Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00277197 Renewal 11/12/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(c)Individual#1'a funds are not being used for her individual's benefit. On 10/2/25, at Weis Individual #1 purchased 12 Xlarge eggs for $3.49, and a Gallon of 2% milk for $4.49. On 8/8/25, at Walmart Individual #1 purchased Eggo Waffles for $2.87, and milk for $4.88. On 7/31/25, Individual #1 purchased onions for $2.99, 12 large eggs for $3.69 and a quart of 2% milk for $1.49 at Weis. On 2/5/25 at Weis Individual #1 purchased a half gallon of 2% milk for $2.49. These items should not be purchased using individuals' funds as they would be included in Room and Board.Individual funds and property shall be used for the individual's benefit. Staff retrained on how to guide individual during shopping. Site supervisor will check daily to ensure individual is not purchasing items that should be included in room and board with her funds. 11/17/2025 Implemented
6400.64(a)Clean and sanitary conditions shall be maintained in the home. At the time of inspection, located in the kitchen cabinet above the stove was an 8 oz. container of Reggiano grated parmesan & Romano cheese with the "best if used by 10/12/2025" on it, a container of Royco Machus spicy beef flavor with a with the "best if used by 9/25" on it. The ceiling vent located over the toilet in the bathroom had a significant layer of dust on it.Clean and sanitary conditions shall be maintained in the home. The 8 oz. container of Reggiano grated parmesan & Romano cheese is now thrown out. The bathroom ceiling vent is now cleaned with no dust on it. 11/18/2025 Implemented
6400.141(c)(7)On 11/4/24 Individual #1 went for a gynecological examination and the agency OBGYN appointment form noted under the summary of visit section on the form "pelvic exam limited by pt pain." The progress notes from the visit also noted exam limited by body habitus and pain. Patient exclaimed in pain with any internal exam, exam stopped. Unable to collect pap/do exam today d/t patient pain may need to consider OR for adequate pap collection next year. Individual #1 had a gynecological examination on 11/12/25, and the agency OBGYN appointment form noted patient unable to tolerate internal speculum exam/pap smear. The progress notes from the visit noted able to complete internal exam/pap smear. Individual #1 did not have a gynecological examination in 2025.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. Program director reached out to the OBGYN office, a new plan of care has been established. And the individual is scheduled for OR consultation with the OBGYN doctor on January 13th, 2026 to determine moving forward if the individual will need to be under anesthesia during the exam. 11/19/2025 Implemented
6400.142(a)Individual #1 had a dental examination on 4/11/24 and their next one occurred on 7/29/25. This exceeds the requirement.An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. Program director reached out to the dentist office and the individual is scheduled for dental cleaning via anesthesia/OR consultation on 12/11/25. 11/13/2025 Implemented
6400.142(d)Individual #1 had a dental examination on 7/29/25, however the dental examination did not include or indicate if a cleaning occurred.The dental examination shall include teeth cleaning or checking gums and dentures. Program director reached out to the dentist office and the individual is scheduled for dental cleaning via anesthesia/OR consultation on 12/11/25. 11/13/2025 Implemented
6400.142(e)Individual #1 had a dental examination on 7/29/25. The dental examination form noted under the recommendation for dental care/ follow up extraction of left wisdom tooth (16) fillings on 9,10,11,12,20,18,19. There is no record or documentation that this has occurred or been scheduled for Individual #1 as of the inspection date 11/12/25.Follow-up dental work indicated by the examination, such as treatment of cavities, shall be completed.Program director reached out to the dentist office and the individual is scheduled for dental cleaning via anesthesia/OR consultation on 12/11/25. 11/13/2025 Implemented
6400.142(e)Individual #1 had a dental examination on 7/29/25. The dental examination form noted under the recommendation for dental care/ follow up extraction of left wisdom tooth (16) fillings on 9,10,11,12,20,18,19. There is no record or documentation that this has occurred or been scheduled for Individual #1 as of the inspection date 11/12/25.Follow-up dental work indicated by the examination, such as treatment of cavities, shall be completed.Program director reached out to the dentist office and the individual is scheduled for dental cleaning via anesthesia/OR consultation on 12/11/25. 11/13/2025 Implemented
6400.143(a)Individual had an Individual #1 had a gynecological examination on 11/12/25, the progress notes from the visit noted patient verbally consented to attempting vaginal exam. Upon attempted insertion of speculum, the patient began screaming "stop." Exam was immediately discontinued. There is no record or documentation of the agency training Individual #1 on the importance of annual gynecological medical care.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. Program director counseled/trained the individual on the importance in completing her OBGYN exam annually. 11/17/2025 Implemented
