Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00212029 Renewal 09/15/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)Water damage in dining room window is causing chafing of wall exterior and is in need of repair Bathroom shower in basement was very dirty and covered in a black substance There was no knob on the stove to turn on the stove top burnerFloors, walls, ceilings and other surfaces shall be in good repair. 1. The agency contractor fixed the wall in need of repair. The Bathroom shower was thoroughly cleaned and the knob was replaced on the stove. 12/09/2022 Implemented
6400.67(b)Lint in dryer filter was larger than a golf ball Floors, walls, ceilings and other surfaces shall be free of hazards.1. This was corrected at the time of inspection. 12/09/2022 Implemented
6400.73(b)The railing on the balcony on (top levels) is loose and needs to be securedEach porch that has over an 18-inch drop shall have a well-secured railing.1. The agency contractor was dispatched to the home to complete repairs to the balcony and railing and make it more secure. 12/09/2022 Implemented
6400.141(c)(4)Physical was completed on March 8, 2022. The vision and hearing section are not checked on Ind. #2 form. No verification of vision or hearing apt was providedThe physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. 1. Vision and hearing appointments were requested for Individual #2 12/09/2022 Implemented
6400.165(b)All prescription orders shall be kept current. MiraLAX was not given to Ind. #2 on the dates September 10, 2022, through September 14, 2022, because medication was not refilled Ind. was prescribed to receive this medication daily for constipation and missed five days of medication.A prescription order shall be kept current.1. The Miralax was ordered from the pharmacy and was placed in the home. 12/09/2022 Implemented
SIN-00201776 Initial review 03/15/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Poisons not stored or kept locked throughout the home.Poisonous materials shall be kept locked or made inaccessible to individuals. 1. This has been corrected. The poisons have been moved to a cabinet that is under lock and key in the closet next to the upstairs bathroom. Staff working in the home will keep the key to make it inaccessible to individuals from having access to the cabinet. (Attachment 1) 04/29/2022 Implemented
6400.67(a)The cabinet located in the kitchen was damage, front panel missing. The shower knob in bathroom #1 second floor is damaged.Floors, walls, ceilings and other surfaces shall be in good repair. 1. This has been corrected, the front panel of the shower knob has been replaced on 3/21/22. (Attachment 2 ) 04/29/2022 Implemented
6400.68(a)There was no Hot water in the tub, water measured 68*FA home shall have hot and cold running water under pressure. 1. This has been corrected, the current agency repaired the hot water. 04/29/2022 Implemented
6400.82(e)No slip mats or non-slip surfaces were in the tubs/showers in bathroom #1. Bathtubs and showers shall have a nonslip surface or mat. 1. This was corrected on 3/21/22, a bath mats has been added to bathroom #1 (Attachment 3) 04/29/2022 Implemented