Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00221158 Renewal 02/22/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.63(a)At 11:07AM on 2/23/2023, the hot water temperature measured 126.2°F at the sink in the kitchen of the home. At 11:13AM on 2/23/2023, the hot water temperature measured 125.9°F at the sink in the half bathroom near the front door of the home.Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. "In 2016 Lifesteps Buildings and Grounds installed water valve mixers in all homes to regulate water temperature. Community Homes Director submitted Work order, #45979 on 03/27/2023 to replace water valve mixer. Buildings and Grounds will replace water valve mixer on the home's hot water tank by 04/30/2023." 04/30/2023 Implemented
6400.66There was not a source of outside light of the second floor exit from the staff office.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. "02/24/2023, Director submitted, Work order, #45294, for exterior light to be installed at back exit. Chief Administrative Officer submitted email request to property management. 03/29/2023, Landlord installed an outside light source." 03/29/2023 Implemented
6400.106The annual furnace inspection, completed on 11/25/2022, does not indicate if the furnace was cleaned.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. By 03/31/2023, Vice President of Special Projects and Facilities will update documentation to reflect cleaning occurs concurrently with the documented inspection. 03/31/2023 Implemented
SIN-00150404 Renewal 02/12/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.186(b)The program specialist did not sign Individual #1's ISP review for review period from 4/8/18 to 7/7/18.The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. Program Specialist will be retrained on Regulation 6400.186 by March 31, 2019. In addition, upon completion of the ISP review, including signatures, Program Specialist will scan a copy of the review to a centralized location on the network.Supervisor, Program Specialists or designee will audit ISP reviews monthly to ensure Program Specialist and individual have signed and dated the ISP review. Program Specialists were trained on the auditing procedure March 4, 2019. 03/31/2019 Implemented
6400.186(d)The program specialist did not provide the ISP review for the review period from 4/8/18 to 7/7/18 to plan team members.The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting. Program Specialist will be retrained on Regulation 6400.186 by March 31, 2019.In addition, upon completion of the ISP review, including signatures, Program Specialist will scan a copy of the review to a centralized location on the network.Supervisor, Program Specialists or designee will audit ISP reviews monthly to ensure Program Specialist provided documentation to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting.Program Specialists were trained on the auditing procedure March 4, 2019. 03/31/2019 Implemented
SIN-00091383 Renewal 03/09/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71The telephone numbers for the nearest ambulance was not on or by the telephones in the office, the kitchen, and the living room areas. Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. Corrected on date of inspection. Supervisors will be retrained on Regulation 6400.71 by April 30, 2016. [Immediately and at least quarterly, the directors will complete an on site check of each community homes to ensure the required telephone numbers are on or by each telephone. Documentation of on site checks of required telephone numbers at each telephone with an outside line shall be kept.(AS 4/25/16)] 04/08/2016 Implemented
SIN-00170847 Renewal 02/11/2020 Compliant - Finalized
SIN-00083205 Initial review 09/01/2015 Compliant - Finalized