Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00286240 Renewal 03/31/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(12)Individual #1's physical examination completed on 9/29/2025 did not address physical limitations of the individual. This section was left blank.The physical examination shall include: Physical limitations of the individual. The physical examination form for Individual #1 was taken to the PCP on 4/27/2026 and the PCP reviewed the form and verified that all sections of the form were updated and complete. There are no longer blanks on Individual #1's physical examination form. 05/29/2026 Implemented
6400.141(c)(13)Individual #1's physical examination completed on 9/29/2025 did not address allergies of the individual. This section was left blank.The physical examination shall include: Allergies or contraindicated medications.The physical examination form for Individual #1 was taken to the PCP on 4/27/2026 and the PCP reviewed the form and verified that all sections of the form were updated and complete. There are no longer blanks on Individual #1's physical examination form. 05/29/2026 Implemented
6400.141(c)(14)Individual #1's physical examination completed on 9/29/2025 did not address medical information pertinent to diagnosis and treatment in case of an emergency. This section was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. The physical examination form for Individual #1 was taken to the PCP on 4/27/2026 and the PCP reviewed the form and verified that all sections of the form were updated and complete. There are no longer blanks on Individual #1's physical examination form. 05/29/2026 Implemented
6400.181(a)Individual #1's annual assessments were completed on 6/09/2024 and then again on 6/25/2025. This exceeds the annual requirement. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. Individual #1's annual assessment will be completed and reviewed with them by 6/25/26. The Program Director reviewed documentation with the program specialist in regard to the deadline and that it must be submitted to the program director for review by that date prior to being sent to the rest of the team. 06/25/2026 Implemented
SIN-00225867 Renewal 06/06/2023 Compliant - Finalized
SIN-00175654 Renewal 09/01/2020 Compliant - Finalized
SIN-00114959 Renewal 05/22/2017 Compliant - Finalized
SIN-00097068 Renewal 06/24/2016 Compliant - Finalized
SIN-00058289 Renewal 07/01/2014 Compliant - Finalized
SIN-00043379 Renewal 11/26/2012 Compliant - Finalized