Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00274931 Renewal 10/02/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65On 10/02/2025 at approximately 1:39pm, there was no form of ventilation, either by at least one operable window or by mechanical ventilation, in the basement level bathroom.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. On 10/8/25, Maintenance installed overhead exhaust fan in the corner ceiling of the basement bathroom and ensured that all other basement bathrooms in all homes meet compliance. 10/08/2025 Implemented
6400.72(a)On 10/02/2025 at approximately 1:49pm, Individual #1's bedroom was observed with one operable window which did not have a secure screen.Windows, including windows in doors, shall be securely screened when windows or doors are open. Window screen was placed back in on 10/6/25. It has been removed due to a window a/c unit. 10/06/2025 Implemented
6400.81(k)(6)On 10/02/2025 at approximately 1:51pm, Individual #2's bedroom did not contain a mirror.In bedrooms, each individual shall have the following: A mirror. On 10/8/25 A wall mirror was purchased and installed by maintenance on the bedroom wall for individual #2 10/08/2025 Implemented
6400.101On 10/02/2025 at approximately 1:33pm, there were two doors observed in the home that lead to the attached garage; one located in the kitchen and the other located in the living room. These two doors were the only means of egress from the attached garage. Both doors leading to the attached garage had key-turn locks on the kitchen-side and living room-side of the doors, causing a blocked egress from the garage.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. On 10/7/25, all door knobs were changed to non-locking door knobs. Maintenance also checked all garages in all homes to ensure there were no blocked egress due to key turn knobs. 10/07/2025 Implemented
SIN-00233505 Renewal 10/03/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.207(5)(III)On 10/04/2023 at approximately 12:45 PM, Individual #1's bed contained bedrails that restricted the movement or function of Individual #1's body. These bedrails were not prescribed by a health care practitioner.A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement.Bed rails removed 10/4/23. Order for hospital bed, no order for side rails. 10/04/2023 Implemented
SIN-00080962 Unannounced Monitoring 04/30/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(k)(2)Individual #2's mattress was directly on the bedroom floor.In bedrooms, each individual shall have the following: A clean, comfortable mattress and solid foundation. dFs Maintenance department constructed a frame so that a foundation (box spring) fits down into the frame yet keeps the box spring from setting directly on the floor. The mattress sets on the box springs. The individual has had success with this set up. 5/1/15 Pictures of the new set up have been e-mailed. 05/01/2015 Implemented
SIN-00213604 Renewal 10/18/2022 Compliant - Finalized
SIN-00196764 Renewal 11/30/2021 Compliant - Finalized
SIN-00141821 Renewal 09/12/2018 Compliant - Finalized
SIN-00085635 Renewal 09/18/2015 Compliant - Finalized