Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00259083 Renewal 01/13/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(b)The window in the first-floor bathroom would open, however it would not stay up and slams back down. Screens, windows and doors shall be in good repair. The window was repaired, attachment. 02/12/2025 Implemented
6400.141(c)(15)There was no mention of dietary needs on the annual physical dated 11/8/24 for Ind. #20.The physical examination shall include:Special instructions for the individual's diet. Individual #20 is scheduled for his annual physical examination on 3/5/25. 02/12/2025 Implemented
6400.144Individual #20 is prescribed Albuterol AER HFA Inhaler to be taken every 4 hours as needed. This Medication was not present in the homeHealth services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. The pharmacy was called, by the nurse charge and the medication was prioritized for same day delivery. 01/16/2025 Implemented
6400.163(h)Individual #20 is prescribed Ibuprofen Tab 400mg to be taken 1 tablet by mouth three times a day for 4 days. This medication is no longer an active medication; however, it was still present in his medication box.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.Ibuprofen was removed from cart and discarded. 01/15/2025 Implemented
SIN-00219068 Renewal 01/23/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The vanity in the first-floor bathroom had damaged laminate and the cabinet doors did not close properly. The kitchen cabinets in the kitchen were stained with food residue and were not all able to be closed straight. The second-floor window at the beginning of the hallway was not able to be completely closed.Floors, walls, ceilings and other surfaces shall be in good repair. Last year we implemented a plan to address the environmental citations. As a result of this plan, we had about a 35% decrease in physical plant citations. We will continue with the same plan as indicated below. Three times per year an unannounced walk through/inspection will be conducted in all licensed homes by a Residential Director and/or Assistant Vice President of Residential Program. A plan of correction along with a compliance score sheet will be issued to the building manager who will have 30 days to respond and correct all areas that are not in compliance with regulatory standards. The scores will be used to develop a performance improvement plan for the assigned Residential Manager. Residential Directors will not complete unannounced inspection in their assigned programs. 03/16/2023 Implemented
6400.165(c)Individual 1's vitamin D3 daily supplement was not administered on January 9, 2023, the record indicated it was unavailable to administer.A prescription medication shall be administered as prescribed.Residential staff will complete cart checks weekly. Residential supervisors will do random cart checks weekly in all homes DSP's administer medications. Nurse will review cart checks monthly. 03/31/2023 Implemented
SIN-00199988 Renewal 01/31/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(e)The second floor shower did not contain a non-slip mat. Bathtubs and showers shall have a nonslip surface or mat. Non-slip mat replaced. All Residential Directors and Residential Managers will be trained in the new procedure in March of 2022 and implementation will begin in April of 2022 02/04/2022 Implemented
SIN-00091135 Renewal 10/26/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The bedroom of individual #1 has pieces of mirror on the wall left over from a long mirror previously broken. The first floor bathroom at the back of the building has a towel dispenser with its' front cover missing.Floors, walls, ceilings and other surfaces shall be in good repair. The mirror in bedroom of individual #1 was replaced. See attachment of work order. A new paper towel dispenser in the first floor bathroom at the back of the building was order on 12/2/15 and replaced as of 12/10/15. See attachment of work order. Management staff completes an environmental walk thru of the home minimally once per month. Any noted repairs will be submitted to the appropriate department. If repairs cannot be completed, appropriate action will be taken to replace the item. If at any time a staff member observes any environmental issues, he/she are suppose to report it to management staff to be corrected. 12/10/2015 Implemented
6400.71No emergency numbers were posted in the home by the telephones.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 with an outside line. The program specialist will ensure that all emergency telephone numbers are posted by conducting a monthly walk through of all the homes. 01/05/2017 Implemented
SIN-00156324 Renewal 04/29/2019 Compliant - Finalized
SIN-00135814 Renewal 02/12/2018 Compliant - Finalized
SIN-00063885 Renewal 07/28/2014 Compliant - Finalized