Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00242633 Renewal 04/11/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)Self-assessments are incorrectly completed, with areas marked "compliant" where the item would be "N/A." For example, compliance with domed cribs or two individuals per bedroom, in-ground or above ground pools, and restrictive procedures where there are none.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. on 5/2/24 staff were retrained on the importance of ensuring that The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency's certificate of compliance, to measure and record compliance with this chapter. 05/17/2024 Implemented
6400.113(a)For individual 2- the annual fire safety training is past due (dated 1/2/23) An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. on 5/2/24 staff were trained on the importance of An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. the original fire safety training was misplaced so the current fire safety training was updated online in individual's virtual folder and also his program binder. 05/24/2024 Implemented
6400.141(a)For individual 2- The annual physical was completed more than a year apart (2023 physical was 1/5/23, 2024 physical was 2/28/24).An individual shall have a physical examination within 12 months prior to admission and annually thereafter. on 5/2/24 staff were trained on the importance of ensuring that An individual shall have a physical examination within 12 months prior to admission and annually thereafter. 05/24/2024 Implemented
6400.165(c)For individual two: The Ketoconazole 2% cream is a PRN medication, however the has prescribed times on the label.A prescription medication shall be administered as prescribed.On 5/2/24 staff were trained on the importance of ensuring that A prescription medication shall be administered as prescribed. 05/29/2024 Implemented
SIN-00157998 Renewal 06/25/2019 Compliant - Finalized