Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00228357 Renewal 07/06/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(g)Individual #1 is prescribed medications to treat symptoms of a diagnosed mental illness. Individual #1 had psychiatric medication reviews on 08/02/22, 11/15/22, 02/13/23, and 05/09/23; the aforementioned psychiatric medication reviews, the medication Amphetamine 20 mg ER did not have a reason for the medication indicated.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.House Managers will be retrained on psych medication review time frames and ensuring that all portions of the document are completed. Lakeshore is developing a new system utilizing Business Intelligence to track and monitor due dates 08/04/2023 Implemented
SIN-00209295 Renewal 07/28/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The furnace was inspected 11/22/2021 and then again 5/31/2022 but there is no documentation it was cleaned by a professional cleaning company.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. Maintenance staff will be re-certified to inspect and clean the furnace. The Certification will be kept on file. A form will be developed to document the date the Maintenance staff will clean furnaces and inspect the furnace. The furnace will be re-inspected and re-cleaned by October 1, 2022. 10/01/2022 Implemented
SIN-00247063 Renewal 06/25/2024 Compliant - Finalized