Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00285482 Renewal 03/23/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)Lint was observed in the dry lint trap that posed a hazard. The lint was removed during the inspection Floors, walls, ceilings and other surfaces shall be free of hazards.Staff cleaned the lint immediately during the inspection. Staff will be retrained on the importance of regularly checking and cleaning the lint trap after every use. Staff will also be made aware of the safety risk/hazard posed by not maintaining a clean lint trap in dryers. 05/18/2026 Implemented
SIN-00222859 Renewal 04/11/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.162(a)Staff members 1, 2, 3, and 4 do not have current and complete medication administration training annual practicums on file. They cannot pass medications until their training is remediated or recertified.A home whose staff persons or others are qualified to administer medications as specified in subsection (b) may provide medication administration for an individual who is unable to self-administer the individual's prescribed medication.Staff identified during licensing as having issues had medication pass privileges suspended 4/12/23. Medication practicum files were reviewed for staff members 1,2,3, and 4. Individual plans were developed based on the staff member either needing remediation or full certification. An additional review of all other med passers was completed by training and administrative staff. This review was completed prior to end of business on 4/14/23. Any staff requiring remediation or full certification had passing privileges suspended until required certifications or remediations have been completed. Additional training will be completed with supervisors and trainers related to the initial and annual requirements of the medication certification process. These trainings will be completed by 5/5/23. 05/08/2023 Implemented
SIN-00158975 Renewal 07/18/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(4)Individual #1 Assessment does not address the individuals level of supervision. The assessment must include the following information: The individual's need for supervision. On 7/24/19 the Program Specialist completed an addendum to the annual assessment to address the area of "the -individual's need for supervision." On 7/29/19 the Residential Associate Director completed training with Program Specialist staff. This training addressed completion of annual assessment. Documentation of training will be kept in staff files. A 100% review of annual assessments was completed by Program Specialist staff on 11/27/19. Any issues noted during this review were corrected using an addendum to the annual assessment. For a period of one year the Manager, Corporate Compliance, or their designee, will conduct quarterly reviews of 10% of residential consumers to ensure compliance with regulations. Documentation of quarterly reviews will be kept. 11/27/2019 Implemented
6400.181(e)(5)Individual #1 Assessment does not address the individuals ability to self-administer medication.The assessment must include the following information:  The individual's ability to self-administer medications.On 11/18/19 the Program Specialist completed an addendum to the annual assessment to address the area of -individual's ability to self-administer medications'. In advance of this addendum the Program Specialist obtained a separate assessment related to self-administration of medications created by the team on 8/5/18. On 7/29/19 the Residential Associate Director completed training with Program Specialist staff. This training addressed completion of annual assessment. Documentation of training will be kept in staff files. A 100% review of annual assessments was completed by Program Specialist staff on 11/27/19. Any issues noted during this review were corrected using an addendum to the annual assessment. For a period of one year the Manager, Corporate Compliance, or their designee, will conduct quarterly reviews of 10% of residential consumers to ensure compliance with regulations. Documentation of quarterly reviews will be kept. 11/27/2019 Implemented
6400.181(e)(9)Individual #1 Annual Assessment does not address the Individuals disability and medical limitations.The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. On 7/24/19 the Program Specialist completed an addendum was added to the annual assessment to address the area of -individual's disability and medical limitations. On 7/29/19 the Residential Associate Director completed training with Program Specialist staff. This training addressed completion of annual assessment. Documentation of training will be kept in staff files. A 100% review of annual assessments was completed by Program Specialist staff prior to 11/27/19. Any issues noted during this review were corrected using an addendum to the annual assessment. For a period of one year the Manager, Corporate Compliance, or their designee, will conduct quarterly reviews of 10% of residential consumers to ensure compliance with regulations. Documentation of quarterly reviews will be kept. 11/27/2019 Implemented
SIN-00112398 Technical Assistance 04/18/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(e)(3)INDIVIDUAL #1'S BANK STATEMENT SHOWED $20 BEING DISBURSED TO THE INDIVIDUAL HOWEVER THERE WAS NO DOCUMENTATION OF HOW THIS MONEY WAS USED. 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 2/20/17 it was determined that this was the result of a documentation error. 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 and collecting and keeping receipts of expenditures made on behalf of the individuals. This includes single receipts that accounts 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. The 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 notes. 04/27/2017 Implemented
6400.181(e)(14)THE ASSESSMENT FOR INDIVIDUAL #1 DATED 06/30/2016 DOES NOT INDICATE THE INDIVIDUAL'S ABILITY TO SWIM. The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. 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-00211585 Renewal 04/12/2022 Compliant - Finalized
SIN-00067521 Renewal 09/22/2014 Compliant - Finalized