Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00274034 Renewal 09/09/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)On 9/10/2025 at 12:26 PM, significant portions of the interior base, sides, and door of the oven in the kitchen of the home were coated in blackened grease, white ash, and charred food particles.Clean and sanitary conditions shall be maintained in the home. The oven was cleaned by a Lead Supervisor on 9/11/2025. 09/11/2025 Implemented
6400.83(c)On 9/10/2025 at 12:39PM, in the left side of the sink in the kitchen next to the laundry room in the home were the following unwashed dishes and utensils: a ladle, a butter knife, two plates, and the cap to a drinking mug.Utensils used for eating, drinking and preparation of food or drink shall be washed and rinsed after each use.The items in the sink were washed and put away on 9/11/25. 09/11/2025 Implemented
6400.182(c)Individual #1's Service Plan, last updated 9/4/2025, reads, "[Individual #1] requires close supervision [with] verbal and physical prompting to exit" the home in the event of an actual fire. However, Individual #1's current assessment, completed on 10/12/2024, reads. "[Individual #1] may require verbal prompts to evacuate" the home in the event of an actual fire.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.On 9/25/25 KVOU Program Specialist updated his assessment information, typed out the changes needed in his ISP and emailed the changes and clarification to this person's Support Coordinator. 09/25/2025 Implemented
6400.186Individual #1's Service Plan, last updated 9/4/2025, reads, "although [Individual #1] knows to avoid heavy duty cleaning products, these items are kept out of reach and locked for added safety." Individual #1's current assessment, completed on 10/12/2024, indicated that "[Individual #1] is unaware of poisons" and that "these items need to be kept locked." On 9/10/2025 at 12:36PM, a 105-fluid-ounce jug of Tide Laundry Detergent and a one-gallon container of Odoban Disinfectant Cleaner were unlocked and accessible on top of the dryer in the home's game room.The home shall implement the individual plan, including revisions.Items found unlocked in the laundry room were locked in the cabinet. 09/11/2025 Implemented
SIN-00232242 Renewal 10/03/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65There is not a window or mechanical ventilation in the bathroom in the basement of the home.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. On 10/16/2023 a contractor installed a bath fan that is connected to the existing duct work in the basement bathroom at this location. 10/16/2023 Implemented
SIN-00077928 Renewal 09/09/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment did not include a completion date; therefore, compliance was unable to be measured.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. A procedure will be written and staff trained that the Executive Director will disburse the current Licensing Inspection Instrument Scoresheet Facility Chapter 6400 Community Homes annually on or before January 19th which is 6 months prior to the expiration date of the Certificate of Compliance. The inspection instruments will be due from the following positions on or before March 31st: Residential Program Supervisor and Program Specialist. The inspection instrument will be due from the Administrative Officer who completes the Staffing section including the training requirements in Regulation 46 and Staff Health including physicals on or before April 15th which is approximately 3 months prior to the expiration of the Certificate of Compliance. The Executive Director will ensure the deadlines are met and then compile the data into one scoresheet for each residential home on or before April 18th which is 3 months prior to the expiration date. 10/04/2015 Implemented
6400.80(a)The "Smoker's Oasis", cigarette butt receptacle was approximately a third of the way down the ramp in front of the home. In addition, a plastic white chair was on the porch at the top of the ramp. Outside walkways shall be free from ice, snow, obstructions and other hazards. The "Smoker's Oasis", cigarette butt receptacle will be removed and located to an area that does not cause an obstruction. The white plastic chair will be removed from the porch. A procedure will be written to ensure that all agency staff will be trained in this regulation requirement during orientation with the Fire Safety Training section. All current staff will be trained in this procedure. There may be no items placed on any exits which would deter egress from the building. There will be absolutely no items placed on the floor of any stairways, halls, doorways, passageways and exits from the building. Finally, no doors may be equipped with operable locks which require a key or combination entry to gain egress or permit exit from the building. The outside walkways must be free from ice, snow or any obstructions or hazards. The outside of the building and yard must be well maintained, in good repair and free from unsafe conditions. Staff are to complete a Request for Maintenance if any repairs are required to comply with this regulation. The Residential Program Supervisor responsible for Physical site/Fire Safety inspection will periodically or at least monthly, ensure compliance with Regulation 101, 80 (a) and 80 (b) and document on the appropriate checklist. 10/04/2015 Implemented
6400.101A cloth "stop" sign approximately one foot wide by four feet long was stretched across the doorway in the front of the home and fastened by Velcro straps approximately four feet from the floor to either side of the doorway.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The cloth stop sign will be removed. A procedure was written that all agency staff will be trained in this regulation requirement during orientation with the Fire Safety Training section. All current staff will be trained in this procedure. There may be no items placed on any exits which would deter egress from the building. There will be absolutely no items placed on the floor of any stairways, halls, doorways, passageways and exits from the building. Finally, no doors may be equipped with operable locks which require a key or combination entry to gain egress or permit exit from the building. The outside walkways must be free from ice, snow or any obstructions or hazards. The outside of the building and yard must be well maintained, in good repair and free from unsafe conditions. Staff are to complete a Request for Maintenance if any repairs are required to comply with this regulation. The Residential Program Supervisor responsible for Physical site/Fire Safety inspection will periodically or at least monthly, ensure compliance with Regulation 101, 80 (a) and 80 (b) and document on the appropriate checklist. 10/04/2015 Implemented
SIN-00252277 Renewal 09/25/2024 Compliant - Finalized
SIN-00213317 Renewal 10/19/2022 Compliant - Finalized
SIN-00196570 Renewal 11/22/2021 Compliant - Finalized
SIN-00180242 Renewal 12/17/2020 Compliant - Finalized
SIN-00161208 Renewal 08/20/2019 Compliant - Finalized
SIN-00140657 Renewal 08/28/2018 Compliant - Finalized
SIN-00120685 Renewal 08/30/2017 Compliant - Finalized
SIN-00100979 Renewal 09/01/2016 Compliant - Finalized
SIN-00062976 Renewal 09/05/2014 Compliant - Finalized
SIN-00051314 Renewal 06/27/2013 Compliant - Finalized