Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00259260 Renewal 02/07/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(c)The self-assessment completed identified violations and did not have a written summary of corrections documented. Referring to a "POC" is not a sufficient summary of corrections.A copy of the agency's self-assessment results and a written summary of corrections made shall be kept for at least 1 year.CAP completed at 2024 licensing was added to the self-assessment in the home file. 03/07/2025 Implemented
SIN-00239294 Renewal 02/27/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(6)The TB skin testing for Individual #1 was completed late- 8/19/21 & 9/21/23.Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest x-ray with results noted.When PS reviewed the physical form at pick up, it was noticed that TB test was not completed at the physical appointment. Immediately upon noticing this, the TB test was scheduled at the first available appointment. LSP and PS were trained on this regulation and the POC. Documentation is on file and available upon request. 03/19/2024 Implemented
SIN-00259242 Renewal 01/27/2025 Compliant - Finalized