Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00281689 Renewal 01/07/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.163(a)Individual #1 is prescribed Refresh Relief Drops 0.5-0.9% with instructions to instill 1 drop into both eyes twice daily for dry eyes. On 1/8/26 at 10:45AM, the medication bottle was present, however there was no pharmacy label or the original container present.Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.The medication was immediately removed from the home. The pharmacy was contacted and provided a replacement medication with the correct prescription label applied to the original container. The medication was delivered the same day, and the Program Manager verified that the label was properly affixed to the original container and that administration resumed as directed. 01/08/2026 Implemented
SIN-00240246 Renewal 02/26/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(a)Program Specialist #1's physical examinations were completed on 6/3/2020 and then again on 12/6/2022. Direct Service Worker #2's physical examinations were completed on 9/10/2021 and then again on 9/27/2023. 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. The dates on the physical exam forms on file for both could not be changed, but were otherwise compliant to regulation. Note: Employee #2 was erroneously identified as a Direct Support Professional rather than an Assistant Program Manager, which is her correct role 03/01/2024 Implemented
SIN-00186283 Renewal 04/15/2021 Compliant - Finalized