Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00285480 Renewal 03/23/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The three windows that comprised the kitchen's bay window were unable to be locked.Floors, walls, ceilings and other surfaces shall be in good repair. The Work order was submitted to the maintenance department and repair is scheduled for 4/16/26. The Residential Supervisor will retrain staff to identify areas in the home needing maintenance/repairs and report the concerns to the Residential Supervisors. The Residential Supervisor will communicate with Manager of Facilities to submit work orders with the contractor for the agency in order to schedule and complete repairs needed. 05/18/2026 Implemented
6400.151(c)(3)The most recent physical completed on 2/3/25 doesn't indicate whether or not the staff person is free from communicable diseases. The doctor didn't check off free from communicable diseases or not, though the question was present on the form 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 Resource Department will ensure that all staff physical exams are clearly documented to indicate if the staff are free from communicable disease or if that staff has a communicable disease but is able to work at the agency if specific precautions are taken that will prevent the spread of disease. The HR Dept will also ensure that the physical exams clearly indicate information on a medical problem which may interfere with the health of the clients. The staff physical that was cited for error was corrected by the Urgent Care facility to reflect that the staff was free from communicable diseases 05/18/2026 Implemented
6400.171A foil pan containing prepared food was observed in the microwave oven. The food was removed during the inspection.Food shall be protected from contamination while being stored, prepared, transported and served. Staff immediately removed the plate during the inspection. Staff will be retrained on the proper storage of food, and the importance of ensuring that food is appropriately stored/saved to protect the food from any form of contamination. 05/18/2026 Implemented
6400.165(c)Individual#1 medication administration record (MAR) and medicine label for Latanoprost SOL 0.005% read: "Instill 1 drop into right eye once every day at 9PM (Discard after 42 days, date opened: ___________). However, the label on the box showed that it was last filled on January 19, 2025. There was no other date on which to determine when the 42 days had been metA prescription medication shall be administered as prescribed.Medication that has instructions to be administered for a number of days, will have a start and end dates recorded to guide staff when to end administration of the prescribed medication. Staff will be trained in identifying start and end dates and following the instructions as prescribed on the labels and eMAR 05/18/2026 Implemented
6400.166(a)(11)Individual#1- medication administration records, both paper and electronic did not consistently include the diagnosis or purpose for the medications, instead it appeared to contain the name brand medication that the generic replaced.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.The agency is actively working with the pharmacy to correct missing diagnoses in the MAR. The diagnosis and purpose for each medication, including PRN medications, will be added to the eMAR to ensure compliance. Staff will verify that this information is documented before administering medications, and ongoing monitoring will be conducted to maintain compliance. 05/18/2026 Implemented
SIN-00222853 Renewal 04/11/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(e)There was no non-slip mat or surface present in the shower. Bathtubs and showers shall have a nonslip surface or mat. On 4/12/23 a non-skid mat was added to the shower. The Program Specialist will complete retraining with house staff related to reporting when non-slip surfaces or mats are in need of repair or replace. The training will include the process of submission of a maintenance request email or the application of non-skid products based on the homes specific need. This training will be completed by 5/8/23. Documentation will be maintained in staff files. 05/08/2023 Implemented
6400.181(f)Individual 4's 3/9/22 assessment was not sent to their team at least 30 days prior to their 7/20/22 ISP meeting. An email in their file shows the assessment was sent after the meeting on 7/26/22.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Since the date of this assessment the Program Specialists have begun using a monthly review of assessment dates to help assure compliance. An electronic tracking form titled, Annual Review Update Dates, is being used to review and track assessment dates. This process was implemented in September of 2022. The Associate Director will complete training with all program specialists as a reminder of assessment completion and sending dates. This training will be completed by 5/8/23. Documentation will be maintained in staff HR files. 05/08/2023 Implemented
