Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00272124 Renewal 08/18/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.32(r)There were no locks on door of the bedrooms for individuals #2 and #3, and there was no documentation referencing why there were no locks on the doors.An individual has the right to lock the individual's bedroom door.A form was created to have each individual consent/ or not consent to have a lock on their door. The resident will sign off whichever they chose with a witness. A line is also added for family/ guardian if applicable. 10/01/2025 Implemented
SIN-00254969 Renewal 11/04/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65The ventilation fan in the bathroom located in the basement apartment 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. Longacre Electrical will be out to fix the exhaust fan on 11/12/24. 11/12/2024 Implemented
6400.112(c)The fire drill records did not indicate if there were problems encountered or not for the entire year.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. The fire drill record will be changed to include the question: Were there any concerns or problems during the drill period? If yes, please describe in detail. 12/01/2024 Implemented
SIN-00233596 Renewal 11/01/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The inside of the oven door and bottom of oven in the kitchen had visible grease buildup and splatter that needs to be cleaned.Clean and sanitary conditions shall be maintained in the home. The stove was cleaned immediately. 02/14/2024 Implemented
SIN-00124613 Renewal 11/17/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(c)The chief executive officer Bruce McWaters completed 14.5 hours of training relevant to human services or administration in the training year 10/01/2016 to 9/30/2017. The chief executive officer shall have at least 24 hours of training relevant to human services or administration annually.The chief executive officer Bruce McWaters will ensure that he completes his 24 hours of mandatory training this training year 10/01/2017 to 9/30/2018. [Agency designee will monitor training records for all staff, including CEO, to ensure that the required trainings and training hours are completed each training year. JG 12/27/17] 09/30/2018 Implemented
6400.67(a)The kitchen counter top located between the stove top and the sink had several deep cracks in the surface.Floors, walls, ceilings and other surfaces shall be in good repair. Estimates are in the process of being gotten from contractor's for the repair of the crack in the counter. Until the crack can be repaired a plastic cover will be placed of the crack to cut down on the bacteria. 01/26/2017 Implemented
SIN-00094678 Renewal 05/16/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(g)Staff # 2 completed fire safety training on 4/20/16 and it was not conducted by a fire safety expertProgram specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (f). Pam Hoffman (residential director) will obtain and keep on file the fire safety expert's certification. The direct support staff and program specialist will be trained yearly. 08/17/2016 Implemented
6400.62(a)A tube of Desitin which states to call poison control on the label, was found unlocked in the second floor bathroom. Mr Clean, Cascade, and Lysol wipes which indicated to contact poison control if ingested were found unlocked in the attic.Poisonous materials shall be kept locked or made inaccessible to individuals.The supervisors of the home (Rebecca Davidson and Brian Bechtel) will check the home daily to ensure that all poisonous materials are kept locked. A locked cabinet is above the washer and dryer. Staff must unlock and relock after use. The materials were locked up immediately. [All staff of residential homes will receive training on the importance of locking poisonous materials and how to identify a poisonous material within 30 days of receipt of this plan of correction. SW 1.5.17] 08/17/2016 Implemented
6400.62(d)Mr., Clean, Cascade and Lysol wipes which indicated to contact poisonous control if ingested, were found stored in the attic with Skippy peanut butter, Idaho mashed potatoes mix and fruit Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.Pam Hoffman (Residential Director) purchased an additional cabinet to store all food products downstairs and not in the attic with poisonous materials. The cabinet was purchased July 23, 2016.[Moving forward, Quality Management or Program Designee will complete weekly checks of the homes to ensure compliance food and poisonous materials are maintained separately in the home. Staff will be trained on the requirement to keep poisonous materials and food/food preparation surfaces separate within thirty days receipt of this plan of correction DD 12.13.16] 07/23/2016 Implemented
6400.67(a)Individual # 2's bedroom floor was heavily worn.Floors, walls, ceilings and other surfaces shall be in good repair. Pam Hoffman (Residential Director) placed a work order and had the individual's floor resurfaced. The floor was resurfaced on August 3rd, 2016. Going forward a work order will be placed to maintain surfaces in good repair. 08/03/2016 Implemented
SIN-00078776 Renewal 02/10/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The side ramp's wooden handrail is rotting and splintering.Floors, walls, ceilings and other surfaces shall be in good repair. The side ramp wooden handrail was replaced. The program specialist will conduct monthly physical site inspections of the home to ensure that the home is in good repair. The staff of the home will be trained on how to submit a work order to ensure that repairs are completed timely. 02/25/2015 Implemented
6400.112(d)The evacuation time of the fire drill conducted on 3/18/14 was over 3 minutes and the drill was stopped. Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. Going forward if a failed fire drill occurs another one will be completed in the same month. The program director will review all fire drill records on a quarterly basis to ensure that fire drills are conducted as required on a monthly basis. The staff of the home will be trained on how to participate in a fire drill so that all individuals of the home are evacuated timely. If the fire drills exceed 2 1/2 minutes, an assessment of the mobility needs of the individuals will be conducted and if necessary a fire safety expert will conduct an evaluation of the home to determine if an extended evacuation is appropriate, within 30 days of receipt of this plan of correction. [SW 5.27.15] 02/11/2015 Implemented
6400.186(a)The three month ISP reviews dated 9/16/14 and 12/22/14 for individual # 1 did not report on the socialization outcome noted in the current ISP, dated 6/26/14.The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. The quarterly sheets have been revamped to reflect the socialization outcome to show the behavior specialist progress. The program specialist will review the quarterly ISP reviews within 15 days of the reviews being completed to ensure that all required elements of the Individuals ISP are reflected. 02/23/2015 Implemented
SIN-00214313 Renewal 11/02/2022 Compliant - Finalized
SIN-00196112 Renewal 11/03/2021 Compliant - Finalized
SIN-00205477 Renewal 11/03/2021 Compliant - Finalized
SIN-00178277 Renewal 10/21/2020 Compliant - Finalized
SIN-00150676 Renewal 02/21/2019 Compliant - Finalized
SIN-00057118 Renewal 11/18/2013 Compliant - Finalized