Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00281874 Renewal 01/07/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(b)Staff #1 was not trained annually in fire safety. Staff #1 completed fire safety training on 6/27/24 and did not complete the training again until 11/12/25.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a).Provider ensures program specialists and all direct service workers are trained annual by a fire safety expert in the training areas specified in subsection (a). 01/14/2026 Implemented
6400.169(a)Staff #1 completed a Department-approved medications administration course, however the renewal requirements were not completed as directed. Observations of medication passes were not completed 6 months apart. Observations of medication passes were completed in 4/25 and 7/25. Staff #2 and Staff #3 completed a Department-approved medications administration course, however the renewal requirements were not completed as directed. There were not any Medication Administration Record reviews completed, and observations of medication passes were not completed 6 months apart. Staff #2's medication pass observations were completed on 7/25 and 11/25 and Staff #2's medication pass observations were completed in 6/25 and 9/25.A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6400.162 (relating to medication administration).The provider's medication administrator /trainer will review all staff persons who have successfully completed a department-approved medication administration course and complete all renewal requirements including observation of medication passes and medication administration record reviews at least every 6 months. 01/30/2026 Implemented
SIN-00259791 Renewal 02/11/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The toilet in the lower-level bathroom was dirty with a ring around the toilet bowl at the water line.Clean and sanitary conditions shall be maintained in the home. Toilet in the lower level, not typically used, was cleaned on 2/11/25 02/11/2025 Implemented
6400.52(c)(6)There was no documentation that Staff #1 completed annual training in implementation of the Individual Support Plan (ISP) during the training year reviewed (calendar 2024).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.Staff #1 did complete annual training in the implementation of individual support plan, but did not sign off that training was completed. Staff did complete the annual training on the college of direct supports. Staff #1 will train on the implementation the ISP's of the individuals they support and document the training. 03/21/2025 Implemented
SIN-00192961 Unannounced Monitoring 08/09/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.32(c)Staff #1 left 2 individuals in the agency vehicle while staff went into the store to purchase a water. Both individual #1 and individual #2 were left without proper supervision as per their ISP and were violated of their individual rights to not be neglected. There was failure to provide adequate supervision to Individual #1 and Individual #2 because it created a situation where harm could have occurred.An individual may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment.Provider will retrain staff on individuals right to be free from abuse, neglect, mistreatment, exploitation, abandonment or subject to corporal punishment 10/05/2021 Implemented
6400.186Staff #1 left individual's #1 and #2 inside the agency vehicle alone, while staff went inside a store to purchase a water. Individual #1 ISP states that she is have 24 hour supervision in the community. Individual #2 ISP states that she should be within arms reach of staff in the community due to elopement risks. Both individuals ISP were not implemented during this incident as the 2 individuals were left alone in the agency vehicle while staff was in the store.The home shall implement the individual plan, including revisions.Staff will be retrained on Individual #1 and individual #2 ISP's including supervision plan 10/05/2021 Implemented
SIN-00183478 Renewal 03/30/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.101A storage room in the basement had a door with a lock that had the turning mechanism to unlock the door on the outside of the door and a "pin-style" lock on the inside of the room. The staff did not have the pin-like opening tool, nor was there one located inside the room. This door lock, positioned as it was on the door with the turning mechanism on the outside of the room, obstructed the egress from the room to the rest of the basement and the stairs to the first floor.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The lock on the door in the lower level was removed. 04/01/2021 Implemented
SIN-00238371 Renewal 02/27/2024 Compliant - Finalized
SIN-00219586 Renewal 02/14/2023 Compliant - Finalized
SIN-00200609 Renewal 03/21/2022 Compliant - Finalized
SIN-00147611 Renewal 01/09/2019 Compliant - Finalized
SIN-00127885 Renewal 01/29/2018 Compliant - Finalized
SIN-00109704 Renewal 03/01/2017 Compliant - Finalized
SIN-00087812 Renewal 02/09/2016 Compliant - Finalized
SIN-00069752 Renewal 11/06/2014 Compliant - Finalized