Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00274530 Renewal 09/26/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)Individual #1's physical examination, completed 4/7/25 did not include medical information pertinent to diagnosis and treatment in case of an emergency. This section was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.CEO had meeting with Program Specialist (PS) on 9/29/2025 in regards to a missing line on their physical examination form. CEO stressed to PS that this information must always be included, and if not it needs to be rectified within 48 hours of discovery. PS contacted Individual "1's PCP to verify medical information pertinent to diagnosis and treatment in the case of an emergency. The information given was "Moderate Intellectual Disability". This was put on Individual's physical. 09/29/2025 Implemented
SIN-00253389 Renewal 10/08/2024 Compliant - Finalized