Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00253183 Renewal 10/22/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The Annual Self Inspection for this location was not completed in the correct timeframe.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 annual self-inspection was not completed within the time frame outlined in the 6400.15(a) regulations. The Operations Director will be retrained by the COO by 11/11/2024, on the proper time frame to complete annual self-inspections. Training is attachment # 10. 11/11/2024 Implemented
SIN-00182098 Renewal 01/25/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.104The fire department notification letter indicates that the individuals are not ambulatory, however, not all individuals residing in this home have mobility issues.The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. Program Managers were trained on regulation 6400.104 by the Director of Quality Assurance & Training on 03/09/21. The outline and attendance record are submitted for review (#2). The CLAs fire department letter has been submitted for review. Program Managers were instructed to review each homes fire department letter for accurate information, location, and home map marked with exact location of each person served. All homes are to submit the updated letter and map to the Program Specialist prior to 03/09/21. Program Specialists are required to email the Operations Directors by 03/12/21 with the completion of the task. To ensure no further infractions occur, the Program Manager will send any updated letter to the Program Specialist for review, as needed. Monitoring of the document will be completed by the Quality Assurance & Training Associate during biannual inspections. 03/09/2021 Implemented
SIN-00070493 Renewal 02/09/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(g)Staff #3 had fire safety training on 12/2/13 and not again until 1/30/15, outside of the annual time frame. Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (f). Valley Community Services will ensure program specialists and direct care professionals are trained annually by a fire safety expert. Staff #2 (#3 was inaccurately listed on the inspection summary) met the requirement of annual training. Staff #2 was off the schedule for an extended period of time. Staff #2 did not work between 12/2/14 and 1/30/15. Staff #2 was trained on fire safety on their first day back to work. Proof from payroll records showing no pay for the 59 days in question will be sent separately for review. 06/26/2015 Implemented
SIN-00043674 Renewal 02/11/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.74The wooden ramp in the back of the house did not have a non skid surface Interior stairs and outside steps shall have a nonskid surface. Partially Implemented/Adequate Progress CSS 6/7/13 VCS will ensure all outside steps have a nonskid surface. The program managers will have retraining by the Quality Assurance Director on regulation 6400.67(a) by March 21, 2013. The wooden ramp out back of the home had the correct outdoor product applied prior to 03/08/2013. 03/21/2013 Implemented
6400.81(i)Individual #2 did not have any curtains, shades, blinds or shutters for privacy in the bedroom. (i) Bedroom windows shall have drapes, curtains, shades, blinds or shutters. Partially Implemented/Adequate Progress 6/18/13 CSS VCS will ensure all bedrooms have curtains or shades for privacy. The program managers have been retrained by the Quality Assurance Director on March 21, 2013 on regulation 6400.81(I). Individual #2 bedroom now has a curtain. Photograph was provided to show compliance. The Operations Director will periodically monitor the homes for compliance for 1 year starting April 1, 2013 and ending March 31, 2014 03/21/2013 Implemented
SIN-00253165 Renewal 10/07/2024 Compliant - Finalized
SIN-00146157 Renewal 12/06/2018 Compliant - Finalized
SIN-00117324 Renewal 08/22/2017 Compliant - Finalized