Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00277624 Unannounced Monitoring 11/10/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Bar soap was observed in Individual #1's shower, and hand soaps were found in the 2nd floor hallway bathroom, and 1st floor laundry room bathroom. Individual #1's ISP states they have a Pica diagnosis, and it is, "important to keep poisonous substances out of reach and locked away to ensure (their) safety."Poisonous materials shall be kept locked or made inaccessible to individuals. All regular chemical-based soaps have been removed from the premises and replaced with all-natural, non-toxic alternatives. Remaining cleaning agents that could be considered hazardous are stored in locked cabinets away from food preparation and dining areas. Staff have been trained on identifying and handling poisonous materials and safe storage practices 12/12/2025 Implemented
6400.64(a)The home is in need of deep cleaning. The light switches in Individual #1's bedroom and the 2nd floor bathroom are visibly dirty. Dust was visible on various baseboards, floors, and vents, and kitchen cabinets and appliances felt greasy to the touch.Clean and sanitary conditions shall be maintained in the home. All staff have been retrained on proper deep cleaning procedures to ensure a safe and sanitary environment. The House Manager will conduct bi-weekly inspections using the designated site check form to verify compliance with cleaning standards and identify any areas requiring corrective action. Any deficiencies noted will be documented and addressed promptly to maintain regulatory compliance. 12/03/2025 Implemented
6400.64(b)Several glue-box insect traps were observed in the dining and kitchen area. A live insect and dead insect were also found in the basement area. The home provided a pest control invoice dated 10/28/25, concentrating on the kitchen area.There may not be evidence of infestation of insects or rodents in the home. An exterminator provided treatment for the home on October 28, 2025. A follow-up inspection was completed on November 19, 2025, and no pest activity was found. Documentation of both visits has been maintained, 12/03/2025 Implemented
6400.70The home telephone was non-operable at the time of the visit. This was corrected on the day of inspection.A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons. A fully charged, unlocked cell phone has been added to remain on-site at all times. The phone includes the phone number and full address stored for quick access in case of emergency 12/03/2025 Implemented
6400.186Individual #1's ISP states they have a Pica diagnosis, and it is, "important to keep poisonous substances out of reach and locked away to ensure (their) safety." The ISP specifically mentions rubber gloves, of which a pair was found in an unlocked kitchen drawer. Also observed in the home were small, unsecured objects like a loose battery, pens/caps, and a glue stick (kitchen drawer) and two loose screws (basement steps).The home shall implement the individual plan, including revisions.All staff have been retrained on Pica and the Individual Support Plan (ISP).12-12-2025. The home was thoroughly inspected and cleared of all potential hazards. Staff received additional training to ensure that no items are stored in unlocked drawers or other unsecured areas, in order to maintain the safety of the individual. 12/03/2025 Implemented
SIN-00267164 Unannounced Monitoring 05/28/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)There was a significant buildup of lint in the dryer lint trap. This was corrected at the time of inspection. Floors, walls, ceilings and other surfaces shall be free of hazards.All staff has been retrained by house manager on the importance of Lint trap cleaning and prevention of fire due to the lint trap. by power point and you tube videos in according to 6400 regulations 06/24/2025 Implemented
6400.24Individual #1 is prescribed Clobazam 10mg Tab, take 1 & ½ tablets by mouth at bedtime at 8pm for seizure disorder. This is a controlled substance and requires a count sheet to be kept. Staff listed on the count sheet that there are 4 pills left. However, each blister in the blister pack contains 1 and ½ pills, so there are actually 6 pills total of the 8pm Clobazam pills left in the blister pack. The staff have been routinely counting each dose as one pill in error making the controlled count incorrect.The home shall comply with applicable Federal and State statutes and regulations and local ordinances.All staff has been retrained by ODP Certified Medication Administration trainer on how to Secure, Count and document Controlled Substances in accordance with 6400 regulations, as well as use of power point and you tube. Staff has been trained that a half of pills must be counted as 2 half of pills makes a whole so that count as (1) pill 06/24/2025 Implemented
SIN-00255873 Unannounced Monitoring 11/19/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.163(h)Medication Mupirocin 2% that belongs to individual number 1 was expired 3/29/2023 was located inside of an isolated bag inside of the medication closet.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.The ODP Medication Certified trainer to retrain Direct Support Professionals and manager on December 19, 2024 using the ODP medication training outline and power point. 12/19/2024 Implemented