Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00260731 Renewal 02/19/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.133(a)Prescription and nonprescription medications shall be kept in their original labeled containers. At the time of the inspection, two current prescription medications were found stored in older medication bottles with expired prescription labels. Staff #1 stated that they preferred the older style bottles as the child-safe caps were easier to manipulate than that of the current bottles. The medications in both bottles were the same medication, strength, dosage instructions and prescriber as the expired labels on the bottles the staff person was using. The medication Pravastatin Sodium, 40 mg. tablets, has a current prescription order but the bottle that the medication was stored in was labeled as filled on 3/05/2019 with an expiration date of 3/04/2020. The medication Tamsulosin Hcl, 0.4 mg. capsules, has a current prescription order but the bottle that the medication was stored in was labeled as filled on 5/04/2021 with an expiration date of 4/04/2022.Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.Prescription medications were brought back to the pharmacy to be repackaged in original labeled containers with current date. Life sharing staff retrained on 6500.133 regulation regarding storage of prescription medications. 02/26/2025 Implemented
SIN-00239388 Renewal 02/20/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.32(r)(1)Individual #1 had a lock on the Individual's bedroom door. Individual #1 did not have a key to this lock.An individual has the right to lock the individual's bedroom door. Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.Key was made for lock and hung in individuals bedroom. 02/21/2024 Implemented
6500.135(f)Individual #1 does not have a written protocol to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness. Individual #1 is prescribed Lorazepam 0.5mg tablet, take 1 extra tablet by mouth as needed in the afternoon for anxiety. There is not a written protocol when this medication should be administered.If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness.6500 regulation regarding PRN medication was sent to individuals psychiatrist and PRN protocol is now in place. 03/01/2024 Implemented
6500.136(b)Medication administration times are not included on the Medication Administration Record (MAR). Individual #1 is prescribed Hydralazine 10mg tablet, take 1 tablet by mouth twice a day. The MAR did not include times when this medication was administered.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.Life sharing host had a med refresher to remind of proper documentation for medication administration. Supporting document provided. 02/22/2024 Implemented
SIN-00219215 Renewal 02/21/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.133(d)At the time of inspection, Individual #1's medications were stored in an unsecured plastic bin in an unlocked closet in the master bedroom's attached bathroom. Prescription medications shall be kept in an area or container that is locked.Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.Lifesharing host purchased a locked filing cabinet and new bedroom door knob was purchased and installed with a lock and key. 03/06/2023 Implemented
SIN-00202560 Renewal 03/28/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(a)Individual #1 had a late annual physical examination. The individual's current physical examination occurred on 5/10/2021 and the previous occurred on 4/10/2020.An individual shall have a physical examination within 12 months prior to living in the home and annually thereafter.All required annual appointments shall be completed within the timeframe specified as per regulations 6500.121 a. Assigned program specialist is responsible for oversight of completion. Annual physical for year 2022 was completed on 5/1/22 03/30/2022 Implemented
SIN-00184413 Renewal 03/09/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.151(e)(1)Individual #3's assessment dated 3/10/2020 did not included preferences of the individual.The assessment must include the following information: Functional strengths, needs and preferences of the individual.Program Specialist has since update assessment to include the preferences of individual #3. The assessment itself has also been updated to include the word preferences. Documentation of the updated and revised plan is attached. 03/25/2021 Implemented
6500.32(r)(1)Individual #3 did not have a lock on their bedroom door.An individual has the right to lock the individual's bedroom door. Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.On 3/15/2021 the Arc maintenance department replaced the door knob on individual's # 3 bedroom door. A work order was completed and attached to POC 03/15/2021 Implemented
SIN-00169144 Renewal 01/14/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.62(c)Liquid hand soap was found stored in an unlabeled, decorative dispenser on the sink vanity in the hall bathroom.Poisonous materials shall be stored in their original, labeled containersLifesharing Specialist reviewed the regulation with family living provider. And on monthly visits is checking to ensure the regulation is being followed 02/03/2020 Implemented
SIN-00147549 Renewal 01/30/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(f)Fire drills were held on 6/25/2018 and 12/9/2018. The front door was the only exit utilized during these drills.Alternate exit routes shall be used during fire drills.Family Living Program Specialist will review the importance of using alternate exit routes with all Family Living Providers so individuals residing in the home are aware of different exits in case of a fire. Family Living Specialist will require Family Living Providers to hand in fire drill forms immediately after conducting the unannounced fire drill. Family Living Program Specialist will track drills for each home and ensure different routes are being used to evacuate. Residential Program Manager will also require Family Living Program Specialist to submit a copy of fire drills once received from the Family Living Provider. The Residential Program Manager will also keep fire drill records and ensure alternate routes are being used for Family Living homes. 02/21/2019 Implemented
SIN-00054564 Renewal 10/23/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(9)The physical examination shall include; A prostate examination for men 40 years of age or older Prostate exam for Individual #1 was not completed annually as required. Prostate exam was completed on 4-27-2013, then not again until 7-24 2-13. A prostate examination for men 40 years of age or older.The Annual physical exam for men 40 years of age or older will include a prostate exam. Prostate exam for individual #1 will be completed at the time of his annual physical in April 2014. 04/01/2014 Implemented
SIN-00129600 Renewal 02/22/2018 Compliant - Finalized
SIN-00108249 Renewal 03/07/2017 Compliant - Finalized
SIN-00088205 Renewal 02/09/2016 Compliant - Finalized
SIN-00069114 Renewal 11/06/2014 Compliant - Finalized