Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00270658 Unannounced Monitoring 07/22/2025 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.63(a)At 10:05AM, the hot water temperature measured 133.1F at the sink in the kitchen of the home.Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. Training will be held on Friday, August 1, 2025. During this session, you will learn how to properly complete the digital Water Temperature Log. This form is crucial for maintaining health and safety standards and must be completed by staff at the start of each shift. You will need to record the temperatures for the kitchen sink, bathroom sink, and bathroom shower/tub. 08/08/2025 Not Implemented
6400.64(a)At 10:15AM, the ceiling in the vacant bedroom had splattering of various size brown spots. At 10:05AM, the coffee carafe in the coffee machine contained dried coffee grinds hardened to the inside. At 10:08AM, the stove top burners and drip pans were heavily soiled with what appears to be burnt food debris and grease. At 10:12AM, the inside of the bathtub on the first floor of the home was discolored with what appears dirt and soap scum. Along the wall and the bathtub in the bathroom on the first floor of the home, there dark black substance that appears to be mildew and/or mold. At 10:52AM, in individual #1's bedroom, there were multiple dark, sticky spots, food crumbs and other debris throughout the laminate wood panel floor and on top of the dresser; and a brownish, three-inch by four-inch splatter on the white baseboard on the right side of Individual #1's bed.Clean and sanitary conditions shall be maintained in the home. There are two levels of supervision for implementation and oversight, including all items in the OCS Daily task Checklist: This Work Order Form is used to document, track, and complete essential site-related tasks across all On-Site Companionship Services, Inc. locations. It ensures that maintenance, cleaning, staffing, care support, and supply management are consistently performed and reviewed on a regular basis. Purpose: To help site managers and team leads stay on top of daily operations, identify any concerns promptly, and maintain a safe, clean, and well-staffed environment for both clients and staff. The team leads will also do weekly room checks to ensure personal areas are maintained according to 6400.64 (a) 08/08/2025 Not Implemented
6400.64(f)At 10:02AM, the two exterior trash receptacles next to the porch in the front of the home were not able to be closed due to protruding discarded boxes and other discarded items.Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents.There are two levels of supervision for implementation and oversight, including all items in the OCS Daily task Checklist: This Work Order Form is used to document, track, and complete essential site-related tasks across all On-Site Companionship Services, Inc. locations. It ensures that maintenance, cleaning, staffing, care support, and supply management are consistently performed and reviewed on a regular basis. Purpose: To help site managers and team leads stay on top of daily operations, identify any concerns promptly, and maintain a safe, clean, and well-staffed environment for both clients and staff. The team leads will also do weekly room checks to ensure personal areas are maintained according to 6400.64 (a) Team leads will post the Trash Schedule in the sites to ensure the receptacles are emptied on a regular schedule. 08/08/2025 Not Implemented
6400.67(a)At 10:13AM, the one of the three metal slats in the mechanical vent in the hallway ceiling was bent downward exposing an opening in the ceiling.Floors, walls, ceilings and other surfaces shall be in good repair. There are two levels of supervision for implementation and oversight, including all items in the OCS Maintenance Checklist: This Work Order Form is used to document, track, and complete essential site-related tasks across all On-Site Companionship Services, Inc. locations. It ensures that maintenance, cleaning, staffing, care support, and supply management are consistently performed and reviewed on a regular basis. Purpose: To help site managers and team leads stay on top of daily operations, identify any concerns promptly, and maintain a safe, clean, and well-staffed environment for both clients and staff. The team leads will also do site checks to ensure personal areas are maintained according to 6400.67 (a) Team leads will post the maintenance request form in the sites to ensure the proper reporting of maintenance issues. 08/08/2025 Not Implemented
