Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00269892 Renewal 07/22/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)At the time of the inspection there was a drawer under the bathroom sink cabinet which was covered in a blue substance that appeared to be a soap or shampoo consistency that possible spilled out. Clean and sanitary conditions shall be maintained in the home.Clean and sanitary conditions shall be maintained in the home. The bathroom drawer was immediately cleaned upon discovery after licensing inspection. 08/05/2025 Implemented
6400.67(a)Surfaces shall be in good repair. At the time of the inspection individual bedroom door had a hole at the bottom of the door which was visible from the living room entrance. It was reported that individual kicks his door which caused the damage.Floors, walls, ceilings and other surfaces shall be in good repair. The door issue has been fixed July 25, 2025. 08/05/2025 Implemented
6400.169(a)A staff person who has successfully completed a dept approved medication administration course, including the course renewal requirements may administer medications, injections, procedures and treatments. Staff #1 had her initial medication training on 7.29.24. There is no documentation to reflect that any practicums or Medication Administration Record (MAR) reviews have occurred since the initial training.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).Staff member #1 has completed the practicum observer course on August 4th 2025. 08/05/2025 Implemented
SIN-00250045 Renewal 08/19/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(g)Individual #1 takes psychotropic medications and sees a psychiatrist for medication reviews, which are documented on "Medication Review" forms found within the Individual Record. The Medication Review forms for the following dates were missing documentation of the need to continue each medication: 08/14/2024, 06/26/2024, 06/12/2024, 05/09/2024, 03/28/2024, 03/21/2024, and 03/14/2024.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.Staff member took the individual for a counseling appointment and took the wrong form them. Program staff members has been retrained on the various agency appointment forms for our individuals. 09/30/2024 Implemented