Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00280833 Renewal 01/05/2026 Needs Verification
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(a)Staff #6 was hired on 7/21/2025 but did not receive a physical exam prior to employment. The physical exam was completed on 7/23/2025. Staff #2 was hired on 6/19/2025 but received an initial TB test on 6/27/2025 and not prior to employment. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. Director of strategic development and compliance created policy to ensure that no staff start prior to compliance officer receiving all physical and TB required documentation 01/23/2026 Accepted
6400.34(a)Individual #1 was not informed of rights relating to regulation 33a and 33b as they are not listed on the Individual Rights signed in 2025.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.Compliance officer immediately updated the document to reflect regulation 33a and 33b. 01/23/2026 Accepted
SIN-00249250 Unannounced Monitoring 08/07/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.18(f)On 7/8/24, Individual #1 reported a potential physical abuse incident to staff. As of 8/7/24, the incident had not been reported to APS.The home shall take immediate action to protect the health, safety and well-being of the individual following the initial knowledge or notice of an incident, alleged incident or suspected incident.b. Plan of Correction Plan to correct immediate problem 1. Who? a. Derek Shive, Executive Director 2. What will be corrected? a. APS will be contacted in regard to the incident. 3. When and how? a. APS was contacted by Provider on 8/7/2024. 08/28/2024 Implemented
SIN-00221934 Renewal 04/05/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(b)The front and back yard lawns were overgrown with grass. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.A plan to fix the immediate problem a. On 4/6/2023, contracted lawn employee completed the mowing of the front and back yard of. All other homes were reviewed and mowed by 4/8/2023 as indicated by contracted employee. Walk thrus of homes completed on 4/10/2023 to ensure all lawns were within regulatory compliance. 04/08/2023 Implemented