Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00195960 Renewal 11/03/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.68(b)The hot water temperature was 125.9 degrees Fahrenheit in the first floor bathroom and individuals residing in the home are not safe with hot water.Hot water temperatures in bathtubs and showers that are accessible to individuals may not exceed 120°F.The water temperature was turned down at the time of inspection. The hot water temperature in first floor bathroom no longer exceeds 120 degrees Fahrenheit. water temperatures at other homes were checked to assure compliance. 11/20/2021 Implemented
6500.70The telephone line was not operable in the home at the time of the inspection.A home shall have an operable telephone that is easily accessible.The telephone company was contacted during the time of inspection and land line phone is now operable. 11/20/2021 Implemented
6500.73The exit from the basement to a bilco door exit to the outside had a staircase with approximately seven stairs and no handrail. *The provider stated at the time of the inspection that a contractor had been hired to install a handrail but the work had not yet begun at the time of this inspection.An interior stairway exceeding two steps that is accessible to individuals, ramp and outside steps exceeding two steps, shall have a well-secured handrail.A hand rail has been securely installed at the seven steps leading to the Bilco door at this site. 12/01/2021 Implemented
6500.107(b)The smoke detectors located on the second floor were installed in individual bedrooms; no smoke detectors were located in the hallway or common area.Smoke detectors shall be located in common areas or hallways.A smoke detector has been added to the upstairs hallway/common area. the other homes were checked to assure they had a smoke detector in the hallway/common areas 12/01/2021 Implemented
6500.121(c)(6)The physical examination dated 11/01/2021 for Individual #2 did not include tuberculin skin testing.Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest x-ray with results noted.Individual #2 has received a tuberculin test. 11/20/2021 Implemented
6500.121(c)(11)The physical examination dated 11/01/2021 for Individual #2 did not include health maintenance needs, medication regimen and the need for blood work at recommended intervals. The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals.The physical examination dated 11/01/2021 for Individual #2 has been returned to the physician so he/she can include information about health maintenance needs, medication regimen and the need for blood work at recommended intervals. Should the physician return the physical again with blanks spaces, we will discuss again with doctor and resubmit again. if doctor remains noncompliant, we will find another suitable doctor,. 12/01/2021 Implemented
6500.121(c)(15)The physical examination dated 11/01/2021 for Individual #2 did not include special instructions for the individual's diet. The physical examination shall include: Special instructions for the individual's diet.The physical has been returned to the physician so that he/she may include special instructions about the individual's diet The Life Sharing Program Specialist will follow up at least weekly to assure the missing information is obtained 12/01/2021 Implemented
6500.34(a)Individual Rights were reviewed with Individual #2 on 12/28/2020, but the Rights that were reviewed did not include the right to make choices and accept risks, the right to choose persons with whom to share a bedroom, and the right to make health care decisions.Individual rights and the process to report a rights violation shall be explained to the individual, and persons designated by the individual prior to moving into the home and annually thereafter.The rights form that was reviewed by Individual #2 has been revised to include the right to make choices and accept risks, the right to choose persons with whom to share a bedroom and the right to make healthcare decisions. 12/31/2021 Implemented
SIN-00180312 Renewal 12/07/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.24(c)Individual #2's funds are not being used for his benefit. 50oz refills of hand soap were purchased on 6 occasions: 6/7/2020 at Walmart ($3.84), 6/13/2020 at Walmart (2 @ $3.84= $7.68), 7/3/2020 at Walmart ($3.97), 7/25/2020 at Walmart (2 @ 3.97=$7.94), 8/11/2020 at Walmart ($3.84) and 8/25/2020 at Walmart ($3.97). Floss sticks were purchased on 2 occasions: 6/13/2020 at Walmart ($3.63) and 8/25/2020 (2 @ $1.00=$2.00). It should be noted that Individual #2 has a dental desensitization plan & it was reported he wouldn't tolerate flossing. A 10-pack of Dove bar soap was purchased at Walmart on 2 occasions: 6/13/2020 ($10.72) and 7/25/2020 ($10.72). His finances were also used to purchase roach killer ($6.98) and Clorox wipes ($9.94) at Walmart on 9/24/2020. Individual #2 also purchased meals for himself and 1 other person: 6/30/2020 at Olive Garden (2 meals $17.49/each + tax); 7/26/2020 at Sonic (total: $16.08); 8/13/2020 at Subway (total: $17.91); 10/7/2020 at Chick-Fil-A (total: $17.79); and 10/20/2020 at Chick-Fil-A (total: $16.85). Individual #2 is Severe ID, non-verbal and unable to manage his finances. Individual could not give consent to make these purchases. Household supplies, meals, and basic hygiene supplies are included in the Individual's Room and Board costs.An individual's funds and property shall be used for the individual's benefit.Individual #2 will be reimbursed money that was used for the questionable purchases listed in the citation. The LSP will be retrained in managing client petty cash specifically what items are covered under room and board. Additionally, this information has been reviewed with all lifesharing providers. 01/25/2021 Implemented
6500.109(f)Exits were not alternated for fire drills. The front door was the only exit utilized this year.Alternate exit routes shall be used during fire drills.In the future the lifesharing specialists will track the fire drills and ensure that alternate exits are used. If the same exit is used more than two times in a row, the lifesharing specialist will have the lifesharing provider repeat the drill and use a different exit. 01/25/2021 Implemented
6500.123(a)Spectrum reported that Individual #2 (DOB: 12/24/1962) refuses his annual prostate exams. There is no documentation of these refusals.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record.Individual #2 has been counseled as to the importance of having an annual prostate exam. An appointment will be secured and the individual will attempt to complete the exam, In the future documentation of the refusals will be kept in the individual's record--at least two attempts will be made to allow for someone having an off day. All attempts to counsel the individual as to the importance of the exam will also be kept. 01/25/2021 Implemented
