Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00283115 Renewal 02/17/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(a)The most recent physical on file is dated 12/30/2025. With respect to the pre-employment physical, completed 1/3/2023, the physical should have been completed by 1/3/2025 to meet the biennial requirement for Staff Person #3. There is no physical on file for Staff Person #4. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. The Program Director will ensure that staff members #3 and #4 as well as all other staff who are hired have a physical completed prior to the person's date of hire and maintain an update physical every two years not to exceed the previous physical date. Provider will email Staff member #4 physical. 03/09/2026 Implemented
SIN-00260089 Renewal 11/14/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.142(c)142c No annual teeth cleaning or exam on file .A written record of the dental examination, including the date of the examination, the dentist's name, procedures completed and follow-up treatment recommended, shall be kept. The Executive Director failed to ensure individual #1 had an annual teeth cleaning completed and/or scheduled. On 2/19/25 indiviual #1 had a dental exam completed. 03/16/2025 Implemented
6400.142(f)142f No dental hygiene plan on fileAn individual shall have a written plan for dental hygiene, unless the interdisciplinary team has documented in writing that the individual has achieved dental hygiene independence. The Executive Director failed to ensure individual #1 had an annual dental exam and plan written by their dentist. On 2/19/25 individual #1 written dental hygiene plan was completed by the Dentistry office. 03/16/2025 Implemented
6400.165(c)165c Benzotropine still in blister pack from 8am dose. Individual William Mayhem did not receive prescribed dosage at prescribed timeA prescription medication shall be administered as prescribed.On 11/14/24, Support staff failed to administer individual #1's 8:00am Benzotropine medication. Individual #1's doctor was notified of the missed dose of medication. The CEO reported the medication error in EIM. The support staff was reeducated on medication errors. 11/14/2024 Implemented