Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00246466 Renewal 06/03/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)The bathroom hand soap states on the back to contact the poison control center if swallowed. The soap needs to be non-toxic.Poisonous materials shall be kept locked or made inaccessible to individuals. Correction ¿ Immediate Cure WHO: Residential Director Regulatory Compliance Specialist House Manager Staff WHAT: We need to ensure that flammable and combustible materials are kept locked or made inaccessible to Individuals. We also need to ensure that the hand soap is non-toxic since it used regularly by the Individuals and staff. HOW: The hand soap has been replaced with a non-toxic hand soap. All flammable and combustible materials have been locked up. We checked other homes to ensure compliance with this policy. 06/30/2024 Implemented
6400.181(e)(13)(i)The annual assessment for individual #2 does not include a section relation progress over the last year.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Health. NOTE: Prior to the licensing inspection on June 3, 2024, we used the Assessment and Lifetime Medical History to capture the progress of our Individuals within the year. The Lifetime Medical History is referenced as part of the Assessment under paragraph 8. Correction ¿ Immediate Cure WHO: Regulatory Compliance Specialist Program Specialist WHAT: We need to ensure that all assessments include the Individual¿s progress over a one year period, including their current level as it relates to health. HOW: We updated the assessments by merging the Lifetime Medical History with the assessment. All Individuals now have an updated assessments with 365 review and current information related to the Individual¿s health. 06/30/2024 Implemented
SIN-00206219 Renewal 06/09/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)Agency Self assessments were not provided.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. COMMENT The regulatory Specialist completed self-assessments of all sites prior to the expiration of the agency¿s certificate of compliance. The self-assessments were submitted after the licensing review. Correction ¿ Immediate Cure WHO: Regulatory Specialist Program Specialist Executive Director WHAT: We need to ensure the agency self-assessment is completed within 3 to 6 months prior to the expiration of the agency¿s certificate of compliance. HOW: We changed our policy so that we will hold two formal meetings six months before the expiration of our license and three months before the expiration of our certificate of compliance. The formal meeting will include the Regulatory Specialist, Program Specialist and Executive Director. 08/12/2022 Implemented