Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00274467 Renewal 09/19/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(10)The Physical examination dated 11/1/24 for individual #4 does not state if they free of communicable diseaseThe physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. 1. Individual #4's 11/1/24 physical exam was amended and faxed to the physician to approve the change noting that Individual #4 is in fact free from communicable disease. Attachment 9-10 10/16/2025 Implemented
6400.144The medication Ger-Tussin Syp DM was not present but was found on the MAR for individual #4Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. 1. The medication Ger-Tussin was reordered and placed in the home. Attachment 14 10/16/2025 Implemented
6400.168(b)The running water of the kitchen and bathroom returned with a temperature of 138.4F; exceeding the allowable threshold of 120F.An adverse reaction to a medication, the health care practitioner's response to the adverse reaction and the action taken shall be documented.1. The hot water heater in the home was turned down and the water temp in the home is under 120 degrees. Attachment 8 10/16/2025 Implemented
SIN-00212032 Renewal 09/15/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)According to Individual #5 ISP, cleaners are kept locked in the home and the closet that held the cleaners was unlocked.Poisonous materials shall be kept locked or made inaccessible to individuals. 1. The cleaning closet was locked at the time of inspection. 12/09/2022 Implemented
6400.62(d)There were Kool-Aid juice boxes stored in a closet with household cleaners.Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.1. The Kool-Aid was removed from the cleaning closet. 12/09/2022 Implemented
6400.112(f)The fire drill did not have alternate routes used for the entire year (only the front door used).Alternate exit routes shall be used during fire drills. 6. The Program Supervisor and Program Director are responsible to ensure that monthly fire drills occur and meet regulation. If a fire drill does not meet regulation a new drill is to occur. 12/09/2022 Implemented
6400.181(e)(5)The assessment doesn't indicate whether or not the Individual #5 is able to self-medicate.The assessment must include the following information:  The individual's ability to self-administer medications.1. Individual #5¿s assessment was amended to include her ability to self-administer medications and was sent to the team. 12/09/2022 Implemented
SIN-00201779 Initial review 03/15/2022 Compliant - Finalized