Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00263889 Renewal 04/21/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(h)The fire drills completed on 10/30/24 and 11/19/24 do not indicate if all participants arrived safely to the designated meeting place or not. Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill.A fire drill will be completed no later than 5/31/2025 with the Director of Quality Assurance to ensure everyone in the home is able to arrival safely at the meeting place. A completed Fire Drill form for May 2025 will be sent as Attachment #34. The Residential Program Specialist and Residential Coordinator will be trained on Regulation 6400.112(h) no later than 5/31/2025 by the Director of Quality Assurance and will be sent as Attachment #35. 05/31/2025 Implemented
6400.141(c)(4)Individual #1 had a vision exam on 3/6/24 and not again until 4/8/25. Both the 2024 and 2025 physical recommended annual vision exams.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. The Residential Program Specialist and Residential Coordinator will be trained on Regulation 6400.141(c)(4) by the Director of Quality Assurance no later than 5/31/2025 and will be sent as Attachment #37. 05/31/2025 Implemented
6400.181(e)(9)The 6/30/24 annual assessment for individual #1 only provides a list of diagnoses in this section and does not fully explain the functional and medical limits related to the individual's disability or these diagnoses.The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. The Residential Program specialist only listed the diagnosis instead of addressing any medical or functional limitations. The Residential Program Specialist wrote an addendum to the Assessment for Individual #1 to include the medical and functional limitations on 4/28/2025, see Attachment #40. 05/31/2025 Implemented
6400.181(e)(11)The 6/30/24 annual assessment does not include information regarding a psychological and if it is applicable or not.The assessment must include the following information: Psychological evaluations, if applicable. The Residential Program Specialist wrote an addendum to the Assessment for Individual #1 to include information related to the psychological evaluation on 4/28/2025, see Attachment #40. 05/31/2025 Implemented
6400.213(1)(i)213 (1)(vi) The photograph in the record for individual #1 is not current as it was last updated 7/3/23.213 (1)(vi) Each individual's record must include the following information: A current, dated photograph.A current picture of individual #1 was taken on 4/29/2025 and placed in the file, see Attachment #43. 05/31/2025 Implemented
SIN-00223247 Renewal 05/01/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103(Repeat from Inspection completed 5/3/22) The written evacuation procedure developed did not identify the means of transportation or emergency shelter that would be used in the event of an emergency evacuation.There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. The Program Specialist misunderstood the regulation. New Evacuation procedures were written to include all required information. Individuals and staff of the home were trained on the evacuation procedures as of 5/17/2023. Attachment #38. 05/17/2023 Implemented
6400.104The letter sent to the fire department did not clearly identify the number of individuals residing in the home or clearly mark where their bedrooms were located on the floor plan.The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. Program Specialist error. The letter for this home was updated to include all correct information and sent to the local fire department on 5/3/2023. Attachment #39. 05/17/2023 Implemented