Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00276626 Renewal 10/29/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The fire drills conducted on 12/17/2024, 1/13/2025, 2/7/2025, 3/16/2025, 4/15/2025, 5/22/2025, 6/17/2025, 7/21/2025, 8/15/2025, and 9/21/2025 did not include problems encountered. The agency's form to record fire drills did not include a space for staff to document problems encountered during fire drills.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. The Fire Drill Template form was updated by the chief operating officer on 11/10/25 to include a blank section for DSPs to describe any problems encountered that are not captured by the questions on the previous version of the document. 11/10/2025 Implemented
SIN-00200733 Renewal 02/23/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(a)(11)Individual #1's February 2022 medication administration record did not include: diagnosis or purpose for Metformin HCL 500mg tablet.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.The purpose for each medication missing a diagnosis was written onto the MAR immediately upon discovery of the violation on February 24, 2022. In addition, the program coordinators reviewed each MAR for all individuals to check for completion of required information and any updates were submitted via email to our pharmacy. 03/07/2022 Implemented
SIN-00073965 Renewal 01/28/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(f)The main bathroom in the hall did not have individual clean paper or cloth towels. Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. All Program Coordinators were trained by Jennifer Mannerino, Project Director that all bathrooms are required to have paper towels in the bathroom at all times. Picture to follow [Paper towels have been placed in the bathroom. (CHG 2/20/15)] 02/17/2015 Implemented
SIN-00236089 Renewal 12/12/2023 Compliant - Finalized
SIN-00184880 Renewal 03/16/2021 Compliant - Finalized
SIN-00130272 Renewal 02/22/2018 Compliant - Finalized