Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00274405 Renewal 09/25/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.61The toilets in the men's bathroom are not fully secured to the floor and easily shift and move when pushed. Floors, walls, ceilings and other surfaces shall be in good repair and free of visible hazards.General manager was present for onsite inspection. GM requested maintenance tighten item and picture is attached for reference. 09/25/2025 Implemented
2390.151(a)Individual #2 was admitted to the facility on 5/12/25 and the initial assessment was not completed until 8/11/25, which is not within the 60-day requirement.Each client shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the facility and an updated assessment annually thereafter.Director of Hablitation reviewed this item with Program Specialist which completed initial assessment. 2390 Regulation was reviewed with this particular program specialist. 10/06/2025 Implemented
2390.21(l)The provider did not hold quarterly conversations with Individual #3 relating to their preferred community participation and activities as required by ODP Announcement 24-061. Documented conversations were found in the file dated 1/27/25 and 4/22/25 only.A client has the right to make choices and accept risks.Individual transferred from another location which closed and Program Specialist responsible for documentation oversight is no longer employed with APS. 10/06/2025 Implemented
2390.153(b)For Individual #1, two (2) team members, including the individual, attended the 03/27/2024, and 03/26/2025 ISP Meetings, and a minimum of three (3) team members in addition to the individual are required to be present.At least three members of the individual plan team, in addition to the client and persons designated by the client, shall be present at a meeting at which the individual plan is developed revised.Director of Hablitation reviewed this item with Program Specialist which completed initial assessment. 2390 Regulation was reviewed with this particular program specialist. 10/06/2025 Implemented
SIN-00252316 Renewal 09/27/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.87Fire Safety training for Individual #1 was missing for 2023. The most recent Fire Safety Training for Individual #1 was signed 10/20/22.Staff, and clients as appropriate, shall be instructed upon initial admission or initial employment and reinstructed annually in general fire safety and in the use of fire extinguishers. A written record of the training shall be kept.The individual no longer attends APS to provide required training. Upon receiving citation, this worker reviewed the importance of individuals completing trainings as outlined by 2390 Regulations. 10/18/2024 Implemented
2390.21(u)Most recent client rights document is signed 10/20/22. No document was on file for Individual #1 for 2023.The facility shall inform and explain client rights and the process to report a rights violation to the individual, and persons designated by the client, upon admission to the facility and annually thereafter.The individual no longer attends APS to provide required training. Upon receiving citation, this worker reviewed the importance of individuals completing trainings as outlined by 2390 Regulations. 10/18/2024 Implemented
SIN-00212250 Renewal 09/22/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.72(a)The passageway/work aisle was obstructed with a large pallet causing a barrier.Passageways and work aisles shall be unobstructed at all times.Large pallet was immediately moved by Production Leader when this was witnessed on the work floor. 10/06/2022 Implemented
2390.151(f)Documentation was not received that the assessment 9/27/2021 was sent 30 days prior to the ISP team meeting on 3/20/22 for individual #1The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to the individual meeting.Documentation was immediately uploaded into shared folder for licensing documents when it was brought to Program Specialist's attention that it was not included in original uploaded documents. 09/29/2022 Implemented