Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00250686 Unannounced Monitoring 08/27/2024 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.24Individual #1 is prescribed Zolpidem Tartrate 5mg (generic for Ambien) to be taken at 8:00pm daily. This medication is classified by the DEA as a Schedule IV federally controlled substance and requires a pill count sheet to be completed. Staff last completed a pill count sheet for this medication in April 2024 and that sheet was incomplete. There was a new pill count sheet, provided by the pharmacy for this medication, present in the medication administration record (MAR) book, but it was blank, with no pill count records documented. It was noted that the medication blister pack itself was not clearly marked by the pharmacy to denote this medication as a controlled substance, so the staff need to be educated regarding the need for this medication to be counted each time it is administered. There were 5 pills left in the monthly blister pack at the time of inspection.The home shall comply with applicable Federal and State statutes and regulations and local ordinances.The Life Group will comply with the applicable Federable and State statutes and regulations and local ordinances. A Controlled Substance Policy was developed, and staff were trained on the policy. 09/27/2024 Not Accepted
6400.207(4)(I)Individual #1 is prescribed Lorazepam 2mg tablet, one tablet by mouth twice daily PRN for anxiety. Staff were not able to provide evidence of specific written instructions and protocol for allowable administration of this specific PRN controlled psychotropic medication, as outlined in the ODP Regulatory Compliance Guide, so it is considered a chemical restraint.A chemical restraint, defined as use of a drug for the specific and exclusive purpose of controlling acute or episodic aggressive behavior. A chemical restraint does not include a drug ordered by a health care practitioner or dentist for the following use or event: Treatment of the symptoms of a specific mental, emotional or behavioral condition.The LIFE Group will ensure that medications used for controlling aggressive behaviors have a protocol in place and staff are trained on the protocol. The correction Included developing a protocol and staff training. 09/27/2024 Not Accepted
SIN-00247727 Unannounced Monitoring 07/12/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.73(a)The third-floor hallway railing/banister at the landing is shaky. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. THE LIFEGROUP WILL ENSURE ALL HANDRAILS ARE SECURE. A CONTRACTOR HAS BEEN CONTACTED TO ASSESS AND FIX THE BANNISTER. 08/20/2024 Implemented
6400.76(a)The knobs of the kitchen cabinets are loose and shaky. Furniture and equipment shall be nonhazardous, clean and sturdy. THE LIFE GROUP WILL ENSURE ALL FURNITURE AND EQUIPTMENT IS CLEAN, STURDY AND NONHAZARDOUS. THE STAFF TIGHTENED THE KNOBS WHILE THE AUDITORS WERE PRESENT. 07/12/2024 Implemented
6400.163(h)During the medication review for Individual 1, PRN medications Polyethylene Glycol 3350 powder (discard 1/24/24), and Triamcinolone 0.1% cream (discard 5/7/24), had expired but were found in the medication box.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.THE LIFE GROUP WILL ENSURE THAT EXPIRED MEDICATIONS ARE DISPOSED ACCORDING TO THE DISPOSIAL POLICY. THE MEDICATION WAS DISPOSED AND THE PHARMACY WAS CALLED TO REPLACE THE EXPIRED MEDICATION. 07/12/2024 Implemented
SIN-00239011 Renewal 01/29/2024 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)There were several unlocked cleaning chemicals such as bleach under the sink in the home.Poisonous materials shall be kept locked or made inaccessible to individuals. The LIFE Group will ensure that poisonous materials will be kept locked or made inaccessible to the individuals if dictated in the ISP. Staff members were retrained on keeping poisons locked per the individual's ISP. 01/29/2024 Not Implemented
6400.110(e)The smoke detectors on all 3 floors were independently functional however they were not interconnected which is required because the home is 3 stories.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. The LIFE GROUP will ensure smoke alarms remain interconnected and audible throughout the home. The issue was corrected while the inspector was on site. 03/08/2024 Not Implemented
6400.112(c)September fire drill was incomplete. It was not dated, time of drill not included, day of the week not included, evacuation time not included. 12/4/23 drill does not indicate if the fire alarm was operative.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. The LIFE GROUP will ensure that written fire drills contain all pertinent information as per 6400 regulations. 03/22/2024 Not Implemented
6400.112(e)No sleep drill conducted from 6/2023-12/2023.A fire drill shall be held during sleeping hours at least every 6 months. The LIFEGROUP will ensure that an overnight fire drilled will be conducted every 6 months to remain in compliance with the 6400 regulations. An overnight fire drill was conducted on 2/26/24 02/26/2024 Not Implemented
