Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00253510 Renewal 10/08/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(9)Individual #1's assessment, completed 1/5/2024, did not include functional limitations. This section was left blank.The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. On 10/18/24 The PS updated the assessment by completing the functional limitations section. Information was gathered by DSP¿s and the individual to complete the section All PS¿s were retrained on Individual Assessments. CEO completed the training on 10/18/24. 10/18/2024 Implemented
SIN-00158410 Renewal 07/09/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(b)The smoke detector in the hallway located nine feet from Individual #1's bedroom door was not operable.There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. RMPC's Regulatory checklist which is completed daily by all staff who work shifts in the home, addresses that staff must test the smoke alarms on each shift to ensure they are operable. To ensure this test is actually being completed RMPC will send compliance officer Alice Taylor into the field on a weekly basis and test each homes smoke alarms. If it is found that a smoke alarm was not operable due to low battery. We keep an extra supply of batteries for the smoke alarms and ask that a maintenance request be submitted to have the batteries changed within 24hours of request. If an alarm is completely malfunctioned we will need to replace the entire alarm with 24hours , but again a maintenance request will need to submitted to replace the alarm. To ensure the alarm is replaced within 24 hours Alice Taylor CO will communicate with our maintenance team for a timely repair. [In the event a smoke detector is inoperable, the agency shall implement their inoperable smoke detector policy and monitor until the smoke detector is operable within the required 48 hours for repair. Within 30 days of receipt of the plan of correction, upon hire and continuing at least annually, the CEO or designee shall educate all staff persons working in community homes of the aforementioned procedures and policies to ensure there is an operable automatic smoke detector in required areas including within 15 feet of each individual and staff bedroom door. Documentation of trainings and at least monthly required smoke detector testing shall be kept. (DPOC by AES,HSLS on 8/1/19)] 07/15/2019 Implemented
SIN-00098974 Renewal 08/02/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.163(c)Individual #1's medication reviews completed 4/15/15, 9/24/15, 10/20/15, 12/14/15, 3/18/16, 5/24/16, and 7/19/16, did not include the reason for prescribing the medications, the need to continue the medications and the necessary dosages. Individual #1 had a medication review completed on 4/15/15 and then again on 9/24/15. If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage.RMPC has created a medication review form for the Program Specialist to have the Psychiatrist complete every 3-months. The medication review process is: 1. Once it is determined that an individual needs psychiatric care, the Program Specialist must schedule an appointment and it is that date that must be used to determine the date for the every 3 months medication review process whether the individual is to be seen by the psychiatrist every 3 months or not, the medication review process must take place. 2. The medication review form must be taken to the appointment and given to the psychiatrist to complete. 3. The staff person who will be assisting the individual at the appointment (Program Specialist or Team Lead) must review the medication review form for completeness and accuracy before leaving the appointment. 4. Program Specialist must sign and date the form and file it in the individuals program binder. [Within 30 days of receipt of the plan of correction, the CEO or designated management staff person shall train the program specialist and team lead of the aforementioned procedures to include required information and timeliness of medication reviews. For the next 6 months CEO or designated management staff person, shall review all medication reviews to ensure policies and procedures are being implemented and that all psychiatric medication reviews contain all required information and are completed timely. Documentation of trainings and reviews shall be kept. (AS 10/5/16)] 08/22/2016 Implemented
6400.181(f)The program specialist did not provide Individual #1's assessment, dated 1/15/16, to all plan team members including the vocational provider.(f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP). Program Specialist will provide an assessment to SC, all team members and Day Program 30 day prior to ISP meeting which will include developments, annual updates and revisions to the ISP.[The program specialist provided Individual #1's assessment to the plan team members on 8/16/16. Within 30 days of receipt of the plan of correction, the CEO shall develop and implement policies and procedures to ensure the program specialist provides the assessment to the SC and plan team members at least 30 calendar days prior to an ISP meeting to include a review of all individual ISPs and invitation letters and other records and keeping correspondence documentation showing all team members were sent the assessment as required. At least quarterly, the CEO will review the correspondence documentation to ensure all plan team members were provided the assessment as required. Within 60 days of receipt of the plan of correction CEO shall train the program specialist on the aforementioned policies and procedures. (AS 10/5/16)] 08/22/2016 Implemented
6400.186(b)Individual #1's ISP reviews dated 8/2/15, 11/2/15, 2/2/16, and 5/2/16 were not dated by the individual and the program specialist upon review.The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. RMPC has updated its ISP Review form by adding a signature and date line for the Program Specialist to sign and date as well as the individual to sign and date.[Within 30 days of receipt of program specialist, the CEO shall train the Program specialist of the new procedures for signing dating the aforementioned form. At least quarterly for 1 year, CEO or designee will review all ISP reviews for all individual to ensure the program specialist and Individual sign and date upon review. (AS 10/6/16)] 08/22/2016 Implemented