6400.67(a)At 10:52AM, the curtain rod over top of the window facing the front of the home in Individual #1's bedroom was bent downward approximately four inches preventing the hanging curtain to cover the entire opening of the window.Floors, walls, ceilings and other surfaces shall be in good repair. There are two levels of supervision for implementation and oversight, including all items in the OCS Daily task Checklist and Maintenance Checklist: This Work Order Form is used to document, track, and complete essential site-related tasks across all On-Site Companionship Services, Inc. locations. It ensures that maintenance, cleaning, staffing, care support, and supply management are consistently performed and reviewed on a regular basis. Purpose: To help site managers and team leads stay on top of daily operations, identify any concerns promptly, and maintain a safe, clean, and well-staffed environment for both clients and staff. The team leads will also do weekly site walk throughs to ensure personal areas are maintained according to 6400.67 (a) Team leads will post the maintenance request form in the sites to ensure the proper reporting of maintenance issues. 08/08/2025 Not Implemented
6400.68(b)At 10:13AM, the hot water temperature measured 132.2F at the bathtub in the bathroom on the first floor of the home. [Repeated Violation 2/25/25 et al] Hot water temperatures in bathtubs and showers may not exceed 120°F. Training will be held on Friday, August 1, 2025. During this session, you will learn how to properly complete the digital Water Temperature Log. This form is crucial for maintaining health and safety standards and must be completed by staff at the start of each shift. You will need to record the temperatures for the kitchen sink, bathroom sink, and bathroom shower/tub. 08/08/2025 Not Implemented
6400.72(a)At 10:09AM, there was no screen in the kitchen window. At 10:41AM there was no screen in the living room window facing the front of the home. [Repeated Violation 2/25/25 et al]Windows, including windows in doors, shall be securely screened when windows or doors are open. There are two levels of supervision for implementation and oversight, including all items in the OCS Daily task Checklist and Maintenance Checklist: This Work Order Form is used to document, track, the sizes and variations of windows and screens for each home across all On-Site Companionship Services, Inc. locations. It ensures that maintenance, cleaning, staffing, care support, and supply management are consistently performed and reviewed on a regular basis. Purpose: To help site managers and team leads stay on top of daily operations, identify any concerns promptly, and maintain a safe, clean, and well-staffed environment for both clients and staff. The team leads will also do weekly site walk throughs to ensure personal areas are maintained according to 6400.72 (a) Team leads will post the maintenance request form in the sites to ensure the proper reporting of maintenance issues. 08/08/2025 Not Implemented
6400.72(b)At 10:17AM, the vinyl plastic window casing on the exterior right side of the window frame in the staff office was broke in two places. [Repeated Violation 2/25/25 et al] Screens, windows and doors shall be in good repair. There are two levels of supervision for implementation and oversight, including all items in the OCS Daily task Checklist and Maintenance Checklist: This Work Order Form is used to document, track, the sizes and variations of windows and screens for each home across all On-Site Companionship Services, Inc. locations. It ensures that maintenance, cleaning, staffing, care support, and supply management are consistently performed and reviewed on a regular basis. Purpose: To help site managers and team leads stay on top of daily operations, identify any concerns promptly, and maintain a safe, clean, and well-staffed environment for both clients and staff. The team leads will also do weekly site walk throughs to ensure personal areas are maintained according to 6400.72 (b) Team leads will post the maintenance request form in the sites to ensure the proper reporting of maintenance issues. 09/01/2025 Not Implemented
6400.81(i)At 10:53AM, Individual #1's bedroom window facing the side of the home did not have drapes, curtains, shades, blinds or shutters.Bedroom windows shall have drapes, curtains, shades, blinds or shutters. There are two levels of supervision for implementation and oversight, including all items in the OCS Daily task Checklist and Maintenance Checklist: This Work Order Form is used to document, track, the sizes and variations of windows and screens for each home across all On-Site Companionship Services, Inc. It ensures that maintenance, cleaning, staffing, care support, and supply management are consistently performed and reviewed on a regular basis. Purpose: To help site managers and team leads stay on top of daily operations, identify any concerns promptly, and maintain a safe, clean, and well-staffed environment for both clients and staff. The team leads will also do weekly room checks to ensure personal areas are maintained according to 6400.81 (i) 08/08/2025 Not Implemented
6400.81(k)(3)At 10:52AM, Individual #1's bed did not have pillows, sheets or a mattress cover.In bedrooms, each individual shall have the following: Bedding, including pillow, linens and blankets appropriate for the season.[The agency does not currently support individuals in community homes. (DPOC by AES,HSLS on 6/3/2026)] 06/03/2026 Not Implemented
