Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00267416 Renewal 05/28/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(f)On 5/29/2025 at 10:46am, three trash receptacles were observed near the curb in front of the home. The can in the middle was observed with the attached lid broken off the receptacle and trash to include a broken laundry basket was protruding from the top of the can. The trash was not kept in a closed receptacle to prevent the penetration of insects and rodents.Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents.On 5/29/2025, a broken trash receptacle was placed at the curb for pickup on 5/30/2025 by an individual who resides in the home. The broken trash receptacle was put at the curb to be taken by the garbage collector. The trash receptacle was taken by the garbage collector on 5/30/2025. 05/30/2025 Implemented
6400.207(5)(III)On 5/29/2025 at 11:54am, Individual #1's bed contained bilateral half-length bedrails that restricted the movement or function of the individual's body. Individual #1 has a diagnosis of cerebral palsy and requires bedrails to assure their safety by preventing them from falling out of bed. The agency obtained a prescription for bedrails on 5/6/2025. Although the bed rails are prescribed by a medical practitioner, Individual #1's most current assessment dated 8/6/2024 and support plan last updated 1/22/2025 do not address if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual. Individual #1's support plan last updated 1/22/2025 does not include periodic relief of the device to allow freedom of movement.A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement.The Program Specialist updated the individual # 1¿s ISP assessment and submitted the revisions to the Supports Coordinator on 6/12/25, that stated individual # 1 is diagnosed with CP and requires bed rails to assure their safety by preventing them from falling out of bed per their PCP. Individual #1 is unable to remove the bedrails independently however s/he is able to verbally request removal whenever s/he chooses to provide periodic relief. All individuals currently utilizing bed rails will have their medical orders, assessments, and support plans reviewed for compliance and any needed updates to be in place by 7/18/2025 07/18/2025 Implemented
SIN-00117607 Renewal 06/28/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The two most recent furnace inspections were completed on 10/29/15 and 11/16/16.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. SLS Maintenance Director has changed vendors and contracted with a new company, Keep Heating. Keep will conduct furnace inspections on October 23, 2017. Maintenance/IT Director will set up electronic tracking by date to ensure that 2018 inspections occur prior to the 2017 dates, maintaining compliance with the 6400 regulations.who?When?PPR?Inspections will be scheduled and conducted by Maintenance Director and Keep Heating administration to occur two times in each home, each calendar year. Copies of Furnace System check invoices will be forwarded to Program Director from Maintenance Director for inclusion with annual inspection documents. Program Director and Maintenance Director met on July 28, 2017 to review 6400 regulations to clarify expectations for our residential sites so maintenance has an increased understanding of the requirements. 07/31/2017 Implemented
SIN-00096605 Renewal 06/21/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency's certificate of compliance expires on 8/10/16. The agency completed a self-assessment of the home on 6/3/16.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. Upon receipt of the certificate of compliance, Program Director will develop a timeline of tasks to be completed and share with all program staff via manager¿s and assistant manager¿s meetings and email alerts. Program Director will set deadlines for Program Specialists, medical personnel and HR to complete pre-inspection checklists (LICENSING INSPECTION INSTRUMENT SCORESHEET.) The Program Director will track completion of Pre-Inspection checklists and will file in PD office so they will be available to inspectors when they arrive. All Pre Inspection checklists will be completed 3-6 months prior to expiration listed on certificate of compliance. Program Director will assign Program Specialists group homes to inspect. [Immediately, the CEO will review the most recent Certificate of Compliance to determine the date the current license expires an develop and implement a tracking system to ensure the agency completed self-assessment 3 to 6 months prior to the expiration date of the Certificate of Compliance. Upon completion of the self-assessment, the CEO will review and cross reference with the expiration date of the Certificate of Compliance to ensure timely completion. Within 30 days of receipt of the plan of correction, the CEO will train all staff responsible of completing the self-assessments on the tracking system to ensure timely completion. Documentation of training shall be kept. (AS 11/8/16)] 09/28/2016 Implemented
SIN-00209534 Renewal 08/10/2022 Compliant - Finalized
SIN-00156518 Renewal 06/04/2019 Compliant - Finalized
SIN-00088168 Unannounced Monitoring 12/17/2015 Compliant - Finalized
SIN-00041343 Renewal 10/01/2012 Compliant - Finalized