Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00222855 Renewal 04/11/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)There is a door in basement which had broken and fallen off of the hinges.Floors, walls, ceilings and other surfaces shall be in good repair. On 4/14/23 the basement door was repaired by maintenance staff. Training with house staff will be completed by the Program Specialist and will address the process for reporting maintenance issues by email to the facility manager. This training will be completed by 5/8/23. 05/08/2023 Implemented
SIN-00158965 Renewal 07/18/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(b)The Property was under construction (major renovations). There was obstruction with other hazards. The agency failed to report the closing of the home. At the time of inspection the home was not accessible for individuals. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.On 7/24/19 the Program Director met with Residential Associate Directors regarding the process to be followed to report facility closures through the Enterprise Incident Management (EIM) System. The Program Director has created a work instruction outlining the process for utilizing the Enterprise Incident Management (EIM) System to report facility closures, including those that are planned maintenance events if such events cause the individuals to be relocated for the scope of the work. This Work Instruction is effective 11/19/19. The Residential Associate Directors will conduct training for all Program Specialist level staff on this work instruction. Training will be completed by 11/26/19 and copies of training documentation will be kept in staff files. 11/26/2019 Implemented
SIN-00112388 Technical Assistance 04/18/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(e)(3)INDIVIDUAL #1'S FINANCIAL RECORD DOCUMENTS A DISBURSEMENT OF $16.05 ON 08/31/2016 FOR WHICH THERE WAS NO RECEIPT IN THE RECORD. If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: Documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person. On 4/20/17 the receipt in question was located (it was a receipt from a group outing). The Director conducted training with the Manager of Residential Services and Program Specialists on 4/20/17 and the Residential Managers on 4/27/17. The training focused on a simplified procedure of tracking, collecting and keeping receipts of expenditures made on behalf of the individuals. This includes single receipts that account for expenditures done on behalf of individuals in groups. Records of all receipts, including group receipts, will be kept by the Residential Managers at the facility. Documentation of group receipts will indicate the dollar amount for each individual associated with the purchase. Residential Managers will review receipts and ledgers on a weekly basis. Program Specialist will review receipts and ledgers of all individuals on their case load on a monthly basis and will make notation on their monthly checklists. 04/27/2017 Implemented
6400.141(c)(8)INDIVIDUAL #1'S PREVIOUS MAMMOGRAM WAS DATED 07/08/2014 AND THE MOST RECENT MAMMOGRAM WAS DATED 08/17/2016 WHICH IS A PERIOD GREATER THAN 2 YEARS. The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older. The Manager of Residential Services will conduct retraining of Program Specialists regarding the tracking of medical appointments including physical examinations for all individuals on their caseloads. The Health Services Manager will conduct same retraining with nursing staff. The Program Specialists will review medical appointments including physical examinations on a monthly basis and will coordinate with the nurses assigned to the individuals on their caseloads to monitor the completion of all medical appointments/examinations due. The Program Specialists will submit tracking reports to the Manager of Residential Services quarterly for review and follow up as needed. 06/02/2017 Implemented
6400.142(a)INDIVIDUAL #1'S PREVIOUS DENTAL EXAMINATION WAS DATED 03/09/2016 AND THE MOST RECENT DENTAL EXAMINATION WAS DATED 04/03/2017 WHICH IS A PERIOD GREATER THAN 1 YEAR. An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. The Manager of Residential Services will conduct retraining with Program Specialists regarding the tracking of medical appointments for all individuals on their caseloads. The Health Services Manager will conduct same retraining with nursing staff. The Program Specialists will review medical appointments on a monthly basis and will coordinate with the nurses assigned to the individuals on their caseloads to monitor the completion of all annual medical appointments due. The Program Specialists will submit tracking reports to the Manager of Residential Services for review and follow up as needed. 06/02/2017 Implemented
