Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00266629 Renewal 05/20/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.101On 5/21/25, at 11:10 AM, there was a doorknob with a turn locking mechanism on the door in the kitchen leading to the basement of the home with a pinhole locking mechanism on the basement side posing an obstructed egress when engaged, as there was no exit to the outside of the home in the basement.Stairways, halls, doorways and exits from rooms and from the home shall be unobstructed.The doorknob on the door leading to the basement was replaced with a non-locking doorknob on 5-21-25 prior to the exit conference. A picture of the new doorknob was provided to the Licensing Person. 06/06/2025 Implemented
6500.183On 5/21/25, at 11:00 AM, a copy of Individual #1's most recent Individual Support Plan was not kept in the family living home. [repeat violation 06/03/24 et al]Copies of the most current record information required in § 6500.182(c)(1)-(14) (relating to individual records) shall be kept in the family living home.Individual #1's most recently updated Individual Support was placed in the record in the home on 5-22-25. 06/06/2025 Implemented
6500.32(r)(1)On 5/21/25, at 10:40 AM, there was a doorknob with a turn locking mechanism and a pinhole lock on the door leading to Individual #1's bedroom. Individual #1 does not have a designated mechanism to lock and unlock the door independently. On 5/21/25, at 10:42 AM, there was a doorknob with a turn locking mechanism and a pinhole lock on the door leading to Individual #2's bedroom. Individual #2 does not have a designated mechanism to lock and unlock the door independentlyAn individual has the right to lock the individual's bedroom door. Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.The doorknobs on Individual #1 and #2's bedroom doors were replaced with a non-locking doorknob on 5-21-25 as both of the individuals had signed a declination to have a lock on their bedroom door. Pictures of the new doorknobs were provided to the licensing staff prior to the exit conference. 06/06/2025 Implemented
6500.45(a)Family Living Provider #1 was trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid and Heimlich techniques on 7/9/2022 and then again on 1/11/2025. Family Living Provider #1's was lapsed for approximately 5 months. [repeat violation 06/03/24 et al]The primary caregiver shall be trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid and Heimlich techniques prior to an individual living in the home and annually thereafter.Family Living Provider #1 is current with the CPR and First Aid training as of 1-11-25. The training tracker spreadsheet is up to date and shows that all Family Living Providers are current with the CPR and First Aid Training currently. 06/06/2025 Implemented
SIN-00228261 Renewal 06/27/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.68(b)On 6/28/2023, the water temperature at the bathtub in the bathroom on the main floor measured 141.4 degrees Fahrenheit at 11:44am.Hot water temperatures in bathtubs and showers that are accessible to individuals may not exceed 120°F.The hot water tank temperature setting was reduced by the Lifesharing Provider on 6-28-23. The temperature was rechecked on 6-29-23 and it was 112 degrees at the bathroom tub. 08/10/2023 Implemented
SIN-00176591 Renewal 09/15/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.136(b)Methylphenidate 36mg ER OSM tablet, take one tablet by mouth every day, prescribed to Individual #1 was not documented as administered on 9/17/20 at 8:00AM. Risperidone 4mg tablet, take one and a half tablets by mouth twice a day, prescribed to Individual #1 was not documented as administered on 9/16/20 at 8:00PM and on 9/17/20 at 8:00AM. Divaloprex Extended Release 500mg tablet, take three tablets by mouth every day, prescribed to Individual #1 was not documented as administered on 9/16/20 at 3:00PM and on 9/17/20 at 8:00AM. Divalproex Extended Release 250mg tablet, take one tablet by mouth every day, prescribed to Individual #1 was not documented as administered on 9/16/20 at 3:00PM. Benztropine 2mg tablet, take one tablet by mouth twice daily, prescribed to Individual #1 was not documented as administered on 9/16/20 at 3:00PM and 9/17/20 at 8:00AM. Propranolol 10mg tablet, take one tablet by mouth twice daily, prescribed to Individual #1 was not documented as administered on 9/16/20 at 8:00PM and on 9/17/20 at 8:00AM. Lorazepam 1mg tablet, take one tablet by mouth three times a day, prescribed to Individual #1 was not documented as administered on 9/16/20 at 3:00PM, on 9/16/20 at 8:00PM, and on 9/17/20 at 8:00AM. Fluoxetine 20mg capsule, take one capsule by mouth every day, prescribed to Individual #1 was not documented as administered on 9/17/20 at 8:00AM. Fluoxetine 10mg capsule, take one capsule by mouth every day, prescribed to Individual #1 was not documented as administered on 9/17/20 at 8:00AM. Methylphenidate 20mg tablet, take one tablet by mouth every day, prescribed to Individual #1 was not documented as administered on 9/16/20 at 3:00PM.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.The Lifesharing Provider had properly administered the medication and immediately documented the administration of the medications on the MAR on 9-17-20. The Lifesharing Program Specialists will complete a medication monitoring checklist at all homes to verify that all necessary information is on the medication record and that all medications that are being administered are initialed for on the MAR and that the MAR is accurate. The checklist will be completed monthly during all home visits effective immediately as evidenced by the completed checklist. All completed monitoring checklists will be submitted to the Lifesharing Coordinator on a monthly basis for review. The Lifesharing Provider was retrained on the PM Medication Records Policy on 10-6-20.as evidences by the training varication form. 10/06/2020 Implemented
SIN-00115095 Renewal 05/22/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.182(c)(1)(ii)The record for Individual #1 did not include identifying marks. Each individual's record must include the following information: Personal information, including: The race, height, weight, color of hair, color of eyes and identifying marks.All Lifesharing Program Specialists reviewed the Individual Information Sheets for completeness individual # 1's has been corrected to reflect identifying marks. The Lifesharing Program Specialists will review the individual information sheets as updated occur to ensue all areas are completed. The Lifesharing Coordinator will review all information sheets once every three months for one year to ensure all required areas are completed and there are no required areas left blank. The Lifesharing Coordinator reviewed regulations 182(c) through 182(c)(1)(vi), as reflected in policy 6.03 with all Lifesharing Specialists as evidenced by the attached signature page dated 6/7/2017 and by the corrected form.[Individual #1's record was update to include "distinguishing features." Documentation of reviews shall be kept. (AS 6/30/17)] 06/15/2017 Implemented
6500.182(c)(1)(iv)The record for Individual #1 did not include the religious affiliation.Each individual's record must include the following information: Personal information, including: The religious affiliation.The individual face sheet for individual #1 was corrected to reflect religious affiliation. The Lifesharing Program Specialists will review the individual information sheets immediately and as they are updated to ensure all areas are completed. The Lifesharing Coordinator reviewed regulations 182(c) through 182(c)(1)(vi), as reflected in Police 6.03 with all Lifesharing Specialists as evidenced by the attached signature page dated 6/7/2017 and the corrected form. All Individual Information Sheets have been corrected to reflect religious affiliation. The Lifesharing Coordinator will review all information sheets once every three months for one year to ensure all required areas are completed and there are no required areas left blank.[Individual #1's record was update to include religion. Documentation of reviews shall be kept. (AS 6/30/17)] 06/15/2017 Implemented
SIN-00281345 Renewal 01/13/2026 Compliant - Finalized
SIN-00191659 Renewal 08/18/2021 Compliant - Finalized
SIN-00095049 Renewal 05/04/2016 Compliant - Finalized
SIN-00079064 Renewal 05/05/2015 Compliant - Finalized
SIN-00047349 Renewal 01/09/2013 Compliant - Finalized