Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00239592 Renewal 02/13/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.144Individual #1 had symptoms of a cough starting on 01/10/24, and received PRN medications of Ibuprofen on 1/13, 1/14, 1/15, 1/16, and 1/17, and Sudogest (Pseudoephedrine) on 01/12, 01/13, 01/14, 01/15, and 01/17, but was not reported to nursing as per company policy, resulted in individual being admitted to hospital, where individual subsequently ceased to breathe on 02/05/24.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. Current policy requires the Agency Nurse to be contacted when an individual requires the use of a PRN medication for symptoms of illness. The site manager, who was aware of and neglected to report symptoms and use of PRN medications to the agency nurse on multiple consecutive days, was terminated. All medical policies, procedures, and training materials are currently under review and revision by agency nurses, a newly appointed Medical Director, and a newly appointed Clinical Director. Draft policy revisions include the use of Station MD as an additional medical resource and will make clear the responsibility of all staff providing care to notify the nurse and/or Station MD to initiate medical assessment and treatment when needed, and to also use Agency Incident Reports to report health issues of concern. All policies will be finalized, and all residential service employees of Arc Human Services will be trained on revised policies by 5/31/24. 05/31/2024 Implemented
SIN-00150947 Renewal 02/27/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(f)The monthly fire drills held from 3-8-18 to 2-7-19 used the same exit route. The home has more than one exit.Alternate exit routes shall be used during fire drills. Program Managers and Program Specialist were retrained on the fire drill process. All fire drills will be complete by the 15th of the month. The exists will be alternated and the evacuation time will be under 21/2 minutes to ensure compliance. If the drill is not accurate another drill will be completed by the end of the month to remain in compliance. [NOT ACCEPTABLE, fire drill cannot be scheduled for specific days of the month, all fire drills are required to be unannounced. Immediately, the CEO or Designee shall develop a reporting procedure to follow if problems are encountered including when fire drills are not conducted as required. Evaluation of problems encountered shall be conducted and addressed by management staff persons within 1 week of the fire drill. Within 60 days of receipt of the plan of correction, the CEO or Designee shall educate all staff persons responsible for conducting, auditing and evaluating fire drills of the requirements of fire drills as per 6400.112(a)-(I) and the procedures to report fire drill when problems are encountered. Documentation of trainings shall be kept. At least quarterly, a designated management staff person shall audit a 25% sample of all fire drill records to ensure fire drills are held and documented and reported as required. Documentation of the audits shall be kept. (DPOC by AES,HSLS on 4/4/19)] 03/18/2019 Implemented
SIN-00201567 Renewal 03/08/2022 Compliant - Finalized
SIN-00089330 Renewal 02/03/2016 Compliant - Finalized