Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00277670 Unannounced Monitoring 11/06/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(d)(1)(Repeat from 12/2024 and 5/2025) On 9/15/25, Individual #1's balance should have been $99.57 after deducting the $22.63 spent. The balance was documented as $98.57. This was never corrected, and the ending balance was documented as $24.88 when it should have been documented as $25.88.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. The financial log was incorrect due to a subtraction error and lack of oversight by both the lead of the home and the residential coordinator. This has been adjusted by the program specialist and all proceeding ledgers have been adjusted and are now correct. 12/01/2025 Implemented
6400.68(b)At the time of the inspection the water temperature at the kitchen sink was 132.9. The water temperature in the bathroom measured at 129.5. Hot water temperatures in bathtubs and showers may not exceed 120°F. The individual was hospitalized for a week prior to inspection and the water was not run after a weekly temp check to decrease the temperature of the water. The water heater has been turned down and the temperature is now at 116 degrees. 12/01/2025 Implemented
SIN-00270631 Unannounced Monitoring 07/23/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(b)At the time of the 07/23/25 inspection, there were two cracks in the side steps off of the rear porch that are deep enough to be a tripping hazard. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.Due to the frequency of rain and storms the back porch had began eroding in some spots and develop some holes and cracks that could be a fall risk. CEO and Director are working to repair and fill those areas and reinforce to ensure those areas are no longer tripping hazards. This violation will be repaired and validated by 8.5.25. 08/05/2025 Implemented
SIN-00266452 Unannounced Monitoring 05/13/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)At the time of the inspection on 5/15/25, the bathmat in the bathroom shower had mold on the underneath of it.Clean and sanitary conditions shall be maintained in the home. This citation occurred as direct service professionals were not cleaning the bathrooms, nor overseeing the individual to ensure task was completed as they feel the individual is independent. They were not signing off on house checklists that indicates cleanliness and sanitary conditions. Director of community homes purchased new antimicrobial mats and had them old ones removes and discarded. Bathroom cleaned and disinfected and new mats placed the day of inspection. Director of community homes also ensure the hiring of 3 additional lead DSPs who will oversee these tasks daily. With Residential coordinator to oversee these tasks weekly. 06/20/2025 Implemented
SIN-00263930 Unannounced Monitoring 03/31/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.144Individual #1 received a new eye glass prescription on 1/17/25 at their vision appointment however at the time of the inspection, they had not yet been taken to purchase new eyeglasses. Individual #1 attends dialysis Tuesday, Thursday, and Saturday. There is no documentation that dialysis occurred between 1/18/25 and 2/15/25.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. This was an oversight by the program specialist who did not follow up when the appointment occurred. The assistant program director ordered glasses on 4/8/2025 (attachment 17). The DSP responsible for dropping off dialysis forms to the office did not do so and in turn, lost the forms. They had transitioned from a service coordinator role into a regular DSP role and it appears they did not know they were to be kept and turned in. As of 4/10/25, the dialysis completion forms were re-established, and will be utilized by the program specialist and reviewed by the assistant program director (attachment 18). 04/25/2025 Implemented
6400.216(a)(Repeat from 2/3/25 inspection) At the time of the inspection, individual #1's records were unlocked in the cabinet under the television. An individual's records shall be kept locked when unattended. The DSPs in the home left the books out of convenience. The daily house cleaning checklist (attachment 19) has been updated by the assistant director of community homes to check that all individual's records are locked aside from the communication log, so long as this does not pertain to the individual's records. 04/25/2025 Implemented
SIN-00260426 Unannounced Monitoring 02/03/2025 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(a)At the time of the inspection on 2/3/25, there was a thin layer of ice/snow on the backsteps that lead to the driveway. Outside walkways shall be free from ice, snow, obstructions and other hazards. All exits and sidewalks have been cleared of snow and ice (attachment 33). 02/28/2025 Not Accepted
6400.216(a)Individual #1's program book (containing isp, assessment, etc) and medical book (containing physical and other medical documents) is kept unlocked in the television cabinet in the living room. An individual's records shall be kept locked when unattended. Records have been moved to a locked cabinet (attachment 37). 02/28/2025 Not Accepted
SIN-00256407 Renewal 12/10/2024 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(g)(Repeat from 10/8/24 inspection) Per review of the Plan of Corrections from the 10/8/24 inspection for Individual #1, the Plan of Correction included revising the Medical Appointment form to include the section "Psychotropic Medication Review". The revised form was not used for the 11/29/24 Psychotropic Medication Review appointment and it did not include documentation for the reason for prescribing the medication.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.The correct medical form was sent to the PCP to complete the section on the quarterly psychotropic medication check. (Attachment #43) It will be sent upon receipt back from the physician. 01/09/2025 Not Implemented
