Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
SIN-00217097
|
Renewal
|
12/20/2022
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.103 | The most recent furnace cleaning was completed on 4/27/2021. | Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept. | The provider had a furnace inspection completed on September 29, 2022. (Proof of completion will be emailed to the licensing supervisor) |
01/22/2023
| Implemented |
|
|
SIN-00108541
|
Renewal
|
02/07/2017
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.74 | The outside steps in the front of the home do not have a nonskid surface | Interior stairs and outside steps that are accessible to individuals shall have a nonskid surface. | non skid strips were placed on the interior and exterior steps at the house. [On 2/13/17, nonskid strips were added to the outside steps. Immediately and continuing at least monthly thereafter, the family living specialist shall complete an onsite visit of the home to ensure interior stairs and outside steps that are accessible to individuals have a nonskid surface. Within 30 days of receipt of the plan of correction, all family living providers shall be educated that interior stairs and outside steps that are accessible to individual shall have a nonskid surface. Documentation of monthly onsite audits shall be kept. (AS 3/10/17)] |
02/27/2017
| Implemented |
|
|
SIN-00074090
|
Renewal
|
01/20/2015
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.151(e)(12) | The assessment for Individual # 1, dated 8/27/14, did not include any recommendations for specific areas of training, programming, and services.
| The assessment must include the following information: Recommendations for specific areas of training, programming and services. | FLP Specialists, when completing or updating the DAT, will make recommendations in all areas that need to be addressed to enhance the quality of life for the individual. After completing the DAT, the Specialist will submit the DAT to the Clinical Director for review and approval. The Clinical Director will assure that the recommendation section is completed prior to approval and submission. Staff training will be held on 3/3/15 |
03/03/2015
| Implemented |
6500.151(f) | The annual ISP meeting for Individual # 1 was held on 8/27/14; however, the program specialist did not provide the assessment to the team until 10/17/14. | 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 of the ISP, the 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). | On 2/17/15, Clinical Director Deb Barclay provided training on 6500.151(f) to assure that the FLP Specialists send out the assessment at least 30 days prior to ISP meetings, updates or revisions. Training log enclosed |
02/17/2015
| Implemented |
|
|
SIN-00059999
|
Renewal
|
02/19/2014
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.182(c)(1)(ii) | There are no items in Individual #1's profile page which denote the following: Indentifying Marks, Religious Affiliation and Next of Kin. | (c ) Each individual's record must include the following information: (1.)Personal information, including: (ii)The race, height, weight, color of hair, color of eyes and identifying marks. | the main face sheet was revised to contain height, weight, color of hair and eyes, identifying marks, religious affiliation and modes of communication. [All individual's records will be updated to include the revised face sheet by 8/1/14(CHG 6/6/14)] |
02/19/2014
| Implemented |
|
|
SIN-00256422
|
Renewal
|
11/19/2024
|
Compliant - Finalized
|
|
SIN-00235779
|
Renewal
|
11/29/2023
|
Compliant - Finalized
|
|
SIN-00199618
|
Renewal
|
02/03/2022
|
Compliant - Finalized
|
|
SIN-00184621
|
Renewal
|
03/03/2021
|
Compliant - Finalized
|
|
SIN-00149662
|
Renewal
|
01/15/2019
|
Compliant - Finalized
|
|
SIN-00077800
|
Renewal
|
01/22/2016
|
Compliant - Finalized
|
|
SIN-00041949
|
Renewal
|
09/05/2012
|
Compliant - Finalized
|
|