Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00294689 Renewal 08/27/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.181(a)Individual #1 had an assessment completed on 5/1/25 and then again on 8/24/26.Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the facility and an updated assessment annually thereafter.The agency's plan of correction for this infraction at the Perrysville site includes a training with the Program Specialist on the exact regulation that was in violation. The training consisted of the regulation 2380.181(a), Individual Assessments must be completed annually (1 year), or within 60 days of a new Individual starting the program. The assessment may also be changed throughout the year if changes are observed with the individual's support needs. The assessment is also to be sent to the team 30 days prior to the ISP meeting. A training was also completed as a refresher for the agency's internal cyclical date tracker that is located on a secured shared drive that only leadership has access to. The cyclical date tracker lists the Individuals and has the dates for the most recent assessments and the date for the next year's assessment. 09/03/2026 Accepted
SIN-00272729 Renewal 08/28/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.173(1)(iii)On 8/28/2025 Individual #1's record did not include the language or means of communication spoken or understood by the individual. It was blank.Each individual¿s record must include the following information: Personal information including: The language or means of communication spoken or understood by the individual and the primary language used in the individual¿s natural home, if other than English.Language and means of communication have been added to the emergency form. 09/10/2025 Implemented
2380.181(e)(12)Individual #1's assessment completed 5/01/2025 did not include recommendations for specific areas of training, vocational programming and competitive community-integrated employment. Individual #2's assessment completed 4/03/2025 did not include recommendations for specific areas of training, vocational programming and competitive community-integrated employment.The assessment must include the following information: Recommendations for specific areas of training, vocational programming and competitive community-integrated employment.Recommendations for specific areas of training, vocational programming and competitive community-integrated employment have been added to the assessment for both individuals. 09/12/2025 Implemented
2380.17(h)(4)Individual #3 had an Enterprise Incident Management neglect incident # 9561700 discovered 1/31/2025, which was assigned to a certified investigator 1/31/2025, and the first interview was conducted 2/03/2025.A Department-certified incident investigator shall conduct the investigation of: Neglect.All agency CI's have been retrained on the CI manual guidance. 09/15/2025 Implemented
2380.36(b)Direct Service Worker #2's most recent fire safety training occurred 8/16/2024.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a).The staff person was retrained on fire safety on 8/28/25. 09/15/2025 Implemented
2380.37(a)Direct Service Worker #1 has documentation of completing 18 hours of annual training 1/19/2024, which is not the actual length of time for the training. Direct Service Worker #2 has documentation of completing 24.5 hours of training 7/22/2024.Records or orientation and training, including the training source, content, dates, length of training, copies of certificates received and persons attending, shall be kept.All agency guidelines were sent out regarding training requirements and POC. All Program Specialists and directors reviewed. 09/11/2025 Implemented
2380.182(c)Individual #1's assessment completed 5/01/2025 states he is able to sense and move away from heat sources independently. Individual #1's individual support plan, last updated 8/21/2025, states he requires verbal reminders about heat sources.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.The individuals' needs were reevaluated, and the program assessment has been updated to reflect the changes. 09/12/2025 Implemented
SIN-00255699 Renewal 11/21/2024 Compliant - Finalized
SIN-00236187 New Provider Agency 12/14/2023 Compliant - Finalized