Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00221146 Renewal 02/22/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The annual furnace inspection, completed on 11/23/2022, does not indicate if the furnace was cleaned.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. By 03/31/2023, Vice President of Special Projects and Facilities will update documentation to reflect cleaning occurs concurrently with the documented inspection. 03/31/2023 Implemented
SIN-00201177 Renewal 03/02/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(g)Individual #1's psychiatric medication reviews, completed 7-8-21, 9-30-21 and 1-6-22, did not include the necessary dosage.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.Documentation for Individual #1's psychiatric medication reviews, including necessary dosage was updated on March 25, 2022. 03/31/2022 Implemented
6400.181(f)The program specialist provided Individual #1's assessment, completed 2/12/21 to the plan team member on 2/18/21 for the annual ISP meeting on 3/8/21.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Lifesteps Program Specialists will be retrained on Regulations 6400.181-190, including information in the Regulatory Compliance Guide by April 1, 2022. 04/01/2022 Implemented
SIN-00259583 Renewal 01/29/2025 Compliant - Finalized
SIN-00150392 Renewal 02/12/2019 Compliant - Finalized
SIN-00091368 Renewal 03/09/2016 Compliant - Finalized
SIN-00041537 Renewal 09/13/2012 Compliant - Finalized