Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00266711 Renewal 05/20/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.65At 10:15 AM on 5/21/25, the mechanical exhaust fan in the full bathroom located off the kitchen on the home's main level was inoperable. This bathroom did not have an operable window for ventilation.Living areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.The mechanical exhaust fan in the full bathroom located off the kitchen on the home's main level will be replaced with an operable mechanical exhaust fan. 06/30/2025 Implemented
6500.66There is an interior door from the basement to a vestibule area enclosed with Bilco doors leading to the outside. This egress serves as the only exterior exit from the basement. The vestibule area, measuring approximately three feet by six feet, has eight steps leading to the Bilco doors. At 10:19 AM on 5/21/25, this vestibule did not have a lighting fixture or any type of lighting source to adequately illuminate the area.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes, that are used by individuals shall be lighted to assure safety and to avoid accidents.A lighting fixture will be installed in the interior door from the basement to a vestibule area enclosed with Bilco doors leading to the outside. The lighting fixture will be a lighting source that adequately illuminates the area. 06/30/2025 Implemented
6500.73There is an interior door from the basement to a vestibule area enclosed with Bilco doors leading to the outside. This egress serves as the only exterior exit from the basement. The vestibule area, measuring approximately three feet by six feet, has eight steps leading to the Bilco doors. At 10:19 AM on 5/21/25, these steps did not have a handrail.An interior stairway exceeding two steps that is accessible to individuals, ramp and outside steps exceeding two steps, shall have a well-secured handrail.The interior door from the basement to a vestibule area enclosed with Bilco doors leading to the outside will have a well-secured handrail installed due to the egress serving as the only exterior exit from the basement. 06/30/2025 Implemented
SIN-00209810 Renewal 08/02/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(8)Individual #1, date of admission 1/02/2013, had a mammogram completed on 5/02/2019 and then again 3/14/2022. Individual #1 is over 50 years of age. The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older.As of 8/31/2022 UCIP has designed a monitoring tool to be brought to all 6500 monthly monitorings. This monitoring tool will allow the Program Specialist to review all annual appointments including the mammogram appointment for Individual #1. The tool will review the last appointment and the next scheduled appointment with the Program Specialist and the Life Sharing Caregiver monthly to ensure all required appointment deadlines are being maintained. This tool will also require acknowledgement that if the appointment is unable to kept or met that supporting documentation has been gathered to show a valid reason as to why the appointment was unable to be kept. [Medical Review Monitoring form template that includes mammogram examinations received on 9/2/2022 and reviewed on 9/2/22. This form is blank. DPOC by HDKP, HSLS, on 9/29/22]. 08/31/2022 Implemented
SIN-00093416 Renewal 04/19/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.151(a)The two most recent assessments for Individual #1 were completed on 11/1/14 and 12/9/15.Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the family living home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the family living home.Program Specialist will incorporate the assessment date on to an Program Chart to make sure all dates are met within the correct time frame. This chart will have the program requirements for 3 years tracked. This chart will be updated and turned into the Manager at the end of each month for there review and corrections if needed. [At least quarterly, the Director will review the aforementioned program chart and a 25% sample of assessments to ensure timely completion of assessments. Documentation of reviews of the aforementioned Program Chart shall be kept. (AS 6/1/16)] 05/15/2016 Implemented
SIN-00246311 Renewal 06/11/2024 Compliant - Finalized
SIN-00227616 Renewal 07/12/2023 Compliant - Finalized
SIN-00176690 Renewal 09/22/2020 Compliant - Finalized
SIN-00153747 Renewal 04/10/2019 Compliant - Finalized