Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00284340 Renewal 02/10/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
20.34During inspection, there was no access granted to the second bedroom as the door was locked and Staff did not have a key.The facility or agency shall provide to authorized agents of the Department full access to the facility or agency and its records during both announced and unannounced inspections. The facility or agency shall provide the opportunity for authorized agentsof the Department to privately interview staff and clients.We install a key hanger in the general closet to store all keys for easy assess to all room as needed. 03/02/2026 Implemented
6400.68(b)The running water in the shower returned with a temperature of 127.9F exceeding the allowable threshold of 120F. Hot water temperatures in bathtubs and showers may not exceed 120°F. A new hot water boiler was purchased and installed. We discovered that the old one was faulty. 02/20/2026 Implemented
SIN-00261483 Renewal 11/08/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)112c There was no exit route noted on the 7/31/2024 fire drill.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. All managers and staff were trained on fire drill compliance and form completion. 12/20/2024 Implemented
6400.112(e)112e There was no asleep drills completed for the year. A fire drill shall be held during sleeping hours at least every 6 months.A fire drill shall be held during sleeping hours at least every 6 months. Going forward, our quarterly inspection process will review all completed fire drills form to ensure they are in compliance with licensing requirements. 12/20/2024 Implemented
6400.167(a)(1)167(a)(1). Medication errors. Individual number one's Ketoconazole 2% cream at 8 AM was not signed off on the MAR as being administered.Medication errors include the following: Failure to administer a medication.PRN medication will were removed from the medication box and discontinued from the MAR in a timely manner. All managers and PCS' /RN met to discuss the now required monthly Medication and MAR reviews. 12/20/2024 Implemented
SIN-00214057 Renewal 11/01/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The fire drill form dated 9/20/22 does not indicate whether or not smoke detectors were operable during this drill.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. All staff house managers were retrained on fire drill. The omission was an oversight. 11/04/2022 Implemented
SIN-00179168 Renewal 10/20/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66There was no light located in the laundry room, to assure safety and to avoid accidents.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. The light bulb was replaced on the same day as the inspection (10/20/2020). Person Center services has hired a permanent site maintenance handyman to take in repair request and make timely repairs to all maintenance issues. In this way we cam mitigate the too often slow response of the our land lord at the location. Our CEO Patrick Turry would ensure the system maintenance requisition and management is effective 10/20/2020 Implemented
6400.76(a)The window blinds located in individual#1's bedroom was damaged and in need of replacement. Furniture and equipment shall be nonhazardous, clean and sturdy. The blind was replaced on the day after the inspection (10/21/2020). Person Center services has hired a permanent site maintenance handyman to take in repair request and make timely repairs to all maintenance issues. In this way we cam mitigate the too often slow response of the our land lord at the location. Our CEO Patrick Turry would ensure the system maintenance requisition and management is effective 10/21/2020 Implemented
SIN-00234371 Renewal 11/09/2023 Compliant - Finalized