Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00292146 Renewal 07/22/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The fire drill conducted on 5/22/26 did not include the amount of time for evacuation. This section was blank.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 forms and individuals were immediately reviewed. Although the evacuation time was inadvertently omitted from the documentation, the forms were reviewed and verified that all individuals consistently evacuated within the required evacuation. 07/22/2026 Implemented
6400.112(e)The most recent fire drill held during sleeping hours was 11/20/25.A fire drill shall be held during sleeping hours at least every 6 months. A fire drill during sleeping hours was completed on Saturday 7/25/26 at 1:35am to bring the program into compliance with the regulatory requirement. Management staff responsible for scheduling fire drills will set a calendar alert to ensure that the overnight/ sleep drills occur at least every 6 months. 07/25/2026 Implemented
6400.181(f)The program specialist provided Individual #1's assessment, completed 5/2/26 to plan team members on 5/19/26 for the individual plan meeting on 6/5/26.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.The assessment has been reviewed, and agency procedures have been updated to ensure assessments are completed and distributed to all Individual Support Team members at least 60 calendar days prior to the Individual Support Plan (ISP) meeting. Staff responsible for the assessment process were reminded of this requirement. 07/23/2026 Implemented
SIN-00274535 Renewal 09/25/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.107On 9/25/2025 at 10:52AM, there was a portable space heater on a shelf in the closet in the craft room of the home.Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms. The portable space heater was removed from the home immediately upon discovery during the inspection on 9/25/25. 09/25/2025 Implemented
6400.141(c)(3)Individual #1 had an immunization booster on 9/17/25, and the previous immunization booster was administered on 6/2/15.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. Individual #1's immunization record has been reviewed and updated prior to inspection with their annual physical. The immunization booster is now current and documented in the individual's health file. 09/25/2025 Implemented
6400.32(r)(1)On 5/25/2025 at 10:50AM, there was pinhole lock on the door leading to Individual #1's bedroom. Individual #1 has not been provided with a designated mechanism to lock and unlock the door independently.Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.An appropriate locking mechanism has been obtained and installed. A copy of the key is secured in the designated key area and accessible to the individual and the staff in case of emergency, as needed. 10/02/2025 Implemented
6400.32(r)(5)On 5/25/2025 at 10:50AM, there was pinhole lock on the door leading to Individual #1's bedroom. Staff did not have a designated mechanism to unlock the door in case of an emergency.Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door.A designated unlocking mechanism has been obtained and made available to staff. A copy is secured in the designated key area and accessible to authorized staff at all times for emergency use. 10/02/2025 Implemented
SIN-00253430 Renewal 10/08/2024 Compliant - Finalized
SIN-00231119 Renewal 10/11/2023 Compliant - Finalized