Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00277467 Renewal 11/04/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.84The agency's annual onsite fire safety inspections were completed by a fire safety expert on 8/8/2024 and then again on 8/12/2025.The facility shall have an annual onsite firesafety inspection by a firesafety expert. Documentation of the date, source and results of the firesafety inspection shall be kept.-The next annual inspection will be scheduled by the Assistant Director no later than July 2026, ensuring completion before August 8, 2026. -A fire drill schedule will be utilized that will include the annual fire drill date. The 2026 annual fire drill is scheduled for July 27, 2026 - The Director will implement a Google Calendar system reminder (e.g., calendar alerts) that will be implemented at least 60 days before the due date each year. - The Assistant Director will verify completion of the fire safety inspection and proper documentation during the facility's monthly safety meeting. 11/21/2025 Implemented
2380.38(b)(5)Direct Service Worker #4, date of hire 7/7/2025, did not participate in training to include job-related knowledge and skills during orientation. According to the agency's orientation syllabus, Direct Service Worker #4 independently read the content of the training on 7/11/2025.The orientation must encompass the following areas: Job-related knowledge and skills.Update the orientation syllabus to include the trainer, the length of training, and a description of the training. 11/21/2025 Implemented
2380.39(c)(6)Program Specialist #1, Program Instructor #2, and Direct Service Worker #3 did not participate in training to include the implementation of the individual plan for the individuals whom they work directly with during the 1/1/2024 through 12/31/2024 annual training year.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Implementation of the individual plan if the person works directly with an individual.-Program Specialist #1, Program Instructor #2, and Direct Service Worker #3 will complete training on the implementation of the individual plans for all individuals they support by 11/21/25. -Supervisors will verify completion of all required training through signed ISP in-service form training sheets. -Staff are to sign the in-service form after being trained on the ISP, stating that they have an understanding of the ISP document and the individual that they will be working directly with. 11/21/2025 Implemented
SIN-00238684 Renewal 02/06/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.89(c)The fire drill records for all fire drills occurring from 2/16/2023 through 1/11/2024 did not include the exit route(s) utilized. On the fire drill records, under the section titled "evacuation exit route" it was indicated that all clients were evacuated to a safe zone or due to the location of the fire, all clients prepared to evacuate and sheltered in place.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 was operative.When the monthly fire drills are completed, a fire drill record will be completed after the fire drill has taken place. This will be completed by the Director or Assistant Director of the Life Enrichment Adult Program. An Administrative Review of the fire drill record will be completed after the fire drill has taken place by the Director or Assistant Director of the Life Enrichment Adult Program. When the Director or Assistant Director is completing the administrative review of the fire drill record, they will ensure the evacuation exit route is noted on the fire drill record by reviewing the evacuation exit route section of the fire drill record; it will be indicated on our fire drill record that all exits were utilized except the exit where the fire was located. This change was effective on February 6th, 2024. 02/07/2024 Implemented
SIN-00063637 Renewal 09/03/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.83(b)Evacuation diagrams are not posted in room 192 and room 193 of the facility.An evacuation diagram shall be posted in all areas of the facility.Upon recognition, evacuation diagrams were immediately posted in rooms 192 and 193 of the facility. The Adult Training Facility Professionals have been trained to ensure that all areas of the facility have evacuation diagrams posted. The Adult Training Facility Program Instructors/Assistants will ensure that all evacuation diagrams are present through the completion of bi-monthly checks which will be reviewed by the Program Director. Additionally, the Director of Maintenance will ensure compliance in accordance with regulation 2380.83(b) during the Annual Fire Inspection. The following documents have been submitted to the Licensing Inspector: Signed in-service training for all Adult Training Facility Professionals, Bi-Monthly Checklist Sample, and Annual Fire Inspection Form 09/25/2014 Implemented
SIN-00259738 Renewal 01/31/2025 Compliant - Finalized
SIN-00219571 Renewal 02/23/2023 Compliant - Finalized
SIN-00203117 Renewal 03/25/2022 Compliant - Finalized
SIN-00158650 Renewal 07/25/2019 Compliant - Finalized
SIN-00139526 Renewal 08/06/2018 Compliant - Finalized
SIN-00119801 Renewal 08/22/2017 Compliant - Finalized
SIN-00099913 Renewal 08/30/2016 Compliant - Finalized
SIN-00079687 Renewal 08/24/2015 Compliant - Finalized
SIN-00050417 Renewal 08/08/2013 Compliant - Finalized