Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
SIN-00239884
|
Renewal
|
02/27/2024
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.67 | On 2/27/24 at 3:15PM, there was a puddle of soapy water surrounding the floor drain in the basement of the home; posing a slippind hazard. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The puddle of soapy water was cleaned and the basement floor was dried within 24 hours of discovery. A plumber was called to check and address the blockage causing the soapy water to back-up on 3/2/24. |
03/02/2024
| Implemented |
|
|
SIN-00220856
|
Renewal
|
03/09/2023
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.152(c) | Individual #1's individual support plan, last updated 8/17/2022, states he needs support to adjust water temperature. Individual #1's assessment completed 1/20/2023 assessed him as being independent and requiring no assistance with tempering water safely. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | LS Caregivers will be reminded via letter on 3/22/23 that documenation for all medical appointment must be signed by the medical professional. |
03/22/2023
| Implemented |
|
|
SIN-00171245
|
Renewal
|
02/21/2020
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.121(c)(9) | Individual #1 had a prostate examination completed 3/28/18 and then again 5/3/19. | The physical examination shall include: A prostate examination for men 40 years of age or older. | The Life Sharing Specialists were re-trained on the requirement that the annual physical exam must include a prostate exam for men 40 years of age or older on 3/2/2020 (see training record). The due date for this exam was added to the monthly Life Sharing Visit Record and the monthly Life Sharing Appointment Checklist. Life Sharing Specialists were re-trained on the use of these forms on 3/2/2020 as well. All Life Sharing Providers were reminded of this requirement in an update letter (sent 3/2/2020) and this requirement will be reviewed with them by the Life Sharing Specialist at their next monthly home visit. The Director of Community Living will review all client records on a quarterly schedule to ensure that all required examinations are scheduled and completed on time.[Documentation of the audits shall be kept. (DPOC by AES,HSLS on 3/6/20)] |
03/02/2020
| Implemented |
|
|
SIN-00091474
|
Unannounced Monitoring
|
03/18/2016
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.14 | The capacity specified on the certificate of compliance effective from 12/15/14 to 12/15/15 is 1 (one). Individual #1 was admitted into the home on 10/1/10. Individual #2 was admitted into the home on 10/1/15. The Self-inspection and Declaration Tool-Increase in Maximum Capacity, with a new maximum capacity of 2 (two) was submitted to the Department on 3/16/16. | The maximum capacity specified on the certificate of compliance may not be exceeded. | When opening a new site or increasing capacity, the Asst. Residential Director will complete the self-assessment and submit to the Compliance Specialist for review, independent from any scheduled on site licensing. The Compliance Specialist will submit the application via CLS and inform the IDD Director that the application and assessment have been sent to BHSL. Any moves with individuals will be contingent upon receiving an updated license, with the correct listed capacity. Copies of the self-assessment and updated license will be kept by the Compliance Specialist. Any additional licenses that are received for the Residential or Lifesharing programs will be reviewed for accuracy by both the Asst. Residential Director and Compliance Specialist upon receipt. Any inaccuracies will be immediately communicated to BHSL. [Immediately, the Assistant Residential director and/or Compliance Specialist will review the current certificate of compliance and census at each family living home to ensure maximum capacity for each home is not exceeded. Prior to the admission of an individual, the Compliance Specialist and Assistant Residential Director will review the current certificate of compliance to ensure maximum capacity is not exceeded. |
04/16/2016
| Implemented |
|
|
SIN-00075112
|
Renewal
|
02/23/2015
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.71 | The number for the nearest hospital and the poison control center were not posted on or near the telephone. | 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. | Emergency phone numbers were added to the telephone. Photo submitted. [The CEO or designee will check all community homes to ensure required telephone numbers are posted by each telephone. (AS 3/6/15)] |
03/08/2015
| Implemented |
|
|
SIN-00261517
|
Renewal
|
02/25/2025
|
Compliant - Finalized
|
|
SIN-00186176
|
Renewal
|
04/13/2021
|
Compliant - Finalized
|
|
SIN-00151187
|
Renewal
|
02/21/2019
|
Compliant - Finalized
|
|
SIN-00041292
|
Renewal
|
09/17/2012
|
Compliant - Finalized
|
|