Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00287761 Renewal 04/30/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(a)(10)Individual #1 is prescribed Aimovig Injection 70mg/mL with instructions to "inject 1mL (70mg) under the skin every 30 days." Individual #1's May 2026 medication administration record did not include the administration time for this medication.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Administration times.The May 2026 medication administration record for Individual #1 was reviewed and corrected to include the administration time for Aimovig Injection 70mg/mL as prescribed. Medication administration staff were re-educated on the requirement to document all administration times on the MAR in accordance with Chapter 6400 regulations. This was corrected immediately on 5/1/2026. 05/07/2026 Implemented
6400.166(a)(11)Individual #1 is prescribed Aimovig Injection 70mg/mL with instructions to "inject 1mL (70mg) under the skin every 30 days." Individual #1's May 2026 medication administration record did not include the diagnosis or purpose for prescribing this medication.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 May 2026 medication administration record for Individual #1 was reviewed and corrected to include the diagnosis/purpose for Aimovig Injection 70mg/mL as prescribed. Medication administration staff were re-educated on the requirement to document all administration diagnosis/prupose on the MAR in accordance with Chapter 6400 regulations. 05/07/2026 Implemented