Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00153916 Renewal 03/19/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.142(g)Individual #1's Dental Hygiene plan has not been updated annually (1/3/18) was the last updated plan.A dental hygiene plan shall be rewritten at least annually. This area of non-compliance was corrected on 4/1/19 by Managing Program Specialist updating the dental plan for individual #1. See attachment #2 To assure future compliance with this regulation, the Managing Program Specialist will be responsible for complete a Dental Hygiene Plan annually and as needed following each dental visit, according to the dentists¿ recommendations. See attachment #2a 04/01/2019 Implemented
6400.181(a)Individual #1's Annual assessment wasn't completed annually. 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. This area of non-compliance was corrected on 4/19/19 by KenCCID creating a tracking tool to ensure documents are completed timely, according to regulations. See attachment 2b To assure future compliance with this regulation, KenCCID developed a 6400 regulations tracking sheet, which will assist with completing documentation in a timely manner. See attachment 2b 04/19/2019 Implemented
6400.186(b)Individual #1's three month ISP reviews were not signed and dated by the Program Specialist and by the individual.The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. This area of non-compliance was corrected on 4/25/19 by the Managing Program Specialist meeting with the individual #1 and reviewing & signing the ISP 3 month quarterly review. See attachment 2c To assure future compliance with this regulation, upon the completion of the quarterly review the assigned Managing Program Specialist will review and sign the Quarterly with the individual. KenCCID created a tracking sheet to ensure compliance with timeframe requirements. See attachment 2c 04/25/2019 Implemented
SIN-00109780 Renewal 01/26/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(d) In the hallway closet were two cases of Poland spring water and Pine-Sol cleaner, Clorox toilet cleaner, and Windex. Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.This was corrected during the licensing on 1/27/17. The cases of Poland spring water were removed and separated from the Pine-Sol Cleaner, Clorox toilet cleaner and Windex. In the future, the House manager will assure that the poisonous materials are kept separate from food, food preparation surfaces and dining surfaces. In addition, House Manager will bi-weekly inspect, document and assure regulatory compliance. Corrected, see attachment #1 01/27/2017 Implemented
SIN-00236197 Renewal 12/13/2023 Compliant - Finalized
SIN-00197286 Renewal 12/08/2021 Compliant - Finalized