Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00262488 Renewal 03/11/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(4)Individual #1's physical examination, completed 2/20/2025, did not include a hearing screening.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. The facility addressed the individual# 1 physical examination by having hospice Physician complete the hearing screening and vision screening including on the physical information needed for emergency treatment on 03/24/2025. Also, an in-service will be given to all program specialists to make sure that all individuals¿ physical examination is incompliance by creating a tracking system that allows them to know in advance when they are due to prevent future similar deficiencies. This in-service will be completed by 04/15/2025. In addition, this process will be monitored by the Program specialist Managers quarterly and Resident services director bi-annually to ensure future compliances. 03/28/2025 Implemented
6400.141(c)(14)Individual #1's physical examination, completed 2/20/2025, did not include medical information pertinent to diagnosis and treatment in case of emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. The facility addressed the individual# 1 physical examination by having hospice Physician complete the hearing screening and vision screening including on the physical information needed for emergency treatment on 03/24/2025. Also, an in-service will be given to all program specialists to make sure that all individuals¿ physical examination is incompliance by creating a tracking system that allows them to know in advance when they are due to prevent future similar deficiencies. This in-service will be completed by 04/15/2025. In addition, this process will be monitored by the Program specialist Managers quarterly and Resident services director bi-annually to ensure future compliances. 03/28/2025 Implemented
6400.142(a)Individual #1 had a dental examination on 2/27/2023, and then again on 3/7/2025. This exceeds the annual requirement.An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. All program specialists and program Specialists Manager will be in-serviced on making sure that all individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually by creating a tracking system that allows them to know in advance when they are due for their dental examination to prevent future similar deficiencies from reoccurrence. This in-service will be completed by 04/15/2025. In addition, this process will be monitored by the Program specialist Managers quarterly and Resident services director bi-annually to ensure future compliances. 03/28/2025 Implemented
6400.32(r)(1)On 3/12/2025 at 10:25AM, there was a keyed locking mechanism on the door leading to Individual #1's bedroom. Individual #1's assessment, completed 12/4/2024, states that Individual #1 is not able to use a key to lock and unlock the door independently.Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.The program specialist has already assessed individual #1 and is not able to keep, carry, or hold a key to use to lock or unlock their bedroom or home doors independently. The individuals¿ SCs and family/representative/ legal guardian were all informed by email about these individuals¿ assessments. In addition, all locks will be replaced by our maintenance with locks that do not have a locking mechanism. Furthermore, an-in-service to all program specialists will be issued to make sure all homes and individuals are assessed, and proper key mechanisms are implemented to prevent future similar deficiencies. This in- service will be completed by 04/15/2025. Moreover, this process will be monitored by the Program Specialist Mangers quarterly and the resident services director bi-annually to make sure all individuals are assessed, and all locking mechanisms are installed appropriately to prevent and ensure compliance 03/28/2025 Implemented
SIN-00241315 Renewal 03/12/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(h)Individual #1 did not evacuate to a designated meeting place outside the building or within the fire safe area during the fire drills conducted 4/1/2023 through and including 3/6/2024. Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill.The facility completed a fire drill on 03/21/2024, and all individuals were evacuated including individual # 1 to a designated meeting place outside the house. Also, an in-service was given to the residential manager and to the program specialist on making sure that all individuals are evacuated during fire drills to a designated place outside the house or within the fire safety area. This in -service was completed on 03/27/2024. In addition, the program specialist manager will check that all fire drills are conducted, and all individuals were evacuated to a designated area outside the house each Quarter. The Resident service Director will monitor this process by checking with the program specialist Manager each quarter to ensure compliance and prevent future similar incidents. 03/27/2024 Implemented
SIN-00203173 Renewal 04/05/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.63(a)On 4/06/2022 at 11:11AM, the hot water temperature at the kitchen sink measured 127.4°F.Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. The facility took immediate action to address the elevated water temperatures of the kitchen sink and bathtub by lowering the temperature at the water tank mixing valve. Also, the facility has hired a plumber and scheduled to replace the mixing valve on the water tank on April 22, 2022. In addition, an in-service to all staff on making sure they check the water temperature at bathtub prior to every bath or shower to ensure the water temperature does not exceed 120 degree Fahrenheit, also to check the water temperature at Kitchen sink daily in every shift to ensure the water temperature is not exceeding 120 degree Fahrenheit as well. If the water temperature exceeds 120 Degree Fahrenheit, staff must not bathe or shower any individuals but instead do a bed bath and contact your maintenance person. This in-service will be completed by April 21, 2022. Furthermore, the Residential Manager will ensure that staff are taking and recording the water temperature at the kitchen sink and at the Bathtub daily by monitoring this process five day a week to ensure compliance and prevent any incident of burns. 04/14/2022 Implemented
6400.68(b)On 4/06/2022 at 11:15 AM, the hot water temperature at the bathtub in the bathroom along the hallway to the left when entering front door measured 122.9°F. Hot water temperatures in bathtubs and showers may not exceed 120°F. The facility took immediate action to address the elevated water temperatures of the kitchen sink and bathtub by lowering the temperature at the water tank mixing valve. Also, the facility has hired a plumber and scheduled to replace the mixing valve on the water tank on April 22, 2022. In addition, an in-service to all staff on making sure they check the water temperature at bathtub prior to every bath or shower to ensure the water temperature does not exceed 120 degree Fahrenheit, also to check the water temperature at Kitchen sink daily in every shift to ensure the water temperature is not exceeding 120 degree Fahrenheit as well. If the water temperature exceeds 120 Degree Fahrenheit, staff must not bathe or shower any individuals but instead do a bed bath and contact your maintenance person. This in-service will be completed by April 21, 2022. Furthermore, the Residential Manager will ensure that staff are taking and recording the water temperature at the kitchen sink and at the Bathtub daily by monitoring this process five day a week to ensure compliance and prevent any incident of burns. 04/14/2022 Implemented
SIN-00086860 Renewal 10/20/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment was completed on 9-11-15, and the certificate of compliance expired on 8-31-15.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. Verland CLA will in-service all Program Specialists and all Program Coordinators on making sure a self-assessment of each home serving eight or fewer individuals is completed within 3 to 6 months prior to the expiration date of the Verland CLA `s certificate of compliance. This in-service will be completed by December 31, 2015. Also, Verland CLA will remind all program Specialists and coordinators to begin completing the self-assessment from Mach 1st of each year and to be completed and turned in no later than May 31st of each year. This process will be monitored by the Program Specialist Manager and the Program Director in order to prevent similar deficiencies from reoccurring in the future. 12/10/2015 Implemented
SIN-00144214 Renewal 10/23/2018 Compliant - Finalized