Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00291066 Renewal 07/01/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.182(c)Individual #1's assessment, completed 8/15/2025, documents the individual needs partial physical assistance and verbal prompting to evacuate. Individual #1's physical examination, completed 1/20/2026, documents the individual need physical assistance to exit. Individual #1's individual support plan, last updated 6/11/2026, documents [Individual #1] knows fire alarm sounds but may not exit in event of fire. She requires verbal prompting to evacuate in case of fire or emergency. [Repeated violation: 8/19/25 et al]The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.The CEO reeducated the Program Specialist on 7/6/26 regarding alignment of assessment and ISP documentation. The program specialist will update the assessment to correctly align with with the ISP and send the amended copy to the SC by plan completion date. 07/22/2026 Implemented
SIN-00271898 Renewal 08/19/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.162(a)Direct Service Worker #1's medication administration annual practicum that was recertified on 3/19/2025 did not include all course renewal requirements, therefore; Direct Service Worker #1 was not qualified to provide medication administration for an individual who is unable to self-administer their prescribed medications. On 3/13/2025, 3/14/25, and 3/15/25, Direct Service Worker #1 administered the following medications to Individual #1 at 8:00AM: Viactiv 650 mg-12mcg chew and Vitamin D3 1,000-unit tablet.A home whose staff persons or others are qualified to administer medications as specified in subsection (b) may provide medication administration for an individual who is unable to self-administer the individual's prescribed medication.The Program Specialist updated the training schedule on 8/28/25 to ensure medication practicum training is based on each staff member's initial qualification date. 08/28/2025 Implemented
6400.169(a)Direct Service Worker #1's medication administration annual practicum, which was recertified on 3/19/2025 by Medication Administration Trainer #2, did not include all course renewal requirements as only one medication administration observation was completed during the annual qualification.A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6400.162 (relating to medication administration).DSP #1 completed all required practicum training; the 6-day lapse was identified and corrected in March 2025. The Program specialist was reeducated on the implementation of medication administration practicums by the CEO on 8/28/25. 08/28/2025 Implemented
SIN-00230801 Renewal 09/12/2023 Compliant - Finalized
SIN-00211965 Renewal 09/27/2022 Compliant - Finalized
SIN-00195587 Renewal 11/02/2021 Compliant - Finalized