Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00252733 Renewal 10/15/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(b)At the time of the 10/15/24 inspection, the second-floor exterior screen door is dry rotted. At the time of the 10/15/24 inspection, the exterior of the office door jamb is damaged and worn. Screens, windows and doors shall be in good repair. The second-floor exterior screen door was replaced, cleaned and repaired on 11/1/24. Please see photographs in supporting documentation folder titled 2nd floor. The exterior door of the office door jamb was repaired/replaced on 11/15/24. Please see the photograph of the repairs in the supporting documents folder titled PTW office door. 12/20/2024 Implemented
6400.112(f)The front door was used as an exit for every fire drill conducted from October 2023 through September 2024.Alternate exit routes shall be used during fire drills. A fire drill was completed on 11/15/24 in which a door other than the front door was used. A copy of a completed fire drill using another exit is included in the supporting documentation folder titled PTW fire drill. 12/20/2024 Implemented
SIN-00164800 Renewal 01/27/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency's, Department-issued, licensing certificate expired on 5/13/19. The agency completed a self-assessment of the home on 3/15/19. The 3/15/19 self-assessment was not completed within 3-6 months prior to the 5/13/19 license expiration, which is out of compliance.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. A self assessment for this home was completed by 1/14/20, which is within the 3-6 months prior to license expiration of 5/13/20. Directors, PDs, Managers and Specialists will schedule events and alerts in Google Calendars by 5/15/2020 to indicate the start and completion dates for the annual self-assessments, which will be completed 3-6 months prior to the license date of 5/13. The start date will be 11/13/2020 and the completion date will be 2/12/2021. Each event will be set to repeat annually. 05/15/2020 Implemented
SIN-00114715 Unannounced Monitoring 05/11/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(a)Staff working in the home were not trained trained on the Emergency and/or Temporary Relocation Plan for the home nor did they know where the relocation site was for the home.The home shall provide orientation for staff persons relevant to their responsibilities, the daily operation of the home and policies and procedures of the home before working with individuals or in their appointed positions. Staff working in the home will be trained on the Emergency and/or Temporary Relocation Plan. New staff receive this training as part of their orientation prior to working with individuals. All current staff will be retrained by 7/14/17 to ensure their knowledge of the Emergency Relocation Plan for the home. The training will be provided by the Program Specialist/Assistant Program Director or House Supervisor. This training will include the centralized location for the Emergency Relocation Plan. The specific plan for the home in reference to the individuals will also be reviewed with each staff. (Attachment #1). 07/14/2017 Implemented
6400.67(a)There was approximately an 8 inch hole in the kitchen floor underneath the kitchen table. Floors, walls, ceilings and other surfaces shall be in good repair. Floors, walls, ceilings and other surfaces shall be in good repair. An estimate was obtained on 6/5/17 for the kitchen floor to be replaced. The work will be completed by 6/30/17. 06/30/2017 Implemented
6400.76(a)There was approximately a golf ball sized piece of lint in the dryer. Furniture and equipment shall be nonhazardous, clean and sturdy. Furniture and equipment shall be nonhazardous, clean and sturdy. The lint has been removed from the dryer as of 5/30/17. (Attachment #2, Pg. 1 of 2). The Program Specialist has placed a sign on the door of the dryer on 5/30/17 to remind staff to remove lint from the dryer after every use. (Attachment #2, Pg. 2 of 2). 05/30/2017 Implemented
SIN-00079268 Renewal 04/27/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103The written emergency evacuation procedure plan did not include individual and staff responsibilities in the event of an emergency.There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. The written evacuation procedure plan will include individual and staff responsibilities, means of transportation and an emergency shelter location. The emergency evacuation procedure plan has been revised to include individual and staff responsibilities in the event of an emergency. (Attachment #1). In addition, a standard format will be developed and implemented across all IDD residential programs. All Program Specialists will be retrained in Reg. 6400.103 to ensure that the written evacuation procedure plan includes individual and staff responsibilities. 08/31/2015 Implemented
SIN-00278320 Renewal 12/01/2025 Compliant - Finalized
SIN-00275507 Unannounced Monitoring 10/07/2025 Compliant - Finalized
SIN-00252519 Renewal 09/30/2024 Compliant - Finalized
SIN-00252611 Renewal 09/30/2024 Compliant - Finalized
SIN-00217372 Renewal 01/06/2023 Compliant - Finalized
SIN-00199496 Renewal 02/07/2022 Compliant - Finalized
SIN-00200091 Renewal 02/07/2022 Compliant - Finalized
SIN-00182677 Renewal 02/01/2021 Compliant - Finalized
SIN-00118899 Renewal 09/18/2017 Compliant - Finalized