Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00262075 Unannounced Monitoring 03/04/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(c)Soap in the kitchen was not in its original, labeled container.Poisonous materials shall be stored in their original, labeled containers. Soap in the kitchen not in the original container was immediately removed by staff on 3/4/2025. 03/04/2025 Implemented
6400.67(a)The first step of the side porch is not sturdy. The living room floor had several tripping hazards that included uneven floorboards and the fireplace mantel base was covered by a rug that covered up the step from the floor to the mantel base.Floors, walls, ceilings and other surfaces shall be in good repair. Royal Home Maintenance contractor immediately worked on the side porch step to make it sturdy on 3/10/2025. Also, all tripping hazards covered by rug were corrected on 3/10/2025. 03/10/2025 Implemented
6400.68(b)The water temperature of the 1st floor bathroom was 122.3°F and the water temperature of the 2nd floor bathroom was 122.5°F. Hot water temperatures in bathtubs and showers may not exceed 120°F. Royal Home Maintenance contractor immediately adjusted the water heater temperature not to exceed the allowable limit of 120.0 f. 3/4/2025. 03/04/2025 Implemented
6400.72(a)The windows in individual #7's bedroom did not open.Windows, including windows in doors, shall be securely screened when windows or doors are open. Royal Home Care maintenance contractor immediately opened the window and made it accessible on 3/5/2025 to ensure compliance. 03/05/2025 Implemented
6400.76(a)The stovetop was dirty with baked on grime and chipped and damaged enamel. Furniture and equipment shall be nonhazardous, clean and sturdy. The grime on the stovetop was cleaned immediately on 3/4/2025. 03/04/2025 Implemented
6400.101The door inside of individual #6's bedroom that leads to the outside of the home was obstructed by a chair.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. Royal Home Care staff immediately removed the chair obstructing the door on 3/4/2025. 03/04/2025 Implemented
6400.166(a)(11)MARs need to be updated to include the diagnosis for all individuals in the home.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.MARs were immediately updated by the pharmacy to include the diagnosis of all individuals in the home. 03/14/2025 Implemented
SIN-00228616 Renewal 07/31/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)Individual 3 bedroom door leading to the backyard needs the exterior cleaned of debris and cobwebs.Clean and sanitary conditions shall be maintained in the home. The DSPs on shift were immediately instructed to clean the backyard exterior and make sure they are free of debris and cobwebs on 7/31/2023 (see attached). 07/31/2023 Implemented
6400.216(a)There are individual program books unlocked in the home. An individual's records shall be kept locked when unattended. Royal Home Care administrator immediately procure additional lock cabinets for storing individuals program books on 8/2/2023 (see attached). The program books are now locked away when not in use by staff. 08/01/2023 Implemented
SIN-00208324 Renewal 07/21/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.101Door on second story was unable to be opened and appeared to be painted over.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. Royal Home Care maintenance contractor immediately opened the door and made it door accessible on 07/22/22 to ensure compliance (see attached). 07/22/2022 Implemented
6400.111(f)The fire extinguisher in the kitchen was labeled as being last inspected in March 2021. A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. Current fire extinguishers were immediately placed at designated places (see the attached). 07/22/2022 Implemented
6400.163(d)Under the controlled substance act of 1970, all controlled medications need to be counted within the home. The following controlled medications were not being counted. - Clonazepam ODT 0.25mg -- place two tablets on the tongue and allow to dissolve daily as needed for seizure - Clobazam (Onfi) 10mg -- take 2 tablets by mouth at bedtime - Clobazam (Onfi) 20mg -- take 2 tablets by mouth at bedtime - Clonazepam 1mg -- Take one tablet by mouth at bedtime.Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.Royal Home Care nurse immediately implemented control substance count sheet in each of the homes to account for the medications in question (see the attached). DSP were also trained on how to use the control substance to account for the medication by Royal home care medication administration trainer. 07/22/2022 Implemented
6400.165(f)Individual 2 is prescribed Diphenhydramine 25mg -- Take one tablet by mouth as needed for insomnia and anxiety. This medication needs additional documentation in order to be administered.If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness.An appointment will be scheduled with individual¿s psych doctor to obtain additional order and documentation for administration. Staff will be trained on doctor¿s order as soon as the appointment is completed. 07/26/2022 Implemented
SIN-00190681 Renewal 07/26/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)The first aid kit did not contain (Antiseptic or a working thermometer) at time of inspection. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Royal Home Care administrator immediately bought antiseptic and thermometer and placed them in the first aid kit. (See attached). 08/02/2021 Implemented
6400.111(e)The Fire Extinguishers located throughout the home was locked in a metal lock box with no access for the staff or individuals. A fire extinguisher shall be accessible to staff persons and individuals. Fire extinguishers were removed from all the metal lockboxes to enable access for staff and individuals. 08/12/2021 Implemented
SIN-00170099 Renewal 01/31/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Individual No.1 cannot handle poisons. Items observed were deodorant gel, hand sanitizer, cologne and baby oil.Poisonous materials shall be kept locked or made inaccessible to individuals. Deodorant gel, hand sanitizer and baby oil were immediately removed from individual no 1 room by staff. ISP was updated on 02/28/2020 to reflect that individual can handle poison. See attached ISP. 02/28/2020 Implemented
6400.64(a)The microwave oven had grease build-up on its surfaces.Clean and sanitary conditions shall be maintained in the home. Build-up grease on the surface of the microwave was cleaned by direct support Staff immediately on . This will be periodically checked by residential director for cleanliness. House cleaning is a part of the chore list on every shift by each direct support staff. Training regarding 6400 compliance was completed with residential director on 02/11/2020. 01/31/2020 Implemented
6400.64(b)The kitchen area had a dead mouse located on a glue trap.There may not be evidence of infestation of insects or rodents in the home. Harpoon Pest Solution serviced the home for rodent on 01/31/2020. see attached. They are on a quarterly rodent check contract with Royal Home Care. Training regarding 6400 compliance was completed with residential director on 02/11/2020. 01/31/2020 Implemented
6400.64(c)The backyard had trash and broken equipment and chairs strewn throughout.Trash shall be removed from the premises at least once per week. The backyard trash and broken equipment were removed on 01/31/2020. See attached picture. Going forward, the residential director will carry out a monthly inspection of the homes. Training regarding 6400 compliance was completed with residential director on 02/11/2020. 01/31/2020 Implemented
6400.80(b)Broken furniture sitting in the backyard with leaves covering it creating a hazard for anyone walking through the yard. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.Broken furniture in the backyard were removed on 01/31/2020. Going forward, residential director will complete a physical site check on monthly basis. Training regarding 6400 compliance was completed with residential director on 02/11/2020. 01/31/2020 Implemented
6400.82(f)The main bathroom did not have paper or cloth towels.Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. Royal Home stock paper cloth in the bathroom on 01/31/2020. The residential director will ensure all paper products are purchased and replenished every two weeks during house shopping. Training regarding 6400 compliance was completed with residential director on 02/11/2020. 01/31/2020 Implemented
SIN-00248472 Renewal 07/25/2024 Compliant - Finalized