Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00286882 Renewal 04/14/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(e)This home was first occupied by an individual on 08/29/2025 and was occupied continuously through the date of inspection. There was no record that a fire drill was held during sleeping hours for the fire drills occurring from 08/29/2025 through 04/09/2026. As a fire drill must be held during sleeping hours at least every 6 months, a fire drill during sleeping hours was due to be held in February 2026.A fire drill shall be held during sleeping hours at least every 6 months. House managers were retrained of the requirement for sleeping-hour fire drills every 6 months ((Successful sleep drill conducted on 4/6/26 -CH 6/12/26)) 04/16/2026 Implemented
6400.112(h)The fire drill forms for this location from 08/29/2025 through 04/09/2026 lacked the following information: whether the individuals participating in the fire drill evacuated to a designated meeting place outside the building or within the fire safe area during each of the fire drills. There did not appear to be a space to record this information on the fire drill form that was used by the provider. The forms recorded the location of the home's designated meeting place but did not specify whether the individuals reached it during the fire drills. Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill.The fire drill form was updated to include a section documenting whether individuals evacuated to the designated meeting place or fire safe area during each fire drill. Staff were informed of the updated documentation requirements. 04/16/2026 Implemented
6400.113(a)Individual #2 moved into this home on 08/29/2025. There was a record showing that this individual completed a fire safety training on the date that the individual moved into the home; however, as the training form did not include an address or other information that would identify the location associated with the fire safety training, it could not be confirmed that this fire safety training contained information specific to the home, e.g., designated meeting area, evacuation routes, location of smoke alarms, etc. Fire safety training must be site specific. 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. The fire safety training form was updated to include the home address and site-specific fire safety information, including designated meeting area, evacuation routes, and smoke alarm locations 04/17/2026 Implemented
6400.141(c)(3)Individual #2's physical examination, dated 02/03/2026, was missing the following required information: Immunizations. This area of the physical form was left blank.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. Follow-up was completed with the medical provider to obtain the missing immunization information from Individual #2's physical examination record. The updated documentation was added to the individual's record 04/20/2026 Implemented
6400.141(c)(6)Individual # 2 was admitted to the provider's program effective 08/29/2025. This individual's pre-admission physical examination, dated 01/28/2025, did not include negative tuberculin testing results.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Follow-up was completed to obtain documentation of negative tuberculin testing results for Individual #2. The documentation was added to the individual's record. 05/08/2026 Implemented
6400.141(c)(10)Individual #2's physical examination, dated 02/03/2026, did not note whether the individual was free from communicable disease. The area of the form designated for this information was left blank.The 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. Follow-up was completed with the medical provider to obtain documentation confirming whether Individual #2 was free from communicable disease. The updated documentation was added to the individual's record. 04/17/2026 Implemented
6400.141(c)(11)Individual #2's initial physical examination, dated 01/28/2025, was missing the following required information: an assessment of the individual's health maintenance needs. This area of the physical form was left blank.The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. Follow-up was completed with the medical provider to obtain documentation of Individual #2's health maintenance needs. The updated documentation was added to the individual's record. 04/17/2026 Implemented
6400.141(c)(13)Individual #2's initial physical examination, dated 01/28/2025, was missing the following required information: allergies and contraindicated medications. The area of the form designated for this information was left blank.The physical examination shall include: Allergies or contraindicated medications.Follow-up was completed with the medical provider to obtain documentation regarding allergies and contraindicated medications for Individual #2. The updated documentation was added to the individual's record. 04/17/2026 Implemented
6400.141(c)(15)Individual #2's initial physical examination, dated 01/28/2025, was missing the following required information: special instructions for the individual's diet, if any. The area of the form designated for this information.The physical examination shall include:Special instructions for the individual's diet. Follow-up was completed with the medical provider to obtain documentation regarding any special diet instructions for Individual #2. The updated documentation was added to the individual's record 04/17/2026 Implemented