Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00240464 Unannounced Monitoring 03/05/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The Warm Springs Road home did not have an asleep fire drill between September 2023 and February 2024A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. Citations related to fire drills occurred in newly established homes with new site supervisors. In the initial opening of the homes, we failed to address fire drill scheduling as a part of the opening process. We have established a fire drill `schedule¿ that blocks out a certain week and window of time each month for drills to be completed. This is not too prescriptive such that it is predictable to those taking part in the drill, but adherence will insure that varied staff are engaging at varied times. It also specifies which months should have overnight drills. A copy of this template is attached as #3. 03/15/2024 Implemented