Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00285121 Renewal 03/04/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(b)Program Specialist #1 completed fire safety training on 02/12/26, Direct Service Worker #2 completed fire safety training on 11/09/25, Direct Service Worker #3 completed fire safety training on 08/30/25, Direct Service worker #4 completed fire safety training on 06/10/25, Direct Service Worker #5 completed fire safety training on 02/02/26, and Direct Service Worker #6 completed fire safety training on 08/29/25; all fire safety trainings were completed online and did not include an in-person element with site specific information completed by a fire safety expert.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a).One of our Program Specialists was trained by a fire safety expert on 3/23/2026. They will now act as Supernova's "agency personnel who have received training by a fire safety expert." Trained Program Specialist has prepared a training that meets the requirements of 6400.46(a), including site specific designated meeting places, that direct services workers and program specialists will take prior to working with individuals and annually thereafter. This training will also be supplemented by a Relias training course that goes over general fire safety, use of fire extinguishers, etc. [Training for indicated Program Specialist by a Fire Officer 2, dated 3/23/26, was received and reviewed on 4/29/26. DPOC by HDKP, HSLS, on 4/29/26.] 04/28/2026 Implemented
SIN-00191767 Renewal 08/11/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(g)Individual #1's psychiatric medication review completed 4/27/21 did not include medications, dosages and the reasons for prescribing the medications. The documentation read "No changes". Individual #1's psychiatric medication reviews completed 3/2/21 and 1/5/21 did not include medications, dosages, or reasons for prescribing the medications the documentation read "No Changes" and "Completed virtually due to Covid-19."If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.The Executive Director provided prefilled Psychiatric Medication Review appointment forms to the House Manager, with the purpose of each medication listed as well as the other required information, and will continue to provide them as needed. 08/13/2021 Implemented
6400.166(a)(11)Individual #1's August 2021 medication administration record did not include the purpose or diagnosis for the following medications: Bupropion HCL Sr, Clonazepam, Divalproex, Lantus Solostar, Novolog Flexpen Syringe, Omeprazole Dr, Prazosin, Quetiapine Fumarate, Sertraline HCL, Vitamin C, and Vitamin D3.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.The Executive Director wrote the diagnosis for each medication onto the MAR in the box with the name of the medication, rather than just being at the bottom of the MAR. 08/12/2021 Implemented
SIN-00227479 Renewal 06/21/2023 Compliant - Finalized
SIN-00209153 Renewal 07/19/2022 Compliant - Finalized
SIN-00182480 Add an Addendum 12/17/2020 Compliant - Finalized