Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00251996 Renewal 09/30/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)At the time of the inspection, the left side cabinet door, underneath the kitchen sink, and several other cabinet doors in the kitchen had a very thick material that was peeling off the cabinets and it was very sharp to the touch. Floors, walls, ceilings and other surfaces shall be free of hazards.On 10-11-24, the Director of Operations and Operations Manager removed and shaved down the peeling portions of the cabinet material covering the doors. The peeling parts have been shaved down so that they are smooth. The Director of Operations contacted Kitchen Re-facers on 10-16-24 to receive quotes to fix the cabinets. The Director of Residential Services provided written education/retraining to Program Specialists on 10-11-24 regarding regulation 67(b) that specifies that floors, walls, ceilings and other surfaces shall be free of hazards. The Director of Residential services provided verbal retraining to the Residential Management team on 10-9-24 in an in-person department management meeting that included Program Specialists, Program Managers and Program Supervisors regarding regulation 67(b). All management, including Program Specialists, Program Managers and Program Supervisors were trained that they must check all the cabinet doors to ensure they are not peeling and are in a safe and good working condition when conducting the monthly site checklist. 10/17/2024 Implemented
6400.214(b)The most current assessment was not found in the individual's programming books located in the home, as required by this regulation (reference 6400.213.6). The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. The Director of Residential Services provided written education/retraining to Program Specialists on 10-11-24 regarding regulation 214(b) that specifies effective immediately, a paper copy of the most current assessment is to be kept in the individuals daily book at the homes. The Program Specialist placed a copy of the assessment in all Daily Books of the individuals at the homes on 10-15-2024. The Director of Residential Services provided written education/retraining to Program Specialists on 10-11-24 regarding regulation 214(b) that specifies a paper copy of the most current assessment is to be kept in the individual¿s daily book at the homes. The Director of Residential services provided verbal retraining to the entire residential management team, which includes Program Specialists, Program Managers and Program Supervisors on 10-9-24 in an in-person department meeting regarding regulation 214(b). 10/17/2024 Implemented
SIN-00079659 Renewal 03/31/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(13)(i)Indvidual #1's assessment did not include progress over the last 365 calendar days and current level in 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. The assessment for Individual #1 was reviewed by the Program Specialist. The PS compared the current assessment to the previous assessment noting progress in this section over the last 365 calendar days. This information is included in individual #1's current assessment. This review occurred on 4/24/15. To prevent future occurrences, regulation 181(e)(13)(I-IX) regarding Progress and Growth was reviewed with all Program Specialists. They have been trained in their responsibilities of including progress over the last 365 calendar days and current level of skill in this area. This training occurred on 4/28/15. 04/28/2015 Implemented
6400.181(e)(13)(ii)Indvidual #1's assessment did not include progress over the last 365 calendar days and current level in motor and communications 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. The assessment for Individual #1 was reviewed by the Program Specialist. The PS compared the current assessment to the previous assessment noting progress in this section over the last 365 calendar days. This information is included in individual #1's current assessment. This review occurred on 4/24/15. To prevent future occurrences, regulation 181(e)(13)(I-IX) regarding Progress and Growth was reviewed with all Program Specialists. They have been trained in their responsibilities of including progress over the last 365 calendar days and current level of skill in this area. This training occurred on 4/28/15. 04/28/2015 Implemented
6400.181(e)(13)(iii)Indvidual #1's assessment did not include progress over the last 365 calendar days and current level in 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. The assessment for Individual #1 was reviewed by the Program Specialist. The PS compared the current assessment to the previous assessment noting progress in this section over the last 365 calendar days. This information is included in individual #1's current assessment. This review occurred on 4/24/15. To prevent future occurrences, regulation 181(e)(13)(I-IX) regarding Progress and Growth was reviewed with all Program Specialists. They have been trained in their responsibilities of including progress over the last 365 calendar days and current level of skill in this area. This training occurred on 4/28/15. 04/28/2015 Implemented
