Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00296070 Renewal 09/23/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(e)A Fire Drill was held during overnight hours on 09/21/26. No other overnight drill was on record during the review period.A fire drill shall be held during sleeping hours at least every 6 months. Sleep Drill was completed and properly documented. An additional audit was completed to ensure all requirements have been met across all locations. Program Managers were retrained on expectations. 10/12/2026 Implemented
SIN-00274098 Renewal 09/16/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment for the home had a large portion of the form that was incomplete. Additionally, a self-assessment for one location was not completed at all.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. Process for self inpsctions was reviewed by leadership team 9/17/25. 10/08/2025 Implemented
6400.216(a)An individual support plan (ISP) containing medical and financial information for an individual was found in an unlocked drawer in the living room. An individual's records shall be kept locked when unattended. Records were secured 9/16/25 10/08/2025 Implemented