Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00263649 Renewal 02/24/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(g)The psychiatric medication review appointment for Individual #1 from 1/13/25 does not indicate the need to continue the psychiatric medications.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.COO will evaluate the psychiatric medication review and add an area to indicate need to continue current medication. 03/31/2025 Implemented
6400.166(a)(2)For Individual #1, the MAR's do not identify the name of the prescriber for the medications for the months of September 2024, October 2024, November 2024, December 2024, January 2025 and February 2025.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of the prescriber.Residential supervisor is working with PDC to ensure all eMAR's contain name of prescribing physician 03/31/2025 Implemented
SIN-00260147 Renewal 02/24/2025 Compliant - Finalized