Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00278657 Renewal 11/13/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.50(a)Direct Service Worker #1's annual training for the 2024 calendar year did not document a trainer or source that conducted the sessions for the following required topics: person-centered practices, completed on 12/18/24; the prevention, detection, and reporting of abuse, suspected abuse, and alleged abuse, completed on 6/12/24; recognizing and reporting incidents, completed on 3/13/24 and 6/12/24; individual-specific reviews on the safe and appropriate use of behavior support plans, completed on 9/24/24; and individual-specific reviews on the implementation of individual support plans, completed on 2/21/24.Records of orientation and training, including the training source, content, dates, length of training, copies of certificates received and staff persons attending, shall be kept.On 11/20/2025, Program Director updated training template to include the topic of training, trainer's name, location of training, date and time. 11/20/2025 Implemented
SIN-00239419 Renewal 02/14/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.101At 11:05AM on 2/15/2024, there were slide locks at the top of the inside exit doors in the living room and the kitchen of the home causing an obstructed egress when engaged.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The slide locks were removed from both front and back exit doors by the Site Supervisor on 2/15/2024. On 2/21/2024, Program Director completed licensing overview including all non-compliances for all sites with Site Supervisors. Program Specialists checked all houses to make sure there were no other locks to obstruct exits on 2/19/2024. 02/15/2024 Implemented
6400.107At 11:12AM on 2/14/2024, a portable space heater was on the floor in the basement of the home.Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms. On 2/15/2024, Site Supervisor removed the portable space heater from the site. Program Director completed review of licensing with Site Supervisors including all non-compliances for all sites on 2/21/2024. 02/15/2024 Implemented
6400.163(f)At 10:50AM on 2/15/2024, Individual #1's prescribed refrigerated medications, Gabapentin and Omeprazole, were in an unlocked container in the refrigerator in the kitchen of the home.Prescription medications stored in a refrigerator shall be kept in an area or container that is locked.On 2/21/2024, Program Director completed review of licensing with Site Supervisors including all non-compliances for all sites. Agency Nurse completed staff training to ensure proper storage of all medications on 2/22/2024. 02/22/2024 Implemented
SIN-00126302 Renewal 12/18/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.113(a)Individual #1, date of admission 2/23/17, was instructed in fire safety on 3/16/17. An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. Twin Trees, Inc. has revised the Admission Policy to include fire safety training to be completed immediately upon admission. Documentation of the fire safety training will also be added to the admission form. This training will be completed on the date of admission by the Program Specialist and the Individual will then receive fire safety training annually thereafter. [Immediately, the CEO or designee shall develop and implement a tracking system to ensure timely completion of fire safety trainings. At least quarterly for 1 year, the CEO or designee shall audit a 25% sample of fire safety training documentation to ensure timely completion. Documentation of audits shall be kept. (AS 12/22/17)] 12/20/2017 Implemented
SIN-00077942 Renewal 12/08/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.44(b)(1)The assessment for Individual #1, dated 11/29/15, was not completed by the program specialist.The program specialist shall be responsible for the following: Coordinating and completing assessments. A training was held on 12-21-15 to review the requirements for completing the assessment for each individual. All 6400 regulations referring to the assessment were reviewed including the completion by the Program Specialist and their signature. [CEO or designee will review a 25% sample of completed assessments at least quarterly for the next year to ensure the program specialist is completing assessments accurately and within required time frames. Documentation of the assessment reviews will be maintained. AS 1/13/16)] 12/21/2015 Implemented
SIN-00219432 Renewal 02/13/2023 Compliant - Finalized
SIN-00183870 Renewal 02/25/2021 Compliant - Finalized
SIN-00146408 Renewal 12/05/2018 Compliant - Finalized
SIN-00071296 Renewal 10/02/2014 Compliant - Finalized