Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00264068 Renewal 04/07/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)There were two cabinets in the basement that contained poisonous materials, and both had padlocks which were left unlocked.Poisonous materials shall be kept locked or made inaccessible to individuals. The Associate Director ensured that the unlocked cabinets were securely locked immediately on 4/7/25. The Residential Supervisor will retrain all house staff to ensure that poisonous materials are kept locked and inaccessible to individuals when not in use. 05/30/2025 Implemented
6400.76(a)The dryer vent was unattached from the dryer. Furniture and equipment shall be nonhazardous, clean and sturdy. The dryer vent was securely attached to the dryer by the Maintenance department on the same day, 4/7/25. The Residential Supervisor will train all house staff to report any equipment that is nonhazardous including the detached dryer vent, which will be reported to the Residential Supervisor for repair. Residential Supervisor will notify the maintenance department, and a work order will be completed for repair. 05/30/2025 Implemented
SIN-00211586 Renewal 04/12/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(d)There is no clear signature on Individual 1's current assessment dated 3/22/2022.The program specialist shall sign and date the assessment. On 10/14/22 the Program Director completed training with Program Specialists and Associate Directors addressing the need to ensure that each program record includes only fully signed and completed assessments. The Program Specialist will monitoring on-going compliance with the assessment through the monthly program specialist visit/tracking form. 10/14/2022 Implemented
6400.181(e)(12)On Individual 1's annual assessment dated 3/22/2022 the recommendations did not list any actual recommendations.The assessment must include the following information: Recommendations for specific areas of training, programming and services. On 10/14/22 the Program Director completed training with Program Specialists and Associate Directors addressing regulatory requirements of the annual assessment. The Program Specialist will monitoring on-going compliance with the assessment through the monthly program specialist visit/tracking form. 10/14/2022 Implemented
SIN-00134333 Renewal 04/24/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(a)Staff person #1's current physical examination dated 4/4/17 is more than 2 years from the previous physical examination dated 2/24/15. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. The Human Resources department will continue to follow the agency protocol by mailing out a 90 day and 60 day reminders to staff before the due date of their physical examination. Staff will be retrained in ensuring that it is staff's responsibility to make the necessary arrangements for their physical examinations with one of the medical centers contracted by the agency in a timely manner. Copies of the letters mailed to staff are forwarded to the Program Specialist for follow up as needed. 06/15/2018 Implemented
SIN-00067522 Renewal 09/22/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)There were iron shaped burns throughout the livingroom carpet. Floors, walls, ceilings and other surfaces shall be in good repair. Carpet was replaced on 10/21/14. All staff, supervisors, maintenance personnel and management personnel have been retrained on ensuring that all areas of the home are in good repair and on timely reporting of any issues to the appropriate staff. See attached training sheets. Residential Managers will complete an outlined inspection of their sites on a monthly basis and submit checklist to their supervisor. Maintenance personnel will alsocomplete an outlined inspection of their assigned sites monthly and submit the checklist to their supervisor. Please see attached checklists. Third Shift Supervisor has a revised nightly checklist to ensure all areas are checked thoroughly. Administrative staff conduct site inspections twice per month. See attached reports. Carpet was replaced on 10/21/14. See attached work order. 10/21/2014 Implemented
SIN-00158976 Renewal 07/18/2019 Compliant - Finalized