Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00279494 Renewal 12/10/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(10)Individual #1's physical examination completed 7/01/2025 documented the individual was not free from communicable diseases. The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals.An updated statement was received from the doctor's office stating that individual was free from communicable diseases as of the date of the examination. This was signed and dated by the CRNP. 12/17/2025 Implemented
6500.182(b)Individual #1's physical examination completed 7/01/2025 documented the individual was "not free from communicable diseases". The physical examination form was changed to "yes the individual was free from communicable diseases" and there was no signature of the person making the change, nor a date documenting when the change occurred.Entries in an individual's record must be legible, dated and signed by the person making the entry.Updated record was received from the doctor's office that is signed and dated and verifies that individual is free from communicable diseases. 12/17/2025 Implemented
6500.151(f)Individual #1's assessment, completed 7/15/2025, was sent to the plan team members 7/29/2025, for the individual plan meeting that occurred 8/14/2025.The life sharing specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.A new assessment was sent out in December of 2025 to already be compliant with potential meeting that will be scheduled in 2026. 12/17/2025 Implemented
SIN-00261007 Renewal 02/20/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.73On 2/21/2025 at 10:41AM, there was no railing on the five exterior concrete steps leading from the porch in the front of the home. On 2/21/2025 at 10:50 AM, there was no railing on the interior stairway leading to the basement of the home.An interior stairway exceeding two steps that is accessible to individuals, ramp and outside steps exceeding two steps, shall have a well-secured handrail.All life sharing coordinators and providers were retrained on 2/28/2025 regarding need for handrails. Railing was installed on exterior and interior steps. 02/28/2025 Implemented
6500.151(e)(10)Individual #1's assessment, completed on 7/15/2024, did not include a lifetime medical history.The assessment must include the following information: A lifetime medical history.Coordinators retrained on 6500.151(e)(10) on 2/27/2025. Assessment updated to include lifetime medical history on 3/5/2025. Updated annual assessment was sent to team on 3/5/2025. Annual assessment letters were updated on 3/5/2025 to include lifetime medical history in the contents. 03/05/2025 Implemented
6500.151(e)(11)Individual #1's assessment, completed on 7/15/2024, did not include a psychological examination.The assessment must include the following information: Psychological evaluations, if applicable.Psychological exam was collected on 2/24/2025. Psychological section was added to participant book on 2/24/2025. Annual assessment letter was updated on 3/5/2025 to include psychological exam and sent to team on 3/5/2025. 03/05/2025 Implemented