SIN-00253502 Unannounced Monitoring 10/08/2024 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(a)The last physical in the record for individual #1 is dated 8/30/23.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Individual #1 had a physical on 8/7/24. (Attachment # 16, 16a, 16b) The paperwork was at the office to be scanned for another monitoring. While it was not in the home, it was completed. The Program Specialists were retrained on the importance of returning paperwork to the home binder in a timely manner so the binders remain in compliance. (Attachment # 8) 11/08/2024 Implemented
6400.144(Repeat from 4/24/24) Individual #1 had an appointment with the PCP on 8/7/24. At that appointment an MRI of the abdomen with and without contrast was recommended. At the time of the inspection on 10/8/24, this test was not scheduled or completed. At the time of the inspection on 10/8/24, the following PRN medication was on the MAR but not available in the home: Acetaminophen 500mg (order is to take 1000mg every 6hrs as needed).Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. MRI was scheduled for 10/17/24. (Attachment # 17) Individual #1 refused the appointment. All efforts were made using the BSP strategies of telling the individual well ahead of time, giving time and space, encouragement and education not getting panicked or upset, and trying again. Individual #1 still refused. The appointment was rescheduled for 12/13/24. (Attachment #18) PRN Medication Acetaminophen 500mg was purchased and taken to the home. (Attachment # 19) 11/08/2024 Not Implemented
6400.214(b)At the time of the inspection on 10/8/24, the most recent assessment was not available in the home. The assessment in the home was dated 8/18/23. Also, the most recent ISP was not available in the home. The ISP in the home was dated 10/26/23. The ISP was last updated 10/8/24 per HCSIS. The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. The most recent ISP and assessment for individual # 1 were taken to the home and added to the binder. (Attachment # 22 and #23) 11/08/2024 Not Implemented
6400.217At the time of the inspection on 10/8/24 there was no current release of information available in the record. The last release of information form was valid only from 2/1/23 through 2/1/24.Written consent of the individual, or the individual's parent or guardian if the individual is 17 years of age or younger or legally incompetent, is required for the release of information, including photographs, to persons not otherwise authorized to receive it. Release of Information form was sent to the individual's guardian on 11/7/24. 11/08/2024 Implemented
6400.34(a)Individual #1 was informed of individual rights on 3/3/23 and not again until 10/8/24, outside of the annual timeframe.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.All individual's annual packets were reviewed to ensure compliance with the Individual Rights statements. 11/08/2024 Not Implemented
6400.165(g)Individual #1 is prescribed Sertraline for a diagnosis of depression/anxiety. At the time of the inspection, the only documented medication review was dated 4/12/23.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.A medication review is performed every time the individual sees their PCP. The PCP prescribes the medication and reviews it. An appointment was set up to specifically review Individual #1's psychotropic medication. Individual #1's PCP appointment form has been updated to include a section specifically for psychotropic medication review. Program Specialists were retrained on quarterly reviews for psychotropic medications. 11/08/2024 Not Implemented
6400.166(b)(Repeat from 4/24/24) At the time of the inspection on 10/8/24, the October 2024 MAR did not include the initials of the staff that administered the 8am dose of Cinacalcent 30mg @ 8am on 10/8/24. Also, the medication Sevelamer Carbonate 800mg is ordered to be given 3 times per day. The medication is to be put on "hold" if individual #1 does not eat and the MAR is to be marked with an "H" instead of staff initials. At the time of the inspection on 10/8/24, the 10am dose pf this medication was not initialed or marked with an "H". Staff on shift explained that individual #1 did not eat by 10am so the medication could not be given. The MAR should have been marked with an "H" for the 10/8/24 10am dose.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.The "Hold" procedure was explained to the Lead DSP and the House Supervisor. The staff were retrained on MAR documentation on 10/17/24. (Attachment #29) The staff who gave the Cinacalcet 30 mg on 10/8/24 was contacted to complete their documentation. (Attachment # 30) 11/08/2024 Implemented
6400.167(a)(1)(Repeat from 4/24/24) Individual #1 is prescribed Clotrimazole 1% cream to apply to affected areas twice daily. On the September 2024 MAR it was documented as administered only once on 9/5/24, 9/10/24, and 9/11/24. It was not documented as administered at all on 9/6/24, 9/7/24, 9/8/24, or 9/9/24.Medication errors include the following: Failure to administer a medication.The cream ran out and there were no more refills. The PCP was contacted for a refill. On 10/17/24, staff and the person responsible for medications were retrained by the trainer on getting refills when there is 7 days' worth of medication left. (Attachment #31) 11/08/2024 Implemented
SIN-00275304 Unannounced Monitoring 09/30/2025 Compliant - Finalized
SIN-00272435 Unannounced Monitoring 08/12/2025 Compliant - Finalized
SIN-00229359 Renewal 08/30/2023 Compliant - Finalized