6400.110(a)At 10:43AM, the smoke detector located in the basement was not operable. At 10:49AM, there were no smoke detectors on the first floor of the home. [Repeated Violation - 5/1/25] A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. Hardwire Installation vs battery operation for the smoke detectors on each level 09/01/2025 Not Implemented
6400.114(b)At 10:53AM, an ashtray with three partially smoked rolled cigarettes along with other smoking paraphernalia to include but not limited to a pipe, a vaping device, a small plastic bag, a small tray, a scissor/tweezer device were on the comforter of Individual #1's bed where Individual #1 was sleeping. The home's smoking policy states that staff or visitors are to dispose of all cigarette butts in a receptacle with a lid. [Repeated Violation 2/25/25 et al]Written smoking safety procedures shall be followed.There are two levels of supervision for implementation and oversight, including all items in the OCS Daily task Checklist: This Work Order Form is used to document, track, and complete essential site-related tasks across all On-Site Companionship Services, Inc. locations. It ensures that maintenance, cleaning, staffing, care support, and supply management are consistently performed and reviewed on a regular basis. Purpose: To help site managers and team leads stay on top of daily operations, identify any concerns promptly, and maintain a safe, clean, and well-staffed environment for both clients and staff. The team leads will also do weekly room checks to ensure personal areas are maintained according to 6400.114 (b) 06/03/2026 Not Implemented
6400.171At 10:04AM, an uncovered metal cooking pot containing used cooking oil was atop the stove in the kitchen of the home. According to the FDA's safe storage recommendations, used cooking oil should be strained, stored in an airtight container, and refrigerated for reuse. [Repeated Violation - 2/25/25, et al and 5/1/25]Food shall be protected from contamination while being stored, prepared, transported and served. [The agency does not currently support individuals in community homes. (AES, HSLS on 6/3/2026)] 06/03/2026 Not Implemented
6400.214(a)At 10:20AM, Individual #1's personal information sheet was not kept in the home. Staff interviews revealed that Individual #1's records are at the office. [Repeated Violation 5/1/25]Record information required in § 6400.213(1) (relating to content of records) shall be kept at the home.[The agency does not currently support individuals in community homes. (AES, HSLS on 6/3/2026)] 06/03/2026 Not Implemented
6400.214(b)At 10:20AM, Individual #1's physical examinations, dental examinations, dental hygiene plans, assessments, and individual plan were not kept in the home. Staff interviews revealed that Individual #1's records are at the office. [Repeated Violation - 2/25/25, et al and 5/1/25] The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. [The agency does not currently support individuals in community homes. (AES, HSLS on 6/3/2026)] 06/03/2026 Not Implemented
6400.32(d)On 7/22/2025 at 10:11AM, an 8 inch 12 inch paper sign with varying size font, text, color and lettering, hanging on the wall, next to the television in the living room of the home, that read, "Person with INTELLECTUAL DISABILITY AREA; IN AN EMERGENCY SITUATION Please be AWARE they may: NOT RESPOND, RESIST AND RUN AWAY, BE UNAWARE OF DANGER."An individual shall be treated with dignity and respect.[The agency does not currently support individuals in community homes. (AES, HSLS on 6/3/2026)] 06/03/2026 Not Implemented
6400.163(d)At 10:53AM, Individual #1 was sleeping in his bed. Individual #1's prescribed medication, Albuterol Sulfate Inhaler was unlocked and accessible on the bed in Individual #1's bedroom. [Repeated Violation 2/25/25 et al and 5/1/25]Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.[The agency does not currently support individuals in community homes. (AES, HSLS on 6/3/2026)] 06/03/2026 Not Implemented
6400.166(a)(11)Individual #1's July 2025 paper medication administration record did not include the diagnosis or purpose for Meloxicam 15mg tab, Clotrimazole 1% cream, and Triamcinolone Acetonide 0.1% cream.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.[The agency does not currently support individuals in community homes. (AES, HSLS on 6/3/2026)] 06/03/2026 Not Implemented
6400.166(a)(13)Individual #1's July 2025 Medication Administration Record did not include Direct Service Worker #2's name who administered Individual #1's prescribed 8:00AM medications on 7/14/2025. .A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name and initials of the person administering the medication.[The agency does not currently support individuals in community homes. (AES, HSLS on 6/3/2026)] 06/03/2026 Not Implemented
