Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00101964 Renewal 10/12/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(a)Individual #1's two most recent physical examinations were completed on 8/05/15 and 8/22/16. (Repeat violation-10/8/15)Each individual shall have a physical examination within 12 months prior to admission and annually thereafter.The notice letter for physicals has been updated and will be sent via mail to the residential provider 2 months prior to the expirations of the physical. If the physical is not turned in by the due date, then the individual will be suspended until the physical is received. The mailing date will be updated when letters are sent and physicals are received on a spreadsheet that is shared/maintained by the Program Specialists and reviewed by the Program Director. The Program Specialists were trained on this process on 10/28/16. [Documentation of reviews of spreadsheet and physical examination documentation shall be kept. (AS 11/1/16)] 10/31/2016 Implemented
2380.111(c)(10)Individual #2's physical examination completed 4/4/16 did not include medical information pertinent to diagnosis and treatment in case of an emergency. This section was left blank. The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.Individual #2's physical was sent to his PCP for completion. All other physicals were reviewed and are being tracked on a spreadsheet that is shared by the Program Specialists and reviewed by the Program Director. The physical notice letter has been updated to indicate that all sections of the physical must be filled out in their entirety. All future consumer physicals that come into the program will initially be reviewed by the Program Supervisor. Regardless of completeness, a 2nd review will occur with the Program Director. This two-step process will assure that all sections of the physical are completed and that all dates are within the allowed range. Once this review occurs, the information will be collected via spreadsheet and the physical will be initialed by the Program Supervisor and Director. The Program Specialists were trained on this process on 10/28/16. [Individual#1's physical examination was updated on 10/28/16 to include medical information pertinent to diagnosis and treatment in case of an emergency. Documentation of spread sheet reviews and physical examination reviews shall be kept. (AS 11/1/16)] 10/31/2016 Implemented
SIN-00085557 Renewal 10/08/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(a)Individual #1's most recent physical examination was completed on 9/2/2015 and previous physical examination was completed on 8/13/2014.Each individual shall have a physical examination within 12 months prior to admission and annually thereafter.Two months prior to a physical due date, a letter will be mailed to the residence to alert them of the needed information. This letter will include reminders for needed content and the suspension date which is predicated on the physical due date. If the physical is not received with one month of the due date, the program specialist will alert the primary caregiver via phone call and the discussion will include suspension of services if the information is not received. In addition, the physical date will be shared with the primary caregivers at the annual ISP meeting. [Immediately, the PS will review all individuals' records to determine if other physical examinations are due or past due and proceed accordingly. PS will develop a tracking system of when Individuals' physical examinations are due to use to determine when to notify the individuals of upcoming due dates. CEO or designee will review a 25% sample of tracking, notifications and physical examinations least quarterly for 1 year to ensure timely completion of each. (AS 12/8/15)] 11/14/2015 Implemented
SIN-00141442 Renewal 09/13/2018 Compliant - Finalized
SIN-00122167 Renewal 10/12/2017 Compliant - Finalized
SIN-00065041 Renewal 09/23/2014 Compliant - Finalized
SIN-00061761 Renewal 08/15/2013 Compliant - Finalized