Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00280928 Renewal 12/09/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.24(c)Individual#1's funds are not being used for this individual's benefit. On 9/18/25, Individual #1 purchased at Burlington two 2.7 oz. deodorant solids at $3.99 each and three 6 packs of disposable razors at $2.79 each. These items should not be purchased using the individual's funds as the purchases should be included in Room and Board. **As part of the plan of correction, the agency reimbursed the individual for the cost of the disposable razors on 12/09/2025 but have not yet reimbursed for the cost of the two deodorant solids.An individual's funds and property shall be used for the individual's benefit.An EIM was entered upon discovery of this incident. A check request was submitted to the rep payee technician for reimbursement. Reimbursement was received on 12/24/2025. The amount of reimbursement to the client totaled $8.37. On 12/11/25 The Program Specialist met with the individual and the Life Sharing Provider to council each of them on what is included in the room and board. She advised the LSP that razors and deodorant are to be provided by her. 12/24/2025 Implemented
6500.103Furnaces shall be cleaned at least annually, and written documentation of the cleaning shall be kept. The home has a gas furnace and there was no documentation of annual cleanings.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.The Life Sharing provider was counseled on the need to clean her gas furnace annually. The Life Sharing provider submitted proof of cleaning to the Operations Director on 12/16/25. 12/16/2025 Implemented
6500.136(a)(11)A medication record shall be kept and include a diagnosis or purpose for the medications, including pro re nata medications. Individual #1 is prescribed the following medications which are listed on the medication record, Aspirin EC 81 mg. tablets, Hydrochlorothiazide 25 mg. tablets, Latanoprost eye drops, Levothyroxine 100 mcg. tablets, Lisinopril 10 mg. tablets and Potassium Chloride ER 20 MEQ tablets. The medication record did not include a diagnosis or purpose for any of the medications.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.All diagnoses were added to the medication records. The Life Sharing Program Specialist contacted the pharmacy to request they include the diagnosis on the print outs provided by the pharmacy; at this time they are not able to, so diagnoses were handwritten in. 12/11/2025 Implemented
SIN-00259906 Renewal 03/26/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(9)Individual #1 had a physical exam completed on 6/3/24. The physical did not include a prostate exam or PSA testing. Individual #1 has not had a prostate exam or PSA testing completed since 4/9/2015. The physical examination shall include: A prostate examination for men 40 years of age or older.Male consumers who meet age criteria will have a prostate examination or PSA testing completed on an annual basis. Documentation of PSA screening in Dec 2024 was obtained and put in his file. 04/04/2025 Implemented
SIN-00219655 Renewal 03/13/2023 Compliant - Finalized