Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00289155 Renewal 05/27/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.32(r)(1)At 2:07PM on 5/28/2026, there was a pinhole locking mechanism on the door leading to Individual #1's bedroom on the first floor of the home. Individual #1 has not been provided with a designated mechanism to independently lock and unlock the door.Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.Upon receipt of the deficiency notice, a new bedroom door knob was purchased and installed on Individual #1's bedroom door. The replacement door knob is a solid, non-locking door knob that does not contain a locking mechanism. Documentation was obtained confirming that Individual #1 and their guardian do not wish for the bedroom door to have a locking door knob. The door knob was replaced on June 11, 2026, bringing the home into compliance with Regulation 6400.32(r)(1). 06/12/2026 Implemented
6400.32(r)(4)At 2:07PM on 5/28/2026, there was a pinhole locking mechanism on the door leading to Individual #1's bedroom on the first floor of the home. Staff did not have a designated mechanism to unlock the door in the event of an emergency.The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency.Upon receipt of the deficiency notice, a new bedroom door knob was purchased and installed on Individual #1's bedroom door. The replacement door knob is a solid, non-locking door knob that does not contain a locking mechanism. Documentation was obtained confirming that Individual #1 and their guardian do not wish for the bedroom door to have a locking door knob. The door knob was replaced on June 11, 2026, bringing the home into compliance with Regulation 6400.32(r)(4). 06/12/2026 Implemented
SIN-00270426 Renewal 07/16/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)Individual #1's physical examination completed 6/25/25 did not include medical information pertinent to diagnosis and treatment in case of an emergency. This section was not on the form.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. BrightPath Human Services responded by updating their annual physical form to include 6400.141(c)(14). Individual #1's physical examination was updated to show medical information pertinent to diagnosis and treatment in the event of an emergency. Executive Director updated the new physical form and ensured it met all regulatory requirements on 7/22/2025. Program Manager updated the annual physical to include the emergency information on 7/30/2025. All current individual physicals were reviewed by BSHL during their onsite visit. BrightPath Human Services was cited on the physical forms of 3 of 4 individuals served due to physical form missing 6400.141(c)(14). This was confirmed by executive director on 7/30/2025. All physical forms were reviewed by executive director, no other issues noted outside of what was cited during licensing. Confirmed on 7/30/2025 08/04/2025 Implemented
6400.181(f)The program specialist did not provide Individual #1's assessment, completed 2/14/25 to the plan team members for Individual #1's ISP meeting on 5/19/25.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Upon finding that there was no proof of providing #1 individuals assessment to the team, the Director of IDD Services e-mailed this information to the team. This information was printed and filed in the individuals record to show bringing this regulation into compliance. This was completed late on May 16th, 2025. All individuals records were reviewed to ensure documentation was present within the individuals file to prove SC was sent the current assessment of all individuals served. This was completed by executive director on 7/30/2025. 08/04/2025 Implemented