Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00209659 Renewal 08/02/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(a)The completed self-assessment was not dated so compliance was unable to be measured.If an agency is the legal entity for the home, the agency shall complete a Self-Assessment of Homes the agency is licensed to operate 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 date the self-assessment was completed has now been put in the correct location. The Life Sharing Program Director Ryan Stumph has marked on his yearly calendars the timeframe for completing future self-assessments within the regulatory requirement. The Life Sharing Program Director Ryan Stumph will complete a self-assessment for each licensed facility. Ryan will then present the completed self-assessment to the Executive Director Nathaniel Haggerty for review and accuracy. A checklist form has been developed to use when reviewing self-assessments for accuracy. The Program Director and Executive Director will use and complete the form when reviewing and completing the self-assessments. 09/02/2022 Implemented
SIN-00096969 Renewal 06/28/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.151(f)The program specialist did not provide the assessment dated 2-21-16 for Individual #1 to the entire plan team member including the day program.The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development of the ISP, the annual update, and revision of the ISP under § §  2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).Community Living & Learning, Inc. has updated the signature page of the Assessment to include all team members and the date that the assessment was sent out to them. Community Living & Learning, Inc. is also working with the Support Coordinator to make sure the current list of plan team members is accurate. The assessment was sent to the Evergreen ATF on July 1, 2016. [Within 30 of receipt of the plan of correction, the CEO will review the responsibilities of the program specialist position with the program specialist(s) including 6500.43(d)(1)-(20) and 6500.151(f) and sign upon review. Within 60 days of receipt of the plan of correction, the program specialist(s) will review all individuals' ISPs, invitation letters and other records to ensure all plan team members are provided the assessment as required. Correspondence confirmation that the program specialist provided the assessments to all plan team shall be kept and a 25% sample of the correspondence shall be reviewed by the CEO at least quarterly for 1 year to ensure the program specialist provide individual assessments to all plan team members at least 30 days prior to an ISP meeting as required. Documentation of quarterly reviews shall be kept. (AS 9/8/16)] 07/20/2016 Implemented
SIN-00058624 Renewal 05/28/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.71The emergency phone numbers by the phones in the kitchen, family room and upstairs hallway of the home do not include the telephone number for the nearest hospital or poison control center. Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home.There were new labels printed by the agency for this home to put on every telephone that included all the emergency numbers including the number of the nearest hospital (Armstrong County Memorial Hospital). Additionally, if space is available, a small poster listing all the numbers including the hospital, can be posted on the wall near the phone or phone docking station. This will be checked periodically by the program director or program specialist during monitoring visits. See copy of poster, stickers and photo(s). [All telephones in all the family living homes will be checked for telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center during the monitoring visits. (AS 6/18/14)] 06/07/2014 Implemented
6500.79(d)The window closest to the door in Individual #1's bedroom does not have a drape, curtain, shade, blind or shutter.Bedroom windows shall have drapes, curtains, shades, blinds or shutters.One window in the individual¿s bedroom was not covered completely by the small valance curtain. The family living provider replaced the curtain with a longer curtain that covered the window and checked by the program director that this was done. This will be checked periodically by the program director or program specialist during monitoring visits. See photo. [All individual's bedrooms in the family living homes will be checked for drapes, curtains, shades, blinds or shutters during the monitoring visits. (AS 6/18/14)] 06/07/2014 Implemented
SIN-00247346 Renewal 07/01/2024 Compliant - Finalized
SIN-00227545 Renewal 07/11/2023 Compliant - Finalized
SIN-00191219 Renewal 08/11/2021 Compliant - Finalized
SIN-00176242 Renewal 09/15/2020 Compliant - Finalized
SIN-00154662 Renewal 05/01/2019 Compliant - Finalized
SIN-00116345 Renewal 06/22/2017 Compliant - Finalized
SIN-00052964 Initial review 10/18/2013 Compliant - Finalized