Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00231159 Renewal 09/26/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(c)At the time of the inspection, located in the bathroom next to the office on the sink was a white decorative hand soap dispenser. When the licensing representative utilized the pump on the dispenser a cream-colored liquid came out. Poisonous materials shall be stored in their original, labeled containers.Poisonous materials shall be stored in their original, labeled containers. On the date of inspection, the decorative soap container was discarded immediately. 10/26/2023 Implemented
6400.82(f)The main bathroom did not contain soap at the time of the inspection.Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. The supervisor immediately upon completion of the inspection purchased soap and placed it in the bathroom on the day of the programs inspection. The soap was in its original container. 10/26/2023 Implemented
SIN-00163412 Renewal 10/02/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The license for this chapter expired on 10/1/2019. The self-assessment for this residence was not completed until 9/27/2019.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. The Residential Services Administrator reviewed with all Program Specialist the completion of self assessment no later than July prior to the license expiration and completion no earlier than April prior to the expiration of the license. 10/08/2019 Implemented
SIN-00105517 Renewal 12/12/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(7)Individual #1 did not have a breast examination performed.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. ¿ Residential Director discussed with Residential Supervisor that during Physical Examination PCP as part of examination medical screening should be reminded to complete and check off breast exam for Individual #1. ¿ Residential Supervisor, will discuss with PCP to exam and document on agency Physical Examination form when Individual #1's breasts are examined during her Annual exams. 01/26/2017 Implemented
6400.141(c)(8)Individual #1 had a mammogram done on 2/7/2014. Individual #1's physician ordered mammograms be done every 2 years. An unsuccessful attempt at having a mammogram performed was done on 4/22/2016, which exceeds the 2 year recommendation by her doctor. The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older. ¿ Documentation dated April 25, 2016, from Individual #1's, PCP deferred mammograms until she is 50 years old. This is based on US. Preventive Services Task Force (USPSTF) guidelines ¿ Unless Individual #1's becomes symptomatic and or there are concerns with her condition, her PCP will be contacted to schedule a Mammogram after August 30, 2022. ¿ Managers and support staff will use Mammogram Desensitization Plan, dated May 16, 2016, to provide additional support for Individual #1 to successfully complete the Mammogram procedure. 01/26/2017 Implemented
SIN-00066528 Renewal 09/18/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a) There is a small hole in the roof caused by hail damage. It is located above the small attic area in the home.Floors, walls, ceilings and other surfaces shall be in good repair. The landlord was contacted regarding hail storm and the landlord contacted insurance adjuster. Roof has been repaired. During weather related incidents where potential damage may have occured to properties either leased or owned agency personnel will work with insurance adjusters. 10/23/2014 Implemented
SIN-00145791 Renewal 11/07/2018 Compliant - Finalized