Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00183353 Unannounced Monitoring 02/16/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.66The exit leading from the basement is not equipped with outside lighting.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes, that are used by individuals shall be lighted to assure safety and to avoid accidents.The Lifesharing Provider was informed by the Lifesharing Specialist that a light needed to be installed outside of the basement exit door. The light was installed on 2/20/2021 by the provider, a picture was taken to show the position of the light in reference to the outside exit, please see Attachment #1. The CH updated the monthly home checklist to include checking for lighting outside all exits. CH verified on 2/22/2021 that the light was installed and working properly at the home visit and a checklist was completed, please see Attachment #2. Both signed stating that they understand regulation 6500.66, please see Attachment #3. 02/22/2021 Implemented
6500.121(c)(7)Individual #1's most recent gynecological, pap smear and breast exam was completed on 10/30/19. 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.Individual #1 is scheduled for her annual exam on 3/22/2021, at this appointment she will receive education on the importance of gynecological exams, breast exams, pap test and the importance of the frequency of these processes. All options will be discussed that can help with her anxiety related to this process. Information from the appointment will be obtain and send in as Attachment# 1a once obtained. 03/22/2021 Implemented
SIN-00174876 Renewal 07/29/2020 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.103At the time of the 7/29/2020 inspection, there was no evidence that the furnace has been cleaned since 2/2/2019, outside the annual time frame requirement.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.This home is no longer using the oil furnace to heat the home. They use electric heat. This is why there was no furnace cleaning on record for 2020. The electric heat runs are seen in the home (see picture, attachments #1-2). The Lifesharing Specialist verified with the Lifesharing Provider at home visit on 8/27/20 (see signature sheet & household checklist, attachments #3-4) that they are indeed using electric heat at all times now to heat the home. It was explained to the LSP that if they were to ever switch back to oil heat that the furnace is to be cleaned before doing so, and annually thereafter. LSP will advise the Lifesharing Specialist if she does switch back to oil furnace heat at any time. The Lifesharing Specialist will note on the household checklist if the home does switch back to oil furnace heat and keep record of furnace cleaning in fire safety book. 08/27/2020 Not Implemented
SIN-00127713 Renewal 04/10/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.74REPEATED VIOLATION - 1/31/17. The basement steps were not equipped with a nonskid surface.Interior stairs and outside steps that are accessible to individuals shall have a nonskid surface.Antiskid surfaces were added to the basement stairs. A picture of the antiskid stairs will be sent as an attachment. Regulation 6500.74 was reviewed with Staff 1 KB and Lifesharing Specialist CH a signature sheet will be sent as an attachment. 04/18/2018 Implemented
6500.109(f)The front exit route was used as the exit route during all fire drills.Alternate exit routes shall be used during fire drills.A firedrill was completed using an alternate route from the home. A copy of the firedrill will be sent as an attachment. Regulation 6500.109(f) was reviewed with staff 1 KB and Lifesharing Specialist CH. signature sheet will also be sent as and attachment. 04/18/2018 Implemented
SIN-00262546 Renewal 04/07/2025 Compliant - Finalized
SIN-00204088 Renewal 04/25/2022 Compliant - Finalized
SIN-00204171 Renewal 04/25/2022 Compliant - Finalized