Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00284343 Renewal 02/10/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.76(a)The chair located by the filing cabinets in the kitchen area was visibly worn to the point that the chair material was completely worn through and the underlying chair foam was exposed in several areas. The chair was removed to the garage at the time of inspection, and the provider indicated it would be thrown away. Furniture and equipment shall be nonhazardous, clean and sturdy. The chair was disposed of and replaced. 02/16/2026 Implemented
6400.141(a)Physical Examinations were completed with Individual #1 on 03/26/2024 and 09/15/2025, which exceeds the annual requirement.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. A tickler was set in our nursing calendar to remind our nurse to follow the correctly time lime established by ODP's policy. 03/02/2026 Implemented
6400.141(c)(4)The 09/15/2025 Physical Examination for Individual #1 does not address vision and hearing screenings. The section was left blank on the form with a written note "unable to complete". Additionally, the doctor's printed summary sheet does not list these areas in the assessment.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. Our nurse addressed those findings with the individual's doctor and it has been established that he will he will address all required information on the next annual physical. 03/01/2026 Implemented
6400.141(c)(10)The 09/15/2025 Physical Examination for Individual #1 does not address whether the individual is free of communicable diseases. The section 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. Our nurse addressed those findings with the individual's doctor and it has been established that he will he will address all required information on the next annual physical. 03/01/2026 Implemented
6400.141(c)(14)The 09/15/2025 Physical Examination for Individual #1 does not address medical information pertinent to diagnosis and treatment in case of an emergency. The section was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. Our nurse addressed those findings with the individual's doctor and it has been established that he will he will address all required information on the next annual physical. 03/01/2026 Implemented
6400.143(a)Individual #1 is under the care of a Neurologist. There is documentation on record of a 10/06/2025 appointment; however, the form contains only individual's DOB, appointment date and time, reason for visit, Neurologist name, and phone number. All other sections of the form are incomplete, including findings, diagnosis, assessment, recommendations, and medication changes (if applicable). No other documentation was available for review for the licensing review period. Per the provider, the individual refuses treatment; however, documentation of refusal and continued attempts to train the individual about the need for health care were not found in the individual's record.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. A team meeting was held with the individual's support team to discuss appointment visit refusals. It was agreed that our nurse will adequately document occurrences of refusals and file them accordingly. The individual was trained on the importance of complying with medication visits and the disadvantages of not complying. 03/04/2026 Implemented
6400.216(a)Records containing personal and protected information were found stored in an unlocked cabinet in the kitchen. This was corrected at the time of the visit, and files were relocated to a locked cabinet in the same area. An individual's records shall be kept locked when unattended. All record in the individuals home were moved to the locked area of the home. 03/01/2026 Implemented
6400.32(r)The door to Individual #1's bedroom was not equipped with a lock and documentation was not provided to show the right was waved.An individual has the right to lock the individual's bedroom door.A lock was install on the bedroom door. 03/02/2026 Implemented
6400.165(g)Individual #1's is prescribed medications to treat psychiatric illness, which requires review every 3 months. The first review on record for the licensing period was completed on 07/09/2025. No other records were available for review prior to this date.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.Often, this individual's review are done by tele visit. Unfortunately, it has been a challenge getting post visit summary from the physician. We have had a meeting with this doctor to discuss the violation pointed out in section. The doctor promised to be more forthcoming with emailing and faxing the necessary paperwork immediately after each visit. 03/01/2026 Implemented
SIN-00261486 Renewal 11/08/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)62(a).There were several cans of paint in the unlocked laundry room closet. The paint cans were removed and locked in the garage during the inspection.Poisonous materials shall be kept locked or made inaccessible to individuals. Our maintenance personnel failed to lock the maintenance closet upon completion of some work performed. The door was immediately locked right after this violation was brought to our attention. 12/24/2024 Implemented
6400.67(a)67(a). There are large sections of the kitchen flooring that have tears in it.Floors, walls, ceilings and other surfaces shall be in good repair. The vinyl flooring was repaired by our landlord. 12/20/2024 Implemented
6400.112(c)112c: The problems encountered section of the fire drill form was not completed on the 10/5/24 fire drill.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. All staff and managers were trained on fire drill and the completion of the form. 12/20/2024 Implemented
6400.163(h)163(h). Storage and disposal of medications. Triamcinolone 0.3% ointment was in with individuals' number one medications but was not on the MAR.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.The PRN ointment was removed from the medication box and disposed off at the pharmacy. 12/20/2024 Implemented
6400.166(a)(2)166(a)(2). Medication record. Individual number one prescribing doctor was not included on the MAR.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of the prescriber.Our contracted pharmacy acknowledged the omission of the prescribing physician and made the correction on the next MAR. 12/01/2024 Implemented
SIN-00234373 Renewal 11/09/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)There was no medical tape found in the first aid kit. 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. A medical tape was purchased and placed in the first aid kit the day following the review. 11/21/2023 Implemented
6400.106Furnace reports were not provided during the inspection, making impossible to determine if the furnace has been inspected annually as required.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. PCS have always relied on the annual certificate of occupancy from our land-law for assurance that the furnaces inspected. We are now in contract with a reputable heating and cooling company to inspect and document furnace maintenance going forward. 11/21/2023 Implemented
SIN-00214059 Renewal 11/01/2022 Compliant - Finalized
SIN-00179170 Renewal 10/20/2020 Compliant - Finalized