Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00248108 Renewal 07/22/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.185(5)Individual #1 did not have a mirror in their bedroom. Staff provided information that Individual is unsafe with a mirror in their room, however the current ISP dated 6/14/2024 does not include the lack of mirror for the Individual's safety.The individual plan, including revisions, must include the following: Risks to the individual's health, safety or well-being, behaviors likely to result in immediate physical harm to the individual or others and risk mitigation strategies, if applicable.On 7/25/2024, Individual #1s ISP was updated indicating a mirror is not in her bedroom for safety concerns as mirrors are made with glass. Program Specialists will review 100% off all individuals bedroom to ensure it contains a mirror. If no mirror is in the bedroom, Program Specialist will review the ISP to ensure there is a reason documented why the bedroom does not include a mirror. Any inconsistencies identified will be reviewed with the individual's team and either revise the ISP to include a reason why the bedroom does not include a mirror or install a mirror in the bedroom. Documentation will be maintained and available for on-site review. 09/30/2024 Implemented
SIN-00172413 Unannounced Monitoring 03/10/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.32(r)The individual was not offered the ability to have her door locked with a locking mechanism.An individual has the right to lock the individual's bedroom door.Hope will discuss if the individuals want a lock on their bedroom door. If they do then it will be installed with their input. Hope will review the Individuals in their care to make sure this has been address agency wide. 04/10/2020 Implemented
SIN-00168063 Unannounced Monitoring 12/06/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66The outside light fixture on the back-patio exit did not have a working light.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Hope will provide corrective action immediately by adding an light to the back patio exit. Then they will review all homes to determine that they are in compliance agency wide. The home supervisor will review this regulation and sign off on home check list monthly. Senior management will review on a quarterly basis to assure compliance. All staff working in homes within the agency will be trained on this regulation. 12/30/2019 Implemented
SIN-00189051 Unannounced Monitoring 06/16/2021 Compliant - Finalized
SIN-00186247 Unannounced Monitoring 04/13/2021 Compliant - Finalized
SIN-00180554 Unannounced Monitoring 11/24/2020 Compliant - Finalized
SIN-00177530 Unannounced Monitoring 10/08/2020 Compliant - Finalized
SIN-00173249 Unannounced Monitoring 06/03/2020 Compliant - Finalized
SIN-00157125 Unannounced Monitoring 06/06/2019 Compliant - Finalized