6400.167(a)(1)Individual #1 is prescribed Amlodipine with instructions to take 1 tablet by mouth daily for hypertension and Lidocaine 5% pad with instructions to place 1 patch onto the skin every 24 hours on thoracic spine were not administered on 7/20/25 at 8AM. Individual #1 is prescribed Clotrimazole 1% cream with instructions to apply topically 2 times a day; this medication was to begin on 7/14/25 and was not administered at 8:00AM from 7/15/25 through 7/20/25 and the 8:00PM medication was not administered as of 7/22/25 at 11:48AM. Individual #1 is prescribed Meloxicam 15mg tab with instructions to take one tablet by mouth daily; this medication was not administered at 8:00PM from 7/14/25 through 7/21/25. Individual #1 is prescribed Triamcinolone Acetonide 0.1% cream with instructions to apply topically to affected areas 2 times a day; this medication was to begin on 7/14/25 and was not administered at 8:00AM from 7/14/25 through 7/20/25 and the 8:00PM medication was not administered as of 7/22/25 at 11:48AM. Individual #1 was prescribed Dulera aerosol inhaler 100-5mcg with instructions to take 2 puffs by mouth twice a day; this medication was not administered at 8:00AM from 7/1/25 through 7/8/25 and 7/10/25 through 7/13/25 before being discontinued on 7/14/25 and was not administered at 8:00PM from 7/1/25 through 7/7/25 and 7/9/25 through 7/13/25 before being discontinued on 7/14/25. [Repeated Violation 2/25/25 et al and 5/1/25]Medication errors include the following: Failure to administer a medication.ML MAR has been updated for the following medications: 06/03/2026 Not Implemented
6400.186At 10:00AM, Individual #1 was unsupervised in the home. Direct Service Worker #1 was across the street at another licensed home. In the supervision care needs of Individual #1's individual plan, last updated on 6/11/25 reads, "[Individual #1] lives in a 1-person site and requires 24/7 supervision due to behaviors that pose as a safety concern. [Individual #1] receives residential habilitation via On-Site Companionship Services. [Individual #1] is unable to have any alone time at home or in the community due to health and safety concerns. [Repeated Violation - 2/25/25, et al and 5/1/25]The home shall implement the individual plan, including revisions.[The agency does not currently support individuals in community homes. (AES, HSLS on 6/3/2026)] 06/03/2026 Not Implemented
SIN-00265978 Unannounced Monitoring 05/01/2025 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)At 10:33AM, the inside of the refrigerator and freezer in the kitchen of the home contained various unsanitary conditions to include but not limited to food crumbs and particles, a frozen French fry, hair, an uncover foil pan of flour, loose flour and a black dribbles and puddles. At 10:41AM, the windowsill, of the window above the bathtub in the bathroom on the first floor of the home, had areas of stagnant water droplets, puddles and an orangish black liquid substance which appeared to be mildew and/or mold.Clean and sanitary conditions shall be maintained in the home. Plan of Correction: Immediate Cleaning: On May 4, 2025, the refrigerator, freezer, and bathroom windowsill were thoroughly cleaned and disinfected using appropriate sanitizing products. Item Removal: The uncovered pan of flour, loose food debris, and other unsanitary items were discarded. Mold/Mildew Treatment: The windowsill area was treated with an anti-mildew solution, dried thoroughly, and sealed where needed to prevent moisture accumulation. Staff Notification: Staff were immediately reminded of the importance of maintaining sanitation standards in both food storage and bathroom areas. 06/11/2025 Not Implemented
6400.66The outside light in the rear of the home was not operable. There is not another source of light in this area. [Repeated Violation - 2/25/25, et al]Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Plan of Correction: Immediate Repair: On May 5, 2025, the rear exterior light fixture was repaired and restored to full working condition by maintenance staff. Functionality Test: The fixture was tested to ensure consistent illumination and functionality during evening hours. Staff Notification: All staff were reminded to report any lighting outages immediately to prevent safety risks and ensure continuous compliance. 06/11/2025 Not Implemented
6400.67(a)At 10:37AM, the ventilation cover in the hallway was detached approximately one and a half inches from the wall. At 10:42AM, the ventilation cover in the vacant bedroom was detached approximately one and a half inches from the wall.Floors, walls, ceilings and other surfaces shall be in good repair. Plan of Correction: Immediate Repair: On May 6, 2025, both ventilation covers were securely reattached to the wall by maintenance staff using appropriate fasteners and tools to ensure safety and stability. Safety Inspection: A follow-up inspection confirmed that all other vent covers in the home were secure and flush to prevent similar hazards. Staff Notification: Staff were reminded to report any loose or damaged fixtures immediately as part of routine environmental monitoring. 06/11/2025 Not Implemented
6400.72(b)At 10:47AM, the frame, of the screen in the window in the dining room, was bent causing three-inch gap. [Repeated Violation - 2/25/25, et al] Screens, windows and doors shall be in good repair. Plan of Correction: Immediate Repair: On May 4, 2025, the damaged screen was removed and replaced with a new, properly fitting screen frame to eliminate the gap and restore functionality. Full Window Check: All windows in the home were inspected to ensure screens were intact, secure, and free from damage. Staff Notification: Staff were reminded to report any damage to screens, frames, or windows immediately for prompt repair. 06/11/2025 Not Implemented