6400.144INDIVIDUAL #1'S MAR LISTED A PRESCRIPTION FOR NEOSPORIN WHICH WAS NOT AVAILABLE AT THE HOME. Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. The Manager of Residential Services will conduct retraining with the Program Specialists and Residential Managers focusing of review of medication log compared to medications in the medication cabinet to ensure that medication listed on the medication log is available at the site. The Residential Manager will complete a weekly medication check and submit checklist to the Program Specialist once a week. The Program Specialist will review and crosscheck the medication listings of all individuals on their caseloads monthly. If during the weekly review a medication is noted as not on site, Nursing staff will be notified. 06/02/2017 Implemented
6400.181(e)(13)(viii)THE ASSESSMENT FOR INDIVIDUAL #1 DATED 01/04/2017 DID NOT LIST PROGRESS AND GROWTH OVER THE LAST 365 DAYS IN THE AREA OF MANAGING PERSONAL PROPERTY.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Managing personal property. The agency has implemented the use of an electronic assessment form in which all regulatory requirements are mandatory fields. Utilization of the electronic form began in February 2017 and all staff have been trained on how to complete the form using our electronic records system. 06/02/2017 Implemented
SIN-00096465 Renewal 01/28/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(c)Purex detergent powder was found in a clear container labeled detergent.Poisonous materials shall be stored in their original, labeled containers. On 1/28/16 the detergent powder was put back in its original container. On 2/4/16 the Manager of Residential Services conducted retraining with Program Specialists and Residential Managers to ensure that all poisonous materials are stored in their original container even if the individuals are able to safely use or avoid poisons. The Program Specialists will conduct weekly site visits to ensure that all poisonous materials are kept in their original container. (Residential staff will conduct daily site checks to ensure poisonous substances are locked. The daily site checks will be documented in the home's daily logs DS08.03.16) 02/04/2016 Implemented
6400.66The lights in the basement were not working.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Lights in the basement were repaired on 2/4/16. The Manager of Residential Services will conduct retraining with Program Specialists and Residential Managers on ensuring that rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. The Program Specialists will conduct weekly site visits and will record in their reports any lights that are not working and will immediately notify the Facilities Manager via a maintenance request. The Residential Managers will notify Facilities Manager via maintenance request as soon as it is noticed that lights are not working. The Facilities Manager will ensure that non working lights will be repaired. 07/21/2016 Implemented
6400.67(a)There were three missing ceiling tiles in the basement.Floors, walls, ceilings and other surfaces shall be in good repair. Ceiling tiles were replaced on 2/4/16. On 2/18/16 the Manager of Residential Services conducted retraining with Program Specialists and Residential Managers on ensuring that all floors, walls, ceilings and other surfaces are in good state of repair. The program specialists will conduct weekly site visits and will record in their reports any repairs that need to be done. If repairs are needed, a maintenance request will be sent to the Facilities Manager. The Facilities Manager will monitor completion of work orders through weekly inspection report. 02/18/2016 Implemented
6400.76(a)There was a burn approximately one foot in length which went through the cover and pad of the ironing board located in the basementFurniture and equipment shall be nonhazardous, clean and sturdy. The ironing board was replaced. The Manager of Residential Services will conduct retraining with Program Specialists and Residential Managers on ensuring that that furniture and equipment are non-hazardous, clean and in good state of repair by 7/21/16. The Program Specialists will conduct weekly site visits and will record in their reports any furniture/equipment that need to be repaired or replaced. If repairs or replacement are needed, a maintenance request will be sent to the Facilities Manager. The Facilities Manager will then inspect the equipment/furniture to determine the need for repair or replacement. If replacement is needed, a purchase order will be submitted by the Residential Manager and the furniture/equipment will be replaced. If repairs are needed the Manager of Facilities will monitor completion of work orders /repairs through weekly inspection report . 07/21/2016 Implemented
SIN-00264065 Renewal 04/07/2025 Compliant - Finalized
SIN-00211584 Renewal 04/12/2022 Compliant - Finalized