Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00123481 Renewal 10/23/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(a)The date of the self assessment 4/1/17 did not fall within the regulatory window from the license date which is 6/22/17. If an agency is the legal entity for the family living home, the agency shall complete a self-assessment of each home the agency is licensed to operate within 3 to 6 months prior to the expiration date of the agency's certificate of compliance, to measure and record compliance with this chapter.The Manager of Residential Services will conduct a retraining with the Lifesharing Program Specialist and Lifesharing providers to ensure that self assessment for each family living home the agency is licensed to operate, is completed within 3 to 6 months prior to the expiration date of the agency's certificate of compliance. The Manager of Residential Services will send a request for assessments at least 6 months prior to the certificate of compliance expiration date with a due date for submission by the Program Specialist at least 4 months prior to the expiration date. Training will be completed by 12/10/2017 and a record of training will be kept in staff records. 12/10/2017 Implemented
6500.24(e)(3)From 6/3/17 through 10/23/17 there were purchases made for individual #1 over the amount of 15.00 and there was no receipt on record. the dates were 7/6/17, 7/10/17, 7/24/17, 9/5/17, 9/22/17 and 10/16/17. If the agency or family assumes the responsibility for an individual's financial resources, the following shall be maintained: documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by family members or agency staff.The Manager of Residential Services will conducted training with the Program Specialist and Lifesharing Providers focused on a simplified procedure of tracking, collecting and keeping receipts of expenditures made on behalf of the individuals. Records of all receipts will be kept by the Lifesharing Provider at the residence, and all receipts will indicate the dollar amount, location, and description of purchase. The Program Specialist will review receipts and ledgers of all individuals on a monthly basis and will make notation on the monthly checklists. Training will be completed by 12/10/2017 and a record of training will be kept in staff records. 12/10/2017 Implemented
6500.121(c)(14)Individual #1's annual physical dated 12/22/16 did not list information pertinent to diagnosis in case of an emergency. The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.The Manager of Health services will complete training with Nurse Case Managers to ensure that physical exam reports are reviewed to ensure completion in compliance with regulations. The Manager of Health Services will review client physicals when issues are identified by Nurse Case Managers. Training will be completed by 12/10/2017 and a record of training will be kept in staff records. Internal audit staff will complete a 100% review of client physicals for compliance and will follow up with the Manager of Health Services if issues are identified. This review will be completed by 12/31/2017. 12/31/2017 Implemented
6500.151(a)Individual #1's annual assessments dated 3/5/16 and 5/1/17 were completed more than one year apart. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the family living home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the family living home.The Manager of Residential Services will conduct retraining with the Life Sharing Program Specialist to ensure that annual assessments are completed within regulatory timelines. In June 2017 the program began using an electronic assessment which allows for tracking due dates electronically. The Lifesharing Program Specialist and the Manager of Residential Services will review the report quarterly individual annual assessments quarterly to monitor due dates. Training will be completed by 12/10/2017 and a record of training will be kept in staff records. 12/10/2017 Implemented
SIN-00103062 Renewal 10/18/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.77The First Aid kit did not contain scissors.Each home shall have antiseptic, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and syrup of Ipecac if any individual 4 years of age or younger, or an individual likely to ingest poisons, is served.On 10/18/16 the provider replaced the scissors in the First Aid kit. On 11/3/16 the Manager of Residential Services conducted a retraining with the Program Specialist and the Lifesharing providers to ensure that the First Aid kit that contains all required items including scissors. All homes First Aid kits have been inspected to ensure that they have all required items. The Program Specialist will conduct house visits every two weeks and will ensure that each provider has a first aid kit that has all the required items. The lifesharing provider will ensure that that the first aid kit has all required items. 12/23/2016 Implemented