6400.101At 10:46AM, a black garbage bag containing discarded items that was tied to the doorknob and a laundry basket of clothes were obstructing the egress from the basement door to the outside.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. Plan of Correction: Immediate Removal: On May 5, 2025, the garbage bag and laundry basket were removed to fully clear the basement door egress. The exit path was inspected to ensure it was unobstructed and accessible. Site Review: A walkthrough of all exit routes in the home was completed to verify that all emergency exits are free of obstructions. Staff Notification: Staff were immediately reminded of the critical importance of keeping all egress routes unobstructed at all times, per fire safety and licensing requirements 06/11/2025 Not Implemented
6400.105At 10:48AM, the dryer lint screen had an excessive accumulation of dryer lint posing a risk of combustion. [Repeated Violation - 2/25/25, et al]Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources. Plan of Correction: Immediate Cleaning: On May 5, 2025 the lint screen was thoroughly cleaned and inspected for damage. The dryer and surrounding area were also checked for residual lint buildup. Safety Review: A review of the home's fire safety and appliance maintenance practices was conducted to ensure no additional risks were present. Staff Notification: Staff were immediately reminded of the requirement to clean the dryer lint screen after every use and document the cleaning as part of routine household duties. 06/11/2025 Not Implemented
6400.110(a)At 10:42AM, there was no smoke detectors on the first floor of the home. At 10:43AM, the smoke detector in the basement was not operable. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. Plan of Correction: Immediate Installation and Replacement: On May 5, 2025, a new smoke detector was installed on the first floor of the home, and the non-operable smoke detector in the basement was replaced with a functioning unit. Functionality Test: All newly installed and existing smoke detectors were tested to confirm operability. Staff Notification: Staff were informed that all smoke detectors must remain functional and in place at all required locations at all times 06/11/2025 Not Implemented
6400.171At 10:34AM, a clear plastic container of strawberries with what appeared to be mold was in the refrigerator of the home. At 10:36AM, a metal pot with no lid containing cooking oil was on the stove that was not in use. According to the FDA's safe storage recommendations, used cooking oil should be strained, stored in an airtight container, and refrigerated for reuse. [Repeated Violation - 2/25/25, et al]Food shall be protected from contamination while being stored, prepared, transported and served. Plan of Correction: Immediate Removal: On May 6, 2025, the moldy strawberries and the uncovered pot of cooking oil were immediately discarded. Appliance & Food Area Cleaning: The refrigerator and stove area were thoroughly cleaned and sanitized to eliminate any residual contamination. Staff Notification: Staff were informed of proper food safety practices, including regular inspection of perishables and safe handling/storage of cooking oil in accordance with FDA guidelines. 06/11/2025 Not Implemented
6400.214(b)At 10:38AM, Individual #1's physical examinations, dental examinations, dental hygiene plans, assessments, and individual plan was not kept in the home. [Repeated Violation - 2/25/25, et al] The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. Plan of Correction: Immediate File Update: On May 6, 2025, all required documents for Individual #1¿including physical and dental exams, dental hygiene plan, assessments, and individual plan¿were obtained and placed in the individual's personal record binder at the home. Verification: The Program Specialist reviewed the documentation to ensure it was complete, current, and stored securely but readily accessible to staff. Staff Notification: All staff were reminded that all required documentation must be maintained in the home and made available for review at all times. 06/11/2025 Not Implemented
6400.163(d)At 10:38AM, the following medications were on a shelf in the unlocked staff office: Albuterol Sulfate HFA 108mcg/act aerosol, Cydopentolate Hydrochrloride Ophthalmic Solution, and Prednisolone Acetate Op 1%. [Repeated Violation - 2/25/25, et al]Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.Plan of Correction: Immediate Securing: On May 6, 2025, all medications were immediately removed from the shelf and placed in a locked medication storage unit in accordance with regulatory requirements. Staff Notification: Staff were immediately informed that all medications must be securely locked at all times when not in active use and that unsecured storage is a serious violation. 06/11/2025 Not Implemented
