Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00270425 Renewal 07/16/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The written fire drill record for the fire drill conducted on 3/13/25 did not include the exit route used. This section was left blank.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. BrightPath Human Services has a fire drill form that prompts for all regulatory requirements. Program Supervisor completed fire drill conducted 3/13/2025 and did not enter exit route used. Director of IDD services followed up with program supervisor on 7/22/2025 to see if they remembered which exit was utilized during this fire drill. Program supervisor remembered which exit was utilized and this was written on the fire drill form. All fire drill forms have been reviewed from over the past year July 2024-July 2025 in all programs. No other issues noted. This was completed by Executive Director on 7/30/2025. 07/31/2025 Implemented
SIN-00235276 New Provider Agency 11/28/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(e)At 10:25PM when tested, the operable smoke detectors on the three floors of the home were not interconnected.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. Evergreen Residential Services acknowledges violation of 6400.110(e) after review of the regulation. Evergreen Residential Services corrected and came into compliance by purchasing four (4) interconnection smoke detectors for 323 East Market Street. These detectors were placed in the following locations: one (1) was placed in the basement of the home; one (1) was placed on the 1st living area of the home; two (2) were placed on the second floor of the home (one in the second bedroom and an additional one at the top of the stairs in the hallway). With these changes, this shall bring Evergreen Residential Services into compliance with 6400.110(e). 12/06/2023 Implemented
SIN-00254882 Renewal 11/05/2024 Compliant - Finalized