Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00268465 Renewal 06/10/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The provider agency completed a self-assessment of the home on 5/16/25. The regulations, .189a through .217, were not addressed on the self-assessment. These items were left blank. [Repeat Violation- 7/9/24 et al]The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency's certificate of compliance, to measure and record compliance with this chapter. The CEO has retrained the Residential coordinator on the importance of completing the self assessments in it's entirety, 06/28/2025 Implemented
6400.21(a)Direct Service Provider #2, with a date-of-hire of 4/21/25, completed an application for a Pennsylvania criminal history record check on 4/23/25. This record check documented that Direct Service Provider #2 had a criminal record. The provider agency did not provide documentation of a review considering the nature of the crime, the facts surrounding the conviction, the time elapsed since the conviction, the evidence of the individual's rehabilitation, and the nature and requirements of the job.An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire. Atlantis¿ administrative staff will now require all perspective employees to submit onboarding documents at least forty-eight hours prior to orientation. This will allow time for the criminal background to be disseminated prior to completion of orientation and permit Admin staff time to review. No staff or potential staff shall be granted the opportunity to shadow or work with individuals prior to receiving the results of the pending criminal background. This will help ensure and Protects individuals from abuse and mistreatment. 06/27/2025 Implemented
6400.65On 6/11/25 at 12:32 PM, the mechanical ventilation fan in the ceiling of the bathroom in the hallway of the home was inoperable.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. Vents are located on top of roof in the entire apartment building the bathrooms. A letter was requested from the property manager to explain how the exhaust fan works. 06/28/2025 Implemented
6400.72(b)On 6/11/25 at 12:46 PM, there was a one-inch by two-inch hole in the screen in the window of the staff office. Screens, windows and doors shall be in good repair. Screens windows and doors shall be in good repair. Maintenance request was submitted for screen repairs. a letter stating screens will be fixed in July they had to be ordered from property manager. Letter was sent to licensing inspector via email. 06/28/2025 Implemented
6400.106The furnace in the home was inspected and cleaned on 5/10/23, and then again on 9/5/24.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. The Residential Coordinator has created a tracking sheet of the cleaning inspections annual due date. 06/28/2025 Implemented
6400.141(c)(3)Individual #1's admission date is 9/23/24, and they most recently received a Tetanus immunization on 2/26/15.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. As of 6/17/2025 this individual received his tetanus vaccination. Documentation has been obtained and added to the individual's medical records. A full audit of resident immunizations records to ensure compliance with tetanus shot requirements. 06/17/2025 Implemented
6400.171On 6/11/25 at 12:35 PM, there was an opened, partially used bottle of ketchup with instructions to "refrigerate after opening" in the cabinet above the counter in the kitchen of the home. [Repeat Violation- 7/9/24 et al]Food shall be protected from contamination while being stored, prepared, transported and served. Instructions on the ketchup bottle states "for best results refrigerate after opening" Ketchup was placed in the refrigerator. 06/28/2025 Implemented
6400.214(b)On 6/11/25 at 1:30 PM, the most recent copy of Individual #1's physical examination was not present in the home. [Repeat Violation- 7/9/24 et al] The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. Atlantis Program specialist reviewed resident files in the home and have updated the required documents. Weekly checks will be conducted by the house supervisor to ensure all medical summaries are present in the resident files. Monthly audits will be conducted by the program specialist to ensure the resident binder contains all required documents. 06/17/2025 Implemented
6400.32(r)(1)On 6/11/25 at 1 PM, there was a turn locking mechanism on the inside with a keyed locking mechanism on the outside of the door leading to Individual #1's bedroom. Individual #1 was not provided with a key to lock and unlock the door independently.Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.An individual has the right to lock the individual's bedroom door. All individuals locks were updated with key and given to individual. Picture was sent via email to licensing inspector. 06/28/2025 Implemented
