Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00275380 Renewal 10/06/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(c)The home completed a self-assessment on 9/25/25 where a 6400.141c3 was identified as a violation but contained no written summary of corrections or preventions, as the above violation was noted with the following: "TDAP Past due; last vaccination 2/12/15. [Agency #1] nurse will administer TDAP once it is delivered on next month's cycle". in addition, there was documentation in the self-assessment indicating that Individual #1's Tdap vaccination was administered late on 2/28/25.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. Immediate Plan of action: The corrections and preventions for violation 6400.141c(3)were added to the Self Assessment by the CEO on 10/8/25 10/15/2025 Implemented
6400.68(b)On 10/7/25 at 11:47 AM, the hot water temperature at the bathtub located on the home's first floor measured 133.1 degrees Fahrenheit. [Repeated Violation-10/8/24, et al] Hot water temperatures in bathtubs and showers may not exceed 120°F. Plan to fix the immediate problem: Individual 1 is able to temper water appropriately and understands how to regulate hot and cold water. This information is in the individual's isp and current residential assessment. 10/16/2025 Implemented
6400.141(c)(3)Individual #1 had a Tdap vaccination administered on 2/12/15, and then again on 2/28/25.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. Plan to fix the immediate problem: Individual 1 received the Tdap vaccination on 2/28/25 10/16/2025 Implemented
SIN-00213221 Renewal 10/12/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)On 10/13/2022 at 12:08PM, the hot water temperature at the bathtub in the hallway bathroom measured 128.6F. Hot water temperatures in bathtubs and showers may not exceed 120°F. Property Management was contacted regarding the hot water temperature exceeding 120degrees. We explained to them the need to have it lowered for us to stay in compliance. Currently no participant resides in this site and we will work to get this matter resolved prior to having a participant move in. 10/17/2022 Implemented
6400.70The telephone in the home is not operable.A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons. Xfinity phone and internet services were installed at this site on 10/24/22. See attached photos. 10/20/2022 Implemented