Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00274158 Renewal 09/22/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103The Emergency Disaster Evacuation Response Plan does not indicate the relocation address where staff and Individuals are to relocate. The document was blank.There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. Tranquil Hearts has revised the Emergency Disaster Evacuation Response Plan to include the designated relocation address for all individuals and staff in the event of an evacuation. The plan now specifies the primary relocation site: Tru Hilton Hotel and a secondary relocation site: Residence Inn by Marriott in case the primary location is unavailable. All staff have been trained on the updated evacuation procedures, relocation sites, and individual/staff responsibilities, including transportation assignments. Training was conducted on 10/10/2025, and documentation is maintained in the staff training files. The revised plan has been reviewed and signed by the Program Specialist and Facility Director, and a copy is now located in the facility's Emergency Preparedness Binder and within each individual's home binder. 10/10/2025 Implemented