6400.181(e)(13)(iv)Indvidual #1's assessment did not include progress over the last 365 calendar days and current level in 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. The assessment for Individual #1 was reviewed by the Program Specialist. The PS compared the current assessment to the previous assessment noting progress in this section over the last 365 calendar days. This information is included in individual #1's current assessment. This review occurred on 4/24/15. To prevent future occurrences, regulation 181(e)(13)(I-IX) regarding Progress and Growth was reviewed with all Program Specialists. They have been trained in their responsibilities of including progress over the last 365 calendar days and current level of skill in this area. This training occurred on 4/28/15. 04/28/2015 Implemented
6400.181(e)(13)(v)Indvidual #1's assessment did not include progress over the last 365 calendar days and current level in 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. The assessment for Individual #1 was reviewed by the Program Specialist. The PS compared the current assessment to the previous assessment noting progress in this section over the last 365 calendar days. This information is included in individual #1's current assessment. This review occurred on 4/24/15. To prevent future occurrences, regulation 181(e)(13)(I-IX) regarding Progress and Growth was reviewed with all Program Specialists. They have been trained in their responsibilities of including progress over the last 365 calendar days and current level of skill in this area. This training occurred on 4/28/15. 04/28/2015 Implemented
6400.181(e)(13)(vi)Indvidual #1's assessment did not include progress over the last 365 calendar days and current level in 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. The assessment for Individual #1 was reviewed by the Program Specialist. The PS compared the current assessment to the previous assessment noting progress in this section over the last 365 calendar days. This information is included in individual #1's current assessment. This review occurred on 4/24/15. To prevent future occurrences, regulation 181(e)(13)(I-IX) regarding Progress and Growth was reviewed with all Program Specialists. They have been trained in their responsibilities of including progress over the last 365 calendar days and current level of skill in this area. This training occurred on 4/28/15. 04/28/2015 Implemented
6400.181(e)(13)(vii)Indvidual #1's assessment did not include progress over the last 365 calendar days and current level in 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. The assessment for Individual #1 was reviewed by the Program Specialist. The PS compared the current assessment to the previous assessment noting progress in this section over the last 365 calendar days. This information is included in individual #1's current assessment. This review occurred on 4/24/15. To prevent future occurrences, regulation 181(e)(13)(I-IX) regarding Progress and Growth was reviewed with all Program Specialists. They have been trained in their responsibilities of including progress over the last 365 calendar days and current level of skill in this area. This training occurred on 4/28/15. 04/28/2015 Implemented
6400.181(e)(13)(viii)Indvidual #1's assessment did not include progress over the last 365 calendar days and current level in 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. The assessment for Individual #1 was reviewed by the Program Specialist. The PS compared the current assessment to the previous assessment noting progress in this section over the last 365 calendar days. This information is included in individual #1's current assessment. This review occurred on 4/24/15. To prevent future occurrences, regulation 181(e)(13)(I-IX) regarding Progress and Growth was reviewed with all Program Specialists. They have been trained in their responsibilities of including progress over the last 365 calendar days and current level of skill in this area. This training occurred on 4/28/15. 04/28/2015 Implemented
6400.181(e)(13)(ix)Indvidual #1's assessment did not include progress over the last 365 calendar days and current level in 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.The assessment for Individual #1 was reviewed by the Program Specialist. The PS compared the current assessment to the previous assessment noting progress in this section over the last 365 calendar days. This information is included in individual #1's current assessment. This review occurred on 4/24/15. To prevent future occurrences, regulation 181(e)(13)(I-IX) regarding Progress and Growth was reviewed with all Program Specialists. They have been trained in their responsibilities of including progress over the last 365 calendar days and current level of skill in this area. This training occurred on 4/28/15. 04/28/2015 Implemented
SIN-00192218 Renewal 09/07/2021 Compliant - Finalized
SIN-00154494 Renewal 06/18/2019 Compliant - Finalized
SIN-00105064 Renewal 02/07/2017 Compliant - Finalized