Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00293449 Renewal 07/07/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)67b: The light fixture in the ceiling located in the basement did not contain a cover, and the hole exposed rusty metal around/near the lightbulb in the light fixture and was rough/jagged when touched. Floors, walls, ceilings and other surfaces shall be free of hazards.The area was cleaned and a cover was installed over the lightbulb. 07/09/2026 Implemented
6400.101101: The basement door of the home is equipped with a sliding deadbolt mechanism posing an obstructed egress from the basement when engaged. The sliding deadbolt was engaged at the time of the inspectionStairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The dead bolt was removed from the door. 07/09/2026 Implemented
6400.143(a)143a: Individual #1 had a dental appointment on 4/14/26, and the agency "doctor phone consult" form noted under the presenting problem section of the form "Individual #1 refused his dental apt, he would not get out of the van." There was no record or documentation provided to the Licensing Representative (LR) that in Individual #1 was trained on 4/14/26 on the importance of dental appointments/dental hygiene.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. Individual #1 is on an on-going dental desensitization plan where he participates in desensitization training monthly. This was attached to his refusal documentation. Documentation of this will also be sent to Kristen Salus. 07/09/2026 Implemented
6400.213(1)(i)Actual violation is 213(1)(iv): Religion was left blank on the individual profile section of Individual #1's record. 213(1)(iv) was not an option in the drop-down items in CLS. 213(1)(iv) is the violation cited and to be addressed.Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number.Individual's religion was added to his individual profile. 07/09/2026 Implemented
SIN-00212767 Renewal 12/08/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency did not complete a self-assessment of the home within 3 to 6 months prior to the expiration date of the agency's certificate of compliance.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. A self assessment for the N. Everett Avenue home was started on 7/13/22 and ended on 7/14/22, signed by Katie Goetz, Program Specialist. 12/29/2022 Implemented
6400.64(a)The air vent in the hallway next to the medication closet was covered in a significant amount of dust.Clean and sanitary conditions shall be maintained in the home. The air vent will be cleaned by 1/31/23. 01/31/2023 Implemented
6400.111(a)The attic of the home did not have an operable fire extinguisher with a minimum 2-A rating.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. A fire extinguisher will be put in the attic by 1/31/23. 01/31/2023 Implemented
6400.163(d)The closet where medications are stored in the home was not locked.Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.All medications are stored in a closet that has a keyed lock but wasn't locked. The medication closet is now locked when not in use. 12/09/2022 Implemented
SIN-00231627 Renewal 11/16/2023 Compliant - Finalized
SIN-00163435 Renewal 10/25/2019 Compliant - Finalized
SIN-00106310 Renewal 01/04/2017 Compliant - Finalized
SIN-00082687 Renewal 10/14/2015 Compliant - Finalized
SIN-00068098 Renewal 09/09/2014 Compliant - Finalized