Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00280958 Renewal 01/05/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(a)The home does not have hot water under pressure in the bathtub of the home. Water temperature in the bathtub only measured 83 degrees. Hot water in the sink of the home measured 117.5 degrees.A home shall have hot and cold running water under pressure. Corrective action was completed the same day the issue was identified. Repairs were immediately completed by the maintenance department to restore hot water under pressure to the bathtub. Following the repair, water temperature and pressure were tested to confirm proper hot and cold running water under pressure was available. 01/05/2026 Implemented
6400.181(a)Individual #1 did not have an assessment completed annually. Individual #1 has an assessment completed on 3/17/23 and did not have another completed until 6/24/25. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. Upon identification that Individual #1 did not receive an updated annual assessment within the required timeframe, corrective action was taken. An updated assessment was completed on 6/24/25, and a subsequent comprehensive and current assessment was completed on 2/6/26 to accurately reflect Individual #1's current needs, skills, and adaptive functioning. The most current assessment dated 2/6/26 is the assessment being used to guide services and planning and has been placed in the individual's record as well as sent to the ISP Team. 02/06/2026 Implemented
6400.181(e)(13)(i)Individual #1's annual assessment dated 6/24/25 does not include the individual's progress over the last 365 calendar days in the area of health.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Health. Upon identification that Individual #1's annual assessment dated 6/24/25 did not include documentation of the individual's progress over the previous 365 calendar days in the area of health, corrective action was taken. Individual #1's assessment and Individual Service Plan (ISP) were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including documentation of the individual's progress over the last 365 calendar days and current level of functioning in the area of health. 02/06/2026 Implemented
6400.181(e)(13)(ii)Individual #1's annual assessment dated 6/24/25 does not include the individual's progress over the last 365 calendar days in the area of motor and communication skills.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. Upon identification that Individual #1's annual assessment dated 6/24/25 did not include documentation of the individual's progress over the previous 365 calendar days in the area of motor and communication skills, corrective action was taken. Individual #1's assessment and Individual Service Plan (ISP) were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including documentation of the individual's progress over the last 365 calendar days and current level of functioning in the area of motor and communication skills. 02/06/2026 Implemented
6400.181(e)(13)(iii)Individual #1's annual assessment dated 6/24/25 does not include the individual's progress over the last 365 calendar days in the area of activities of residential living.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Activities of residential living. Upon identification that Individual #1's annual assessment dated 6/24/25 did not include documentation of the individual's progress over the previous 365 calendar days in the area of activities of residential living, corrective action was taken. Individual #1's assessment and Individual Service Plan (ISP) were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including documentation of the individual's progress over the last 365 calendar days and current level of functioning in the area of activities of residential living. 02/06/2026 Implemented
6400.181(e)(13)(iv)Individual #1's annual assessment dated 6/24/25 does not include the individual's progress over the last 365 calendar days in the area of personal adjustment.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Personal adjustment. Upon identification that Individual #1's annual assessment dated 6/24/25 did not include documentation of the individual's progress over the previous 365 calendar days in the area of personal adjustment, corrective action was taken. Individual #1's assessment and Individual Service Plan (ISP) were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including documentation of the individual's progress over the last 365 calendar days and current level of functioning in the area of personal adjustment. 02/06/2026 Implemented
6400.181(e)(13)(v)Individual #1's annual assessment dated 6/24/25 does not include the individual's progress over the last 365 calendar days in the area of socialization.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization. Upon identification that Individual #1's annual assessment dated 6/24/25 did not include documentation of the individual's progress over the previous 365 calendar days in the area of socialization, corrective action was taken. Individual #1's assessment and Individual Service Plan (ISP) were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including documentation of the individual's progress over the last 365 calendar days and current level of functioning in the area of socialization. 02/06/2026 Implemented
6400.181(e)(13)(vi)Individual #1's annual assessment dated 6/24/25 does not include the individual's progress over the last 365 calendar days in the area of recreation.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation. Upon identification that Individual #1's annual assessment dated 6/24/25 did not include documentation of the individual's progress over the previous 365 calendar days in the area of recreation, corrective action was taken. Individual #1's assessment and Individual Service Plan (ISP) were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including documentation of the individual's progress over the last 365 calendar days and current level of functioning in the area of recreation. 02/06/2026 Implemented
