Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00183335 Renewal 02/16/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The furnace has not been inspected and cleaned annually by a professional furnace cleaning company.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. The facility has hired an outside company, Climatech, Inc / ATECH Mechanical, to inspect and clean all the furnaces in the 13 homes. The technician from the Climatech Company is schedule to start the furnace inspections on Friday, 02/26/2021 and will be done by Friday, 03/05/2021. In addition, we will inspect the rest of all verland homes by the end of March, 2021. Also, all program specialists, Residential Managers, and Maintenance staff will be in-service on making sure that all furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company and written documentation of the inspections must be kept. This in-service will be completed by 03/15/2021. This process will be monitored by program Specialist Manager to ensure furnaces in all homes are inspected and cleaned by the end of March, 2021, and this process will be repeated every December of each future year to ensure compliance and prevent future similar deficiency from reoccurring.[The furnace inspection for the home was completed 2/26/2021 by a professional furnace cleaning company and staff training was received by the department on 3/9/2021. Documentation of all trainings and furnace cleanings shall be kept. (DPOC by RM, HSLS on 3/9/2021)] 02/25/2021 Implemented
SIN-00124327 Renewal 10/31/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)The first aid kit did not contain a tweezers. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. All program Coordinators will be in-serviced on making sure that all homes must have a First Aid kit, and each First Aid Kit must contain the following items: Antiseptic, An assortment of adhesive bandages, sterile gauze pads, Thermometer, Tweezers, Tape, Scissors and syrup of Ipecac, First aid Manual. This in-service will be completed by November 27, 2017. In addition to this in-service, Program Coordinators will monitor the contents of the first aid kit monthly and ensure all items are present by using a monitoring tracking form. This process will be monitored by the Program coordinator Manager monthly to ensure monitoring is done in order to prevent reoccurrence of future similar deficiencies. [Within 60 days of receipt of plan of correction, a designated staff persons shall educate all staff persons working in community homes as to the items required in first aid kits and the restocking procedures. (AS 11/28/17)] 11/21/2017 Implemented
SIN-00070562 Renewal 10/08/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(f)The front/main entrance was used during all the fire drills conducted between 9-23-13 and 8-4-14.Alternate exit routes shall be used during fire drills. The facility will ensure that all locations of fire and exit used will be alternated monthly. All program Coordinators were in-serviced on the following: When doing fire drills, Program Coordinators will document the date, time, amount of time it took to evacuate, exit route used, meeting place, problems encountered, and whether the fire alarm or smoke detector was operative on the fire drill record. This in-service was completed October 10, 2014. Program coordinator Manager will monitor every fire drill monthly in order to prevent reoccurrence of this deficiency in the future. 11/08/2014 Implemented
SIN-00222888 Renewal 04/04/2023 Compliant - Finalized