Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00266630 Renewal 05/20/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(b)Licensing Inspection Instrument completed on 11/09/24 was not on the Department's licensing inspection instrument for this chapter to measure and record compliance. The home utilized an old, obsolete Licensing Inspection Instrument that did not address all of the current regulations.The agency shall use the Department's licensing inspection instrument for this chapter to measure and record compliance.All old versions of the Licensing Inspection Instruments (LIIs) were disposed of on 5-21-25. The correct version of the LII was used for all self-assessments completed in April/May 2025, and will be used moving forward. 06/06/2025 Implemented
6500.17(c)Licensing Inspection Instrument completed on 11/09/24 listed violations for regulations 64a, 78b, 81a, and 81b, and did not include the results and a written summary of the corrections made.A copy of the agency's self-assessment results and a written summary of corrections made shall be kept for at least 1 year.All old versions of the Licensing Inspection Instruments (LIIs) were disposed of on 5-21-25. The correct version of the LII was used for all self-assessments completed in April/May 2025 and a written summary of corrections made was documented on those LIIs which will be kept for at least 1 year. 06/06/2025 Implemented
SIN-00246034 Renewal 06/03/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.71At 10:10AM on 6/4/2024, the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not on or by the telephone in the laundry room of the home.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.The Life Sharing Provider placed the emergency numbers, including the nearest hospital, police department, fire department, ambulance and poison control center on the telephone in the laundry room on 6-4-24. 06/20/2024 Implemented
6500.78(b)At 10:35AM on 6/4/2024, the three concrete exterior stairs outside the exit door leading from the basement of the home were covered in moss, leaves and vines were hanging from the wall partially covering the bottom step posing a slipping hazard.The yard and outside of the home shall be well maintained and free from unsafe conditions.The Life Sharing Provider cleared the exterior stairs outside the exit door leading from the basement of the home of leaves, moss and vines that were hanging near the door on 6-4-24. 06/20/2024 Implemented
6500.122(a)Individual #1 had a dental examination completed 11/3/22 and then again 2/28/24.An individual 17 years of age or younger, shall have a dental examination performed by a licensed dentist semiannually. Each individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually.Individual #1¿s annual dental examination was completed on 2-28-24. The Life Sharing Program Specialist entered the annual due date for 2025 was onto a spreadsheet for tracking medical appointment due dates. 06/20/2024 Implemented
6500.183The most recent copies of Individual #1's dental examination, assessment and Individual Service Plan were not present at the home. [Repeat Violation, 6/28/2024]Copies of the most current record information required in §6500.182(c)(1)¿(14) (relating to individual records) shall be kept in the family living home.Individual #1¿s most recent copies of the dental examination, assessment and individual service plan were placed in the record on 6-7-24. 06/20/2024 Implemented
SIN-00228262 Renewal 06/27/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.183Individual #1's most current physical examination, dental examination and dental hygiene plan were not present at the home.Copies of the most current record information required in §6500.182(c)(1)¿(14) (relating to individual records) shall be kept in the family living home.Individual # 1's most current physical examination, dental examination and dental hygiene plan were placed in the record kept at the home on 6-29-23 by the Lifesharing Program Specialist. 08/10/2023 Implemented
SIN-00281346 Renewal 01/13/2026 Compliant - Finalized
SIN-00208594 Renewal 07/21/2022 Compliant - Finalized
SIN-00176592 Renewal 09/15/2020 Compliant - Finalized