6400.32(r)(4)On 6/11/2025 at 1 PM, there was a turn locking mechanism on the inside with a keyed locking mechanism on the outside of the door leading to Individual #1's bedroom. The keys that staff possessed for Individual #1's bedroom door was not clearly labeled, thus, preventing easy and immediate access in the event of an emergency.The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency.The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. The locks were replaced with new locks with keys and provided a copy to individual. 06/28/2025 Implemented
6400.50(a)Direct Service Provider #2, with a date-of-hire of 4/21/25, reportedly completed orientation training on recognizing and reporting incidents on 4/25/25. The provider agency did not provide the source and content for this training.Records of orientation and training, including the training source, content, dates, length of training, copies of certificates received and staff persons attending, shall be kept.Conducted an internal audit of all staff files to identify missing orientation and training records. Ensure each file includes training topics, siting the source of the training. 06/30/2025 Implemented
6400.51(b)(5)Direct Service Provider #2, with a date-of-hire of 4/21/25, did not complete orientation training on individual specific job-related knowledge and skills prior to working with individuals.The orientation must encompass the following areas: Job-related knowledge and skills.Update the orientation checklist to include job-specific training topics based on role responsibilities (Direct Support Professional, Residential Manager, Program Specialist, Medication Administrator). Include training scenarios and competency checks to confirm staff understanding of their specific duties. 07/02/2025 Implemented
6400.52(a)(3)Program Specialist #1, with a date-of-hire of 4/3/23, did not complete at least twenty-four hours of training during the annual training year, 1/1/24 through 12/31/24.The following shall complete 24 hours of training related to job skills and knowledge each year: Program specialists.The Program Specialist will complete the remaining training hours within 20 days of this plan. training will be directly related to job duties including but not limited to the required ODP trainings. Certificates will be placed in the program specialist employee training file. 07/10/2025 Implemented
6400.52(c)(1)Program Specialist #1's annual trainings for the training year, 1/1/24 through 12/31/24, did not include individual choice and supporting individuals to develop and maintain relationships.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.The Program Specialist will complete all overdue training hours within thirty days. Training will include content relevant to job duties such as Persons Centered Practices, Community Integration, Individual Choice and Supporting Individuals to develop and maintain relationships. All completed training will be documented with the training date, topic, trainer, and certificate or sign-in sheet. There was also a verbal warning issued for this violation. 07/11/2025 Implemented
6400.52(c)(2)Program Specialist #1's annual trainings for the training year, 1/1/24 through 12/31/24, did not include the prevention, detection, and reporting of abuse, suspected abuse, and alleged abuse.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§ 10225.101-10225.5102). The child protective services law (23 Pa. C.S. §§ 6301-6386) the Adult Protective Services Act (35 P.S. §§ 10210.101 - 10210.704) and applicable protective services regulations.The Program Specialist will complete all overdue training to include prevention, Detection, and reporting abuse, suspected abuse and alleged abuse. There was also a verbal warning issued to the program specialist as well. 07/10/2025 Implemented
6400.52(c)(4)Program Specialist #1's annual trainings for the training year, 1/1/24 through 12/31/24, did not include recognizing and reporting incidents.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents.The Program Specialist will complete all overdue training to include Recognizing and Reporting Incidents. There was also a verbal warning issued to the program specialist as well. 07/10/2025 Implemented
6400.163(a)On 6/11/25 at 1:01 PM, Individual #1's prescribed, Ketoconazole 2% Shampoo, was not stored in its originally labeled container from the pharmacy. The label was not present in the home.Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.The improperly stored medication was immediately removed and replaced with medication in the original pharmacy-labeled container. Staff responsible were re-instructed on proper medication storage procedures. All staff involved in medication administration will receive refresher training on medication storage requirements, including the importance of keeping medications in their original labeled containers. Training will be completed by 07/02/2025, and attendance will be documented. Verbal warning was issued to all staff. 07/02/2025 Implemented
