Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00205007 Renewal 05/17/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.111(a)At the time of the inspection, there was no fire extinguisher in the attic, which is accessible by a pull cord and ladder.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. Fire Extinguisher was placed in the attic. See attached picture. 07/19/2022 Implemented
SIN-00168026 Renewal 07/21/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(d)(2)The monthly financial ledgers for Individual #1 for April, May, June, and July 2020 are not up to date with the correct currency.(2) Disbursements made to or for the individual. The financial manager will audit all accounts and reconcile so that all documentation remains correct, monthly. SHS Billing Coordinator will review these files at least every three months for verification as well. (Attachment #6) SHS will stop the use of debit cards for Individuals beginning immediately. SHS will revert back to distributing cash to the houses for each client as it is requested by the individual. Staff at each house will need to sign for the cash at the time of distribution. Staff will be responsible for keeping a ledger showing debits and credits for each month as the client makes purchases. They will also be required to count the money and verify that it matches the ledger at the beginning and end of each shift. There will be a sign-off sheet for this purpose. Each house leader will be responsible for verifying the receipts for each person are present and that the math on the ledger is correct for the month before sending the ledger, receipts and sign-off sheets to the office at changeover. House leaders also will document on the weekly check list that this information is correct as well as initialing beside the ledger balance each and every time they reconcile these records. Once these items are received at the office, the Financial Manager will enter the transactions into a separate ledger that will check the math. The Financial Manager will also verify that all receipts are present. This will be done monthly. If there are any discrepancies, they will be addressed with the house leader immediately. And corrective action will happen. 08/11/2020 Implemented
6400.217The release of information maintained in Individual #1's record expired on 1/25/20.Written consent of the individual, or the individual's parent or guardian if the individual is 17 years of age or younger or legally incompetent, is required for the release of information, including photographs, to persons not otherwise authorized to receive it. Medical director has updated this information during our review. A new consent form has been made and was seen by the licensing representative. A copy of this form has also been attached (Attachment #4). Dates have been removed and the statement that this release of information will be in place until it is withdrawn by the individual and/or guardian has been added. 08/11/2020 Implemented
SIN-00242745 Renewal 04/16/2024 Compliant - Finalized
SIN-00223056 Renewal 04/17/2023 Compliant - Finalized