Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00212204 Renewal 09/06/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.73(a)There were three steps in the back of the home leading to the kitchen that did not have a handrail. The handrail leading to the basement was coming off of the wall at the bottom of the steps. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. Work order to add railing to the stairs entering rear entry was placed and completed. See Attachment #14 Work order to secure the railing leading from the basement area was placed. See Attachment #15 10/14/2022 Implemented
6400.101There was a mop located on the outside of the home by the kitchen door blocking the door from opening.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. This citation was corrected immediately during the licensing walkthrough and the mop bucket and broom were relocated to the storing area. 10/14/2022 Implemented
SIN-00126642 Renewal 10/30/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.144The medication Vitamin D 2000 Unit Softgels was prescribed for Individual #1 to be administered once daily at 7:00 AM but was not available in the home for administration on October 5 and October 6, 2017.Health 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 providing pharmacy did not provide the medication due to an insurance issue. A meeting was held in February 2018 with the pharmacy and they have been informed that all medications should be sent prior to medications running out regardless of insurance issues, and that Melmark will be able to work out those issues with them. 03/16/2018 Implemented
6400.181(e)(13)(viii)The current annual assessment completed on 4/24/17 for Individual #1 does not document progress and growth in the area of motor and communication.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Managing personal property. Individual #1's assessment has been updated to reflect this. See Appendix C_C 03/16/2018 Implemented
6400.186(a)The 3-month review of the ISP covering the period 3/30/2017 to 6/30/2017 for Individual #1 was not in the record.The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. The quarterly for this reporting period was completed and added to the record. See Appendix B-C 03/16/2018 Implemented