| Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
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SIN-00272126
|
Renewal
|
08/18/2025
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.32(r) | There was no lock on the door of the bedroom for individual #1, and there was no documentation referencing why there was no lock on the door. | An individual has the right to lock the individual's bedroom door. | A form was created to have each individual consent/ or not consent to have a lock on their door. The resident will sign off whichever they chose with a witness. A line is also added for family/ guardian if applicable. |
10/01/2025
| Implemented |
|
|
|
SIN-00254971
|
Renewal
|
11/04/2024
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.82(f) | There was no soap in the basement bathroom. This was corrected at the time of inspection. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | Each sink of the home will have non toxic soap kept out for individuals and staff to use. |
11/04/2024
| Implemented |
| 6400.112(c) | The fire drill records did not indicate if there were problems encountered or not for the entire year. | 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. | The fire drill record will be added to include the question: Were there any concerns or problems during the drill period? If yes please describe in detail. |
12/01/2024
| Implemented |
| 6400.171 | There was a partially consumed, one-quart container of milk with an expired date (sell by 10/18/24) located in the basement refrigerator. The milk was also visibly spoiled. | Food shall be protected from contamination while being stored, prepared, transported and served.
| This was corrected on site at inspection. The home will check expiration dates on all foods/ beverages including staff beverages. |
11/04/2024
| Implemented |
|
|
|
SIN-00233598
|
Renewal
|
11/01/2023
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.112(e) | The last sleep drill was conducted on 3/26/23. | A fire drill shall be held during sleeping hours at least every 6 months. | The sleep drill was pulled on 11/5 immediately after it was discovered at inspection. |
11/05/2023
| Implemented |
| 6400.151(c)(3) | Staff #1's physical exam dated 12/17/22 does not indicate if the staff member is free of communicable diseases. Not listed on the exam. | The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. | The human resources person will be handing out to staff when they are do our agency physical form. Once the employee completes their physical it must be given to the human resources person to review it is complete and thorough. |
11/10/2023
| Implemented |
| 6400.45(b) | The fire safety expert credentials were not provided at the inspection. | A minimum of 1 staff person for every 16 individuals shall be physically present at the home when individuals are sleeping at the home. | The fire safety instructor has now retired |
02/14/2024
| Implemented |
|
|
|
SIN-00150678
|
Renewal
|
02/21/2019
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | The bathroom ceiling vent grill was found detached from the ceiling. | Floors, walls, ceilings and other surfaces shall be in good repair. | The ceiling vent was a spring loaded vent so when it is pushed up it comes down. To ensure that it stays in place a screw was added to keep it in place. |
03/15/2019
| Implemented |
| 6400.67(b) | The basement area had a wood pallet standing upright on its edge that was damaged. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The wooden pallet was disposed on bulk trash pick up day |
03/01/2019
| Implemented |
| 6400.76(a) | The dining room has a tall chair with loose legs in need of tightening. | Furniture and equipment shall be nonhazardous, clean and sturdy. | The chairs that were loose were disposed of and the existing chairs that were okay were left at the table. |
02/25/2019
| Implemented |
|
|
|
SIN-00124615
|
Renewal
|
11/17/2017
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.68(b) | The hot water temperature was 123.6 degrees Fahrenheit. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The water temperature was turned down by M and M Mechanical so that it does not exceed 120 degree's Fahrenheit. The temperature will be tested by the house supervisor on a monthly basis to ensure that it is staying with in normal limits. |
11/29/2017
| Implemented |
|
|
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SIN-00214315
|
Renewal
|
11/02/2022
|
Compliant - Finalized
|
|
|
SIN-00196114
|
Renewal
|
11/03/2021
|
Compliant - Finalized
|
|
|
SIN-00205479
|
Renewal
|
11/03/2021
|
Compliant - Finalized
|
|
|
SIN-00178279
|
Renewal
|
10/21/2020
|
Compliant - Finalized
|
|