Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00249208 Renewal 08/06/2024 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66The front exit of the home and the side exit of the home did not have an operable light.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Maintenance replaced the light bulbs immediately on site 8/07/2024 08/07/2024 Implemented
6400.141(c)(15)Individual #1's physical examination completed on 11/06/2023 did not include special instructions for the individual's diet. This section was left blank.The physical examination shall include:Special instructions for the individual's diet. The program specialist contacted the Physician, and the physical form was updated on 08/30/2024 08/30/2024 Not Implemented
6400.166(a)(7)Individual #1 is prescribed Chlorpromaz Tab 25 MG. The August 2024 Medication Administration Record stated the dosage of the Chlorpromaz was 50 MG.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication.The nurse corrected the dose immediately on 8/7/2024 08/07/2024 Implemented
SIN-00210756 Renewal 09/01/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)Fire drill conducted on 1/24/2022 at 12:35 AM is missing the amount of time it took for evacuation. This section of the fire drill form was left blank. [Repeat violation 9/28/2021, et al]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. After assigning the date and hypothetical location of fire, the house manager will collect the fire drill and review to make sure that it is completed. Before putting the fire drill into the binder. [All staff meeting agenda and attendance sheet, dated 9/6/22, includes the review of fire drills documentation requirements, including the requirement to alternate evacuation routes, received on 9/30/22 and reviewed on 10/12/22. DPOC by HDKP, HSLS, on 10/12/22]. 09/12/2022 Implemented
SIN-00197446 Unannounced Monitoring 12/06/2021 Compliant - Finalized
SIN-00193811 Renewal 09/28/2021 Compliant - Finalized