Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00285494 Renewal 02/26/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(c)Individual #1's medication Propranolol was signed for on 2/23/26, however the pill remained in the blister pack dated 2/23/26.A prescription medication shall be administered as prescribed.On February 27, 2026, the administrator of ACLG convened a meeting with all staff members. During the meeting, staff were provided with comprehensive training on administering medications as prescribed and maintaining accurate documentation. All medication-trained staff members underwent retraining on the medication administration modules. Subsequently, staff members were observed administering and accurately documenting medications. Additionally, the nurse at ACLG received training on reviewing the MARS weekly and counting medications to ensure accuracy. All staff complete review of medication administration on Tuesday, March 31, 2026. 02/27/2026 Implemented
SIN-00269432 Renewal 05/23/2025 Compliant - Finalized