Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00231795 Unannounced Monitoring 08/09/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.64(b)The home shows evidence of infestation or rodents in the home. There is excessive rodent droppings covering the entirety of the attic floor.There may not be evidence of infestation of insects or rodents in the home.The attic has been cleaned. 10/30/2023 Implemented
6500.74The ramp coming out of the door on the left side of the home does not slip surface. The ramp is sloped and made of wood. The ramp was wet during the inspection causing it to be slippery.Interior stairs and outside steps that are accessible to individuals shall have a nonskid surface.LIfesharing specialist assisted the provider in writing a letter to her landlord to request the ramp be replaced or fixed. There are 3 other exits from the residence and this is not their main exit/entrance. 11/30/2023 Implemented
6500.101The door off of the left side of the home is obstructed. There is a washing machine hose run through a dog door at the bottom of the door. The door is difficult to open with the hose running through. The ramp outside of the door is blocked by sticks and shrubs.Stairways, halls, doorways and exits from rooms and from the home shall be unobstructed.Lifesharing specialist assisted the provider in writing a letter to her landlord to request the washers drain be moved. There are 3 other exits/entrances in the home. This door could be used in an emergency as the hose is flexible tubing and easy to remove. 11/30/2023 Implemented
6500.136(b)All of Individual #1's medications for 5Pm and 8PM on 8/10/23 and 8AM, 5Pm and 8Pm on 8/11/23 were pre-initialed with the life sharing provider's initials. Individual #1's Divalproex Sod was not documented at the time of administration on 8/9 at 8am and 8PM and 8/10/23 at 8am. and Latuda were not initialed at the time of administration on 8/8/23 and 8/9/23 at 5:30PM and 8/9/23 and 8/10/23 at 8AM.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.At the time of inspection this provider was new (less than 1 month) and had taken the individual on a camping trip. The provider was retrained on how to complete MARs. 08/31/2023 Implemented