Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00254968 Renewal 11/04/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The fire drill records did not indicate if there were problems encountered or not for the entire year.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 fire drill record will be added to include the question: were there any concerns or problems during the drill period? If yes, please describe in detail. 12/01/2024 Implemented
SIN-00150675 Renewal 03/21/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(c)The well water test dated 4/4/18 failed to meet minimum standards and this well-water was not corrected until 6/25/18.A home that is not connected to a public water system shall have a coliform water test by a Department of Environmental Resources¿ certified laboratory stating that the water is safe for drinking purposes at least every 3 months. Written certification of the water test shall be kept.If a home is not connected to a public water system our homes will be tested every 3 months and we will receive a written certification from Dieroff water supply company. If we receive a written failed water test the water company will be contacted to come out and correct the problem. The home will drink bottled water until a passed test is produced. If the water test is not received in a timely fashion, director, Pam Hoffman will contact the water company to get the results. 04/17/2019 Implemented
6400.72(b)The back door screen was bent and it did not slide easily on its track. Screens, windows and doors shall be in good repair. The screen door was completely rescreened and oiled so that it moves smoothly on the track. 04/16/2019 Implemented
6400.181(a)The current assessment for individual #1 was dated 6/12/18. The previous assessment was dated 5/19/17. The current assessment was completed late beyond the 15 day grace period. 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. A review of the regulation 181a was reviewed with the program specialist. In addition to reviewing regulation 181a the program specialist has devised a reference sheet, with all necessary dates relative to programmatic and regulatory requirements to ensure compliancy. This sheet will be updated annually and/ or as needed. 04/15/2019 Implemented
SIN-00124612 Renewal 11/17/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)The drain in the hall bathroom sink was clogged. Floors, walls, ceilings and other surfaces shall be free of hazards.The maintance man was out on 11/24/17 and unclogged the drain at the house. [Going forward, program designee(s) will conduct periodic monitoring of homes to ensure that premises are in good repair; staff will report any areas that require evaluation and/or repair when discovered. JG 12/27/17] 11/24/2017 Implemented
SIN-00094677 Renewal 05/16/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(g)Staff # 5 completed fire safety training on 4/20/16 and it was not conducted by a fire safety expertProgram specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (f). Pam Hoffman (Residential Director) will obtain and keep on file the fire safety expert's certification. The staff will be trained annually. (New Staff will be trained as part of their orientation) 08/17/2016 Implemented
6400.113(a)Individual # 1 completed fire safety training on 4/20/16 and it was not conducted by a fire safety expert 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. Pam Hoffman (Residential Director) Will obtain a copy of the fire safety expert's certification and keep it on file. (A schedule will be kept to ensure that each individual is trained on an annual basis and newly accepted individuals will be trained upon admission) 08/17/2016 Implemented
6400.185(b)Individual # 1's three month ISP review documentation dated 09/22/15 through 01/04/16 was not implemented by the ISP start date of 09/30/016.The ISP shall be implemented as written.Pam Hoffman (Residential Director will ensure that the program specialist stays within the 3 month reporting period. See attachement's #1 and #2 for the corrected documentation. The program specialist ( Amy Fritts) will ensure the ISP is implemented by the start date of the ISP. [All staff will receive training on the importance of quarterly ISP reviews and the time lines required by the regulations, within 30 days of receipt of this plan of correction. SW 1.5.17] 08/17/2016 Implemented
6400.186(a)Individual #1's three month ISP review documentation dated 6/9/15 through 9/21/15 and 9/2/15 through 1/4/16 covered a period greater than three months.The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. Pam Hoffman (Residential Director will ensure that the program specialist stays within the 3 month reporting period. See attachement's #1 and #2 for the corrected documentation. [All staff will receive training on the importance of quarterly ISP reviews and the time lines required by the regulations, within 30 days of receipt of this plan of correction. SW 1.5.17] 08/17/2016 Implemented
6400.186(b)Individual # 1's three month ISP review documentation dated 3/9/15-6/8/15 was signed on 3/9/15. Individual # Individual #1's three month ISP review documentation dated 6/9/15-9/21/15 was signed on 6/9/15. Individual # 1¿s three month ISP review documentation dated 9/22/15-1/4/16 was signed on 9/22/15. Individual # 1's three month ISP review documentation dated 1/5/16-4/4/16 was signed on 1/5/16The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. Pam Hoffman (Residential Director will ensure that the program specialist stays within the 3 month reporting period. See attachement's #1 and #2 for the corrected documentation.[All staff will receive training on the importance of quarterly ISP reviews and the time lines required by the regulations, within 30 days of receipt of this plan of correction. SW 1.5.17] 08/17/2016 Implemented
SIN-00078775 Renewal 02/10/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The hallway bathroom has a bent holder and a loose cup holder attached to the wall.Floors, walls, ceilings and other surfaces shall be in good repair. The hallway bathroom holder for the tooth brushes has been removed because the clients do not use it. The bent towel rack has been replaced. The program specialist will conduct monthly physical site inspections of the home to ensure that the home is in good repair. The staff of the home will be trained on how to submit a work order to ensure that repairs are completed timely. 02/20/2015 Implemented
SIN-00272123 Renewal 08/18/2025 Compliant - Finalized
SIN-00214312 Renewal 11/02/2022 Compliant - Finalized
SIN-00196111 Renewal 11/03/2021 Compliant - Finalized
SIN-00205476 Renewal 11/03/2021 Compliant - Finalized
SIN-00178276 Renewal 10/21/2020 Compliant - Finalized
SIN-00057117 Renewal 11/18/2013 Compliant - Finalized