Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00227011 Renewal 06/30/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(a)There is no fire drill report for November 2022 An unannounced fire drill shall be held at least once a month. The director of Quality Development reviewed all agency fire drill documentation on 6/30/23 and found that there were not any missing fire drills. Fire drill documentation for 11/22 was submitted in therap by staff at 10:52pm on 11/17/22. DQD forwarded copy of november 2022 fire drill to inspector on 6/30/23 at 1:54 PM. 06/30/2023 Implemented
SIN-00207671 Renewal 06/29/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(1)Individual 1's physical dated 11/1/21 did not indicate if medical history was reviewed. The box was not checked.The physical examination shall include: A review of previous medical history. The physical form has been returned to the physician's office for documentation that the attached medical history was reviewed at the time of the examination. 07/15/2022 Implemented
6400.181(e)(8)Individual 1's annual assessment dated 5/27/21 does not indicate ability to evacuate during a fire.The assessment must include the following information: The individual's ability to evacuate in the event of a fire. The assessment has been amended to include this information. All other assessments were reviewed and found to contain documentation of the person¿s ability to evacuate during a fire. 07/19/2022 Implemented
SIN-00168397 Renewal 11/19/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66There were 3 out of 4 light bulbs not functioning in individuals master bathroom vanity mirror leading to insufficient lighting.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. The light bulbs have been replaced in the master bathroom vanity fixture. The Maintenance Person will monitor the home in the future to insure compliance. Attachment H5 11/27/2019 Implemented
6400.67(a)The floor around each chair was worn and material was peeling. The air vent near table was damaged and hanging off the wall. Also light fixture seal to the ceiling in living area was loose with exposed wiringFloors, walls, ceilings and other surfaces shall be in good repair. The kitchen floor has been replaced, the air vent has been reattached, the light fixture has been secured to the ceiling. The Maintenance Person will monitor the home in the future to insure compliance. Attachments H1, H2, H3, H4 11/27/2019 Implemented
6400.76(a)The dining room chairs were not sturdy, screws connecting chairs were loose. Furniture and equipment shall be nonhazardous, clean and sturdy. The loose screws were tightened on the dining room chairs. The Maintenance Person will monitor the home in the future to insure compliance. Attachment H1 11/27/2019 Implemented