Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00273970 Add an Addendum 09/15/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.67On 9/15/25 at 10:42am the wall to the right of the basement door, leading outside, had an approximately 16 inch in width and1/2 inch in height hole at the bottom of the wall exposing the outside elements. On 9/15/25 at 10:42am the light switch and electric outlet to the right of the basement door, leading outside, was without a wall plate cover causing a hazard. Electrical wires were exposed.Floors, walls, ceilings and other surfaces shall be free of hazards.On 09/15/2025, it was found that the wall to the right of the basement door leading to the outside of the residence had an approximately 16 x ½ inch hole at the bottom of the wall exposing the basement space to outside elements. In addition, the light switch and electric outlet to the right of the basement door leading to the outside were without a "wall plate cover" thus exposing the wires and causing a hazard. As soon as these issues were discovered, the on-sight Program Specialist shared these issues with the Lifesharing Provider, who then in turn immediately contacted the landlord to request repairs. The Program Specialist also notified the Lifesharing Program Director of the concerns and a formal plan of correction was developed at that time. The Lifesharing Provider contacted the landlord, arriving at the residential site on 09/15/2025 at 1:00 PM. The Landlord then filled in the noted 16 x ½ gap and installed new "wall plate covers" on said electrical and light switch fixtures. These repairs eliminated both the exposure to the outside and covered exposed electrical wires. Photos were taken of these repairs and shared Program Specialist which prompted him to return to residence to inspect repairs. Program Specialist went to residence to inspect repairs and reported to Program Director that satisfactory repairs were made, resolving both issues. 09/15/2025 Implemented
6500.72(b)On 9/15/25 at 10:42am the basement door leading to the outside was in poor repair, with an approximately 1/2 inch gap above and below the door exposing the outside elements.Screens, windows and doors shall be in good repair.On 09/15/2025, it was found that the basement door leading to the outside was in poor repair with an approximately ½ gap above and below the door exposing the outside elements. As soon as this issue were discovered, the on-sight Program Specialist shared this issue with the Lifesharing Provider, who then in turn immediately contacted the landlord to request repairs. The Program Specialist also notified the Lifesharing Program Director of the concern(s) and a formal plan of correction was developed at that time. The Lifesharing Provider contacted the landlord with this concern who in turn arrived at the residential site on 9/15/2025 at 1:00 PM to make repairs. The Landlord used weatherstripping materials to fill in noted gaps. These repairs eliminated the exposure to the outside. Photos were taken of these repairs and shared with Program Specialist which prompted him to return to residence to inspect repairs. Program Specialist went to residence to inspect repairs and reported to Program Director that satisfactory repairs were made, thus resolving the issue. 09/15/2025 Implemented
SIN-00176188 Renewal 09/09/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(a)Individual #1 had a physical examination completed on 06/19/19 and then again on 08/13/20.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Program Director, met with program specialist, on 9/11/2020 to review the requirements for timely completion of the physical exam. program specialist will submit to Program Director the upcoming completion dates for physical exams for the people that she supports by 9/25/2020. Program Director will assure that the exams have been completed in a manner that meets the licensing requirements. Program Director will keep documentation that the physicals have been completed. 09/11/2020 Implemented
6400.141(c)(6)Individual #1 had a Tuberculin skin test by Mantoux method completed on 06/09/17 and then again on 07/12/19.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Program Director, met with program specialist, on 9/11/2020 to review the requirements for timely completion of Tuberculin skin test by Mantoux method.Program Director will submit to program specialist the upcoming completion dates for Tuberculin skin test by Mantoux method for the people that she supports by 9/25/2020. program specialist will assure that the tests have been completed in a manner that meets the licensing requirements. program specialist will keep documentation that the tests have been completed. 09/11/2020 Implemented
6400.166(b)Hydroxyzine HCL 50mg take 1 tablet by mouth three times per day for anxiety prescribed to Individual #1 was not recorded as administered at 2:00PM on 09/04/20.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.Program specialist, Stephanie Kessner, followed-up with staff on 9/10/2020 to confirm that the dose was given per the MAR. Staff was re-trained on 9/11/2020 on the completion of the MAR by the program specialist. Program specialist will submit completed MAR to the program director, for review at the end of every month for 12 months. Program director will document that MAR has been reviewed and that it is complete. 09/11/2020 Implemented
SIN-00134899 Renewal 05/10/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(c)A coliform water test was completed on 10/05/17 and then again on 3/27/18.A home that is not connected to a public water system shall have a coliform water test by a Department of Environmental Resources¿ certified laboratory stating that the water is safe for drinking purposes at least every 3 months. Written certification of the water test shall be kept.The program director is responsible for coliform testing. The executive director will be given a schedule of when the testing is to be completed. The testing will be scheduled for one week prior to the date it is required. The program director will submit the completed testing to the executive director for approval. Documentation will be kept by the program director beginning 6/27/2018 (the next required testing date) and will continue in place. 06/27/2018 Implemented
SIN-00191664 Renewal 08/11/2021 Compliant - Finalized
SIN-00155180 Renewal 05/08/2019 Compliant - Finalized