Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00276213 Renewal 10/21/2025 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)On 10/22/2025 at 11:58 AM, the basement's only sink was enveloped entirely with a mixture of brown debris, dust, dirt, and cobwebs.Clean and sanitary conditions shall be maintained in the home. Basement is kept locked and sink is not used at any time. Sink is not necessary and will be removed by maintenance. 11/06/2025 Not Implemented
6400.66On 10/22/2025 at 12:02 PM, the basement's only exterior door opened to a vestibule containing seven steps to a set of Bilco doors. This vestibule did not contain a light source.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Provider has contacted electrician to resolve the issue and install light fixture to basement vestibule. 12/31/2025 Implemented
6400.67(b)On 10/22/2025 at 11:59 AM, the sump pump unit, located in the corner of the basement next to the sink, did not have a cover, thus, exposing a square hole in the floor that measured two feet in length, by two feet in width, by two feet in depth, and posing a tripping hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.To ensure floors, walls, and other surfaces are free from hazards, cover will be placed on sump pump unit as soon as possible by plumbing contractor. 12/31/2025 Implemented
6400.72(a)On 10/22/2025 at 11:46 AM, the window located above the kitchen sink did not have a screen. At 11:52 AM, the window in Individual #1's bedroom facing the left side of the home was fitted with an accordion screen that was smaller than the window frame, leaving a ten-inch gap along the top of the window opening. At 12:11 PM, the window in the living room facing the right side of the home was fitted with an accordion screen that was smaller than the window frame, leaving a ten-inch gap along the top of the window opening.Windows, including windows in doors, shall be securely screened when windows or doors are open. Provider will have contractor install properly fitted screens to all necessary windows/doors. Exact date to be determined by construction company but already aware of need for screens to be replaced. Provider will update as soon as date determined. Estimated mid-December. 12/31/2025 Not Implemented
6400.72(b)On 10/22/2025 at 11:47 AM, the bottom mesh of the screen in the kitchen window located on the right side of the home was torn in an irregular-shaped area, measuring one-half inch by one-half inch. At 11:53 AM, the bottom left corner of the screen mesh in the window facing the front of the home located in Individual #1's bedroom was torn in a linear manner, measuring approximately one and one-half inches in length. Screens, windows and doors shall be in good repair. Provider will have contractor install properly fitted screens to all necessary windows/doors. Exact date to be determined by construction company but already aware of need for screens to be replaced. Provider will update as soon as date determined. Estimated mid-December. 12/31/2025 Not Implemented
6400.73(a)On 10/22/2025 at 12:02 PM, the basement's only exterior door opened to a vestibule containing seven steps that led to a set of Bilco doors; however, this set of stairs did not have a handrail. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. Contractor has been notified by provider of need for handrail installation. Quote sent and approved by provider. Awaiting start date from contractor. 12/31/2025 Implemented
6400.82(f)On 10/22/2025 at 12:10 PM, the home's only bathroom did not include a trash receptacle.Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. Trash can purchased and placed in restroom on 10-30-2025. 12/31/2025 Implemented
6400.105On 10/22/2025 at 11:49 AM, the dryer vent filter was covered in its entirety with a thick layer of lint, dust, and fabric particles.Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources. Dryer lint filter was cleaned immediately at time of inspection. In the future, staff will clean vent filter each use to ensure no lint or dust present. 12/31/2025 Implemented
6400.214(b)On 10/22/2025 at 12:20 PM, neither hard nor electronic copies of the following regarding Individual #1's most current records were kept at home: The current Service Plan, incident reports, a dental examination, and an applicable psychological evaluation. The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. Psychological evaluation was obtained and placed in the individual's file. 11/01/2025 Not Implemented
6400.20(b)The home did not review and analyze incidents and conduct and document a trend analysis at least every 3 months.The home shall review and analyze incidents and conduct and document a trend analysis at least every 3 months.Trend analysis for first three quarters completed of 2025. IM representative will ensure continued compliance in the future. 01/16/2026 Not Implemented
6400.32(r)(1)On 10/22/2025 at 12:14 PM, the door lock to Individual #1's bedroom was equipped with a turn latch on the inside and a pinhole access point on the entry side. This bedroom door locking system does not provide Individual #1 with a unique mechanism or entry device to lock and unlock their bedroom door.Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.Maintenance to replace doorknob as soon as possible with knob equipped with locking mechanism and key. Staff will educate individual how to lock and unlock her door. House managers will be conducting a monthly home inspection which will include ensuring doorknob works properly and that individual may lock and unlock her door. 12/31/2025 Implemented