6400.143(a)Individual had an Individual #1 had a gynecological examination on 11/12/25, the progress notes from the visit noted patient verbally consented to attempting vaginal exam. Upon attempted insertion of speculum, the patient began screaming "stop." Exam was immediately discontinued. There is no record or documentation of the agency training Individual #1 on the importance of annual gynecological medical care.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. Program director counseled/trained the individual on the importance in completing her OBGYN exam annually. 11/17/2025 Implemented
6400.144Individual #1 had a physical examination on 3/12/25 and the physical exam form noted low calorie diet. During the inspection on 11/12/15, the Licensing Representative inquired if Individual #1 had any dietary needs or restrictions and the agency staff reported that Individual #1 did not have any. Upon reviewing Individual #1's financial records they get take out frequently from Popeye's and following items: spicy thighs, classic thigh, classic leg, classic wing, coke, Cajun fries, and mac & cheese. The agency orders the is not following the doctors recommended low calorie diet for Individual #1. Individual #1 had a gynecological examination on 11/4/ 2024, and the progress note from the appointment notes that may need to consider OR (operating room) for adequate pap collection next year, and there is no record or documentation that the agency followed up on this recommendation for Individual #1's 2025 pap collection in 2025 as Individual #1 was seen at the ONGYN's office for their annual pap on 11/12/25, and it was unsuccessful.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. Immediately the agency started following the doctors recommendation of a low calorie diet. Her assessment has been corrected. The Program director reached out to the OBGYN office. A new plan of care has been established. And the individual has been scheduled for OR consultation with the OBGYN doctor on 1/13/26. 11/17/2025 Implemented
6400.181(e)(3)(i)Individual #1 had a physical examination on 3/12/25 and the physical exam form noted low calorie diet under the recommended diet and special instructions for the individual's diet section on the form. However, Individual #1's assessment 5/23/25 under the health section for individual #1's progress over the last 365 calendar days and current level did not address the low calorie diet recommendation from physical examination on 3/12/25.The assessment must include the following information: The individual's current level of performance and progress in the following areas: Acquisition of functional skills. The assessment is now corrected reflecting low calorie diet. Staff retrained on low calorie diet. 11/17/2025 Implemented
6400.181(e)(13)(vii)181(e)(13)vii: Individual #1's assessment dated 5/23/25 states under Function skills/money management section that that Individual #1 is not able to purchase an item independently, Individual #1 can identify the items she desires to purchase, but can't make purchases without staff assistance, and that Individual #1 is not able to count money of any amount. At the time of the inspection, agency staff stated to the Licensing Representative that Individual #1 holds on to their debit card at all times. The agency did not assess Individual #1 appropriately in their financial management/independence.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence. Individual's money management skills were discussed with her SC during her ISP meeting on 11/24/25 it was determined that individual should hold her debit card at all times to avoid behaviors at the store and staff should collect the receipt immediately after purchase. 11/24/2025 Implemented
SIN-00234641 Renewal 12/12/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)At time of inspection the bathroom curtains and blinds were covered with what appeared to be a layer of dust. The back of the bathroom door and baseboard trim in the bathroom was covered with what appeared to be dust and smears. (REPEAT VIOLATION 12/22, 3/23)Clean and sanitary conditions shall be maintained in the home. The bathroom curtains and blinds are now washed. The back of the bathroom door and baseboard trim are now washed and cleaned. 12/27/2023 Implemented
6400.73(a)There was no handrail on the basement stairs leading out to the bilco doors. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. There is a handrail now on the basement stairs leading out to the bilco doors. 12/27/2023 Implemented
6400.101There was a large pile of cardboard and other articles covering one of the stairs leading out of the basement through the bilco doors obstructing the pathway to the exit.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The Cardboard and other articles has been removed from the stairs leading out of the basement through the bilco doors. 12/27/2023 Implemented