6400.181(e)(13)(vii)Individual #1's annual assessment dated 6/24/25 does not include the individual's progress over the last 365 calendar days in the area of financial independence.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence. Upon identification that Individual #1's annual assessment dated 6/24/25 did not include documentation of the individual's progress over the previous 365 calendar days in the area of financial independence, corrective action was taken. Individual #1's assessment and Individual Service Plan (ISP) were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including documentation of the individual's progress over the last 365 calendar days and current level of functioning in the area of financial independence. 02/06/2026 Implemented
6400.181(e)(13)(viii)Individual #1's annual assessment dated 6/24/25 does not include the individual's progress over the last 365 calendar days in the area of managing personal property.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Managing personal property. Upon identification that Individual #1's annual assessment dated 6/24/25 did not include documentation of the individual's progress over the previous 365 calendar days in the area of managing personal property, corrective action was taken. Individual #1's assessment and Individual Service Plan (ISP) were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including documentation of the individual's progress over the last 365 calendar days and current level of functioning in the area of managing personal property. 02/06/2026 Implemented
6400.181(e)(13)(ix)Individual #1's annual assessment dated 6/24/25 does not include the individual's progress over the last 365 calendar days in the area of community integration.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration.Upon identification that Individual #1's annual assessment dated 6/24/25 did not include documentation of the individual's progress over the previous 365 calendar days in the area of community integration, corrective action was taken. Individual #1's assessment and Individual Service Plan (ISP) were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including documentation of the individual's progress over the last 365 calendar days and current level of functioning in the area of community integration. 02/06/2026 Implemented
6400.44(c)(2)Staff #2 is the program specialist. Staff #2 does not meet the qualifications as program specialist. Staff #2 has a bachelor's degree but does not have two years of experience working with individuals with autism or intellectual disabilities.A program specialist shall have one of the following groups of qualifications: A bachelor's degree from an accredited college or university and 2 years of work experience working directly with individuals with an intellectual disability or autism.Upon identification that Staff #2 did not meet the required qualifications to serve as Program Specialist, corrective action was taken. Staff #2 was removed from Program Specialist duties. The provider ensured that Program Specialist responsibilities are assigned only to individuals who meet the regulatory qualifications in the interim. The provider reviewed staffing assignments to ensure compliance with qualification requirements and documented the corrective action taken. 01/08/2026 Implemented
6400.165(g)Individual #2 is prescribed medication to treat symptoms of psychiatric illness. Individual #1 had reviews of this medication on 3/1/25, 5/6/25, 5/20/25, 6/17/25, and 8/19/25. These medication reviews did not include the necessary dosage of the medications in Individual #1 is prescribed.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.Corrective action included immediate conversations with all treating psychiatrists regarding documentation requirements. Individual #1's medication review records were updated to include the diagnosis being treated, the reason for prescribing the medication, the need for continued use, and the prescribed dosage, in accordance with regulatory requirements. The individual's record was reviewed to ensure documentation is complete and current. 01/12/2026 Implemented
6400.181(f)Individual #1's assessment dated 6/24/25 was not sent to Individual #1's team at least 30 days prior to Individual #1's Individual Service Plan meeting that was held on 6/25/25.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Upon identification that Individual #1's assessment dated 6/24/25 was not provided to the individual plan team at least 30 days prior to the Individual Service Plan meeting held on 6/25/25, corrective action was taken. Procedures were reviewed with the program specialist to ensure assessments are completed and distributed within required timeframes. The assessment process was reviewed to prevent recurrence. 02/06/2026 Implemented
6400.182(c)The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. Individual #1's individual plan is not developed based upon a current assessment. Individual #1's assessment dated 6/24/25 contains multiple areas of information that is not consistent with the information contained in Individual #1's Individual Service Plan dated 6/27/25 and last updated 8/6/25. Areas of inconsistency include supervision, financial management, the individual's ability to care for personal hygiene needs, home care, self-medicating, ability to use a computer, internet, financial management skills, bathing skills, home management skills, First aid/emergency response skills, personal interactions, recreation, and personal adjustment. Individual #1's assessment refers to Individual #1 as she and her in multiple areas.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.Upon identification that Individual #1's Individual Service Plan (ISP) was not developed based upon a current and accurate assessment, immediate corrective action was taken. Individual #1's assessment and ISP were reviewed in full. A corrected, current assessment specific to Individual #1 was completed to accurately reflect the individual's needs, abilities, supervision requirements, skill levels, and supports, including but not limited to personal hygiene, home management, financial management, medication administration, use of technology, personal interactions, recreation, and emergency response skills. The corrected assessment has been forwarded over to the team so that, Individual #1's ISP can be revised if necessary to ensure consistency with the assessment and to accurately reflect the individual's current needs and services. Documentation of the updated assessment has been placed in the individual's record. 02/06/2026 Implemented
