Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00267268 Renewal 05/28/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(f)Individual #1's Individual Plan, last updated, 5/14/2025 reads, "[Individual #1] is legally blind and deaf." On 5/29/2025 at 11:04AM, fire alarm system is not equipped so that Individual #1 will be alerted in the event of a fire. If one or more individuals or staff persons are not able to hear the smoke detector or fire alarm system, all smoke detectors and fire alarms shall be equipped so that each person with a hearing impairment will be alerted in the event of a fire. A bed shaker was purchased previously for Individual #1. The House Coordinator installed the bed shaker onto Individual #1¿s bed on May 29, 2025, so that Individual #1 will be alerted in the event of a fire. 07/01/2025 Implemented
6400.32(r)(2)On 5/29/2025 at 10:55AM, the door inside Individual #2's bedroom leading to the ensuite bathroom had a wooden sign hanging from it that reads, "Laundry." There was a washer and dryer behind a curtain inside the ensuite bathroom. Staff interviews revealed that staff are entering Individual #2's bedroom and utilizing these appliances while Individual #2 is not home.Access to an individual's bedroom shall be provided only in a life-safety emergency or with the express permission of the individual for each incidence of access.A work order was sent to the Facility Manager on 6/24/2025, requesting to remove the washer and dryer from Individual #2¿s ensuite bathroom effective immediately. 07/01/2025 Implemented
6400.32(r)(3)On 5/29/2025 at 10:52AM, there was a turn locking mechanism on the inside and a numbered keypad and a keyed locking mechanism on the outside of the door leading to Individual #1's bedroom. Staff interviews revealed that Individual #1 is not able to lock and unlock the door independently. On 5/29/2025 at 10:54AM, there was a turn locking mechanism on the inside and a numbered keypad and a keyed locking mechanism on the outside of the door leading to Individual #2's bedroom. Staff interviews revealed that Individual #2 is not able to lock and unlock the door independently. On 5/29/2025 at 10:58AM, there was a turn locking mechanism on the inside and a numbered keypad and a keyed locking mechanism on the outside of the door leading to Individual #3's bedroom. Staff interviews revealed that Individual #3 is not able to lock and unlock the door independently.Assistive technology shall be provided as needed to allow the individual to lock and unlock the door without assistance.An IDT (Interdisciplinary Team) Meeting will be held for Individual #1, Individual #2 and Individual #3 to discuss accommodations and educate each individual and legal guardian on the right to lock and unlock their door without assistance. Each IDT Team Meeting will be held by July 8, 2025. The Program Specialist will update Individual #1, Individual #2, and Individual #3¿s Annual Assessment to reflect the decision made at each IDT Meeting. The Program Specialist will request the ISP to be updated to reflect the decision made at each IDT Meeting. Annual Assessments and request for the ISP to be updated will be completed by July 16, 2025. If it is determined an Individual would benefit from accommodations to independently lock and unlock their door, a technology assessment will be completed to determine what lock best suites Individual #1, Individual #2, and Individual #3. 07/16/2025 Implemented
SIN-00115944 Renewal 06/13/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(a)The outside walkway in front of the home had an area of approximately 18" by 18" that was crumbled, chipped and pitted exposing small rocks and concrete dust which posed a tripping or slipping hazard.Outside walkways shall be free from ice, snow, obstructions and other hazards. The damaged portion of the sidewalk will be removed and replaced with new concrete. Participants are using the side door of the home. The repair is scheduled to be completed in the next 2 weeks, weather permitting. We will forward before and after photos of the project to Licensing representative as soon as the project is completed. [Sidewalk was repaired on 7/21/17. Within 30 days of receipt of the plan of correction all staff persons working in community homes shall be educated that outside walkway shall be free from ice, snow, obstruction and other hazards and to monitor throughout the course of their daily duties and to immediately address or contact management staff person. Documentation of trainings shall be kept. Immediately and at least quarterly, a designate staff persons shall compete an onsite check of all community homes to ensure outside walkways are free from ice, snow, obstructions and other hazards. Documentation of onsite checks shall be kept. (AS 7/21/17)] 07/02/2017 Implemented
SIN-00063406 Renewal 05/08/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)A self-inspection was completed on 1-22-2014, and the agency's certificate expires on 4-20-2014.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. We are unable to correct this violation. To prevent this from occurring in the future, Program Director will indicate required completion date on the blank self-inspection tool and require their return to the office prior to that date. 05/19/2014 Implemented
6400.31(b)The most recent statement signed and dated by Individual #1 informing him/her of their rights was dated 1-17-2013. Statements signed and dated by the individual, or the individual's parent, guardian or advocate, if appropriate, acknowledging receipt of the information on rights upon admission and annually thereafter, shall be kept. Community Care Connections sent a second request to individual #1's guardian on 05/19/2014. A copy of the request will be maintained in the individual file. Signatures on statements are typically obtained, in person, at annual meetings. During this instance, The guardian did not return the statement. We will forward a copy of Individual #1's signed consents as soon as we receive the document. To prevent this from occurring in the future, the PS will: Continue to obtain statements "in-person" when able. However, if the statement is not immediately signed and returned, the PS will document in the individuals file that it was presented. If the statement is not received within 4weeks and second copy and request will be sent. 06/15/2014 Implemented
SIN-00228369 Renewal 07/10/2023 Compliant - Finalized
SIN-00191847 Renewal 08/24/2021 Compliant - Finalized
SIN-00175991 Renewal 09/09/2020 Compliant - Finalized
SIN-00155270 Renewal 05/09/2019 Compliant - Finalized
SIN-00134842 Renewal 05/14/2018 Compliant - Finalized
SIN-00077764 Renewal 05/07/2015 Compliant - Finalized