Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00232184 Renewal 08/31/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)The water temperature in the tub in the main bathroom was 123.4F Hot water temperatures in bathtubs and showers may not exceed 120°F. 1. The thermostat on the hot water heater was turned down and the new reading taken at the main bathroom was 107.4. Attachment 1 11/02/2023 Implemented
6400.112(e)There were no overnight fire drills conducted at this site from September of 2022 -- April 19, 2023.A fire drill shall be held during sleeping hours at least every 6 months. 1. It is the responsibility of the Program Supervisor and Program Director to ensure that sleep drills are conducted every 6 months. 11/02/2023 Implemented
SIN-00212023 Renewal 09/15/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)Individual #9 bedroom had a damaged window, the right window facing the wooded area with a broken valence.Floors, walls, ceilings and other surfaces shall be in good repair. 1. The agency contractor went to the home and repaired the window. 12/09/2022 Implemented
6400.144Individual #9 prescribed Prevident 5000+ to be applied to a toothbrush twice daily was not located on site at the time of inspection.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. 1. This was corrected the day of inspection; the agency nurse contacted the pharmacy to have the Prevident 5000+ delivered to the home. 12/09/2022 Implemented
6400.163(h)Ibuprofen 600mg tablets prescribed to Ind. #9 to be taken as needed located in the medication box were expired as 6/21/22.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.1. The Area Director contacted the PCP and obtained a discontinue script. 12/09/2022 Implemented
SIN-00192305 Initial review 09/02/2021 Compliant - Finalized