Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00258784 Renewal 01/14/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency completed the self-assessment of this home on 1/8/2025 which was not completed during the 3 to 6 months prior to the expiration of the Certificate of Compliance or 6 to 9 months after the previous year's inspection. Additionally, the following sections of this self-assessment were left blank and not assessed for compliance: staffing, staff health, home services, day services/recreational and social activities, restrictive procedures, individual records, nine or more individuals, emergency placement, respite care, and semi-independent living.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, 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 agency is creating a schedule for each house to have a complete self-assessment within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance to measure and record compliance. 01/17/2025 Implemented
6400.112(a)For the calendar year 2024, there was no documentation provided that a fire drill was conducted during the months of March or May. An unannounced fire drill shall be held at least once a month. The fire drills will be checked by each house supervisor/specialist every week, ensuring that one fire drill has been ran according to the fire drill schedules. 01/17/2025 Implemented
SIN-00220401 Renewal 02/08/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(9)Individual #1 had a physical examination, dated 9/6/20222, where Prostate Specific Antigen (PSA) blood work was ordered; however, the results of the blood test were not provided for review. The most recent PSA blood work available was January 2022.The physical examination shall include: A prostate examination for men 40 years of age or older. The PSA bloodwork was completed for individual #1 on 2/10/2023 and the results will be emailed to the licensing supervisor for proof upon submission of this plan of correction. 04/04/2023 Implemented
SIN-00110356 Renewal 03/08/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(f)Program Specialist #1, date of hire 3-09-2016 was trained in fire safety on 6-20-2016.Program specialists and direct service workers shall be trained before working with individuals in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the home, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered. all new hires must be approved by Kristen Fuhrer, Compliance Officer, prior to starting. The compliance officer will assure that all regulatory requirements and trainings are completed before their start date. The compliance officer will sign the New Hire Checklist verifying that the person was approved for hire. [Immediately and at least quarterly for 1 year, a designated director shall review a 25% sample of new hire checklist and trainings for newly hired staff person to ensure all required trainings including fire safety are completed, timely. Documentation of all reviews shall be kept. (AS 4/21/17)] 04/01/2017 Implemented
SIN-00185632 Renewal 03/30/2021 Compliant - Finalized
SIN-00149894 Renewal 02/13/2019 Compliant - Finalized
SIN-00061485 Renewal 03/14/2014 Compliant - Finalized