Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00217332 Renewal 01/10/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.34(a)Individual #1's individual rights, reviewed on 9/19/2022, did not include 6400.32(s) the right to have the key or entry device to lock and unlock the door.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.Rights document was corrected and the corrected rights will be explained to each individual and documentation will be entered in to the individuals file. 01/19/2023 Implemented
SIN-00127871 Renewal 01/04/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.163(c)Individual #1's medication reviews completed on 6/7/17, 7/19/17, 10/2/17 and 12/11/17 did not include the reason for prescribing the medication and the need to continue the medication. If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage.All staff have been instructed that they must make sure the Med review form is completed in its entirety for each med review visit. Med review forms will be turned in to the Program Specialist for review after each med review appointments. If the form is not completed correctly, contact will be made with the Doctor's office for correction. The Program Specialist will report on Med Review forms at the monthly management meeting. [Immediately, the CEO shall train all staff person responsible for assisting individuals' in psychiatric medication reviews and all staff responsible for reviewing documentation by a licensed physician of the requirements as per 6400.163(c) and the aforementioned procedures to obtain missing information. Documentation of staff trainings shall be kept. Documentation of aforementioned audits and requests for missing information shall be kept. (AS 1/30/18)] 01/24/2018 Implemented
SIN-00256530 Renewal 11/19/2024 Compliant - Finalized
SIN-00236332 Renewal 12/12/2023 Compliant - Finalized
SIN-00184474 Renewal 03/09/2021 Compliant - Finalized
SIN-00146871 Renewal 12/13/2018 Compliant - Finalized