Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00146869 Renewal 12/13/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(e)The home has 2 stories and a basement. The smoke detector on the second floor was not interconnected with the smoke detectors on the first floor and in the basement.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. The maintenance man replaced the defective smoke detector by 8 pm on 12/13/18 and tested it to make sure it was working. The staff again tested it on 12/19/18 and it was working properly. The staff will continue to test the detector each month as is our normal practice. All tests are documented in the fire drill log book. 12/13/2018 Implemented
6400.112(e)A fire drill was held during sleeping hours on 2/6/18 and then again on 10/26/18.A fire drill shall be held during sleeping hours at least every 6 months. This house shall now do sleeping hour drills every 5 months throughout 2019. At the completion of every fire drill the supervisor reports to the CEO that it is complete. This will continue, but now, in addition, when a sleeping drill is completed in this home, the supervisor will make a copy of the fire drill log and deliver it to the CEO. That log will be examined and kept on file by the CEO. A memo with these instructions was sent to the supervisor on 12-17-18 12/17/2018 Implemented
SIN-00127869 Renewal 01/04/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.163(c)Individual #1's medication reviews completed on 5/2/17 and 6/27/17 did not include the need to continue the medication. If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage.All staff have been instructed that they must make sure the Med review form is completed in its entirety for each med review visit. Med review forms will be turned in to the Program Specialist for review after each med review appointments. If the form is not completed correctly, contact will be made with the Doctor's office for correction. The Program Specialist will report on Med Review forms at the monthly management meeting.[Immediately, the CEO shall train all staff person responsible for assisting individuals' in psychiatric medication reviews and all staff responsible for reviewing documentation by a licensed physician of the requirements as per 6400.163(c) and the aforementioned procedures to obtain missing information. Documentation of staff trainings shall be kept. Documentation of aforementioned audits and requests for missing information shall be kept. (AS 1/30/18)] 01/24/2018 Implemented
SIN-00055630 Renewal 11/05/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(d)Poisonous materials were stored with soda, drinking water, and juice containers on the shelf in the basement area of the home. (d) Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces. We set up a separate storage area for poisonous materials and moved those materials immediately. All staff will be retrained (with documentation) by the group home supervisor so that this will not happen again. Also, each designated area will be labeled by the group home supervisor with what can and cannot go on the designated storage area. This way there will be no mistakes in the future. 12/01/2013 Implemented
SIN-00272715 Renewal 08/26/2025 Compliant - Finalized
SIN-00256528 Renewal 11/19/2024 Compliant - Finalized
SIN-00236329 Renewal 12/12/2023 Compliant - Finalized
SIN-00199906 Renewal 02/08/2022 Compliant - Finalized
SIN-00167320 Renewal 12/05/2019 Compliant - Finalized
SIN-00071559 Renewal 12/02/2015 Compliant - Finalized