Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00218798 Renewal 02/07/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.110(c)Child 1 has not had annual fire safety training since 4/8/21.Family members and individuals, including children, shall be trained within 31 calendar days of an individual living in the home and retrained annually, in accordance with the training plan specified in subsection (a).Blank Fire safety plan form updated to include ALL family member including children, Parkridge home retrained, all other lifesharing homes checked and in compliance. No other homes have children in the home. Program Coordinator was retrained on the requirement and is responsible for correcting the violation. 02/07/2023 Implemented
6500.121(a)Individual 2's two most recent physicals were greater than one year apart, dated 4/22/22 and 3/30/21.An individual shall have a physical examination within 12 months prior to living in the home and annually thereafter.DE next physical is scheduled for 4/25/2023. 2024 physical will be scheduled at that appointment, or the earliest time allowed by the PCP office. LSP is responsible for scheduling the annual physical. Program coordinator was retrained on the requirement. 02/07/2023 Implemented
SIN-00199785 Renewal 02/08/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(b)Fire drills for this site occurred on 05/31/2021 and 12/16/2021, with an intervening time exceeding 6 months.A fire drill shall be held at least every 6 months if all individuals have the ability to evacuate as specified in subsection (a).Program Coordinator (PC) created Fire drill schedule for all Lifesharing homes to follow to ensure that a fire drill is held every 6 months. 02/24/2022 Implemented
6500.121(c)(7)Individual 1's most recent OB/GYN appointment occurred on 10/20/2020; there is no evidence of a more recent appointment within the Individual Record. Individual 1 was not seen by an OB/GYN annually as required. The physical examination shall include: A gynecological examination, including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations.LSP completed annual GYN appointment on 2/15/22. Next appointment scheduled for 2/21/2023. 02/15/2022 Implemented
6500.151(e)(14)Individual 1's Individual Assessment, dated 08/23/2021, does not contain information regarding the individual's ability to swim. Although the assessment does capture the increased level of supervision the individual requires around pools or bodies of water, it does not explicitly state whether this is due the individual lacking the ability to swim or due to other health or safety concerns related to the setting, e.g., a tripping hazard, mobility issue, seizure disorder, etc. Based purely upon the text of the Individual Assessment, it could not be reasonably determined whether Individual 1's increased supervision needs are related to the individual's level of swimming ability. The assessment must include the following information: The individual's knowledge of water safety and ability to swim.WATER SAFETY: ADDENDUM 2/24/22: It is unknown if individual #1 is able to swim and if she can it is unknown to what level. Individual #1 does not usually choose to go in and fully swim in pools and other bodies of water. Therefore, it is best that individual #1 is in line of sight when at the pool or other bodies of water with her providers/ other staff/or natural supports. If individual #1 chooses to go into the water past putting her toes in the water, her provider or other support will be in the water with her. 02/24/2022 Implemented
SIN-00182476 Renewal 01/07/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.20(e)The incident for individual#1 dated 11/27/2020 has not been finalized through the Department information management system within 30 days of discovery, no written request for an extension was submitted.The incident report, or a summary of the incident, the findings and the actions taken, redacted to exclude information about another individual and the reporter, unless the reporter is the individual who receives the report, shall be available to the individual and persons designated by the individual and persons designated by the individual, upon request.Quality Resources Coordinator is responsible. There is already process in place to request needed extensions as needed. The extension for this incident was requested with in the 30-days on 12/27/20. Screen shot (Attachment #1) and incident summary attached (Attachment#2). The information was submitted on 1/8/21. This incident was closed by the region on 1/11/21. 01/11/2021 Implemented
6500.135(b)The medication Triple Antibiotics Ointment listed on the MAR was not located in Individual#1's medication box at time of inspection.A prescription order shall be kept current.Program Manager/Program Coordinator is responsible. The lifesharing monthly visit form has been updated to include review of items in the first aid kit and review of all medications on site in the med box. All life sharing home were notified on 1/25/2021 and medications were reviewed at each site. Going forward at each monthly visit the new monthly visit form will be completed by the PM/PC. The new form was completed on 1/29/2021 (Attachment #3) 01/29/2021 Implemented
SIN-00128232 Renewal 01/23/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(h)THE FIRE DRILL RECORD DATED 03/30/2017 DID NOT INCLUDE INFORMATION THAT THE INDIVIDUALS MET AT THE DESIGNATED MEETING PLACE.Individuals shall evacuate to a designated meeting place outside the home during each fire drill.House Specific fire drills have been created for each Lifesharing home. The meeting location is pre-populated on the form. All LSP have been trained on the new fire drill form. Program Coordinator will review fire drill forms upon receiving to ensure the form are thoroughly filled out. 03/01/2018 Implemented
SIN-00259972 Renewal 02/05/2025 Compliant - Finalized
SIN-00240096 Renewal 02/07/2024 Compliant - Finalized
SIN-00155033 Renewal 04/17/2019 Compliant - Finalized
SIN-00109530 Renewal 01/09/2017 Compliant - Finalized