Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00226501 Renewal 07/05/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment for the home completed on 11/8/22 did not assess compliance with 6400.51b5.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. Associate Directors of Operations and the Director of Operations shall standardize the annual self-assessment process, including assigning point people to ensure that all self-assessment items are marked appropriately. 10/01/2023 Implemented
6400.15(c)(Repeated Violation - 7/11/22) The self-assessment for the home completed on 11/8/22 did not include a written summary of corrections for the following violations: 6400.21a, 6400.21c, 6400.21d, 6400.143a, and 6400.151c2.A copy of the agency's self-assessment results and a written summary of corrections made shall be kept by the agency for at least 1 year. Director of Operations and Associate Directors of Operations will model after RCG guide to follow the five steps and instruct point people to write an effective Plan of Correction and focus on prevention of citations by 9/1/23. 10/01/2023 Implemented
6400.67(a)The shower in the hallway bathroom was missing caulk or a protective sealant between the top and bottom sections of the shower/bathtub combination. The area where the two pieces meet had a black line of unknown substances in the crevice.Floors, walls, ceilings and other surfaces shall be in good repair. Residential homes tub was caulked on 8/4/23. 10/01/2023 Implemented
SIN-00157442 Renewal 08/13/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.74Two wooden steps off the deck located outside of the living room egress did not have a non-skid surfaceInterior stairs and outside steps shall have a nonskid surface. Immediate: Non-skid surface was installed on two wooden steps located outside the living room egress on 8/15/19. The Program Manager and Program Coordinator received retraining on the need to have non-skid material on all stairs on 8/15/19. Global Immediate: All Program Managers and Program Coordinators received retraining by the Director of Operations on the need to have non-skid material on all stairs on 8/15/19. Program Managers shall conduct a physical site walkthrough by 8/31/19, verifying all stairs have a non-skid material present. Documentation of this review shall be provided to Associate Directors of Operations by 8/31/19. Maintenance shall immediately be made aware of any stairs that do not have non-skid material present and, if applicable, Associate Director of Facility Services shall ensure that all stairs without non-skid surfaces have been rectified within 48 hours of discovery. Global Preventative: Friendship Community Maintenance Team shall evaluate effectiveness of existing non-skid material used for interior/exterior stairs, and replace with an alternate product of greater sustainability at each location throughout the organization by March 31, 2020 to avoid future occurrences of absence of non-skid surfaces on stairways. All training/retraining documentation shall be kept on file. 08/31/2019 Implemented
SIN-00245356 Renewal 05/30/2024 Compliant - Finalized
SIN-00097562 Renewal 06/20/2016 Compliant - Finalized