Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00256099 Renewal 11/19/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(13)(viii)The annual assessment dated 1/4/24 for Individual #1 did not contain the individuals progress over the last 365 days in the area of managing personal property.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Managing personal property. Information regarding the progress of managing personal property was added to the assessment. 11/22/2024 Implemented
6400.166(a)(4)The medication administration record (MAR) shall be kept for each individual for whom a prescription medication is administered; the name of the medication shall be on each individual MAR. At the time of the inspection, individual #1 had a standing order from a doctor which included Tylenol, Aloe Gel, Hydrocortisone cream, Benadryl, aspirin, pepto bismuth, cough drops, ear wax removal, desitin, motrin, milk of magnesia, tussin, bacitracin ointment. None of these medications were listed on the individual MAR for the month of November 2024.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of medication.All OTC's were added to the medication log. 11/25/2024 Implemented
SIN-00197061 Renewal 12/01/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.213(1)(i)§ 6400.213. Content of records. Each individual's record must include the following information: (1) Personal information, including: (vi) A current, dated photograph. Individual #1's picture on file was dated October 2018. Pictures are to be current; taken annually or if there is significant change in the individuals appearance.Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number.Individuals pictures will be updated annually or more often if the individual changes significantly in appearance. All pictures were updated immediately. 12/03/2021 Implemented
SIN-00137295 Renewal 07/10/2018 Compliant - Finalized
SIN-00101751 Renewal 10/04/2016 Compliant - Finalized
SIN-00065331 Renewal 06/25/2014 Compliant - Finalized