6400.141(c)(3)The last documented Tdap for Individual #1 was administered on 3/28/13. Administration of the Tdap immunization is required every ten years.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. The Individual has now received his Tdap vaccine. 12/15/2023 Implemented
6400.165(g)The three-month medication reviews completed on 8/14/23 and 11/1/23 for Individual #1 did not include the dosages for the medications prescribed. (REPEAT VIOLATION 12/22)If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.The agency has Implemented a page including the psychotropic medication Review dosage. 12/15/2023 Implemented
SIN-00196139 Renewal 02/24/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(d)(1)Individual #3 is unable to manage his own finances according to his assessment dated 7/19/21 and his ISP. An up-to-date financial record is not being kept for him.The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. on 3/1/22 A money ledger was implemented to keep track of individual spending's and receipts. A financial policy has been implemented for staff to read, sign and follow it when caring for the individual. ( see attached money ledger, financial policy training emailed to Kristen) 03/01/2022 Implemented
6400.64(a)In the main bathroom, located in the medicine cabinet was an uncovered toothbrush with hair wrapped around the bristles of the toothbrush. Clean and sanitary conditions shall be maintained.Clean and sanitary conditions shall be maintained in the home. on 3/3/22. staff was re-trained on how to keep individual's hygiene product clean and neat. ( see attached training sign-in emailed to Kristen) 03/03/2022 Implemented
6400.67(a)In individual #4's bedroom window approximately 10 inches of what appeared to be gray weather seal was hanging down from her window. Surfaces shall be in good repair.Floors, walls, ceilings and other surfaces shall be in good repair. on 3/11/22. window was fixed by agency's maintenance person. ( see attached photo of fixed window emailed to Kristen) 03/11/2022 Implemented
6400.110(a)During the inspection, the attic did not have a smoke detector located in it. The pull down attic had a slide lock located on it, which the agency negated the need for a smoke detector. A smoke detector shall be on each floor including the attic. The agency provided the licensure with a photo of a smoke detector located in the attic in the afternoon on 2/24/22 after the inspection. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. On 2/24/22 A smoke detector was placed in the attic. And photo was sent to the licensure by the program specialist. on 2/24/22 02/24/2022 Implemented
6400.111(a)During the inspection, the attic did not have a fire extinguisher located in it. The pull down attic had a slide lock located on it, which the agency negated the need for a fire extinguisher. Each floor shall have an operable fire extinguisher. The agency provided the licensure with a photo of a fire extinguisher located in the attic in the afternoon on 2/24/22 after the inspection.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. On 2/24/22 2-A fire extinguisher was placed in the attic by the program specialist and photo was sent to the Licensure that afternoon. 02/24/2022 Implemented
6400.141(a)Individual #3 had a physical exam on 7/30/20 and then not again until 9/8/21 or 8/30/21 as both dates were documented on the physical exam. This exceeds the annual requirement.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. on 3/3/22 Agency created a check list for the individuals indicating date of last physical and date when new physical will be due. ( see attached check list emailed to Kristen) 03/03/2022 Implemented
6400.181(a)Individual #3 was admitted on 4/30/21 and their initial assessment was dated 7/19/21. Their assessment was completed 80 calendar days after their admission date which exceeds the requirement. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. on 3/1/22 Agency created a calendar with the individual and when their assessment are due. ( see attached Calendar emailed to Kristen) 03/01/2022 Implemented
6400.181(e)(14)Individual #3's assessment dated 4/30/21 didn't evaluate their ability to swim.The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. on 3/10/22 Assessment corrected. Individual doesn't currently know how to swim. He is not safe in water. ( See attached corrected assessment emailed to Kristen) 03/10/2022 Implemented
6400.165(g)Individual #3 had psychiatric medication review on 11/4/21 and the form used did not include documentation on the reason for prescribing the medications. Individual #3 had psychiatric medication review on 5/7/21, and there was no documentation on the necessary dosage for the medications.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.on 3/1/22 program Director wrote a letter to the Physician requesting that, he document the dosage, and reason for each medication prescribed and the need to continue. ( see attached letter to Physician emailed to Kristen). 03/01/2022 Implemented