SIN-00094277 Renewal 07/24/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At 12:14 PM the hot water temperature measured 122.9 degrees Fahrenheit at the bathtub in the main bathroom. Hot water temperatures in bathtubs and showers may not exceed 120°F. RMPC submitted a letter to the rental office stating that the water temperature was above 120 degrees and that the state requires that the water temperature cannot be above 120 degrees. RMPC also informed the rental office that because the complex only has one water heater and they control it that they must monitor that on an ongoing basis. RMPC continues to check the water temperature daily for accurate reading and should they default then RMPC would have no choice but to discontinue its rental agreement. RMPC is currently working with the rental office to come to some agreement to install temperature protector devices on bathroom faucets. This process is to be monitored by Compliance Officer on a monthly basis.[Hot water temperatures from 5/31/17 to 6/7/16 have not exceeded 120°F. CEO or designee will train all staff on the procedures for measuring hot water temperature and procedures to address if the hot water temperature exceeds 120°F. At least weekly hot water temperature checks will be completed and documented by designated staff persons and documentation will be reviewed by the CEO at least monthly to ensure completion and hot water temperatures in bathtubs and showers do not exceed 120°F. (AS 6/27/16)] 05/22/2016 Implemented
6400.110(a)The smoke detector in the hallway between the bedrooms was not operable. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. RMPC CAP is to maintain extra batteries at all times in each residential location. Staff has a regulatory checklist which requires them to check smoke detectors daily. Team Leads will monitor with process on a weekly basis and the Compliance officer will monitor this process on a monthly basis.[Immediately, the CEO will develop, implement, and train staff involved in testing smoke detector on the policies and procedures to ensure smoke detector are operable at all time. Documentation of training, and aforementioned checks shall be kept and reviewed by the CEO or designated management staff person to ensure completion and that the homes shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. (AS 6/27/16)] 05/22/2016 Implemented
6400.141(c)(6)Individual #1 two most recent Tuberculin skin testing by Mantoux were completed on 2/4/13 and 6/5/15.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. RMPC has installed lap tops in all residential locations which included a Master Excel and Goggle spreadsheet to allow designated employees access to monitor all participants required annual appointments, required annual and bi-annual test, and follow-up appointments. This process shall be monitored by the Program Specialist on a monthly basis.[Immediately, CEO will develop, implement and train staff persons on the procedures of tracking system/spreadsheet to ensure all individuals physical examinations including Tuberculin skin testing are completed within the required timeframes. CEO or compliance officer will review the tracking system and a 25% sample of individuals¿ physical examinations at least quarterly to ensure timely completion of physical examinations for all individuals. (AS 6/27/16)] 05/22/2016 Implemented
6400.141(c)(7)The two most recent gynecological examinations for Individual #1, date of birth 8/4/83 were completed on 12/5/13 and 5/22/15.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. RMPC has installed lap tops in all residential locations which included a Master Excel and Goggle spreadsheet to allow designated employees access to monitor all participants required annual appointments, required annual and bi-annual test, and follow-up appointments. This process shall be monitored by the Program Specialist on a monthly basis.[Immediately, CEO will develop, implement and train staff persons on the procedures of tracking system/spreadsheet to ensure all individuals physical examinations including a gynecological examination are completed within the required timeframes. CEO or compliance officer will review the tracking system and a 25% sample of individuals' physical examinations at least quarterly to ensure timely completion of physical examinations for all individuals. (AS 6/27/16)] 05/22/2016 Implemented
6400.143(a)On 6/2/14, Individual #2 refused a routine Pap test. There is one documented attempt to training the individual about the need for the test on 6/2/14.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. RMPC CAP is that should and individual refuse routine medical or dental examination or treatment, the Program Specialist will train the individual about the need for health care on a weekly basis until the individual agrees to have the exam or treatment and will maintain documentation of all trained attempts. Senior Program Specialist will monitor this process. [Documentation of continued attempts to train the individual shall be kept in the individual's record as required. (AS 6/27/16)] 05/22/2016 Implemented
SIN-00066432 Renewal 07/21/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.213(1)(i)The record for Individual # 1 did not include identifying marks. Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph.The corrective action plan is to provide additional documentation training for program specialist which will be scheduled August 15,2014 [The program specialist/ceo will audit a sample of resident records monthly to measure compliance with related 6400 regulations including 186d. (CHG 8/21/14)] 08/14/2014 Implemented
SIN-00195903 Renewal 11/09/2021 Compliant - Finalized
SIN-00118311 Renewal 07/31/2017 Compliant - Finalized