Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00264767 Renewal 04/22/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.62At 12:39 PM, there were two microwaves in the lunch area directly off the vocational area of the facility. Both microwave's interiors contained an inordinate amount of food splatters and food remnants.Sanitary conditions shall be maintained in bathrooms, kitchens, dining areas and first aid areas.The two microwaves were cleaned on 4/23/25. Pictures are available as indicating as such. 04/24/2025 Implemented
SIN-00204867 Renewal 05/10/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.151(e)(6)Individual #1's 10/2/21 annual assessment did not address the ability to safely use or avoid poisonous materials. Individual #3's 5/5/22 annual assessment did not address the ability to use or avoid poisonous materials. The assessment must include the following information: The client's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials.Program Speciailist, has reviewed all individuals files for compliance and updated as necessary. These reviews occured on 5/12 & 5/13. Individual #1 and individual #3 updates will be forwarded. 05/16/2022 Implemented
2390.151(e)(7)Individual #4's 12/13/21 annual assessment did not address the ability to identify and avoid dangerous heat sources.The assessment must include the following information: The client's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated.Program Speciailist, has reviewed all individuals files for compliance and updated as necessary. These reviews occured on 5/12 & 5/13. Individual #4 updates will be forwarded. 05/16/2022 Implemented
2390.21(u)Individual #2, date of admission is 5/16/11 was informed and explained their individual rights on 10/31/21. There is no other record of Individual #2 being informed and explained individual rights.The facility shall inform and explain client rights and the process to report a rights violation to the individual, and persons designated by the client, upon admission to the facility and annually thereafter.Program Speciailist, has reviewed all individuals files for compliance and updated as necessary. These reviews occured on 5/12 & 5/13. Since this individual started 5/16/11 we will review their Individual rights on 5/16/22 and use that as their annual review date moving forward. Individual #2 updates will be forwarded. 05/16/2022 Implemented
SIN-00087659 Renewal 12/14/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.124(1)The record for Individual #1 and Individual #2 did not include the birthplace. Each client's record must include the following information: The name, sex, admission date, birthdate and place, social security number and dates of entry, transfer and discharge.The birthplace will be obtained and placed in the respective individuals file. The Program Specialist will make sure this information that is required in the clients record will be obtained prior to the person starting services.[Individual #1 and Individual #2 records were updated to include birthplace. Immediately, program specialist will review all individuals' records to ensure required personal information including birthplace is present and will obtain missing information immediately. CEO will review all new admission information for the next 5 new admissions to ensure the program specialist has obtained the required information including birthplace. At least quarterly, PS will complete record reviews to ensure all required information including birthplace is present and will immediately obtain missing information. Documentation of reviews shall be kept. (AS 3/7/16)] 01/24/2016 Implemented
2390.156(e)The Program Specialist #1 did not not notify plan team members for Individual #1 and Individual #3 of the option to decline the ISP review documentation. The program specialist shall notify the plan team members of the option to decline the ISP review documentation.The Program Specialist will add plan team members on the option to decline the ISP review documentation. A new form has been designed to have the team members accept or decline the ISP review documentation. This will need to be signed by team members at the respective meeting. [The plan team members for Individual #1 and Individual #3 were notified of the option to decline ISP review documentation. Immediately, the program specialist will review all individuals' records to ensure all plan team members for all individual have been notified of the option to decline IPS review documentation and will immediately notify team members who have not been notified. Documentation of notifications shall be kept. CEO will review a 25% sample of individuals' records at least quarterly for 1 year to ensure the program specialist has notified all team member for all individuals of the option to decline ISP reviews. Documentation of reviews shall be kept. (AS 3/7/16)] 01/24/2016 Implemented
SIN-00243802 Renewal 05/01/2024 Compliant - Finalized
SIN-00223977 Renewal 05/04/2023 Compliant - Finalized
SIN-00187488 Renewal 05/14/2021 Compliant - Finalized
SIN-00166510 Renewal 11/21/2019 Compliant - Finalized
SIN-00146334 Renewal 12/04/2018 Compliant - Finalized
SIN-00125880 Renewal 12/15/2017 Compliant - Finalized
SIN-00105300 Renewal 12/16/2016 Compliant - Finalized