SIN-00186325 Renewal 04/15/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)A spray bottle of chemicals used to test the smoke detectors was found in an unlocked drawer in the dining room credenza. Two members of the household, individuals #'s 1 and #2, have plans that indicate poison safety concerns. All poisons must be kept in a locked container when an individual's plan indicates poison or chemical hazards.Poisonous materials shall be kept locked or made inaccessible to individuals. On 4/15/21 the spray bottle was placed in a locked cabinet. Program Specialist will train residential staff on the need to have all poisons locked unless all individuals are assessed to be safe. This training will be completed by 5/13/21. Documentation of training will be maintained in staff HR files. 05/13/2021 Implemented
SIN-00096462 Renewal 01/28/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(c)Individual # 1's financial record documented the purchase of various size bedsheets for $65.00. Individual funds and property shall be used for the individual's benefit. The Manager of residential services will retrain the Program Specialists and the Residential Managers in ensuring that items bought with the individual¿s funds are used solely for that individuals benefit. The Residential Manager will ensure that purchases made are appropriate for the individuals and will label all items purchased for the individuals. During site visits the Program Specialist will inspect the items to ensure that the items are appropriate and are labeled. Training will be completed by 7/21/16. 07/21/2016 Implemented
6400.67(a)There was a hole approximately two inches in length in the linoleum floor in front of the dishwasher. Floors, walls, ceilings and other surfaces shall be in good repair. Repair to the floor was completed on 2/6/16. On 2/18/16 the Manager of Residential Services conducted retraining with Program Specialists and Residential Managers on ensuring that all floors, walls, ceilings and other surfaces are in good state of repair. The program specialists will conduct weekly site visits and will record in their reports any repairs that need to be done. If repairs are needed, a maintenance request will be sent to the Facilities Manager. The Facilities Manager will monitor completion of work orders through weekly inspection report. 02/18/2016 Implemented
6400.142(a)Individual # 1's previous dental examination was dated 07/09/2014 and the most recent dental examination was dated 08/04/2015.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. The Manager of Residential Services will conduct retraining of Program Specialist regarding tracking of annual medical appointments for all individuals on their caseloads. The Manager of Health Services will conduct the same training with nursing staff. On a monthly basis the program specialists will coordinate with the nurses assigned to the individuals on their caseloads to monitor completion of all annual medical appointments. The Program Specialists will submit a tracking report to the Manager of Residential Services quarterly for review and follow up as needed. Training for Program Specialists will be completed by 7/21/16. Training for nursing staff will be completed by 8/1/16. 08/01/2016 Implemented
6400.164(b)Individual # 1's medication administration record indicated through staff initials Ativan was administered on 01/01/16, 01/02/16, 01/03/16 and 01/04/2016. However through staff interviews, it was stated Individual # 1 did not receive Ativan on those dates. The information specified in subsection (a) shall be logged immediately after each individual's dose of medication. On 2/18/16 the Manager of Residential Services conducted retraining with Residential Managers and Program Specialists on medication administration and documentation immediately following each individual dose of medication (oral and topical). The program specialist will provide the same retraining to the Tabor group home staff by 7/21/16. The Residential Manager will observe staff administer medication weekly, to ensure proper medication administration and documentation procedures, and the Residential Manager will submit weekly documentation to the Program Specialist. 07/21/2016 Implemented
6400.186(c)(2)Individual # 1's three month ISP review documentation covering the period of 09/17/2015-12/17/2015 did not review medical appointments. The ISP review must include the following: A review of each section of the ISP specific to the residential home licensed under this chapter. The Manager of Residential Services will conduct retraining with the Program Specialists focusing on quarterly review requirements, to ensure that all sections of the ISP are reviewed. The Manager of Residential Services will review the quarterly reviews on a regular basis and will check to ensure that medical appointments for the periods of review are included in the quarterly reviews.(The program director or designee will conduct a record review which will be completed within 30 days of receipt of this plan to identify any other individual records out of compliance. Any record found to be out of compliance will be corrected within 15 days DS 08.03.16) 07/21/2016 Implemented
SIN-00211583 Renewal 04/12/2022 Compliant - Finalized
SIN-00158962 Renewal 07/18/2019 Compliant - Finalized