6400.163(f)On 6/11/25 at 12:36 PM, there were two vials of allergy medication wrapped in a folded piece of paper labeled, "[Individual #1] exp. 11/29/2025," that were unlocked and accessible in the compartment in the door of the refrigerator in the kitchen of the home.Prescription medications stored in a refrigerator shall be kept in an area or container that is locked.The medications were immediately removed and placed in a locked medication refrigerator or a locked box within the refrigerator. A site-wide inspection was conducted to ensure all refrigerated medications were secured. A lock box was purchased to store medications in the refrigerator. All staff were shown the new setup and procedures for accessing refrigerated medications. 06/12/2025 Implemented
6400.165(b)Individual #1's prescribed medication, Ketoconazole Shampoo 2%, was on the June 2025 Medication Administration Record twice. The first entry included instructions, "use to wash scalp daily until clear for Atopic Dermatitis (After clear use 3 times a week)." This medication was originally prescribed on 10/11/24 and was initialed as administered daily from 6/1/25 through 6/11/25. The second entry included instructions to, "apply topically to scalp and leave on a few minutes and rise 3 times weekly for Seborrheic Dermatitis." This medication was originally prescribed on 4/30/25 and had not been administered from 6/1/25 through 6/11/25. Staff could not ensure which medication was correct, and the physician's orders were not present in the home. [Repeat Violation- 7/9/24 et al]A prescription order shall be kept current.The duplicate error on the MAR was identified and corrected /discontinued. The individual's physician was contacted to confirm the correct entry on the MAR. Followed by a phone call to the pharmacy requesting the duplicate entry to be removed from all future MARS. 07/03/2025 Implemented
6400.165(g)Individual #1 is prescribed medications to treat symptoms of a psychiatric illness. The psychiatric medication review completed on 4/2/25 did not include the reason for prescribing the medication. [Repeat Violation- 7/9/24 et al]If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.All Psychiatric reviews will be scheduled to be completed by psychiatric provider. The Psychiatric medication review appointment summary form has been updated to reflect the reasons for prescribing the medication as well as the need to continue the medication and necessary dosage. Files are being audited to ensure compliance and corrections made where necessary. 07/01/2025 Implemented
6400.166(b)Individual #1's prescribed medication, Triamcinolone Cream 0.1%, was not initialed as having been administered at 8 AM on 6/11/25. [Repeat Violation- 7/9/24 et al]The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.The responsible staff member was immediately retrained on the correct procedure for documenting medication administration. On 6/13/2025 this staff member was retrained on proper Mar documentation procedures including immediate documentation after administration. The use of acceptable documenting codes and steps to follow when a dose is missed, refused or delayed. Staff reviewed the Medication Administration Policy and signed acknowledgment forms. 06/13/2025 Implemented
6400.169(d)Direct Service Provider #2, with a date-of-hire of 4/21/25, completed the online Office of Developmental Programs Standard Student Medication Administration Course on 4/29/25. The required medication administration observations were completed prior to the completion of the course on 4/25/25, 4/26/25, 4/27/25 and 4/28/25.A record of the training shall be kept, including the person trained, the date, source, name of trainer and documentation that the course was successfully completed.Employee files were audited to ensure every staff member has a complete and compliant training record. 07/01/2025 Implemented
SIN-00250693 Unannounced Monitoring 08/02/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.16Individual #1's individual support plan updated on 7/16/2024 states "2:1 supports are necessary to maintain a safe environment for the individual and staff and to ensure their basic daily needs can be met." On 7/17/2024, Program Specialist #3 drove Individual #1 to day program on their own and did not provide 2:1 staffing. On 7/17/2024, Direct Service Worker #4 picked up Individual #1 from day program on their own and did not provide 2:1 staffing. On 7/17/2024 Individual #1 was left alone with Behavioral Specialist #1 from the time the individual returned from day program until the time the individual choked. Individual #1 later died. Behavioral Specialist #1 was not hired nor trained to provide direct care services by the agency.Abuse of an individual is prohibited. Abuse is an act or omission of an act that willfully deprives an individual of rights or human dignity or which may cause or causes actual physical injury or emotional harm to an individual, such as striking or kicking an individual; neglect; rape; sexual molestation, sexual exploitation or sexual harassment of an individual; sexual contact between a staff person and an individual; restraining an individual without following the requirements in this chapter; financial exploitation of an individual; humiliating an individual; or withholding regularly scheduled meals.Protects individuals from abuse, neglect, and exploitation 09/08/2024 Implemented
