Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00253220 Renewal 10/01/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.73(a)On 10/2/2024 at 11:52am, the three exterior steps leading from the sidewalk to the front walkway were observed without a secure handrail. On 10/2/2024 at 12:06pm, the three exterior steps leading from the back porch to the side walkway were observed without a secure handrail. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. Handrails installed on steps leading from sidewalk to the front and exterior steps on back porch 10/15/2024 Implemented
6400.82(e)On 10/2/2024 at 11:58am, the shower in the second floor full bathroom was observed without a nonslip surface or mat. Bathtubs and showers shall have a nonslip surface or mat. Non slip mat was placed in the bathroom. 10/02/2024 Implemented
6400.106The furnace was cleaned and inspected by a professional furnace cleaning company on 8/10/2023 and again on 9/19/2024.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. The furnace was cleaned and inspected by a professional furnace cleaning company on 9/19/2024 10/02/2024 Implemented
SIN-00232909 Renewal 10/11/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)Individual #1's, date of admission 8/08/2020, had a physical examination completed on 8/24/2023. The "Medical information pertinent to diagnosis and treatment in case of an emergency" was left blank on the physical.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. The Medical information pertinent to diagnosis and treatment in case of an emergency section was completed by Individual 1's PCP. 10/16/2023 Implemented
6400.181(e)(12)Individual #1's assessment completed on 11/30/2022 did not address recommendations for specific areas of training, programming and services.The assessment must include the following information: Recommendations for specific areas of training, programming and services. Recommendations for specific areas of training, programming and services was added to the assessment. 10/13/2023 Implemented
SIN-00213390 Renewal 10/18/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The written fire drill record for the fire drill held on 5-13-22 did not include time of the fire drill, "9:53" was recorded but not AM or PM.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. All staff were retrained on completing the fire drill form and the importance of all lines being filled out in it's entirety. We have also updated our fire drill form to include a line to choose either AM or PM 10/20/2022 Implemented
6400.32(r)The agency has not provided Individual #1 the right to lock the individual's bedroom door.An individual has the right to lock the individual's bedroom door.Program Specialist had individual sign off on the request/declination of house/bedroom key form and COO provided individual with a key. To avoid violation in the future, keys will be made and ready for individuals at the time of intake for those whom who request a key. 10/19/2022 Implemented