Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00269983 Renewal 07/11/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)At the time of the inspection, one of the window screens was lying in the yard.Windows, including windows in doors, shall be securely screened when windows or doors are open. On 7/23/2025, the Facilities Department replaced the screen to the window that had blown out from a recent thunderstorm. Residential Home Coordinators and/or Support & Services Managers will verify that all licensed homes have a screen in place when windows or doors are open. If any windows or doors are identified as missing screens, the Facilities Department will be immediately notified to have a screen installed. Quality Management Department will retrain Residential Home Coordinators and Support & Services Managers on Regulation 6400.72(a) to ensure screens are in place when windows or doors are open. Quality Management Department will review the expectations with Home Coordinators and Support & Services Managers that the homes exterior area will be inspected after significant weather conditions have occurred to ensure any damages are repaired timely. 08/15/2025 Implemented
SIN-00071782 Renewal 11/03/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(d)(1)The financial ledge for Individual #1 was off by ten cents. The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. Individual #1's money was counted and balanced and the monthly ledger was adjusted to add .10 cents to the balance on 11/06/2014, Attachment #5. A review of all individuals' finances were completed on 11/10/2014 by management staff. Discrepancies were noted and corrected, Attachment #6. Habilitation Managers met with management staff to review Hope Financial Policy and Practices for accurate accounting of individuals' finances on 11/10/2014, Attachment #7. In conjunction with the LCN Directed Corrective Action Plan to assure continued compliance, Directors will monitor financial records weekly. Directors will complete a review checklist and submit it to the Residential Coordinator monthly. This process will occur in all Residential Homes in the LCN Region. 11/10/2014 Implemented
6400.195(a)Individual #1 uses an Abdominal Binder per doctor's order. It is used to restrict him from putting his hands down his pants to keep him from eating and/or smearing feces. There is no restrictive plan in place and the restrictive devise is being used. For each individual for whom restrictive procedures may be used, a restrictive procedure plan shall be written prior to use of restrictive procedures. Effective 11/5/2014 the abdominal binder was discontinued from use for Individual #1. An ABC Chart was implemented to determine frequency of behavior on 11/6/2014,Attachment #1. SEEN Plan was developed on 11/24/2014 based on the ABC Chart documentation, Attachment #2. CMSU Region staff will review restrictive procedures by 1/31/15. A review of all individuals' using binders was completed by Residential Directors on 12/17/2014 to ensure the binder is not being used as a restrictive device, Attachment #3. 02/28/2015 Implemented
SIN-00228389 Renewal 08/01/2023 Compliant - Finalized
SIN-00210309 Renewal 09/14/2022 Compliant - Finalized
SIN-00176560 Renewal 09/29/2020 Compliant - Finalized
SIN-00157501 Renewal 07/30/2019 Compliant - Finalized
SIN-00111389 Renewal 06/26/2017 Compliant - Finalized