Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00263648 Renewal 02/24/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The 12/10/24 fire drill did not identify the amount of time it took for evacuation. The 1/7/25 fire drill did not identify if there were any problems encountered for individual#1 and #3.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. This citation cannot be corrected for past fire drills. 03/31/2025 Implemented
6400.214(a)At the time of the inspection on 2/25/25, Individual #2's ISP and Individual #1, #2, and #3's assessments were not available in the home.Record information required in § 6400.213(1) (relating to content of records) shall be kept at the home.Per BOLD policy, all houses are expected to have ISP, BSP, and Assessment. PSs immediately ensured all locations had required, up to date documents. 03/31/2025 Implemented
SIN-00240086 Renewal 03/19/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.111(f)(REPEAT 5/9/23) During the annual walk-through on 3/20/24 of the home, none of the fire extinguishers have the date that the inspection was completed only the month & year was hole punched out. A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. A member of the management team will date and initial the tags to coincide with the date of annual inspection noted on the invoice. 04/30/2024 Implemented
6400.181(a)Individual #1's initial assessment was not completed within the 60 days after admission. Individual #1's date of admission was 9/8/23 and the initial assessment was completed 11/8/23. The initial assessment was completed 1 day late. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. This error cannot be corrected. Moving forward, all assessments will be reviewed and calculated for correct number of days by the program specialist supervisor. 04/03/2024 Implemented
SIN-00260146 Renewal 02/24/2025 Compliant - Finalized
SIN-00223997 Renewal 05/09/2023 Compliant - Finalized