Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00261383 Renewal 02/25/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.182(c)Individual #1's annual assessment last updated on 02/26/24 stated that individual is able to have unsupervised time in their home and is not safe around poisonous substances; however, the ISP, last updated 12/5/24, states Individual #1 needs to have assistance at all times in their home and in the community and is safe around poisonous substances. [Repeat Violation 02/27/24 et. al.].The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.Upon being notified of the violation by the state inspector on 2/26/2025, The Program Specialist has been tasked to review and update the assessment and resend it to the plan team by 3/19/25. The Program specialist will indicate to the SC the recent changes in the assessment, such that the SC can update the ISP and match it to the most recent assessment. 03/19/2025 Implemented
SIN-00152877 Renewal 04/02/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.163(c)The reviews of medications prescribed to treat symptoms of a diagnosed psychiatric illness completed for Individual #1 on 5-7-18, 8-6-18 and 11-5-18 did not include the reason for prescribing the medications. If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage.Due to the regulation if a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage, all dear doctors to include the reason for prescribing the diagnosed psychiatric illness medications before attending appointments. These have already been completed and will be updated as psychiatric medications change. Medical Compliance Specialist and Coordinator have been trained on doing this. The attached two appointments on 4/4/19 and one on 4/8/19 reflect that we are ensuring the section is completed and correct. [Upon completion of documentation by the licensed physician of medication reviews, a designated staff person trained in the requirements of 6400.163c, shall audit the documentation of reviews to ensure all required information is included and all individual are administered medications as prescribed and missing information shall be immediately obtained. Documentation of the audits of the documentation shall be kept. (DPOC by AES,HSLS on 4/18/19)] 04/03/2019 Implemented
SIN-00203227 Renewal 04/07/2022 Compliant - Finalized
SIN-00112270 Renewal 04/11/2017 Compliant - Finalized