Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00255758 Renewal 11/18/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66The exterior light at the backdoor was not functional.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Light bulb was replaced in the exterior light at the backdoor. 11/19/2024 Implemented
6400.70There was no working landline phone. Staff reports that one of the individuals habitually unplugs the base for the cordless phone that is stored in a cabinet in the kitchen.A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons. Site will purchase cordless phones with one being upstairs in the residence and one being downstairs in the residence. 01/01/2025 Implemented
6400.71There were no emergency numbers posted in the home.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. Emergency Numbers were posted on the same day of the licensing visit upon notification. 11/19/2024 Implemented
6400.81(k)(6)There was no mirror in Individual #3's bedroom.In bedrooms, each individual shall have the following: A mirror. A mirror will be purchased and placed in Individual #3 bedroom. 12/15/2024 Implemented
6400.151(a)Staff Person #4 was hired on 1/11/2021 and a physical was completed on 1/8/2021. A physical should have been completed by 1/8/2023 and a physical was not found in the record since the initial physical. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. COMHAR's Credentialing Coordinator will monitor the ID Residential Rosters to ensure all physicals are current per the two year requirement. Three months prior to the physical expiring, the Credentialing Coordinator will start reaching out to the staff member for completion. 12/01/2024 Implemented
6400.216(a)The individuals' books were left out on top of a filing cabinet in the dining room. An individual's records shall be kept locked when unattended. Individual books were placed in the locked medicine cabinet. 11/19/2024 Implemented
SIN-00214760 Renewal 11/14/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.61(a)The Bed Shaker connected for fire alarms for the individual 4 was not functional. The equipment was replaced the day after inspection.A home serving individuals with a physical disability, blindness, a visual impairment, deafness or a hearing impairment shall have accommodations to ensure the safety and reasonable accessibility for entrance to, movement within and exit from the home based upon each individual's needs. Provider purchased and installed bed shaker within 24 hours of identified noncompliance. 11/15/2022 Implemented
6400.62(d)Icepops were found in a locked closet on the same shelf as cleaning supplies.Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.Provider removed ice pops and placed them in the kitchen area. Closet remains locked with cleaning supplies for home. 11/14/2022 Implemented
6400.68(b)Water temperature in the bathroom shower measured at approximately 125.6 degrees Fahrenheit. Hot water temperatures in bathtubs and showers may not exceed 120°F. COMHAR Facilities staff adjusted water heater on the day of the violation so the home's water temperature was below 120 degrees Fahrenheit. 11/15/2022 Implemented
6400.81(k)(5)There was no closet or wardrobe located in individual 5's bedroom.In bedrooms, each individual shall have the following: Closet or wardrobe space with clothing racks and shelves accessible to the individual. The Provider purchased a wardrobe for individual 5's bedroom. 12/02/2022 Implemented
SIN-00074310 Renewal 01/06/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(d)There were food products such as flour, sugar, quick oats, pudding, grits and applesauce stored in the pantry with cleaning products which included Lysol toilet bowl cleaner, Clorox urine remover, and comet bathroom cleaner. The cleaning products indicated to call poison control if ingested. Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.The staff of the home removed the cleaning supplies from the cabinet and placed them in a locked cabinet separate from food. The maintenance department will conduct monthly monitorings of the home to ensure that all poisonous materials are kept separate from food. At the staff meetings, supervisors will discuss the importance of keeping poisonous materials separate from food and locked at all times. 09/18/2015 Implemented
SIN-00078440 Renewal 01/06/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(d)There were food products such as flour, sugar, quick oats, pudding, grits and applesauce stored in the pantry with cleaning products which included Lysol toilet bowl cleaner, Clorox urine remover, and Comet bathroom cleaner. The cleaning products indicated to call poison control if swallowed. Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.All foodstuffs were removed from the lockable pantry and relocated to other areas that do not contain poisonous materials. A sign was posted at pantry by site manager to not store foodstuffs and chemical products in same area. Periodic (at least quarterly) compliance will be assured by site managers and assistant site managers at all COMHAR CLA locations 01/08/2015 Implemented
SIN-00044550 Renewal 01/22/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.63(a)Bedroom radiators temperature was 130°F.(a) Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. Radiator covers were built and installed by COMHAR¿s maintenance department under the direction of the Facilities Director. A safety review of all heat sources at COMHAR sites will be conducted to assure compliance throughout ID residential sites with appropriate action initiated by the Facilities Director. 02/22/2013 Implemented
6400.81(k)(6)Individual #1 and #2 did not have mirrors in their bedroom.(6) A mirror. Two mirrors were purchased and installed by COMHAR¿s maintenance department in the bedrooms of individuals #1 and #2. Site Managers were re-educated as to this licensing requirement. 02/11/2013 Implemented
6400.164(a)Staff person #1 did not include their full signature on the medication administration record.(a) A medication log listing the medications prescribed, dosage, time and date that prescription medications, including insulin, were administered and the name of the person who administered the prescription medication or insulin shall be kept for each individual who does not self-administer medication. Staff person #1 was re-trained to include her signature on the medication administration record. Periodic monitoring of staff signatures will be completed by nursing staff as well as the site manager and assistant site manager with repeat omissions reported to Assistant Residential Directors for appropriate action. 02/19/2013 Implemented
SIN-00057028 Renewal 12/09/2013 Compliant - Finalized