Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00281631 Renewal 01/07/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.142(a)Most recent annual dental exam/cleaning for individual #1 occurred on in November 2024 which is greater than 1 year ago.An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. Individual #1 did not have the dental documentation available , however there was an appointment completed on 03/19/2025 02/11/2026 Implemented
6400.165(g)There was no documentation that Individual #1 had received Psych medication reviews in every 3 months for the last year.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.Upon review that an appointment was missed , an appointment was scheduled for the medication review. 02/01/2026 Implemented
6400.181(f)Individual #1's Annual assessment was sent to the team on the same day as their ISP meeting on 9/9/25, however it needs to be sent to the team 30 days prior to the ISP meeting.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.The assessment was sent to 9/9/2025 , however it was the day of the assessment and not 30 days prior to the assessment. 02/11/2026 Implemented
SIN-00263741 Renewal 04/07/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.111(a)Fire extinguishers are 1A rated, regulatory minimum is 2A. These have already been purchased and updated in the homes.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. 2a rating Fire extinguishers were replaced on site 04/07/2025 Implemented
6400.111(c)Fire extinguishers are 1A rated, regulatory minimum is 2A. These have already been purchased and updated in the homes. A fire extinguisher with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a). 2a rating Fire Extinguisher were installed in the house during discovery 04/07/2025 Implemented
6400.141(a)Incomplete physical dated 3/27/2025. No prior physical found on file with respect to admission date of 5/16/2024.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Individual number 2 has a scheduled physical appointment with his PCP on 4/28/2025 04/28/2025 Implemented
6400.151(a)The only physical found on file for staff person #2 was dated 12/17/2024. No physical predating hire date found. The staff person was hired on 2/8/2024. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. Staff number 2 has a scheduled physical and TB date for 4/21/25 04/21/2025 Implemented
6400.165(g)Psychotropic Med Review forms not found on file for every 90 days at minimum since 5/23/2024.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.Individual number 2 has a scheduled appointment with his prescribing doctor for a 90 medication review on 5/2/2025 04/28/2025 Implemented
SIN-00249790 Renewal 04/08/2024 Compliant - Finalized
SIN-00224114 Initial review 04/07/2023 Compliant - Finalized