Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00231628 Renewal 11/16/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66There is no lighting going down the basement stairs. The stairs leading to the basement are dark and difficult to see when navigating them.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. A light will be installed at the top of the stairway leading into the basement by maintenance. 12/08/2023 Implemented
6400.101The door leading out of the basement is blocked. There is a PVC pipe located in front of the door and the door is unable to be opened from inside of the basement. There is a Bilco like door on the outside of the basement that is locked with a padlock and inaccessible.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The door was removed and replaced with sheet rock. 11/27/2023 Implemented
SIN-00212768 Renewal 12/08/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency did not complete a self-assessment of the home within 3 to 6 months prior to the expiration date of the agency's certificate of compliance.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. A self assessment for the River Street home was started on 4/22/22 and completed on 7/12/22 and signed by Meghan Lynady, Program Specialist. 12/29/2022 Implemented
SIN-00106311 Renewal 01/04/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.33(e)There was an audio baby monitor located in Individual #1's bedroom to monitor her activity at nighttime.An individual has the right to privacy in bedrooms, bathrooms and during personal care. Individual #1 has a history of ingesting and smearing of her feces. When she moved into the CLA home, it was suggested that staff utilize the audio monitor so as to prevent her from doing this when/if she would waken in the middle of the night. A SEEP plan was developed by the Behavior Specialist and this plan was reviewed by the Administrative Entities Restrictive Review Committee and approved prior to implementing the monitor as the belief that the monitor was restrictive. It was not until licensing that we became aware that BHSL had issued an interpretation of this regulation, stating that audio monitors were not permitted. The Individual's SEEP plan was reviewed by the AE Restrictive Review Committee on January 12, 2017 and the audio monitor was discontinued at that time. The CLA Director and the Administrator of Community Programs will monitor and ensure that audio monitors will not be utilized in the future, unless, there is a request for a waiver of the interpretation of this regulation. 02/12/2017 Implemented
SIN-00163436 Renewal 10/25/2019 Compliant - Finalized
SIN-00142875 Renewal 11/13/2018 Compliant - Finalized