Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00292214 Renewal 07/22/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)September and October 2025 Fire Drill records did not indicate whether the fire alarm or smoke detector was operative.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. Review a standardized fire drill record form that includes fields for Address, date, time, evacuation time, exit route used, problems encountered, and fire alarm/smoke detector status. Train all staff on the updated fire drill documentation procedures by 8/5/2026. Conduct a review of past fire drill records and update missing information where possible 08/05/2026 Implemented
6400.167(a)(3)For Individual #2, a half tablet of Escitalopram 10mg tab was still in the 8:00 am blister pack. The prescribed dosing is one and a half tablets.Medication errors include the following: Administration of the wrong dose of medication.Review MAR for the staff who administer medication. Retrain staff on the Medication Administration procedures by 8/30/2026. Implement weekly and monthly audits to ensure Medication Administration records are completed accurately and comprehensively. 08/24/2026 Implemented
SIN-00253826 Renewal 08/21/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(a)Staff number one was hired on 05/28/18 (HM-Staff File) Staff number one's had a physical that was completed on 5/6/24 with the previous physical completed on 4/19/22. This exceeds the 2-year requirement by 17 days. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. To ensure that the required two-year physicals are completed when due. empowering individuals for Success has implemented a tracking process to monitor physical due dates to ensure compliance. 11/11/2024 Implemented
6400.51(a)(1)Staff number two was hired on 12/4/23 and did not receive orientation trainings as described in subsection (b) until 3/5/24, which exceeds the requirement to receive the trainings within 30 days after hirePrior to working alone with individuals, and within 30 days after hire, the following shall complete the orientation as described in subsection (b): Management, program, administrative and fiscal staff persons.EI4S has updated their staff training and orientation policy. staff have been retrained on the updated policy on November 11th 2024 11/25/2024 Implemented
SIN-00210378 Renewal 08/31/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)Individual #1's 7/21/22 physical has the line medical information pertinent to diagnosis and treatment in case of emergency left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. Physical form was taken back to the pcp on 9/1/2022 and all information was updated 09/01/2022 Implemented
6400.144Individual #1's prescribed medication Prazosin HCL 1MG tablet to be taken once daily at 8pm was not present at site. There was an empty blister pack available at site that and the 8/31/22 pill was not present prior to the administration time.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. Pharmacy was contacted and medication was on site 3 hours prior to dosage time to be given 09/01/2022 Implemented
6400.181(e)(3)(i)Individual #1's assessment does not address progress and growth over the last 365 days, it only addresses the current skill level.The assessment must include the following information: The individual's current level of performance and progress in the following areas: Acquisition of functional skills. assessment has been updated by program specialist to reflect levels of progress non progress or still the same with more detail 09/01/2022 Implemented
6400.24Ativan 0.5mg prescribed to individual #1 was not being counted. Under the 1970 controlled substances act, all controlled substances need to be double locked and counted.The home shall comply with applicable Federal and State statutes and regulations and local ordinances.all controlled substances has a counter sheet in the MAR book 09/01/2022 Implemented
6400.182(c)Individual #1's assessment and ISP have contradicting information. The assessment states that this individual does not know how to swim, but the ISP states that this individual can swim.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.Program specialist has email SC on 9-14-2022 and informed her that the plan read that individual can swim however individual can not swim and can she please make sure that it get updated as soon as possible 09/14/2022 Implemented
SIN-00271326 Renewal 08/14/2025 Compliant - Finalized