all staff were retrained 12/26/2023 on the importance of completing fire drills with fidelity and trained on the new Fire Drill Form.	12/26/2023	Implemented

SIN-00216040

Renewal

12/12/2022

Compliant - Finalized

Regulation	LIS Non-Compliance Area	Correction Required	Plans of Correction	Correction Date	POC Status
6400.68(b)	At time of inspection the water temperature in the upstairs bathroom was 124.4. Hot water may not exceed 120.	Hot water temperatures in bathtubs and showers may not exceed 120°F.	BroMack adjusted the water temp while the inspector was onsite. We have since tested the temp and the temp is now 112 degrees. We have video evidence to provide. We test water temps every week at each of our residences and our documentation shows that we were in compliance. However, it was discovered that our method of testing at Oak Terrace was the cause of our inaccurate readings. The Supervisor there was testing the water in a cup rather than under a running stream. This was allowing heat to escape and give an inaccurate reading. We will host a training to review appropriate process.	12/22/2022	Implemented

SIN-00201082

Renewal

03/11/2022

Compliant - Finalized