Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00279524 Renewal 12/08/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(4)Individual #1's, date of admission 5/03/2025, physical examination, completed 2/10/2025, did not include a hearing screening.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. KACS CEO and KACS program specialist will review all admission documents to ensure that all required information is current, up to date, and accurate. 02/06/2026 Implemented
6400.141(c)(11)Individual #1's physical examination completed 2/10/2025 did not include an assessment of the individual's health maintenance needs and the need for blood work at recommended intervals. It was left blank.The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. KACS program specialist will review all consulatation forms and physical paperwork yo ensure after appointments summary with all informationis completed in totality before being filed. 02/06/2026 Implemented
6400.181(e)(8)Individual #1's assessment, completed 6/13/2025, documents the individual is capable of independently evacuating the apartment although he would require verbal direction and supervision to do so. On 12/08/2025 Chief Executive Officer #1 confirmed Individual #1 evacuates independently. Individual #2's assessment, completed 8/22/2025, documents the individual is capable of independently evacuating the apartment although she would require verbal direction and supervision to do so. On 12/08/2025 Chief Executive Officer #1 confirmed Individual #2 evacuates independently.The assessment must include the following information: The individual's ability to evacuate in the event of a fire. KACS program specialist will update individual #1's assessment to address their ability to evacuate; KACS CEO will review the assesment to enure the proper corrections have been made. 02/06/2026 Implemented
6400.181(e)(13)(vii)Individual #1's assessment completed 6/13/2025 documents Individual #1 has a representative payee that is in charge of his money because he is unable to manage money on his own. Individual #1's individual support plan, last updated 6/17/2025, documents "[Individual #1] needs assistance in budgeting, paying bills, and overall financial management." On 12/18/2025 Chief Executive Officer #1 confirmed Individual #1 is independent in managing his weekly spending money, provided by the representative payee.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence. KACS program specialist will update individuals current assesment to address their level of finacial independence. 02/06/2026 Implemented
6400.34(a)Individual #2's, date of admission 7/25/2025, was initially informed of individual rights 8/06/2025. [Repeated violation: 2/06/2025]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.KACS program specialist will inform the individual of thier rights prior to admission date, and possibly during trasition visits to ensure they are informed before they are in the home. 02/06/2026 Implemented
6400.182(c)Individual #1's individual support plan, last updated 6/17/2025, documents "[Individual #1] has a bed shaker that is linked to the fire alarm system should he need to be awaken in the event of a fire. He may become nervous or upset in the event of an emergency and require some form of direction. Over [the individual] is ambulatory. However, others should remember that he may not be able to be as quick on his feet as necessary due to his [diagnosis]. [The individual] would require physical assistance to exit the building due to his [diagnosis] and unable to climb stairs independently." On 12/08/2025 Chief Executive Officer #1 confirmed Individual #1 evacuates independently.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.KACS management team will discuss with individuals team and the individual to discuss if the bed shaker is currently needed and update the home and assessment according to meeting outcome. 02/06/2026 Implemented