Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00260203 Renewal 02/24/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(d)(REPEAT from inspection on 3/11/24) During the annual inspection walk-through of the home on 2/26/25, Individual #1's assessment was not signed or dated by the program specialist.The program specialist shall sign and date the assessment. Current copies of completed Annual assessments added to individuals goal books, located inside the homes by program Specialist on 2/28/2025. Sign offs for staff training on the Annual Assessments are also included in the goal books. Each staff and sub aide will complete review of the assessments annually. 03/08/2025 Implemented
SIN-00204651 Renewal 05/10/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.104The most recent notification letter sent to the fire department on 8/2/21, did not include current information pertaining to the individual's evacuation needs during fire drills. The letter indicated Individual #1 needs partial physical assistance and Individual #2 evacuates independently. According to the fire drill records held recently at the home, the Individual #1 required total and partial assistance during the 4/27/22 fire drill and Individual #2 required verbal assistance to evacuate on 3/17/22 and 4/27/22.The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. A corrected notification letter and updated floor plans containing locations of each individuals bedroom was sent to the appropriate fire department on 5/11/22. This notification letter contained the corrected current level of assistance needed for each individual residing in the home to evacuate, as well as an updated layout of the home with corresponding locations of bedrooms for each individual All other records of letters of notification to the fire departments were reviewed by the RPS on 5/12/22 for the correct current level of assistance needed for each individual residing in the home. . See Attachments Letter to Fire Chief Richland Fire department and Updated Layout of the home. 08/01/2022 Implemented
6400.112(c)The fire drill records do not indicate if the smoke detector(s) were operable during the 11/20/21 fire drill. The agency fire system check log, does not indicate if the smoke detectors were operable on 11/20/21. The field was blank.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. On 5/12/22, RPD interviewed the staff who documented the fire drill on 11/20/21 that was found to be missing indication of the smoke detectors being operable at the time of the drill. Staff indicated that the alarm was operable during the 11/20/21 fire drill and signed the omission. See Attachment: Fire System Check Other homes fire drills were reviewed for the indication of smoke detectors being operable at the time of all of the drills by RPS on 5/13/22. All records were complete in entirety. 08/01/2022 Implemented
SIN-00087153 Renewal 10/27/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)The poisons are to be locked in this home. Hand soap was unlocked in the bathroom.Poisonous materials shall be kept locked or made inaccessible to individuals. Hand soap was immediately put into the locked bathroom closet on 10/28/15. A memo was issued to staff on 10/29/15 stating that all poisons including hand soap must be kept locked or made inaccessible to the individuals with staff being trained by supervisor in regard to poisonous materials being locked. The home safety checklist has been amended to include this item. The Home Safety Checklist is signed monthly by the staff person who completed the checklist. The compliance will be marked on the home checklist which will be reviewed and initialed monthly by Program Specialist. See Attachments #14 Part #1 and #2 03/05/2016 Implemented
6400.67(a)The base board heater behind toilet was rusted. THe partial wall in the front of the tub is cracked. Floors, walls, ceilings and other surfaces shall be in good repair. A work order was submitted on 10/30/15 and work was completed on 11/10/16. See Attachments #13 Part #1, #2 and #3. 01/15/2016 Implemented
6400.104The fire letter was not updated to include all individual in the home. The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. The Program Specialist immediately addressed the issue of notifying the fire department by sending a letter with updates of who is residing in the home and their current needs. A checklist was developed which includes monthly monitoring of any changes necessary to update local fire departments. The Program Specialists will be responsible for maintaining the monthly checklist. See Attachments #12. Part 1,2,3,4,5&6. 03/05/2016 Implemented
SIN-00141562 Renewal 10/31/2018 Compliant - Finalized
SIN-00068686 Renewal 10/20/2014 Compliant - Finalized