Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00280349 Renewal 12/10/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)A storage closet in the basement for poisonous materials was unlocked with an accessible bottle of ammonia observed.Poisonous materials shall be kept locked or made inaccessible to individuals. Individuals in this home are not physically able to utilize steps to access the basement. However, poisonous materials were immediately removed and placed with other cleaning materials in a locked area. A lock was obtained for the closet and placed on the closet. 12/10/2025 Implemented
6400.66The attic had a broken light bulb with exposed wires.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Facilities work order was placed same day and light fixed. 12/10/2025 Implemented
6400.74Anti-skid material was absent from the deck steps.Interior stairs and outside steps shall have a nonskid surface. Facilities work order was placed and non-skid tape was placed on the steps. 12/11/2025 Implemented
6400.111(a)The attic lacked a fire extinguisher.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. Facilities was immediately contacted and a fire extinguisher was placed in the attic. 12/10/2025 Implemented
6400.171Several cases of an individual's liquid nutrition (Glucerna) were stored on the basement floor.Food shall be protected from contamination while being stored, prepared, transported and served. Additional shelving was purchased and extra cases of Tube Feeding Glucerna were moved off the floor. 12/12/2025 Implemented
SIN-00219890 Renewal 03/02/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.32(v)Bedroom doors in the property are akin to hospital doors and do not have a locking mechanism; agency staff indicated this is to provide quick access to individuals in case of a medical emergency. Individual 3's ISP was reviewed; it provides detail as to their medical needs but does not address the modification of their right to a bedroom lock. Rights modifications must be clearly defined and their reasons enumerated in the ISP prior to going into effect.An individual's rights may only be modified in accordance with § 6400.185 (relating to content of the individual plan) to the extent necessary to mitigate a significant health and safety risk to the individual or others.Team was contacted on 3/21/2023 for rights modification agreement and requested his ISP be updated to reflect the team agreement that Individual 3 would not benefit from a lock on his bedroom door for numerous health and safety reasons including his inability to access and operate the door lock independently. Team agreement and ISP was updated 3/22/2023. 03/22/2023 Implemented
6400.165(g)Individual 3' 9/12/22, psychotropic medication review states that there are medication changes to be made, but the form does not state what medication and/or dosage is being changes.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.On 3/22/2023, copy of psychiatrist office was note was received reflecting that no medication change had been made. The psychiatrist accidentally checked the wrong box. 03/22/2023 Implemented
SIN-00201361 Renewal 03/02/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(b)The window molding was broken in the back bedroom and is in need of repair Screens, windows and doors shall be in good repair. Facilities replaced broken molding 03/02/2022 Implemented
6400.73(b)The exterior side entrance handrail and ramp were loose and very unstable when slight pressure was placed on them.Each porch that has over an 18-inch drop shall have a well-secured railing.Facilities tightened up and add extra supports to railing 03/02/2022 Implemented
SIN-00184584 Renewal 02/17/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)There were two cloth items behind the dryer including a sock and a washrag.Floors, walls, ceilings and other surfaces shall be in good repair. Sock and wash rag were removed same day 02/19/2021 Implemented
SIN-00262842 Renewal 03/06/2025 Compliant - Finalized
SIN-00240960 Renewal 03/12/2024 Compliant - Finalized
SIN-00052215 Renewal 09/20/2013 Compliant - Finalized