Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00183402 Renewal 02/08/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.111(c)No fire extinguisher present in kitchen. A fire extinguisher with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a). On March 17, 2021 Woods Maintenance Department installed a 20a10bc fire extinguisher in the Allgair kitchen. The fire drill report was updated on March 17, 2021 by Residential Director, to include the newly installed fire extinguisher. Attachment #1 05/31/2021 Implemented
6400.141(c)(4)Hearing screening for individual#1 not addressed on medical form dated 11/11/2020.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. Per APE 11/11/2020: "Last audiology exam:(6/13/18); Hearing is adequate for daily living(Yes)" 02/15/2021 Implemented
6400.141(c)(7)A gynecological examination including a breast examination and a Pap test for Individual#1 was not included on the medical form dated 11/11/2020.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. Woods recently hired a Nurse Practitioner who will perform all gynecological examination. 04/30/2021 Implemented
6400.163(a)Medication Ear Drops Dro 6.5%, original label not visible and the expiration date is illegiblePrescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.Ear drops replaced with new bottle. 05/31/2021 Implemented
SIN-00091132 Renewal 10/26/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.186(b)Individual #1's 3 month ISP review dated 7/31/15, was not reviewed until 9/3/15.The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP.   01/01/1900 Implemented
SIN-00063882 Renewal 07/28/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.182(c)Individual #1's ISP wasn't updated annually. The plan year was 10/16/12-10/15/13. The plan meeting was held on 10/21/13 and the plan updated on 11/21/13. The plan lead shall be responsible for developing and implementing the ISP, including annual updates and revisions. S.A.'s ISP meeting was held on 10/21/13 rather than 10/15/13 at the request of S.A.'s co-guardian. (See attachment A) The ISP became effective 30 days following the meeting date, which was 11/21/13. Program Specialists will continue to hold the annual ISP meeting within 365 days of the previous ISP. The plan will be updated and become effective 30 days following the date of the meeting. 08/01/2014 Implemented
6400.185(a)Individual #1's ISP wasn't implemented on 10/16/13. The plan meeting was held on 10/21/13 and updated on 11/21/13. The ISP shall be implemented by the ISP's start date. The ISP for S.A. was implemented 30 days following the ISP meeting date of 10/21/13. The meeting date was changed from 10/15/13 to 10/21/13 at the request of S.A.'s co guardian.(See attachment A)Program Specialists will ensure that ISP's will be implemented on the effective date, 30 days following the date of the actual meeting. ISP's will continue to be reviewed and logged in the departmental database by the Director, Program Coordination and/or Program Planning Coordinator. A weekly report indicating the status of ISPs will continue to be generated by the Residential Support Specialist and distributed to the 2 staff indicated above as well as the Executive Director of Mollie Woods 08/01/2014 Implemented
6400.185(b)Individual #1's ISP wasn't implemented by 10/17/13. The ISP shall be implemented as written.Margaret Kivumbi, S.A's Program Specialist, scheduled her annual ISP for 10/15/13 at 11:00am. On 9/5/13, Mrs. elyse Kazarinoff, S.A.'s co guardian, contacted Margaret requesting that she reschedule the annual ISP to 10/21/13 at 11am. (See attachment A). Program Specialist will continue to schedule and hold annual ISP meetings within the required time frames and at the convenience of team members for them to attend. [The ISP meeting will be completed on a date that allows for the ISP to be finalized and implemented within one year of the previous ISP effective date. LAC 1/26/15] 08/01/2014 Implemented
SIN-00219066 Renewal 01/23/2023 Compliant - Finalized
SIN-00156321 Renewal 04/29/2019 Compliant - Finalized
SIN-00135811 Renewal 02/12/2018 Compliant - Finalized