Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00247724 Renewal 07/09/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The latest furnace inspection on record for this location was conducted on 10/25/2022. There was no evidence of a more recent furnace inspection occurring. The furnace at this location was not inspected annually as required.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. Furnace was inspected on 7/17/24. 07/17/2024 Implemented
6400.15(b)The self-assessment of this location, conducted 06/01/2024, was completed on the Department's "Self-Inspection and Declaration Tool," which is intended to be used for opening a new location, rather than the Department's "Self-Assessment Licensing Inspection Instrument," which is intended to be used for the annual self-assessment of a location. In addition, the self-assessment was not completed at least 3-6 months prior to the provider's 07/12/2024 license expiration date. As such, there was no valid self-assessment conducted for this location as is required within the specified time frame.(b) The agency shall use the Department's licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance.Standard Operating Procedure was created for the Residential Licensing process. 08/31/2024 Implemented
SIN-00227405 Renewal 07/18/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)At the time of inspection, the first aid kit did not contain antiseptic. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Missing antiseptic was added prior to licenser leaving site 7/19/23. 08/31/2023 Implemented
6400.112(i)The fire drill conducted on 6/21/23 at 8:05 AM and the form used did not indicate if at least one smoke detector was set off during the fire drill as this section of the form was left blank. A fire alarm or smoke detector shall be set off during each fire drill.SOP was developed for Team Leads & Program Managers 7/31/23. Training on the Fire Drill Form, SOPs, and Administrative Review will be completed by 8/15/23. 08/15/2023 Implemented