Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00281258 Renewal 01/15/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.101At the time of inspection, the stairway to the attic, which was accessible via a door in the second-floor staff office, was blocked, preventing egress. The area at the foot of the stairs leading to the attic contained two cardboard boxes full of paper documents, a folded-up emergency cot, a rubber playground ball, and two curtain rods.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. Items were removed on the day of discovery to allow full accessibility to the attic and egress from the attic. 03/25/2026 Implemented
SIN-00209650 Unannounced Monitoring 07/20/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.186The home shall implement the individual plan. Individual #1's Individual Support Plan (ISP) states that 15 minute bed checks are performed during sleep hours. The agencies sleep hours visual checklists dated 7/1/22-7/11/22 show that bed checks were completed every 30 minute checks for Individual #1.The home shall implement the individual plan, including revisions.The skills assessment and ISP were revised to indicate supervision during sleep hours that thirty minute checks would be appropriate to reflect his current supervision needs. 09/02/2022 Implemented
SIN-00199736 Renewal 01/31/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)Clean and sanitary conditions are not being maintained in the home. The tops of the kitchen cabinets were covered in grease and dust. A picture collage on the left wall facing the front window in the living room was covered in a layer of dust.Clean and sanitary conditions shall be maintained in the home. The cabinets and picture frame were cleaned that day. A staff meeting is being scheduled to review the chore checklist and the expectation of completion of chores with all staff members. The Program Director will review Regulation 6400.64(a) with the Program Coordinator and the house staff during the staff meeting to ensure all employees are clear on this expectation 04/01/2022 Implemented
6400.67(a)The wall behind the bedroom door in the first floor bedroom was not in good repair, there was a hole in the wall.Floors, walls, ceilings and other surfaces shall be in good repair. Work order was submitted that day and hold has since been repaired. A staff meeting is being scheduled to address the process for identifying and reporting maintenance concerns. The Program Director will review Regulation 6400.67(a) with the Program Coordinator and the house staff during the staff meeting to ensure all employees are clear on this expectation. 04/01/2022 Implemented
6400.46(d)Staff #4 was trained in First Aid/CPR on 4/12/19 and did not receive training again until 6/15/21. The renewal training was late.Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation.Employee was out on leave and no longer works for the agency. 04/15/2022 Implemented
SIN-00166011 Renewal 11/19/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The bathtub located in the 2nd floor bathroom was extremely filthy with visible dirt as well as dirty footprints.Clean and sanitary conditions shall be maintained in the home. Shower/tub was deep cleaned and the bathmat was replaced immediately after inspection. The staff daily chore checklist was updated and now includes checking the condition of the bathmat. The Program Manager reviewed the updated chore checklist with all staff. The Program Manager will be responsible for ensuring that clean and sanitary conditions are maintained in the home. 12/16/2019 Implemented
SIN-00087820 Renewal 01/13/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(k)(5)The bedroom on the main level in which 2 individuals reside, has neither a closet nor wardrobe space with clothing racks/shelves accessible to the individual. In bedrooms, each individual shall have the following: Closet or wardrobe space with clothing racks and shelves accessible to the individual. A freestanding wardrobe is on order and will be assembled and delivered to the bedroom on the main level occupied by two individuals by Feb. 26, 2016. 02/26/2016 Implemented
SIN-00218951 Renewal 02/07/2023 Compliant - Finalized
SIN-00107465 Renewal 01/25/2017 Compliant - Finalized
SIN-00085904 Renewal 12/23/2015 Compliant - Finalized
SIN-00068491 Renewal 10/21/2014 Compliant - Finalized
SIN-00052843 Renewal 09/05/2013 Compliant - Finalized