Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00133718 Renewal 04/24/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.213(1)(i)Individual #1's record 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. Individual's ID Data form has been updated on 4/26 to include all required information. Staff responsible for completing and updating the ID Data form will be retrained to include leaving no fields blank and if a field is Not Applicable making that notation. Program Director's will conduct and document this training by June 1.[Within 30 days of completion of aforementioned training and continuing annually, staff person shall review all individuals' records to ensure all required personal information as per 6400.213(1) i-vi is included in the individuals' records. (AS 5/31/18)] 06/01/2018 Implemented
SIN-00060203 Renewal 03/05/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(f)The homes bathroom did not have soap or individual clean paper or cloth towels.(f) Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. All bathrooms will have paper towels and soap. [Staff will perform checks on every shift to ensure that the required items are present in the bathroom. (CHG 5/1/14)] 03/24/2014 Implemented
6400.161(e)A bottle of hydrogen peroxide 3% was in the medication box for individual #3. The medication was not listed on the medication administration record and had been discontinued.(e) Discontinued prescription medications shall be disposed of in a safe manner. Discontinued prescription medication has been disposed of in a proper manner. All medications will be properly disposed of within 24 hours after discontinued by physician. 03/24/2014 Implemented
SIN-00247056 Renewal 06/25/2024 Compliant - Finalized
SIN-00191878 Renewal 08/24/2021 Compliant - Finalized
SIN-00115604 Renewal 05/24/2017 Compliant - Finalized
SIN-00091391 Renewal 03/02/2016 Compliant - Finalized
SIN-00075547 Renewal 03/05/2015 Compliant - Finalized