Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00282916 Renewal 02/11/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)There were unlocked poisonous cleaning supplies stored underneath the kitchen sink cabinet. Individual #3's ISP states that cleaning supplies are locked up in the home.Poisonous materials shall be kept locked or made inaccessible to individuals. The cleaning products were immediately removed by staff during the inspection. Following the inspection, the Program Director inspected all storage areas in the home to ensure all poisons are relocated to designated locked storage area that is inaccessible to individuals and separate from food preparation areas. The Program Specialist conducted an additional environmental safety review to ensure that all hazardous materials were stored appropriately. 02/11/2026 Implemented
6400.64(a)There was a very strong smell of urine throughout the home. The windowsill of the kitchen window to the back yard has chipping paint on it.Clean and sanitary conditions shall be maintained in the home. Immediately following the inspection, the Program Director and Direct Support Professionals completed thorough cleaning and sanitizing of the residence to eliminate the odor and restore sanitary conditions throughout the home. Floors, bathrooms, and living areas were cleaned and disinfected and trash was removed to ensure a sanitary environment. The Program Director also submitted a work order for maintenance to repair the kitchen windowsill where chipping paint was observed. The Program Director conducted a review of the entire home to ensure that all areas were clean, sanitary, and in good repair. 03/25/2026 Implemented
6400.64(f)There was no lid on one of the two outdoor garbage cans.Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents.Immediately following the inspection, the House Manager removed the damaged garbage container and replaced it with a garbage can that has a secure lid. The House Manager inspected the outdoor trash storage area to ensure all trash receptacles were covered and functioning properly to prevent pests or rodents from accessing waste. The Program Specialist confirmed that all outdoor trash containers were properly covered. The correction was completed on 2/14/26 02/16/2026 Implemented
6400.72(b)The kitchen window to the backyard does not stay open when it is raised. Screens, windows and doors shall be in good repair. Program Director and submitted a maintenance request regarding the kitchen window that would not remain open when raised. Maintenance personnel inspected the window mechanism and repaired the window to ensure it functions properly and remains open when raised. After the repair was completed, the House Manager verified that the window was functioning properly and that all windows in the home were in good repair. 02/27/2026 Implemented
6400.105The indoor dryer lint catcher was not effective with catching the lint as there was lint behind and to the side of the dryer. There was a wire hanging from the ceiling very close to a light bulb.Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources. Immediately following the inspection, Direct Support Staff removed the lint buildup located behind and beside the dryer and thoroughly cleaned the lint trap to ensure the dryer was functioning safely. The surrounding laundry area was cleaned to remove all lint and other combustible materials. Maintenance order was submitted for the purchase install of a new lint trap for indoor dryer vents. (3/25/26) Maintenance was notified regarding the exposed wire hanging from the ceiling near the light bulb. The wire was secured and repositioned away from the heat source to eliminate the potential fire hazard. Following these corrections, the House Manager inspected the laundry area and other utility spaces in the home to ensure that flammable or combustible materials were not located near heat sources and that equipment was being used safely. 03/25/2026 Implemented
6400.163(f)Ozempic injections for individual #3 were unlocked in the refrigerator.Prescription medications stored in a refrigerator shall be kept in an area or container that is locked.the medication was removed from the unlocked area of the refrigerator and placed in a locked medication storage container located within the refrigerator, consistent with medication storage requirements. The House Manager reviewed the medication storage area with staff and ensured that all medications requiring refrigeration were stored in the locked container. The Program Specialist and agency nurse reviewed medication storage practices in the home to verify that all prescription medications were secured appropriately. The correction was completed on 2/14/2026 02/14/2026 Implemented
SIN-00264448 Renewal 04/15/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(b)The fencing that separates the property from a neighboring property that is not leveled to the property is in bad repair and could result in injury if someone were to trip or fall. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.To immediately mitigate the risk, the property manager placed caution tape around the affected area and submitted a work order for urgent repair. These steps ensured the area was clearly marked and inaccessible while awaiting maintenance, aligning with safety expectations. Repairs are being prioritized to restore the fence to a safe and fully functional condition. 05/13/2025 Implemented
SIN-00243093 Renewal 04/17/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.163(a)The MAR for Individual #2 stated he was administered a dose of Oxybutynin ER Tab 10mg last on 4/17/2024 at 8am but the medication was not found with the Indvidual's other medications during a Medication Review.Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.Medication Oxybutynin ER tablet 10mg was reorder by Nurse and arrived on site 4/17/204. 05/14/2024 Implemented
SIN-00223001 Renewal 04/17/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)The first aid kit did not contain tape. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. The House Manager found medical tape on the dresser of one of the participants who was having woundcare conducted. The Tape was placed back into the first aid kit and the first aid kit was put away. In addition backup tape was purchased on 4/18/23. 04/18/2023 Implemented
6400.144Individual #2's Medication OXYBUTYNIN 10mg, medication LORSARTAN 25mg and medication MELATONIN 3mg all are being signed as administered on the MAR and the medication is not present in the home.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. The CEO mandated all SCALP staff to attend medication training scheduled on 5/10/23, to minimize unwanted medication errors by participating in a refreshers course to prevent encounters such as #2s medication not being inside the box where it belongs and documenting properly as required by state regulations. 05/10/2023 Implemented
6400.165(b)Individual #2's medication AMMONIUM LAC LOTION 12% was located in the individual's med box and not listed on the MAR.A prescription order shall be kept current.The CEO mandated all SCALP staff to attend medication training scheduled on 5/10/23, to minimize unwanted medication errors by participating in a refreshers course to prevent encounters such as #2s medication not being inside the box where it belongs and documenting properly as required by state regulations. 05/10/2023 Implemented
SIN-00204799 Renewal 04/21/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.169(b)(1)Staff #4 works in a home with an insulin dependent diabetic individual, and has not fulfilled the medication requirements to give medication. An annual practicum, instead of the appropriate initial medication training, was completed in 4/2022, despite this staff's last medication training expiring 7/2020. The required observations were also not completed.A staff person may administer insulin injections following successful completion of both: The medication administration course specified in subsection (a).Staff #4 completed Diabetic Training (see attachment 2) on 5/4/22 as well as medication training on 5/1/22 (see attachment 3). 05/04/2022 Implemented
SIN-00186379 Renewal 04/20/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71There were no emergency numbers posted near the phone during the inspection.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. The emergency numbers were taken down by a hired painting company, who forgot to place and tape them back in place. Another emergency list of contact numbers were placed and taped down by the house phone's location. 04/23/2021 Implemented
6400.77(b)The first aid kit did not contain tape. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. The CEO went and purchased 5 new first aid kits and extra tape on April 24th 2021. The new 5 first aid kits were placed in our emergency baskets so that no first aid items will be missing. 04/24/2021 Implemented
SIN-00163647 Renewal 09/23/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106There was no documentation of a furnace inspection.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. Furnace inspection was conducted but the receipts did not prove that it was done by the company. The company was contacted and asked to produce company issued documentation for correcting inspection violation. New receipts were produced and shown to ODP inspector before the end of inspection and was accepted as verifying documents. 07/23/2019 Implemented