Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00252007 Renewal 09/30/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(k)(6)At the time of the inspection, there was no mirror in individual #1's bedroom.In bedrooms, each individual shall have the following: A mirror. The mirror was immediately replaced on 10-2-24. The Director of Residential Services provided written education/retraining to all staff, including Program Specialists, Program Managers, Program Supervisors and Direct Care Professionals on 10-11-24 regarding regulation 81(k)(6) that specifies that in bedrooms, each individual shall have the following: A mirror. The Director of Residential services provided verbal retraining to all Program Specialists, Program Managers and Program Supervisors on 10-9-24 in an in-person department management meeting regarding regulation 81(k)(6). 10/17/2024 Implemented
SIN-00192197 Renewal 09/07/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(a)(2)Individual #1's Medication Administration Record (MAR) does not include the prescribers name for each medication. Individual #1 has prescriptions from multiple prescribers and none of the prescribers are included on the MAR.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of the prescriber.The prescribing physician was added immediately, upon discover of the violation, to the Medication Administration Record. 09/15/2021 Implemented
SIN-00154504 Renewal 06/18/2019 Compliant - Finalized
SIN-00105074 Renewal 02/07/2017 Compliant - Finalized
SIN-00079663 Renewal 03/31/2015 Compliant - Finalized