6400.32(r)(4)On 10/22/2025 at 12:14 PM, the door lock to Individual #1's bedroom was equipped with a turn latch on the inside and a pinhole access point on the entry side. This bedroom door locking system does not allow easy and immediate access by Individual #1 and staff in the event of an emergency.The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency.Maintenance to replace doorknob as soon as possible with knob equipped with locking mechanism and key. Staff will educate individual how to lock and unlock her door. House managers will be conducting a monthly home inspection which will include ensuring doorknob works properly and that individual may lock and unlock her door. Staff will ensure key to individual's bedroom is accessible at all times and in the event of an emergency. 12/31/2025 Implemented
SIN-00254653 Renewal 10/29/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)Individual #1's physical examination, completed on 04/24/24, did not include medical information pertinent to diagnosis and treatment in case of emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. CEO will immediately review with house managers the importance of completing medical documentation in its entirety at the time of evaluation/visit. CEO and PS will work with house managers to maintain compliance by implementing a medical tracker for all medical appointments and house managers are responsible for scheduling appointments timely and ensuring all documentation is filled out completely. 11/15/2024 Implemented
6400.142(a)Individual #1 had a dental examination on 06/06/23, and then again on 07/10/24. This exceeds the annual requirement. [Repeat violation 11/07/23 et al.]An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. CEO has implemented a new medical tracking form for each house manager to reference for necessary appointment dates. Previous medical appointments are documented and future dates to be scheduled for each individual will be kept. HMs will reference the medical tracker in order to maintain compliance. 11/15/2024 Implemented
6400.165(g)Individual #1 is prescribed medication to treat the symptoms of a diagnosed psychiatric illness. Individual #1 had a review of psychiatric medication on 04/10/24, and then again on 07/24/24. This exceeds the at least every 3-months requirement. [Repeat violation 11/07/23 et al.]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.CEO has implemented a new medical tracking form for each house manager to reference for necessary appointment dates. Previous medical appointments are documented and future dates to be scheduled for each individual will be kept. HMs will reference the medical tracker in order to maintain compliance. 11/15/2024 Implemented
6400.182(c)Individual #1's 1/29/24 assessment was provided to the plan team members on 1/29/24 for an annual ISP meeting held 9/24/24. [Repeat Violation 11/07/23]The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.CEO to develop tracking form for assessment completion dates, annual updates, and dates submitted to the plan team. CEO and PS will then monitor assessment dates on a monthly basis to ensure compliance with regulatory timelines. 11/15/2024 Implemented
SIN-00234170 Renewal 11/07/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(d)(1)On 11/8/23, Individual #1's funds and financial ledger were not present. House Manager #1 stated during the inspection that they had taken Individual #1's funds and financial ledger to their home "to keep them safe".The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. House manager immediately had the funds secured and an accounting verified. A lock box has been purchased to keep all funds and accounting records of financial transactions at individual #1 home. 01/31/2024 Implemented
SIN-00215605 Renewal 11/29/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency's Certificate of Compliance expiration date was 8/19/2022. The agency completed the self-assessment of the home on 11/28/2022.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. Self-assessments were completed, however not within a timely manner. CEO and Program Specialist will complete future self-assessments within the required timeframe of 3 to 6 months prior to expiration date of the certificate of compliance. CEO and Program Specialist will complete all self-assessments by 5/19/23 and will begin self-assessments no later than 3/1/23 to measure compliance with applicable regulations and correct any identified deficiencies. Violations will be identified, and written summaries of corrective actions taken will be documented. CEO and program specialist to review applicable regulations for compliance. 03/01/2023 Implemented
