Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00278698 Renewal 11/24/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)On 11/25/2025 at 10:43 AM, the screen in the only window in Individual #1's bedroom was an accordion-style screen that did not provide a secure seal to prevent against infestation.Windows, including windows in doors, shall be securely screened when windows or doors are open. The Facilities Director was retrained on the regulation and that accordion style screens are not permitted. The screen was replaced on 11/25/25. 11/25/2025 Implemented
6400.112(c)The fire drill conducted at this residence on 12/20/2024 did not indicate if it was conducted at 7:15 AM or 7:15 PM. The agency's fire drill form has a section for staff to indicate if the drill was conducted ante meridiem or post meridiem; however, this section was left 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. The Program Director, Program Specialist, Quality Assurance Associate, and Program Managers were retrained on the regulation. 12/12/2025 Implemented
SIN-00104345 Renewal 12/01/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)The physical examination for Individual #1, completed on 4/20/16, did not include medical information pertinent to diagnosis and treatment in case of an emergency. The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. On 1/20/17 the Medical Coordinator called and faxed a request for an addendum from the doctor to state whether or not each individual cited requires medical information pertinent to diagnosis and treatment in case of emergency. This will occur for all other individuals as well. The Medical Coordinator and Compliance Director were trained on 12/5/16 on the regulation and process moving forward to ensure compliance. The Medical Coordinator will review the Annual Physical upon completion and turn it in to the Program Director for further review prior to being filed in the ABDD Medical Charts to assure that the Annual Physical includes and the section is completed to meet the regulation. The Medical Coordinator will ensure the current and valid Annual Physical form is available prior to each appointment. If the Annual Physical form returns and it not the current form or the section has not been completed, the staff member who accompanied and turned in the Annual Physical form will be retrained and/or reprimanded. The Annual Physical form will immediately be returned to the physician for proper completion by the Medical Coordinator, then the process will begin again. The Compliance Director will review a sample (15) of Annual Physicals every three months again to assure that the regulation is in compliance. The Medical Coordinator changed the Annual Physical to include the regulation to meet compliance on 12/2/16. 01/28/2017 Implemented
SIN-00215911 Renewal 12/06/2022 Compliant - Finalized
SIN-00164449 Renewal 10/16/2019 Compliant - Finalized
SIN-00116115 Unannounced Monitoring 01/27/2017 Compliant - Finalized
SIN-00073102 Renewal 12/09/2014 Compliant - Finalized
SIN-00064083 Initial review 06/11/2014 Compliant - Finalized