Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00259953 Renewal 01/29/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)At 10:03 AM on 1/30/25, the ceiling on the inside of the microwave was stained with food remnants and its interior surface finish was delaminating.Clean and sanitary conditions shall be maintained in the home. As of 1/30/2025: The old microwave, with stained ceilings and delaminating interior surfaces, was removed from the home and properly disposed. A brand new microwave has been purchased and placed into the home. (see attached receipt of purchase) 01/30/2025 Implemented
6400.80(b)At 9:56 AM on 1/30/25, the sidewalk leading to the front door of the home had a crack that measured approximately one-half inches wide and two feet, six inches in length, causing a potential tripping hazard. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.The sidewalk leading to the front door of the home with a crack approximately one-half inch wide and two feet, six inches in length, causing a potential tripping hazard, has been repaired as of 2-3-2025. (see picture attached) 02/03/2025 Implemented
6400.141(c)(4)Individual #2's date-of-admission is 12/19/24. Their pre-admission physical examination, completed on 12/16/24, did not include vision or hearing screenings. Individual #2 had a vision examination completed on 1/17/25 and a hearing examination completed on1/28/25.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. Effective 2-18-2025 ALC has implemented our electronic health record system called Assisted Living Intelligent Solutions also known as ALIS. Going forward the medical records coordinator will use ALIS to ensure that individual's physicals are completed fully prior to admission. 02/18/2025 Implemented
6400.141(c)(11)Individual #1 had a physical examination completed on 2/6/24. Individual #1 was indicated to have an iron deficiency on this physical examination. However, their physical examination, completed on 2/6/24, did not include an assessment of the individual's need for blood work at recommended intervals.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. ALC used Individual #1's physical form from the individual's doctor's office prior to admission. This physical form did not indicate if blood work was required. Going forward, Individual #1will use ALC's physical form for all physical examinations in the future. 02/18/2025 Implemented
6400.141(c)(14)Individual #2's most recent physical examination was completed on 12/16/24. However, this physical examination did not include medication information pertinent to diagnosis and treatment in case of an emergency. The field was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. ALC has implemented our electronic health record system called Assisted Living Intelligent Solutions also known as ALIS. Medical Records coordinator and Administrative coordinator will preform the 2-step review process. This will ensure that all medical information pertinent to diagnosis and treatment in case of an emergency is documented. 02/18/2025 Implemented
6400.15(b)The agency used the Self-Inspection and Declaration Tool, modified June 2018 to measure and record compliance at the home on December 28, 2024, which does not contain all the elements in the current Department's licensing inspection instrument released on February 20, 2020.(b) The agency shall use the Department's licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance.ALC has disposed of all copies of the self-inspection and declaration tool modified june-2018 and replaced them with the correct version modified Feb-2020 as located in the regulatory compliance guide printed March 15,2023. Compliance managers , who are responsible for completing the self-inspection and declaration tool, were trained 2-10-2025 that going forward, the self inspection and declaration tool modified Feb-2020 is the correct form to be used when conducting home inspections. 02/10/2025 Implemented
6400.182(b)Individual #1's date-of-admission is 7/13/24. Their initial assessment was completed on 8/31/24. This assessment was sent to individual plan team members on 1/18/25, for development of an initial Individual Support Plan, which is beyond 90 days of Individual #1's date-of-admission.The initial individual plan shall be developed based on the individual assessment within 90 days of the individual's date of admission to the home.The CEO gave the Program specialist an assessment tracking spreadsheet. The spreadsheet provides the dates the assessments are to be completed, and when to be sent to team members. This will ensure the assessment will be sent to the support coordinator within 90 days of the individual's admission date going forward. Additionally, ALC has implemented our electronic health record system called Assisted Living Intelligent Solutions also known as ALIS. Individual assessments dates will be uploaded and tracked in the ALIS System. 02/14/2025 Implemented
SIN-00219194 Renewal 02/13/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66The light outside the front exit door is inoperable. There is not another source of light in that area.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. The porch light was replaced and the circuit box was fixed, ensuring that outside lighting is operable. 03/01/2023 Implemented
6400.82(e)The bathtub in the bathroom on the first floor of the home did not have a nonslip surface or mat. Bathtubs and showers shall have a nonslip surface or mat. A non slip Matt was added to the bathtub. 02/28/2023 Implemented
6400.101There is a turn lock on the basement side of the door between the basement and the garage posing an obstructed egress from the garage when engaged. There is not a ''man door" inside the garage. There is a padlock on the door leading to the staff office in the basement of the home.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The padlock has been removed from the door leading to the staff office in the basement of the home. In addition, the turn lock on the basement side of the door between the basement and the garage has been removed. 03/03/2023 Implemented
6400.110(b)The closest smoke detector to Individual #1's bedroom is 16 feet away.There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. In operable smoke detector has been installed within 15 feet of the individual's bedroom. 02/16/2023 Implemented
6400.214(b)Individual #1's most recent physical examination was not at the home. The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. The individuals updated physical was placed at the home, to be included with the individual's entire file. 02/27/2023 Implemented
6400.46(d)Direct Service Worker #1's first aid and CPR training, completed on 5/29/2022, did not include an in-person component. Direct Service Worker #2's first aid and CPR training, completed 6/27/2022, did not include an in-person component.Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation.The direct service worker #1 and #2 both have retaken the CPR and first aid course, with an in-person course. Documentation has been placed into the staff training file. 02/23/2023 Implemented
SIN-00202481 Renewal 03/02/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(e)A fire drill was held during sleeping hours on 6/14/21 at 10 PM. No other fire drill was held during sleeping hours, exceeding the 6 month requirement.A fire drill shall be held during sleeping hours at least every 6 months. The fire drill was completed on 12/13/21 at 10 pm but did not indicate that it was a sleeping drill. The agency has revised the fire drill log to reflect the agency's sleeping hours: 10:00 pm- 7:00 am. In addition, supervisors have been trained on the use and completion of the revised form. [copy of fire drill form indicating sleeping hours and that individuals must be sleeping received on 5/19/22 and reviewed on 5/20/22. Copies of fire drill training forms for staff, dated 3/12/22, received on 5/19/22 and reviewed on 5/20/22. DPOC by HDKP, HSLS, on 5/20/22]. 04/01/2022 Implemented
SIN-00281058 Renewal 01/05/2026 Compliant - Finalized
SIN-00238725 Renewal 02/06/2024 Compliant - Finalized
SIN-00185651 Renewal 03/31/2021 Compliant - Finalized