6400.15(c)Violations were identified by marking the "V" on the self-assessment; however, the agency did not identify the violations and complete a written summary of corrections made.A copy of the agency's self-assessment results and a written summary of corrections made shall be kept by the agency for at least 1 year. Self-assessments were completed, however not within a timely manner. CEO and Program Specialist will complete future self-assessments within the required timeframe of 3 to 6 months prior to expiration date of the certificate of compliance. CEO and Program Specialist will complete all self-assessments by 5/19/23 and will begin self-assessments no later than 3/1/23 to measure compliance with applicable regulations and correct any identified deficiencies. Violations will be identified, and written summaries of corrective actions taken will be documented. 03/01/2023 Implemented
6400.76(a)The toilet seat in the first-floor bathroom was loosely secured and able to move over an inch from side to side. Furniture and equipment shall be nonhazardous, clean and sturdy. Toilet seat was unable to be safely secured and new toilet seat purchased and installed on 1/3/23. House manager will conduct monthly check of all furniture and equipment in the home to ensure it is non-hazardous, clean and sturdy. CEO will develop checklist for all house managers to maintain compliance. CEO and program specialist will verify monthly checklists are completed by house managers. 03/01/2023 Implemented
SIN-00197909 Renewal 12/20/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The written fire drill records for the fire drills conducted on 9/30/2021, 10/29/2021, and 11/3/2021 do not document whether any problems were encountered. The written fire drill records for the fire drills conducted on 9/30/2021 and 2/26/2021 do not document the exact time the fire drill was conducted.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. CEO will conduct a staff review/training on the regulatory requirements of 6400.112(c) and additional regulations in regard to fire safety and fire drills. House managers will be responsible for monthly review of fire drill records/documentation to ensure compliance with applicable regulations. 01/21/2022 Implemented
6400.112(e)A fire drill was not held during sleeping hours during the period from 1/1/2021 to 12/20/2021.A fire drill shall be held during sleeping hours at least every 6 months. Sleeping drill will be conducted immediately and will then be held at least every six months in the future in order to maintain compliance. Fire safety/drill training will be held with all staff to review applicable requirements and regulations. 01/21/2022 Implemented
SIN-00182301 Renewal 01/26/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(7)Individual #1 had a gynecological examination on 4/11/19 and then again on 6/26/20.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. In order to prevent future violation and to ensure compliance, Program Specialist and CEO will monitor 6400.141(a)-(d) regarding Individual Physical Examinations on a monthly basis effective immediately. Documentation of monthly reviews will be kept. [Immediately, the CEO or designee shall develop and implement a tracking system to ensure timely scheduling and completion of medical appointments including gynecological examinations. (DPOC by AES,HSLS on 2/16/21)] 02/10/2021 Implemented
6400.142(a)Individual #1 had a dental examination on 4/10/19 and then again 7/14/20.An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. Effective immediately, Program Specialist will conduct monthly reviews of Dental care as specified in 6400.142(a)-(h) to ensure compliance and prevent future violations. Documentation of the monthly reviews will be kept and monitored by CEO. [Immediately, the CEO or designee shall develop and implement a tracking system to ensure timely scheduling and completion of medical appointments including dental examinations. (DPOC by AES,HSLS on 2/16/21)] 02/10/2021 Implemented
6400.181(a)Individual #1 had an assessment completed on 3/25/19 and then again on 9/9/20. 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. Program Specialist will review 6400.181(a)-(f) regarding Assessments to ensure compliance and prevent future violations. Additionally, Program Specialist and CEO will conduct monthly reviews of each Assessment. Documentation of this review will be kept. [Immediately, the CEO or designee shall develop and implement a tracking system to ensure accurate, up-to-date and timely completion of individual's assessments. (DPOC by AES,HSLS on 2/16/21)] 02/10/2021 Implemented
6400.182(c)Individual #1's assessment, completed 9/9/20 indicates that Individual #1 needs full assistance to identify, use, and safely be around poisonous materials. Individual #1's ISP, last updated 1/21/21 reads, "[Individual #1] understands precautions for handling and storage of poisonous materials. She also recognizes warning labels and danger signs."The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.Program Specialist will communicate with the plan team (specifically the Supports Coordinator) regarding the assessment and update to the individual plan. The plan team will work together to ensure the individual plan is developed based upon the most current assessment and then when updated annually or revised as individual needs change. [Immediately, the CEO or designee shall develop and implement a tracking system and auditing process to ensure accurate, up-to-date and timely completion of individual's assessments. (DPOC by AES,HSLS on 2/16/21)] 03/10/2021 Implemented