Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00234645 Renewal 12/12/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.144The medication Antacid Double Strength Liquid was listed on the December 2023 Medication Administration Record (MAR) but not in the home and available to be administered as prescribed at the time of inspection.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. We have reached out to the provider and she doesn't wish to continue this medication. she has give a discounted order. see copy of the discontinue antacids emailed to Kristen 12/14/2023 Implemented
6400.166(b)Individual #1 is prescribed Olanzapine. The PM dose was not initialed as being administered from 12/9-12/11 on the December 2023 Medication Administration Record (MAR.) The medication was in the home and available. Medication count indicated that the medication had been administered.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.The staff has been retrained to ensure every time a medication is administered it must be signed for immediately. see staff training sign-in sheet emailed to kristen. 12/14/2023 Implemented
SIN-00216628 Renewal 12/20/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At the time of the home inspection the bathroom sink and bathroom tub had water temperatures that registered 138 degrees. The agency contacted the maintenance to have the water temp adjusted. Later that afternoon the agency provided a video with the bathroom tub water temperature registering at 118 degrees. Hot water temperatures in bathtubs and showers may not exceed 120°F. The agency contacted the maintenance person and the water temperature is adjusted it now reads 118 degrees. 12/21/2022 Implemented
6400.142(a)Individual had a dental appt exam on 9/7/2021. The recommendation was a 6 month follow up for March 22, 2022. Individual refused this apt. The apt was rescheduled for 4/6/2022 and again on 7/21/2022 both of which the individual refused. The next apt has been made for 2/7/2023. The individual did not have a dental apt during the year of 2022.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 agency has scheduled an another dental appointment for February 7th 2023. 12/21/2022 Implemented
6400.181(b)The individual annual assessment dated 6/29/22 reflects that the individual uses money but can not make or count change correctly. The assessment also reflects that the individual can identify items desired to purchase but does not make the purchase without assistance. The individual current ISP states that the individual receives $300 of monthly spending money. The ISP reflects that the individual can hold up to $75 without recipets and in the event a purchase is more than $75 the rep payee will request the receipt. The annual assessment and the ISP do not match in regard to the individual ability to manage money.If the program specialist is making a recommendation to revise a service or outcome in the individual plan, the individual shall have an assessment completed as required under this section.The assessment is corrected to aligned with the ISP. see attached correction email to Kristen. 12/23/2022 Implemented