Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00264223 Renewal 04/02/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.214(a)Both of the individuals who reside in the home, did not have their current ISPs in the home.Record information required in § 6400.213(1) (relating to content of records) shall be kept at the home.The ISP was updated on April 3, 2025, and the newly updated ISP was retained and locked at the site for staff review and training. 04/03/2025 Implemented
6400.216(a)Several Individuals' MARs and progress notes (not individuals currently residing in the home) were stored in an unlocked basement closet. An individual's records shall be kept locked when unattended. The lock was fixed on April 24, 2025, and the picture attached indicates that the correction has been made. 04/03/2025 Implemented
6400.166(a)(11)Individual #2's medications Pantoprazole 40 mg and Ketoconazole 2% did not have a diagnosis or reason for the medication on the MAR.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 Pharmacy was contacted on April 2, 2025; an update was made to the MAR, and a new Medication log was sent. A copy of this document is attached. 04/03/2025 Implemented
SIN-00222455 Renewal 04/04/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)The first aid kit did not contain antiseptic. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. The antiseptic was replaced immediately, and the picture was taken and attached. 04/04/2023 Implemented
6400.142(a)Most recent dental visit for individua number 2 indicates that client should return for dental in 6 months which means he should have an exam completed by 1/31/23.An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. Initial appointment was canceled by the dental office. A second appointment was scheduled for individual #2 and the first available date was May 2nd, 2023 and the scheduled visit was completed. Please the attached document. 05/02/2023 Implemented
SIN-00203288 Renewal 04/06/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)There was one Tylenol 500 mg tablet found in first aid kitPoisonous materials shall be kept locked or made inaccessible to individuals. The Tylenol was removed from the first aid kit immediately after the inspection. 04/07/2022 Implemented
6400.77(b)There were no tweezers in the first aid kit. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Immediately after the inspection, tweezer was added to the first aid kit materials. 04/07/2022 Implemented
6400.163(g)There was a loose Aripiprazole 5mg tablet in the basement closet.Prescription medications shall be stored in an organized manner under proper conditions of sanitation, temperature, moisture and light and in accordance with the manufacturer's instructions.The discontinued medication was removed from the sites immediately. 04/07/2022 Implemented