Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
SIN-00264223
|
Renewal
|
04/02/2025
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC 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
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC 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
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.62(a) | There was one Tylenol 500 mg tablet found in first aid kit | Poisonous 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 |
|
|