SIN-00205655 Renewal 05/26/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.113(a)Documentation that Individual 1 was trained in Fire Safety was not provided at time of inspection. An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. Documentation will remain on site and copy provided managment office . Program Specialist ensured individual 1 was trained in fire safety and upon her arrival to the home. documentation was reviewed in fire book and program book for individual 1 , individual was trained and document signed.on 1/22/2022 09/08/2022 Implemented
6400.141(a)Individual 1 has not had a physical completed annually. The agency provided a Physical Form dated 05/21/2022 on a L.I.F.E. Group Medical Encounter Form which does not address review of medical history, Immunizations, TB screening, GYN exam, allergies, information pertinent in case of emergency, and special diet.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Program Specialist will ensure all documentation is on site orginal physical date completed on 4/14/22 which displayed all information was not located PS obtained on 5/21/2022 a copy from urgent care, which was not completed due to more information was needed to provided to urgent care, orginal physical was placed in medical book which was dated 4/14/22 05/24/2022 Implemented
6400.142(f)Individual 1 did not have a dental hygiene plan in the record at the time of review.An individual shall have a written plan for dental hygiene, unless the interdisciplinary team has documented in writing that the individual has achieved dental hygiene independence. Program Specialist will confirm that her dental hygiene plan located in individual 1 medical book an current dental needs are written in dental plane 05/24/2022 Implemented
6400.151(c)(2)TB screening for DSP 3 was not addressed on the physical form dated 07/29/2021. Staff did not complete a TB skin test before working with individuals. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. Provider will ensure that all employees have appropirate physicals completed prior to working with our individuals. 05/24/2022 Implemented
6400.181(a)An annual assessment for Individual 1 was not completed timely, agency provided an assessment dated 02/04/2022 it could not be determined if assessment was completed annually. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. Provider and program specialist will ensure that assesments are completed in a timley fashion and dated accorindingly. 05/24/2022 Implemented
6400.181(e)(5)Based on the assessment dated 02/04/2022, it states to see attached assessment checklist to determine if Individual 1 has the ability to Self-Administer medication. (Nothing provided)The assessment must include the following information:  The individual's ability to self-administer medications.program specials will review individuals ability to self administer/identification of medication and document . program specialist will ask sc to update individual 1 plan to reflect changes base on observation and information provided. 05/24/2022 Implemented
6400.181(e)(10)A lifetime medical history was not provided for individual 1.The assessment must include the following information: A lifetime medical history. Program Specialist will confiorm that the life time medical of individual is on site as well as a copy maintained at the main offce for review. 05/24/2022 Implemented
6400.31(b)Individual rights for Individual1 were not provided.The home shall educate, assist and provide the accommodation necessary for the individual to make choices and understand the individual's rights.Program Specialist will conform that all consents and rights are present in medical books as well as program books. 05/24/2022 Implemented
6400.169(d)A record of training shall be kept showing DSP 1 has completed medication administration training. The Recert form was not signed by the trainer. (Staff DSP 1 is not permitted to administer medication until she is properly trained). Agency was informed during inspection and at the Closing Conference.A record of the training shall be kept, including the person trained, the date, source, name of trainer and documentation that the course was successfully completed.Program Specialist will conform that DSP 1one was trained and reach out to trainer to sign and verify training recertification date date , Program manager will ensure trainings are current. 05/23/2022 Implemented
6400.169(d)A record of training shall be kept showing DSP 3 has completed medication administration training.A record of the training shall be kept, including the person trained, the date, source, name of trainer and documentation that the course was successfully completed.Program Specialist/ program manager will confirm all personel files are completed for dsp3 and all trainings are properly reviewed for signatures dates, such as expirations and renewal dates 05/25/2022 Implemented
6400.181(f)Documentation that the program specialist provided the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting was not provided.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Program Special will provide assesment at least 30 days prior to individual plan meeting. . 05/24/2022 Implemented
SIN-00285428 Unannounced Monitoring 03/20/2026 Compliant - Finalized