Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00289173 Renewal 05/27/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(b)On 5/28/2026, at 10:44am, the screen in the individual's bedroom window has a large tear measuring approximately 5-6 inches in length and an inch in width. Screens, windows and doors shall be in good repair. Immediately upon discovery of the torn window screen, request was submitted for repair of the window (on 5/28/2026). Screen was repaired as of 6/15/2026. 07/10/2026 Implemented
6400.166(a)(7)During the medication administration audit on 5/28/2026, it was found that Individual #1's Trazodone 100 mg was administered May 1-27. The medication administration record (MAR) indicated the incorrect dose of 150mg and was initialed May 1-27 at 8am.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication.Immediately upon discovery, Medication Administration Record was updated to reflect accurate dosage of Trazadone to match medication packaging (5/28/2026). 07/10/2026 Implemented