Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00246656 Renewal 06/17/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)At 11:45 AM on 6/18/2024, the following poisonous substances were unlocked and accesible in the basement's laundry room: one 53-ounce tub of Tide Pods laundry detergent; and one 72-ounce tub of Tide Pods laundry detergent. At 11:52 AM, one 24-fluid ounce bottle and one 32-fliud ounce bottle of Lysol toilet bowl cleaners were unlocked and accessible underneath the vanity sink of the half bathroom located in the basement. Individual #1's assessment, completed 4/21/2024, indicates that they do not know of every household material containing poisons and that poisonous substances are kept locked in the home.Poisonous materials shall be kept locked or made inaccessible to individuals. Chemicals were immediately locked at Marilou 6/18/2024. Responsible Party: DSP Supervisor #6 on site during the inspection. 06/18/2024 Implemented
6400.105At 11:42 AM on 6/18/24, a dark, gray-colored thick layer of lint and dust particles was covering approximately half of the clothes dryer lint filter.Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources. The lint was immediately removed from the dryer vent on 6/18/24. Responsible Party: Site Supervisor #6 at the site during inspection. 06/18/2024 Implemented
6400.106The home's furnace was cleaned and inspected on 9/29/2022 and 9/28/2023 by an agency employee and not by a professional furnace cleaning company.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. CLC will schedule furnace cleaning and inspection with Goods Heating for each site to be completed by September 30, 2024. We will obtain an invoice for each site that specifies the date and that cleaning and inspection was the service provided. Persons Responsible: Maintenance Director #4 09/30/2024 Implemented
6400.181(e)(6)Individual #1's assessment, completed 4/21/24, did not address the individual's ability to safely use or avoid poisonous substances.The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. Individual #1 was reassessed for his knowledge of poisons and his ability to safely use / avoid. Email sent to the SC to make the needed corrections to his ISP on 7/2/24. Responsible Party: Program Specialist #1. 07/02/2024 Implemented
6400.181(e)(7)Individual #1's assessment, completed 4/21/2024, did not address the individual's ability to move away quickly from heat sources which exceed 120 degrees Fahrenheit and are not insulated.The assessment must include the following information: The individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated. Plan of Correction: Individual #1 was reassessed for his knowledge of the danger of heat sources, his ability to sense heat and move away quickly. His assessment has been updated to include the new, more detailed information. Email sent to the SC to make the needed corrections to his ISP on 7/2/24. Responsible Party: Program Specialist, Program Specialists #1 07/02/2024 Implemented
6400.32(r)(1)Individual #2's bedroom door was equipped with a biometric locking system that had been disabled and made inoperable by the agency. Individual #2 had signed a form on 10/25/23, requesting a bedroom door lock. Individual #3's bedroom door was also equipped with a biometric locking system that had been disabled and made inoperable by the agency. Individual #3 had signed a form on 10/10/23, requesting a bedroom door lock.Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.The bedroom locks were operable. They can be set in two modes, one mode that will automatically lock the door every time it is closed and one that is called a pass through mode where it is only engaged when the person wants to lock the door. All of the doors with biometric locks in our homes are in the pass through mode so that individuals can choose when they want to lock their door ¿ for instance some may only want it locked when they are not home or they want to shut their door when using the restroom, eating dinner or engaging in an activity in the home but do not want to have to continuously unlock their door between these activities. Our corrective plan is two-fold: 1) Program Specialist #1 received additional training on how to explain the functionality of the biometric locks to individuals, families and oversite entities on 7/5/24,Program Specialist #2 will receive this training on 7/8/24 when she returns to work from vacation and Program Specialist #3 on 7/9 when she returns. 2) Program Specialist #1 will meet with Individual #2 and Individual #3 to discuss their desire to lock their doors and determine why even though they wanted them they are choosing not to use them. This will help determine if they need additional training and assistance to lock their doors which will then be provided, or if they are able to use them do they just want the option to still be available. This will be completed by 7/12/24.Responsible Party: Residential Director #5, Program Specialists #1,#2,#3 07/12/2024 Implemented
6400.182(c)Individual #1's assessment, completed 4/21/24, and Individual #1's Individual Plan last updated 4/30/24, are not congruent in the following health and safety skill areas: Poisons: Individual #1's assessment, completed 4/21/24 assesses that Individual #1 is unaware of every household item containing poisons and that all such substances are kept locked in the home. Individual #1's Individual Plan, completed 4/30/24 indicates that Individual #1 understands the differences between poisonous and non-poisonous substances, are safe around such materials, and do not need to be locked within the home. Fire safety: Individual #1's assessment, completed 4/21/24 assesses that Individual #1 is "good" at fire evacuation, can hear the alarm, and can locate the nearest exit. Individual #1's Individual Plan, completed 4/30/24 indicates Individual #1 can evacuate safely with verbal prompting in the event of a fire. Dangerous heat sources: Individual #1's assessment, completed 4/21/24 assesses Individual #1 to be aware of all heat sources. Individual #1's Individual Plan, completed 4/30/24 does not address heat sources.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.Individual #1 was reassessed for his ability to evacuate in case of a fire, and his ability to safely recognize and use poisons. His assessment was updated and a request was sent to the Supports Coordinator to update his ISP accordingly for heat sources, poisons and fire evacuation. Email was sent 7/2/24. Responsible Party: Program Specialist, Program Specialists #1 07/02/2024 Implemented
SIN-00208827 Renewal 07/27/2022 Compliant - Finalized