Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00144165 Renewal 10/24/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.213(11)Individual # 1's Physical dated 03/30/18 identifies food to be chopped into bite size pieces. Assessment dated 10/16/18 says regular diet and not chopped food. Each individual's record must include the following information: Content discrepancy in the ISP, The annual update or revision under § 6400.186. Who: Program Coordinators (Specialist by regulations) What: Documentation will be corrected to ensure that information listed in the ISP and Annual Assessment is consistent and there are no content discrepancies (physical did not state the same information as the assessment) When: 1. Annually at time of assessment 2. Annual review meeting for ISP 3. On a PRN basis How: 1.) Program Coordinators were retrained in this regulation. 2.) All records (ISPs and Assessments) were checked to ensure consistency. 3.) The annual assessment was updated to provide additional information and clarification. 4.) For record that was out of compliance, the PC completed an updated assessment for the individual Attachments: 1.) Updated Annual Assessment for individual whose record had a discrepancy ¿ please note that the assessment was completed on the updated version of the assessment 2.) Letter verifying Program Coordinators (Specialist by regulations) were trained in this POC and are aware of the expectations of their position to ensure compliance with regulations 12/12/2018 Implemented
SIN-00078880 Renewal 03/25/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The plastic bag that contained individual #1's over the counter medication the Robitusim had spilled throughout the bag onto the Tylenol boxes and Robitusim box which cause the Robitusim box to have black mold on it. There was mold on the inside of the bag and there was an ace bandage that was covered in black mold. Clean and sanitary conditions shall be maintained in the home.   Implemented
6400.181(e)(13)(ii)Individual #1's assessment did not show progress and growth over the last 365 calendar days and current level in motor and communication. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Motor and communication skills. WHO: Program Coordinators (Specialist) WHAT: Ensure that individual¿s progress over the last 365 calendar days is clearly documented in each area covered under regulation 6400.181.13 ¿ section I through ix. WHEN: At the time each individual¿s annual assessment is completed and when needed for a critical revision of the individual¿s ISP. HOW: ¿ Program Coordinators (Specialist) were re-trained in expectations of how to meet this regulation when documenting information in an assessment. ¿ All staff attended a training in which the topic of ¿progress¿ was discussed in detail. ¿ New form was created for staff to document progress when noted. The form will be submitted with the individual¿s quarterly reviews. These forms will then be summarized when the Program Coordinator is completing the annual assessment. ¿ Assessments were reviewed for compliance. Assessments were updated as required to be in compliance with chapter 6400.181 (13) i ¿ ix. Attachments: ¿ Letter signed by Program Coordinators verifying retraining. (attachment #1) ¿ Power Point presentation. All staff in the residential program was trained on POC. Trainings were held on 4/27/15 and 4/28/15. Signature sheets are included. (attachment #2). ¿ New form ¿ Information from previous year¿s assessment is documented. Staff are to update as progress is noted (Attachment # 3). ¿ Individual¿s # 1¿s assessment. ¿ Individual¿s assessment was updated (attachment # 4). 05/24/2015 Implemented
SIN-00211406 Renewal 09/19/2022 Compliant - Finalized
SIN-00178928 Renewal 11/09/2020 Compliant - Finalized
SIN-00117355 Renewal 08/21/2017 Compliant - Finalized
SIN-00045337 Renewal 02/21/2013 Compliant - Finalized