Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00259877 Renewal 03/04/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)Surfaces were not in good repair. The sliding closet doors of the medication closet were broken. Both doors were off of the track and difficult to open and close.Floors, walls, ceilings and other surfaces shall be in good repair. Residential Director, Christine Byard coordinated with the maintenance staff to remove the faulty doors and use am interior shelving system. Please see the documents with images sending via email. 03/15/2025 Implemented
6400.111(f)The fire extinguisher located in the basement of the home was not inspected annually. The tag indicated that the last inspection was January 2024. A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. Residential Director, Christina Byard coordinated with Residential Director, Frank Kibaara to have a properly inspected Fire Extinguisher brought to the home within an hour of the time of the inspection. Please see the document with image sending via email. 03/04/2025 Implemented
6400.171Food is not properly stored from contamination. There was an ice cream cone with ice cream in it stored in the freezer without any covering or protection.Food shall be protected from contamination while being stored, prepared, transported and served. Residential Director, Christina Byard, corrected at the time of the inspection that a DSP had placed the Ice Cream Cone in the freezer unwrapped, educating the DSP in the process. 03/04/2025 Implemented
6400.163(d)The medication closet was not locked at the time of the inspection. There were two locks on the closet and both were unlocked.Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.Residential Director, Christina Byard, corrected the unlocked medication situation at the time of inspection. Later the Medication storage unit was installed. Please see the document image sending via email. 03/08/2025 Implemented
SIN-00241295 Renewal 03/18/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)There was no documentary evidence that a self-assessment was completed for this location.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. The agency COO will assure that each Self Inspection is completed and stored in a secure location within the regulatory timeframe 3 to 6 months prior to to the expiration of the agency's Certificate of Compliance. 04/19/2024 Implemented
6400.66At the time of inspection, the lighting fixture in the basement bathroom was not operable via its associated light switch. In addition, 3 of the 5 lightbulbs in the outdoor lighting fixtures in the front of the home were absent or non-functional, providing---at most---less than half of the illumination intended by the design and positioning of the lighting fixtures. The inadequate lighting in these areas of the home would be potentially hazardous in the dark.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Agency Representative placed the lightbulbs to the aforementioned outdoor fixtures and repaired the light switch for the bathroom in the basement. For this home the repairs occurred 3/19/2024. 04/19/2024 Implemented
6400.80(b)The sharp end of a screw was found protruding approximately less than ¼ inch from a portion of the railing on the front porch of the home in an area of the railing that would be likely to be grabbed for support---the condition of this railing was therefore unsafe. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.Agency Representative corrected the unsafe condition of the protruding screw on the handrail. 04/19/2024 Implemented
6400.81(k)(6)There was no mirror in Individual #3's bedroom at the time of inspection.In bedrooms, each individual shall have the following: A mirror. Agency Representative placed a mirror in the individual's bedroom. 03/19/2024 Implemented