Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
SIN-00227712
|
Unannounced Monitoring
|
07/11/2023
|
Compliant - Finalized
|
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Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.110(f) | Individual # 1's bed shaker was not working during the walk through. | If one or more individuals or staff persons are not able to hear the smoke detector or fire alarm system, all smoke detectors and fire alarms shall be equipped so that each person with a hearing impairment will be alerted in the event of a fire. | The bed shaker does work, but it is delayed a bit as it is wired to the 2nd floor alarm. When the 1st floor alarms goes off, it take a few seconds for the 2nd floor alarm to also go off. Originally the individual¿s bedroom was on the second floor. She has since moved to the 1st floor. An electrician was scheduled for last week but never showed. A different electrician is scheduled for 7/25/23 at 2:30pm. The electrician is reaching out to Silent Call Communications (manufacturer of the bed shaker) to see if there is a code he isn¿t aware of or possibly the transmitter is going bad. We anticipate the situation will be rectified sooner, but gave a completion date of 8/31/23. |
08/31/2023
| Implemented |
|
|
SIN-00212257
|
Unannounced Monitoring
|
09/30/2022
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.82(e) | The first and third steps on the fire escape did not have non skip surfaces. | Bathtubs and showers shall have a nonslip surface or mat. | Programs that require anti-skid strips will be provided with a role to facilitate replacing strips should they come loose/come off; eliminates submitting a work order for maintenance to replace them, resulting in a more timely repair. |
11/11/2022
| Implemented |
|
|
SIN-00205298
|
Unannounced Monitoring
|
05/12/2022
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.62(c) | There was an unmarked spray bottle in the closet with the hygiene items. | Poisonous materials shall be stored in their original, labeled containers. | The bottle will be removed from the home. A home check will be conducted monthly to assure compliance. |
05/13/2022
| Implemented |
|
|
SIN-00151536
|
Renewal
|
04/30/2019
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.15(a) | The agency's license expiration date is 1/17/19 and the self-assessment of the home was not completed by the agency until 1/11/19; not 3 to 6 months prior to the licensing expiration date. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| Associate Directors and Program Specialists retrained on 5/9/19 with regard to timing of self-assessments. The Director of Residential Services will monitor the self-assessment process to ensure they are completed within the timeframe of 7/16 -10/16 each year. Attachment 1B |
05/09/2019
| Implemented |
6400.67(a) | The upstairs large bathroom shower, was not able to switch between the shower head and bathtub setting. The knob that transferred water from the shower head to the bath tub spigot is not operable. | Floors, walls, ceilings and other surfaces shall be in good repair. | Handles and faucet replaced on 5/8/19. Remodeling of the bathroom, including new tub/shower surround budgeted for FY'19-'20. Associate Directors, Program Specialists trained on 5/9/19 to ensure monthly and quarterly site inspections include faucets/showerheads, etc. Program Supervisors trained on 5/16/19; will review with staff at staff meetings. Attachment 1A |
05/08/2019
| Implemented |
|
|
SIN-00092436
|
Renewal
|
04/05/2016
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.67(a) | Baseboard heaters in the front hallway and the living room were broken. The coverings to the baseboard heaters were not attached to the wall. | Floors, walls, ceilings and other surfaces shall be in good repair. | Our maintenance man repaired the baseboard heaters by reattaching them to the walls securely.
Staff have been reminded to report any maintenance needs to the Residential Property Manager when the need arises. |
04/14/2016
| Implemented |
|
|
SIN-00219397
|
Unannounced Monitoring
|
02/07/2023
|
Compliant - Finalized
|
|
SIN-00132136
|
Renewal
|
04/23/2018
|
Compliant - Finalized
|
|
SIN-00107721
|
Renewal
|
04/04/2017
|
Compliant - Finalized
|
|