Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00258997 Renewal 03/03/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At the time of the inspection, the water in the bathroom sink was 126 degrees. Hot water temperatures in bathtubs and showers may not exceed 120°F. The Director will email the building manager of this location and notify them of the inspection violation and that if this cannot be corrected by 3/14/2025 and stay compliant Bethel will be forced to look for other residences with a plan to vacate the property and terminate their lease by Oct 30, 2025. 03/11/2025 Implemented
SIN-00220352 Renewal 03/07/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At the time of the inspection the hot water registered 126 degrees from the bathroom faucet. Hot water temperatures in bathtubs and showers may not exceed 120°F. It is important for water temperature not to exceed 120 degrees. The home is an apartment in a building with other apartments and Bethel does not have access to the water heater to reduce the temperature. The individual living in this apartment is heat safe and is able to adjust water temperature safely. Management of the apartment has adjusted the water temperature and is working with a plumber to ensure the water temperature remains at a safe temperature. 03/23/2023 Implemented
SIN-00201230 Renewal 03/07/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(k)(6)Individual #1 did not have a mirror in their bedroom at the time of the inspection.In bedrooms, each individual shall have the following: A mirror. Due to an emergency staff shortage, Individual #1 was residing at another Bethel Care location for a short period of time prior to inspection. Bethel Care forgot to bring the mirror back to her home. The mirror has been returned. It is the responsibility of the compliance manager to ensure site compliance. The compliance manager will be retrained on this regulation by March 31, 2022. 03/21/2022 Implemented
6400.112(c)Fire drill documentation that was held 7/26/21 does not indicate if there were any problems encountered during the drill -- this section was left blank.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. The drill on 7/26/21did not indicate whether or not there were any problems encountered during the drill . All Bethel Care direct support staff will be retrained on fire drill forms and this regulation by April 15, 2022. 04/15/2022 Implemented
6400.112(d)Fire drill held on 6/27/21 states that drill started at 2:00am and ended at 2:03am, which indicates that the drill lasted 3 minutes. This exceeds the 2 ½ minute evacuation time. Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. ll Bethel Care direct support staff will be retrained on fire drill forms and this regulation by April 15, 2022. It will now be the Program Assistant¿s role to audit the fire drill forms monthly to ensure they are filled out entirely and that the information is correct 04/15/2022 Implemented
SIN-00185518 Renewal 03/29/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At the time of the 3/31/21 inspection, the hot water temperature was measured in the bathroom sink at 132°F. Hot water temperatures in bathtubs and showers may not exceed 120°F. At the time of the 3/31/21 inspection, the hot water temperature was measured in the bathroom sink at 132°F. To protect the health and safety of the individuals the water may not exceed 120F. It is the responsibility of the house manager to ensure that the water in the house is not too hot nor too cold. The compliance manager will meet with the building manager to have the water temperature decreased. All staff including the house manager will be re-trained on this code by 5/15/21. 05/15/2021 Implemented