6400.213(1)(i)Individual #1's record does not include the individuals' religion.Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number.Upon identification that Individual #1's record did not include the individual's religion, corrective action was taken. Individual #1's face sheet was revised to include the individual's religion. The record was reviewed to ensure all required personal information is complete. 02/06/2026 Implemented
SIN-00260749 Renewal 02/12/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The ceiling fan cover in the common bathroom of the home was covered in a thick layer of what appeared to be dust. The glass light shades in this bathroom had a thin layer of what appeared to be dust.Clean and sanitary conditions shall be maintained in the home. The upstairs bathroom site was thoroughly cleaned and disinfected in all areas on the same day. CRHS will ensure that staff consistently clean and disinfect all areas, including ventilation and lighting systems, on a daily basis to prevent dust accumulation, regardless of whether the area is in use. 02/13/2025 Implemented
6400.68(b)At the time of inspection, the hot water in the Individual's bathroom measured 123°. Hot water in the home shall be maintained at or below 120°. Hot water temperatures in bathtubs and showers may not exceed 120°F. CRHS promptly contacted the maintenance team regarding the water temperature issue, which was resolved on the same day. Moving forward, staff are responsible for checking the water temperature during fire drills to ensure it remains within the appropriate range and call maintenance immediately to make adjustments when needed. 02/13/2025 Implemented
6400.104The notification to the local fire department on file was dated 4/30/19. The letter indicates that the home is empty and was not updated to reflect the admission of an individual on 6/26/19. Notification to the local fire department must be kept current.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. CRHS updated and submitted all local fire department notifications for its residential sites on February 20, 2025. Moving forward, CRHS must update and submit these notifications annually or whenever there are changes to the home or the number of individuals residing there. 02/20/2025 Implemented
SIN-00240390 Renewal 03/05/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)Surfaces shall be in good repair. The wooden molding around the sliding glass door was not securely attached to the wall. The curtain valance was also attached to this molding which was not secure to the wall.Floors, walls, ceilings and other surfaces shall be in good repair. CRHS reached out to the maintenance department to complete the job as soon as possible as evidenced by a work order. 04/02/2024 Implemented
6400.67(b)Surfaces shall be free from hazards. There was a golf ball size of lint located in the dryer vent at the time of inspection. This is a fire hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.The lint from the dryer at residential site was removed immediately during inspection. 03/05/2024 Implemented
6400.71The emergency numbers were not posted by the landline. The agency did correct this at the time of inspection.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 phone numbers were posted at the correct place during the time of inspection. 03/05/2024 Implemented
SIN-00219222 Renewal 02/22/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The carpet on the top step leading to the upstairs was worn through approximately 3 inches exposing the wood underlay. Surfaces shall be in good repair.Floors, walls, ceilings and other surfaces shall be in good repair. A work order was immediately placed for the carpet to the home maintenance department. The carpet is scheduled to be repaired on 3/20/23 depending on the product availability. 03/20/2023 Implemented
SIN-00170015 Renewal 01/17/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(a)Fire drill records show that there was no documented fire drill held in December 2019. An unannounced fire drill shall be held at least once a month. CRHS will ensure that the FIRE DRILL will be completed on a monthly basis moving forward and the outcome to be confirmed by the program specialist. CRHS has scheduled to retrain the existing staff on Fire Safety and annually thereafter. All new employees will be trained on Fire Safety prior to working at any of the residential sites and annually thereafter to ensure that all fire safety requirements are met. 02/28/2020 Implemented
6400.112(e)Fire drill documentation shows that no drills were held during sleeping hours between April 2019 and December 2019, which is a span greater than 6 months.A fire drill shall be held during sleeping hours at least every 6 months. CRHS will ensure that the FIRE DRILL will be completed on a monthly basis moving forward and the outcome to be confirmed by the program specialist. All the existing staff are scheduled to be retrained on Fire Safety and how to conduct a Fire Drill properly. All new employees will be trained on Fire Safety prior to working at any of the residential sites and annually thereafter to ensure that all fire safety protocols are met. ((Fire Drill was held during sleep hours as per regulation -CH 2/28/2020)) 02/28/2020 Implemented
6400.166(b)The staff who administered the 8PM dosage of the medication Flovent on 1/09/20 and 1/20/20 to Individual #1 did not initial and date the medication record at the time the medication was administered.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.Staff who administered the 8PM dosage was retrained on Medication Administration by completing Medication Practicum Review on 02/14/2020. Program Specialist and house supervisor will work hand in hand to ensure that all medications are administered correctly and also complete weekly and monthly routine checks. 02/14/2020 Implemented
SIN-00200546 Renewal 03/29/2022 Compliant - Finalized