6400.181(d)Individual #1's assessment completed on 11/01/2023 was not signed or dated by the program specialist.The program specialist shall sign and date the assessment. Ensures that assessments are completed in a timely fashion and that notification of assessment results are provided to all impacted parties. And to Identify who conducted the assessment, so that Care Team knows this assessment was completed by the appropriate party. 09/08/2024 Implemented
6400.32(c)Individual #1's individual support plan updated on 7/16/2024 states "2:1 supports are necessary to maintain a safe environment for the individual and staff and to ensure their basic daily needs can be met." On 7/17/2024, Program Specialist #3 drove Individual #1 to day program on their own and did not provide 2:1 staffing. On 7/17/2024 Direct Service Worker #4 picked up Individual #1 from day program on their own and did not provide 2:1 staffing. On 7/17/2024 Individual #1 was left alone and unsupervised with Behavioral Specialist #1 from the time the individual returned from day program until the time the individual choked. Individual #1 later died. Behavioral Specialist #1 was not hired nor trained to provide direct care services by the agency.An individual may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment.Protects individuals from harm. 09/08/2024 Implemented
6400.32(t)During the interview conducted with Direct Service Worker #2 on 8/02/2024 at 10:52 AM, it was revealed that staff locked preferred snack foods in the staff office of the home to prevent Individual #1 from having behaviors. Individual #1 does not have a restrictive procedure plan.An individual has the right to access food at any time.Individual has the right to access food at any time. Promotes self-direction, choice, and control. 09/07/2024 Implemented
6400.45(d)Individual #1's individual support plan updated on 7/16/2024 states "2:1 supports are necessary to maintain a safe environment for the individual and staff and to ensure their basic daily needs can be met." On 7/17/2024, Program Specialist #3 drove Individual #1 to day program on their own and did not provide 2:1 staffing. On the same day, Direct Service Worker #4 picked up Individual #1 from day program on their own and did not provide 2:1 staffing. Individual #1 was then left alone with Behavioral Specialist #1 from the time the individual returned from day program until the time the individual choked. Individual #1 later died.The staff qualifications and staff ratio as specified in the individual plan shall be implemented as written, including when the staff ratio is greater than required under subsections (a), (b) and (c ).Ensures that individuals receive the appropriate amount of support according to specified needs 09/07/2024 Implemented
6400.45(e)On 7/17/2024, Individual #1 was left alone and unsupervised with Behavioral Specialist #1 from the time the individual returned from day program until the time the individual choked so that direct service workers #2, #4, and #5 could carry groceries from the car to the apartments. Individual #1 was left unsupervised solely for the convenience of the home and direct service workers.An individual may not be left unsupervised solely for the convenience of the home or the direct service worker.An individual may not be left unsupervised solely for the convenience of the home or the direct service worker. 09/07/2024 Implemented
6400.46(d)Direct Service Worker #2's training completed on 8/28/2023 in first aid, Heimlich techniques and cardio-pulmonary resuscitation did not include an in-person component. Direct Service Worker #5's training completed on 6/10/2023 in first aid, Heimlich techniques and cardio-pulmonary resuscitation did not include an in-person component.Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation.Ensures that staff are able to respond appropriately to medical emergencies 09/07/2024 Implemented
