Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00273121 Renewal 09/03/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)On 9/4/2025 at 11:46am, an excessive amount of cobwebs were found covering the ceiling, walls, windows, and under the staircase of the basement.Clean and sanitary conditions shall be maintained in the home. Spider webs have been cleaned via a shop vac that was purchased on 9.17.25. 09/17/2025 Implemented
6400.64(e)On 9/4/2025 at 11:47am, a large black trash receptacle, approximately 30 gallons in size and over 18 inches tall, was found in the garage without a lid.Trash receptacles over 18 inches high shall have lids. The trash can was thrown away. 09/04/2025 Implemented
6400.67(a)On 9/4/2025 at 11:44am, the side porch wood slats appear to be rotting and the wooden platform in the back of the house has wood slats with exposed nails.Floors, walls, ceilings and other surfaces shall be in good repair. The porch was repaired. 09/15/2025 Implemented
6400.67(b)On 9/4/2025 at 11:47am, the floor drain cover was missing in the garage. The open hole in the floor is a hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.The drain cover was replaced. 09/12/2025 Implemented
6400.68(a)On 9/4/2025, 1st floor bathroom water temperature at bathtub measured 87 degrees Fahrenheit at 11:54am and 86.3 degrees Fahrenheit at the sink at 11:55am.A home shall have hot and cold running water under pressure. The hot water tank was turned up. 09/04/2025 Implemented
6400.72(a)On 9/4/2025 at 11:39am, the living room windows did not have screens. On 9/4/2025 at 11:59am, the window near the desk in the staff office/attic did not have a screen.Windows, including windows in doors, shall be securely screened when windows or doors are open. The Maintenance Director put screens in the windows. 09/12/2025 Implemented
6400.72(b)On 9/4/2025 at 12:00pm, the window at the top of the stairs in the staff office/attic had multiple tears and holes in the screen. Screens, windows and doors shall be in good repair. The Maintenance Director repaired the holes in the screens. 09/12/2025 Implemented
6400.101On 9/4/2025 at 11:45am, a hook and eye lock was found on the screen door in the kitchen leading to the side porch. This type of lock causes the exit to be obstructed.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The Maintenance Director removed the hook and eye lock. 09/05/2025 Implemented
SIN-00212721 Renewal 10/04/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.101Hydroxyls Pam Cap 50mg., take one capsule by mouth twice a day as needed for agitation or sleep, prescribed to Individual #1 was administered at 5:30PM on 10/1/22. The physician has not documented the well-defined descriptions of the explicit psychiatric symptoms of when to administer this medication. Reportedly, Individual #1 does not request the medication or express the need for the medication.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. the Maintenance Director removed the coded keypad that led to the garage on 10.5.22. The Maintenance Director also switched out the doorknob to the top of the stairs. 10/05/2022 Implemented
6400.162(a)Direct Service Worker #1 administered Clonazepam Tab 0.5 mg., take one tablet by mouth twice a day to Individual #1 at 8:00AM on 10/3/22. Direct Service Worker #1 medication administration training expired on 8/14/22 and reportedly has been administering medications since August 2022.A home whose staff persons or others are qualified to administer medications as specified in subsection (b) may provide medication administration for an individual who is unable to self-administer the individual's prescribed medication.On 10.4.22, The Direct Service Worker was informed she is no longer permitted to administer medication. The Director of Operations completed Med Admin Train the Trainer training on 10.13.22 and will re-train the Direct Service Worker by 11.18.22 11/18/2022 Implemented
6400.166(b)Clonazepam Tab 0.5 MG, take 1 tablet by mouth twice a day, prescribed to Individual #1 was not initialed as administered at 8:00AM on 10/5/22.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.The staff who failed to initial the MAR will be retrained by 11.18.22 on proper MAR documentation. 11/18/2022 Implemented
SIN-00231458 Renewal 09/19/2023 Compliant - Finalized