6400.163(g)At 10:57AM, 1 loose Trazadone 50mg tablet was in a paper towel on top of the desk in the unlocked staff office.Prescription medications shall be stored in an organized manner under proper conditions of sanitation, temperature, moisture and light and in accordance with the manufacturer's instructions.Plan of Correction: Immediate Disposal: On May 4, 2025, the loose Trazodone tablet was disposed of following the provider¿s medication disposal protocol. Root Cause Review: Staff were questioned, and it was determined the medication was not properly administered or stored during the previous shift. Staff Reminder: Staff were immediately reminded that medications must never be left loose, unsecured, or outside of labeled containers. 06/11/2025 Not Implemented
6400.167(a)(1)Trazadone 50mg, take 1 tablet by mouth at bedtime, prescribed to Individual #1 was not initialed as administered at 8:00PM on 4/30/25 at the 8:00PM. Olopatadine Hydrochloride Op 0.2% Solution with instructions to place 1 drop into both eyes daily was not initialed as administered at the 8:00AM on 4/12/25, 4/13/25, 4/15/25, 4/19/25, and 4/30/25. [Repeated Violation - 2/25/25, et al]Medication errors include the following: Failure to administer a medication.Plan of Correction: Immediate Review: A medication administration review was conducted on May 5, 2025. Staff confirmed the missed documentation and, in some instances, failure to administer the medication. Error Reporting: Medication error reports were completed for all missed doses in accordance with agency policy. Staff Counseling: Involved staff were counseled on the severity of the documentation omissions and failure to administer medications as prescribed. 06/11/2025 Not Implemented
6400.186At 10:12AM, Department licensing representatives arrived at the home. Individual #1 answered the door and said he was by himself, and he would call his staff. Direct Service Worker #1 arrived at the home at 10:27AM. In the supervision care needs of Individual #1's individual plan that was last updated on 4/25/25 reads, "[Individual #1] lives in a 1-person site and requires 24/7 supervision due to behaviors that pose as a safety concern. [Individual #1] receives residential habilitation via On-Site Companionship Services. [Individual #1] is unable to have any alone time at home or in the community due to health and safety concerns." [Repeated Violation - 2/25/25, et al]The home shall implement the individual plan, including revisions.Plan of Correction: Immediate Staffing Correction: Upon discovery, Direct Service Worker #1 was instructed to report immediately to the site, and Individual #1 was confirmed safe and unharmed. Incident Report: An internal incident report was completed, and the absence of required supervision was documented and submitted per agency and regulatory protocols. Staff Reassignment: The responsible staff person was removed from duty pending investigation and retrained on the supervision requirements of Individual #1¿s plan. Emergency Staffing Coverage: An emergency backup staff protocol was implemented to ensure the individual is never left without supervision again. 06/11/2025 Not Implemented
SIN-00248519 Renewal 07/23/2024 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)On 7/24/24, at 12:03PM, in the home's only bathroom, the caulking sealing at bathtub's edge along the wall, under the bathtub faucet and the adjoining wall had multitude of black spots that appear to be mold and/or mildew. At 12:03 PM, the entire base of the oven's interior was covered with food chards and black stains from what appears to food splatter and grease.Clean and sanitary conditions shall be maintained in the home. 7/24/24 staff cleaned the oven's interior. 8/16/24 maintenance recaulked the bathtubs sealing, bathtubs faucet, and adjoining wall and repainted. 08/16/2024 Not Implemented
6400.67(a)On 7/24/24, at 12:03PM, there is an area approximately three feet in circumference of cracked and peeling paint from what appears to be water damage on the ceiling above the shower in the only bathroom in the home.Floors, walls, ceilings and other surfaces shall be in good repair. 8/16/24 Maintenance recaulked the bathtub area and repainted all surrounding areas including the ceiling and removed any traces of peeling paint. 08/16/2024 Not Implemented
6400.68(b)On 7/24/24, at 12:05PM, the hot water temperature at the bathtub in the home's only bathroom measured 136.8 degrees Fahrenheit. Hot water temperatures in bathtubs and showers may not exceed 120°F. Temperature was adjusted by maintenance the day before inspection because it was a few degrees under 120; however, it got too hot. 7/24/24 Maintenance came to site to address the hot water temperature to ensure water temperature in bathroom and kitchen area were within range of required temperature. Maintenance revisited the site 2 days later to ensure water temperature was still within range. 07/26/2024 Not Implemented
6400.72(a)On 7/24/24 at 12:03 PM, there were no screens in the windows in the vacant bedroom of the home.Windows, including windows in doors, shall be securely screened when windows or doors are open. 8/16/24 Maintenance has ordered screens for the home. 08/16/2024 Not Implemented