6400.186Individual #1's individual support plan updated on 7/16/2024 states "2:1 supports are necessary to maintain a safe environment for the individual and staff and to ensure their basic daily needs can be met." On 7/17/2024, Program Specialist #3 drove Individual #1 to day program on their own and did not provide 2:1 staffing as required by the individual support plan. On 7/17/2024 Direct Service Worker #4 picked up Individual #1 from day program on their own and did not provide 2:1 staffing as required by the individual support plan. Individual #1 was then left alone and unsupervised with Behavioral Specialist #1 from the time the individual returned from day program until the time the individual choked. Individual #1 later died. Individual #1's individual support plan updated on 7/16/2024 states Individual #1 has been identified as a choking risk. When the individual is eating, they need someone sitting with [him/her] to give [him/her] verbal prompting to slow down so that they do not choke. Food should be cut up into very small pieces. Peanut butter and jelly uncrustables has been suggested to be avoided due to dysphagia. On 7/17/2024, Individual #1 took peanut butter ritz crackers and a peanut butter and jelly uncrustable out of the lunch bag that was packed by Direct Service Worker #2 while sitting on a bench with Behavioral Specialist #1. Individual #1 shoved the entire peanut butter and jelly uncrustable in their mouth and choked. Individual #1 later died.The home shall implement the individual plan, including revisions.Provides clear and unequivocal expectations for meeting each individual¿s needs; designates responsibility for meeting each need. 09/08/2024 Implemented
SIN-00247806 Renewal 07/09/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)On 7/10/2024 at 11:15 AM, Individual #1's bedroom contained pillows that were soiled with what appeared to be urine stains.Clean and sanitary conditions shall be maintained in the home. Residential coordinator has trained staff on the importance of washing individuals belongings when they are soiled. 08/06/2024 Implemented
SIN-00228523 Renewal 07/18/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(e)(1)On 7/19/23, Individual #1's financial record was not up-to-date, as the ledger was found to be missing transactions, including funds received by and disbursements made to them for purchases. The agency provides assistance in maintaining Individual #1's finances, as their 5/17/23 assessment indicates the need for help in this skill domain. If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: A separate record of financial resources, including the dates and amounts of deposits and withdrawals. The home shall maintain financial records including dates and amounts of deposit and withdrawl 08/21/2023 Implemented
6400.22(e)(3)On 7/19/23, Individual #1's financial record was missing a receipt for a purchase of $20 made on 6/29/23 at The Vape Store. If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: Documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person. A home shall have documentation with actual receipts of each purchase exceeding $15 08/21/2023 Implemented
6400.68(b)On 7/19/23, the hot water temperature of the bathtub in the bathroom located in the bedroom hallway measured 135.5°F at 1:10 PM. [Repeated Violation---11/9/21, 10/4/22, et al] Hot water temperatures in bathtubs and showers may not exceed 120°F. Hot water temp shall not exceed 120 degrees 08/21/2023 Implemented
6400.82(e)On 7/19/23, the bathtub in the bathroom located in the bedroom hallway was observed without a mat or non-slip surface. Bathtubs and showers shall have a nonslip surface or mat. Bathtubs and showers shall have a non slip surface 08/21/2023 Implemented
6400.113(a)Individual #1's admission date is 4/17/23. Their initial fire safety training was completed on 5/16/23. [Repeated Violation---10/4/22, et al] An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. Individual trained upon admission and annually thereafter 08/21/2023 Implemented
6400.141(c)(1)Individual #1's physical examination completed on 4/16/23 did not include their previous medical history. [Repeated Violation---10/4/22, et al]The physical examination shall include: A review of previous medical history. The physical exam shall have previous medical history 08/21/2023 Implemented
6400.141(c)(3)Individual #1's physical examination completed on 4/16/23 did not include a record of their immunizations.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. The physical exam should include immunization 08/21/2023 Implemented
6400.141(c)(6)Individual #1's admission date is 4/17/23. Their record did not include any documentation of a completed tuberculosis test. [Repeated Violation---10/4/22, et al]The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. The physical exam shall have tb testing 08/21/2023 Implemented
6400.141(c)(7)Individual #1's date-of-birth is 4/16/05. On Individual #1's most recent gynecological examination completed on 5/3/22, the physician had deferred all subsequent examinations until they reach age 21 or whenever they become sexually active. Individual #1's 11/28/22 individual plan informs that they have a sexual history.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. The physical exam shall include: gyne exam including a breast exam and pap test for women 18 years of age or older. 08/21/2023 Implemented
