Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00283323 Renewal 02/12/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(a)Annual assessment for individual #1 was written on 10/9/25, however date of admission was 7/29/25, which is greater than 60 days after admission 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. Supports Coordinator completed the individual assessment within 90 days instead of 60. An audit was completed on all annual assessments to ensure all residents were compliant. Supports Coordinator was trained by the Director of Risk and Accreditation Management on the need for assessments to be withing 60 days of admission. 03/01/2026 Implemented