6500.102Two cans of Behr paint (Premium Interior and Concrete) were stored in the basement next to the furnace.Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.On 10/18/19, the life sharing provider moved the 2 cans of Behr paint to a location away from the furnace. On 11/3/16 the Manager of Residential Services conducted training with the Program Specialist and the Lifesharing providers to ensure that flammable and combustible supplies and equipment are utilized safely and stored away from heat sources. The Program Specialist will conduct a house visit every two weeks to ensure that all flammable and combustible supplies are stored away from heat. The Program Specialist will document on the checklist for a review by the Manager of Residential Services. The Lifesharing provider will check daily to ensure that flammable and combustible supplies and equipment are utilized safely and stored away from heat sources. Beginning 1/1/17 the Program Specialist and Manager of Residential Services will conduct a quarterly visit of the physical site. 12/23/2016 Implemented
SIN-00079556 Renewal 06/09/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(a)The certificate of compliance expired on 6/22/2015. The self-assessment was completed on 05/14/2015.If an agency is the legal entity for the family living home, the agency shall complete a self-assessment of each home the agency is licensed to operate within 3 to 6 months prior to the expiration date of the agency's certificate of compliance, to measure and record compliance with this chapter.The family living specialist was re-trained by the manager of residential services to ensure that the self-assessment will be completed within the regulatory time frame. Each assessment will be completed by the family living specialist and submitted to the manager of residential services for review. Training completed on: 7/29/2015. 10/30/2015 Implemented
6500.138(a)Staff #1 did not receive medication training by the Individual #1's source of health care.Family members who administer prescription medications or insulin injections to individuals shall receive training by the individual's source of health care about the administration, side effects and contraindications of the specific medication or insulin.The family living specialist and training specialist will work with the family living provider to ensure that family members administering prescribed medication to the individuals have received training on administration, side effects and contraindications of the specific medication from the individuals Primary Care Physician. The family living specialist will ensure that new providers and family members expected to administer prescribed medication receive training on administration, side effects and contraindications of the specific medication by the individuals Primary care Physician before the individuals move into life sharing. The family living specialist will also ensure the same procedure is followed with the addition of any new prescribed medication for the individuals. Training completed on: 10/26/2015 and ongoing as needed. 10/30/2015 Implemented
6500.151(a)Individual #1's assessment was completed on 02/21/14 and not again until 03/17/15.Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the family living home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the family living home.The family living specialist has been re-trained by the manager of residential services to ensure that each individual's assessment is completed annually. The family living specialist will complete and submit assessments to the Manager of residential services for review 6 weeks before the date of the assessment in the previous year. Training completed on: 7/29/2015. 10/30/2015 Implemented
SIN-00048282 Renewal 06/05/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(g)Fire drill's on 7/10/12, 4/3/12, and 1/10/12 were all conducted on a Tuesday (3/5 drills). Fire drills shall be held on different days of the week and at different times of the day and night.During regular bi-weekly site visits, the Program Specialist will review fire drill reports to confirm that they are being conducted on varied days of the week and times of the day and night. This will ensure that program Participants and Providers will be prepared for potential emergencies during all time frames. Should it be determined that a fire drill was conducted that is not in compliance with 6500.109(g), the Program Specialist will advise the Provider of the non-compliance and make arrangements for both Provider and Participant to conduct drills that are compliant with regulations and agency policy within 72 hours of the determination of non-compliance. Until all fire drills conducted at the site are found to be compliant for a period of three months, the provider will forward reports of any fire drills conducted to the Program Specialist within 72 hours of the drill. On 6/27/2013, all Lifesharing Providers received additional training on the administration of fire drills, including the 6500.109(g) regulatory requirement that the days of the week and times of the day and night must be consistently alternated. A line item that addresses fire drills will be added to the Program Specialist site visit checklist by 7/11/2013 to facilitate an elevated level of monitoring during site visits. Fire drills will be conducted on different days of the week and different times of the day and night. 07/11/2013 Implemented
SIN-00250786 Renewal 09/04/2024 Compliant - Finalized
SIN-00230307 Renewal 09/05/2023 Compliant - Finalized
SIN-00210947 Renewal 09/01/2022 Compliant - Finalized
SIN-00192637 Renewal 09/08/2021 Compliant - Finalized
SIN-00146935 Renewal 12/13/2018 Compliant - Finalized
SIN-00061596 Renewal 05/01/2014 Compliant - Finalized