Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00251189 Renewal 09/18/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(a)A fire drill shall be held at least every three months, until all individuals demonstrate the ability to evacuate within 2 and ½ minutes without family assistance, or with family assistance if the individual is never alone in the home. The home has held two fire drills in the past 12 months, on 10/26/2023 and 4/24/2024. The current Individual Support Plan (ISP) for Individual #1 states that the individual requires verbal assistance to evacuate because he "moves slowly and tends to remain very focused on the task which he is engaged in." The ISP also states that the individual has up to three hours alone time in the home which he does utilize. Because the individual requires verbal assistance to evacuate and spends up to three hours per day alone in the home, the home is required to conduct fire drills every three months until the individual can safely evacuate in under 2 and ½ minutes without family assistance.A fire drill shall be held at least every 3 months, until all individuals demonstrate the ability to evacuate within 2 1/2 minutes, or within the period of time specified in writing within the past year by a fire safety expert, without family assistance, or with family assistance if the individual is never alone in the home. The fire safety expert may not be a family member or employee of the agency.On 9/20/2024 the life sharing specialist conducted a fire drill at which time individual 1 evacuated in 53 seconds without prompting. Additionally, the life sharing specialist confirmed that the ISP does not state verbal prompting and encouragement is required. 09/20/2024 Implemented
SIN-00163490 Renewal 10/28/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.73The staircase leading from the basement to the Bilco door exit exceeded two steps and there was no handrail.An interior stairway exceeding two steps that is accessible to individuals, ramp and outside steps exceeding two steps, shall have a well-secured handrail.The provider will be installing handrails on the steps to the outside. Agency personnel will remind all providers that steps need railings whether utilized or not 12/28/2019 Implemented
SIN-00088442 Renewal 01/13/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(6)Individual #1 had a tuberculin skin test on 07/10/2013 and then not until 08/10/2015 whcih exceeds the two year limit.Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest x-ray with results noted.A monthly review of required testing will be conducted by the Program Specialist to ensure that requirements are met. 02/08/2016 Implemented
SIN-00231143 Renewal 09/05/2023 Compliant - Finalized
SIN-00210840 Renewal 09/27/2022 Compliant - Finalized
SIN-00212701 Renewal 09/27/2022 Compliant - Finalized
SIN-00129739 Renewal 01/23/2018 Compliant - Finalized
SIN-00069558 Renewal 10/15/2014 Compliant - Finalized
SIN-00055096 Renewal 08/15/2013 Compliant - Finalized