Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00295619 Renewal 09/16/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The refrigerator light was not working. The closet in the individual #4's room was a door or covering, so the contents were in plain view.Floors, walls, ceilings and other surfaces shall be in good repair. The refrigerator light has been fixed. 10/09/2026 Implemented
6400.71The emergency phone numbers listed a closed hospital and no alternative.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. The emergency contacts list has been reviewed and updated accordingly. Phone number & address of nearest hospital/ER has been updated and posted by each telephone in the home with an outside line. 10/09/2026 Implemented
6400.104The fire department notification letter did not specify the bedroom where the individual #4 resides. Additionally, the letter was for a different address and a different individual than the current residentThe home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. Written notification to the local fire department has been updated to reflect the current composition of the home's occupants and identify the exact location of the bedrooms of individuals who require assistance evacuating in the event of an actual fire. The updated notification includes the home's address and has been submitted to the local fire department. A copy of the updated notification and documentation of submission will be maintained at the home for review. 10/09/2026 Implemented
6400.104The window in the individual #4's room was missing a screen.The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. The missing window screen in Individual #4's bedroom was replaced, and management verified that the screen was properly installed and in good repair. 10/09/2026 Implemented
SIN-00276123 Renewal 10/17/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The doors and knobs of the kitchen cabinet have a buildup of dirt and splattered condiments.Clean and sanitary conditions shall be maintained in the home. All doors & knobs in the home, including those in the kitchen have been thoroughly cleaned. 10/20/2025 Implemented
6400.76(a)The dresser drawers for individual 4 are off track, the staff could not provide a work order at time of inspection. Furniture and equipment shall be nonhazardous, clean and sturdy. A work order was not required for this as It was discovered that the dresser drawers were misaligned because they were overfilled and had items in the way of closing completely. The contents of the drawers have been effectively redistributed to ensure that drawers are not overfilled and items are not getting in the way of the drawers closing properly. 10/17/2025 Implemented
6400.101The Recliner for individual 4 is placed at the top of the step entrance/exit, blocking an egress.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The recliner in question has been moved away from the egress and all other stairways, halls, doorways, passageways, exits, etc have been reinspected to be completely unobstructed. 10/17/2025 Implemented
SIN-00253738 Renewal 10/17/2024 Compliant - Finalized