Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00273123 Renewal 09/03/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(b)On 9/4/25 at 11:28AM signs of rodent infestation were discovered in the basement of the home. A large quantity of rodent feces was in the left and right corners of the basement, once you exited the stairwell.There may not be evidence of infestation of insects or rodents in the home. The Maintenance Director cleaned the mouse feces. 09/06/2025 Implemented
6400.141(c)(11)Individual#1's physical dated 2/26/25 indicated the medication regimen was attached to the physical examination form; however, nothing was attached.The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. The Program Specialist stapled the med list to the physical. 09/25/2025 Implemented
6400.165(g)Individual #1 is prescribed psychotropic medication. Individual #1had a psychotropic medication review on 10/16/24, and then again on 1/23/24. This exceeds the every 3-months requirement. [Repeat violation 9/17/24, et. al.]If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.The psych form was updated to include a section "next appointment is due by", and all managers will be trained to ensure an appointment is scheduled within the timeframe. If the client is unable to make the appointment, the Program Manager will change the appointment to be virtually. 10/06/2025 Implemented
SIN-00251941 Renewal 09/17/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(g)Individual #1 is prescribed medication to treat symptoms of a psychiatric illness, and there was a review by a licensed physician that includes documentation of the reason for prescribing the medication, the need to continue the medication and the necessary dosage on 08/30/23, and then again on 01/25/24. This exceeds the at least every 3-month requirement.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.The Director of Operations created a new form designed specifically for 90-day psych telehealth appointments, to give the doctor an option to review the medications without an appointment. Additionally, the Director of Operations created a checklist for the manager overseeing the virtual appointment to ensure the importance of our forms being completed in real time are relayed correctly to the physicians. 09/30/2024 Implemented