Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00273689 Renewal 09/10/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(8)Individual #1, date of birth 06/03/58, had a mammogram completed on 01/19/24, and then again on 05/20/25.This exceeds the annual requirement.The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older. All Appointments are uploaded in to On Target and have a expiration date set at lease 1 month prior to due date. Program Specialist will run a report each month to see what appointments are coming due ensure timely appointments. Program Director will be informed of all scheduled appointments in Program Specialists Meeting each week. 10/31/2025 Implemented
6400.142(a)Individual #1 had a dental examination on 03/21/24, and then again on 05/29/25. This exceeds the annual requirement.An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. All Appointments are uploaded in to On Target and have a expiration date set at lease 1 month prior to due date. An appointment spreadsheet has also been implemented for all individuals in Residential and will be reviewed with the Program Director on a weekly basis to ensure timely scheduling of appointments. Program Specialist will run a report each month to see what appointments are coming due and cross reference dates of appointments with Appointment Spreadsheet to ensure timely appointments. 10/31/2025 Implemented
6400.181(f)Individual #2 has an ISP annual meeting on 04/04/25, and there was no documentation of a current assessment being sent to the plan team members at least 30 days prior to the meeting.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Annual Assessments are uploaded into OTC and have an expiration date set for month prior to due date. Program specialists print a report each month alerting them of coming Assessment dates, this gives them enough time to gather all necessary information to include in the Assessment Tool. The initial program specialist over this case resigned and left assessments not completed. When new Program Specialist took over Assessments were reviewed and completed for outstanding dates. 10/31/2025 Implemented
SIN-00251962 Renewal 09/17/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency's certificate of compliance expires on 12/28/24. The home completed the self-assessment on 06/12/24. The self-assessment was not completed 3 to 6 months prior to the expiration of the certificate of compliance. This is the agency's first renewal inspection.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. Abound Health will utilize the correct Licensing approved Licensing Inspection Instrument (LII) and completed the LII for all Residential Sites by October 31, 2024. 10/02/2024 Implemented
6400.112(e)The home's most recent fire drill during sleeping hours was conducted on 02/29/24. This exceeds the requirement for a fire drill during sleeping hours to be held at least every 6 months.A fire drill shall be held during sleeping hours at least every 6 months. Review current Fire Drill policy and procedures with Program Specialists and DSPs to ensure compliance is maintained. Training to occur by 10/31/2024. Our current policy and procedure states that midnight fire drills are to be completed 4 times a year to ensure compliance with this regulation. 10/31/2024 Implemented
6400.15(b)The agency completed the Department's self-assessment (last modified in June of 2018), which does not contain all Chapter 6400 regulations promulgated on February 03, 2020.(b) The agency shall use the Department's licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance.Abound Health will utilize the correct Licensing approved Licensing Inspection Instrument containing all Chapter 6400 regulations promulgated on October 2, 2019, and will complete the LII for all Residential Sites by October 31, 2024. 10/31/2024 Implemented
SIN-00232590 Renewal 09/26/2023 Compliant - Finalized