6400.72(b)On 7/24/24 at 12:11 PM, the top and bottom left side of the exterior wooden frame of the inoperable door to the basement of the home was deteriorating, splitting and rotting. Screens, windows and doors shall be in good repair. 8/12/24 CEO contacted landlord property manager about deteriorating door. Maintenance team from property manager has been out and are waiting on landlords to approve of work completion costs. 08/12/2024 Not Implemented
6400.80(b)On 7/24/24 at 12:14 PM, the chain link fence in the backyard of the home was collapsed to the ground and broken in several areas along the rear and left side of the property; exposing bent, cracked metal with sharp ends posing tripping, falling and laceration hazards. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.8/12/24 CEO contacted the landlord's property manager about the deteriorating door. Maintenance team from the property manager has been out and is waiting on landlords to approve work completion costs. 08/12/2024 Not Implemented
6400.101On 7/24/24 at 12:12PM, the door between the basement and the garage has a key locking mechanism on the garage side of the door posing an obstructed egress from the garage when engaged without access to a key. There is not a swing door in the garage.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. 8/16/24 Maintenance has addressed the locked door to ensure a key is provided to staff and accessible to the individual. 08/16/2024 Not Implemented
6400.18(a)(4)The agency became aware of an allegation of abuse on 3/18/24. Enterprise Incident Management Incident 9384919 for the allegation was not reported in Enterprise Incident Management, the Department's information management system until 3/21/24.The home shall report the following incidents, alleged incidents and suspected incidents through the Department's information management system or on a form specified by the Department within 24 hours of discovery by a staff person: Abuse, including abuse to a individual by another client. COO developed EIM team to assist with entry of EIMs.Incident Manager Representative reviewed importance of reporting incidents during all staff meeting 8/5/24. A second team was created to assist with entry and completion of incidents 8/16/24. 08/05/2024 Not Implemented
6400.18(a)(8)Individual #1 was involved in law enforcement activity on 6/1/24. The agency did not report the incident #9426099 in Enterprise Incident Management, the Department's information management system until 6/3/24.The home shall report the following incidents, alleged incidents and suspected incidents through the Department's information management system or on a form specified by the Department within 24 hours of discovery by a staff person: Law enforcement activity that occurs during the provision of a service or for which an individual is the subject of a law enforcement investigation that may lead to criminal charges against the individual. COO developed EIM team to assist with entry of EIMs.Incident Manager Representative reviewed importance of reporting incidents during all staff meeting 8/5/24. A second team was created to assist with entry and completion of incidents 8/16/24. 08/05/2024 Not Implemented
6400.18(i)Enterprise Incident Management, Incident 9384919 for an allegation of abuse had an extension finalization due date of 6/15/24. As of 7/30/24, the incident has not been finalized or another extension has not been requested.The home shall finalize the incident report through the Department's information management system or on a form specified by the Department within 30 days of discovery of the incident by a staff person unless the home notifies the Department in writing that an extension is necessary and the reason for the extension.COO finalized incident 9384919 7/29/24. 08/16/2024 Not Implemented
SIN-00194378 Renewal 09/28/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(a)On 9/29/21, there was no operable fire alarm on the main floor of the home. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. Since individual takes the operable smoke detectors off of the wall, a Fire Safety Monitoring Hourly Charting has been created. 09/29/2021 Implemented
6400.110(h)The agency's Fire Safety Policy and Procedure states "during the time the smoke detector and/or integrated fire system is inoperative, the Supervisor or a designee must conduct hourly site checks to ensure safety". The fire system was inoperative when the individual removed the detectors at approximately 6:45 AM, but the fire safety monitoring procedure was not being utilized until the agency was directed by ODP Licensing Supervisor at approximately 1:30 PM to implement the procedure. There shall be a written procedure for fire safety monitoring in the event the smoke detector or fire alarm is inoperative.A Fire Safety Monitoring Hourly Charting Form has been created. Monitoring was being evaluated at 7:00 am to coincide with our policy. However, it was not being documented. 09/29/2021 Implemented
SIN-00179083 Renewal 10/20/2020 Compliant - Finalized