6400.141(c)(12)Individual #1's physical examination completed on 4/16/23 did not include their physical limitations.The physical examination shall include: Physical limitations of the individual. THe physical exam shall include physical limitations 08/21/2023 Implemented
6400.141(c)(14)Individual #1's physical examination completed on 4/16/23 did not include medical information pertinent to diagnosis and treatment in case of an emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. The physical exam shall have pertinent medical information and treatment in case of an emergency 08/21/2023 Implemented
6400.181(e)(1)Individual #1's assessment completed on 5/17/23 did not include their functional strengths, needs, and preferences. This section was left blank. The assessment must include the following information: Functional strengths, needs and preferences of the individual. The assessment shall have functional strengths needs and preference 08/21/2023 Implemented
6400.181(e)(2)Individual #1's assessment completed on 5/17/23 did not include their dislikes. This item was left blank.The assessment must include the following information: The likes, dislikes and interest of the individual. The assessment shall include likes dislikes and interest 08/21/2023 Implemented
6400.181(e)(6)Individual #1's assessment completed on 5/17/23 did not measure their ability to safely use or avoid poisonous materials. This item was marked with an "X," indicating that it does not apply.The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. The assessment shall include ability to safely use or avoid poisonous materials 08/21/2023 Implemented
6400.181(e)(9)Individual #1's assessment completed on 5/17/23 did not address their functional and medical limitations.The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. The assessment must include functional and medical limitations 08/21/2023 Implemented
6400.181(e)(12)Individual #1's assessment completed on 5/17/23 did not include recommendations for specific areas of training, programming, and services. This section was left bank.The assessment must include the following information: Recommendations for specific areas of training, programming and services. The assessment shall have recommendations for specific areas of training programming and services 08/21/2023 Implemented
6400.181(e)(14)Individual #1's assessment completed on 5/17/23 did not measure their ability to swim. This item was marked with an "X," indicating that it does not apply.The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. The assessment shall include progress over last 365 calendar days water safety and ability to swim 08/21/2023 Implemented
6400.18(a)(8)EIM Incident #: 9233651 for a behavioral health crisis involving law enforcement response was discovered on 6/16/23 at 11:30 AM and reported on 6/17/23 at 4:00 PM.The home shall report the following incidents, alleged incidents and suspected incidents through the Department's information management system or on a form specified by the Department within 24 hours of discovery by a staff person: Law enforcement activity that occurs during the provision of a service or for which an individual is the subject of a law enforcement investigation that may lead to criminal charges against the individual. The home shall report the following incidents within 24 hours of discovery by a staff person or law enforcement 08/21/2023 Implemented
6400.34(a)Individual #1 was informed and explained their rights on 4/17/23. The rights document did not include the following: 6400.32c···the right to be free from exploitation and abandonment; 6400.32n···the right to unrestricted and private access to telecommunications; 6400.32r2···the right to limiting access to their bedroom except in a life-safety emergency or with their expressed permission; and 6400.32s···the right to having a key, access card, keypad code or other entry mechanism to lock and unlock an entrance door of the home. [Repeated Violation---10/4/22, et al]The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.The rights form shall be completed upon admission and annually thereafter 08/21/2023 Implemented
6400.165(f)Individual #1 is prescribed medication to treat symptoms of a diagnosed psychiatric illness. A written protocol to address their social, emotional, and environmental needs related to the symptoms of the psychiatric illness was not found as part of their individual plan or anywhere else in their record.If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness.Med is prescribed to treatment of diagnosed psych illness, there shall be a written protocol as part of the individual plan to address SEEP. 08/21/2023 Implemented
SIN-00226586 Unannounced Monitoring 06/23/2023 Compliant - Finalized
SIN-00225069 Unannounced Monitoring 05/24/2023 Compliant - Finalized
SIN-00223568 Unannounced Monitoring 04/28/2023 Compliant - Finalized