6500.34(a)Individual #2 was informed of his rights on 1/2/2020. The rights have not been updated to reflect the new 6500 regulations. The rights that have not been updated include: Makes choices/accept risks, refusal of activities, control schedule, voice concerns, participate in plan development, telecommunications, choice of roommate, furnish/decorate bedroom and common area, entry mechanism to the front door, access to food, and make health care decisions.Individual rights and the process to report a rights violation shall be explained to the individual, and persons designated by the individual prior to moving into the home and annually thereafter.The individual rights and the process to report a rights violation have been updated to reflect the new recent changes and distributed to all individuals supported by SCS. The lifesharing providers will review the rights and the process to report at rights violation with the individual living in the their home. Individuals will be asked sign this document prior to an individual moving into the home and annulally thereafter. 01/25/2021 Implemented
6500.136(a)(11)Individual #2 is prescribed animal shaped vitamins, Atorvastatin, Losartan, Glucophage, Olanzapine and Vitamin B12. The diagnosis or purpose for these medications are not listed on his Medication Administration Record.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.The diagnosis or purpose has been added to the med log for Individual #2 for the medications that are prescribed to him. These medications include animal shaped vitamins, Atorvastatin, Losartan. Glucophage and Vitamin B12. In the future when a new med is ordered the diagnosis or purpose of med will be added to the med log at the time the med is added. 12/28/2020 Implemented
SIN-00138724 Renewal 07/24/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(a)The last self-assessment for this residence was completed in 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.Self assessments for all lifesharing homes will be completed 3-6 months prior to the expiration of the license. In the coming year the self inspections will be completed between 2/1/19 and 5/1/19. The lifesharing specialist assigned to each site shall submit the required self assessments to the program director. 09/21/2018 Implemented
6500.67In the finished basement, there were several ceiling tiles with water damage.Floors, walls, ceilings and other surfaces shall be free of hazards.The ceiling tiles with the water damage have been replaced. 09/21/2018 Implemented
6500.68(b)Individual #1 is unable to regulate his own water temperature for showering. The water temperature in this residence read 129.3, which exceeds the requirement by 9 degrees.Hot water temperatures in bathtubs and showers that are accessible to individuals may not exceed 120°F.The hot water temperature has been reset at 120. The program specialist will monitor the water temperature at this site during home visits. The water temperature in all sites that have individuals who are not able to regulate their own water temperature will be monitored during home visits conducted by the lifesharing specialist. 08/08/2018 Implemented
6500.70There was no landline phone at this residence.A home shall have an operable telephone that is easily accessible.A landline phone has been installed. In the future the program specialist will verify the presence of land line phones during site visits. All LSP's will be reminded of the requirement to have a land line phone. 09/21/2018 Implemented
6500.103The last record of the furnace being cleaned in this residence was 6/17/2015.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.The gas furnace at this site was cleaned on 8/8/18. In the future the dates of furnace cleanings are being tracked electronically to ensure compliance with the annual requirement. 08/08/2018 Implemented
6500.109(f)Since 4/2017, only the back door was used as an exit during fire drills.Alternate exit routes shall be used during fire drills.A fire drill was conducted at this site on 7/26/18 and the exit used was the front door. In the future the program specialist shall ensure that alternate exits are used on future fire drills at all lifesharing sites. 07/26/2018 Implemented
6500.121(c)(1)The section was blank on Individual #1's physical exam dated 2/21/2018.The physical examination shall include: (1.) A review of previous medical history.The physical examinations for individual #1 dated 2/21/18 has been amended to include a review of previous medical history. In the future the program specialist shall ensure that the physical exams are entirely completed prior to placing in the individual's chart. 08/01/2018 Implemented
6500.121(c)(14)This section was blank on Individual #1's physical exam dated 2/21/2018. The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.The physical has been amended and medical information pertinent to diagnosis and treatment in case of an emergency has been added to the physical exam dated 2/21/18 for individual #1 09/21/2018 Implemented
6500.151(a)Individual #1 was admitted on 4/4/2018. He didn't have an initial assessment until 6/19/208, which exceeds the 60 day requirement.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.Going forward the program specialist will ensure that the initial assessments for new admissions to family living homes are completed within the 60 days required timeframe. There have not been any new admissions since the licensing inspection 08/01/2018 Implemented
SIN-00122747 Renewal 10/10/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.108(a)The fire extinguisher on the upstairs level was inoperable. The charge was in the red zone.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic.During the course of the inspection the LSP¿s daughter went to purchase a replacement fire extinguisher. During monthly fire system checks, the LSP will document that the charge need is in the green for all fire extinguishers in the home. This documentation will be turned into the Program Specialist on a monthly basis. The Program Specialist will also check the fire extinguishers during visits to the home. 11/17/2017 Implemented
SIN-00084036 Renewal 09/09/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(a)Individual #1 needs physical assistance to evacuate and since his admission on 05/06/2015 there has only been one fire drill which was held on 05/07/2015.A fire drill shall be held at least every 3 months, until all individuals demonstrate the ability to evacuate within 2 1/2 minutes, or within the period of time specified in writing within the past year by a fire safety expert, without family assistance, or with family assistance if the individual is never alone in the home. The fire safety expert may not be a family member or employee of the agency.A second fire drill had been completed at this site on 8/31/15 during sleeping hours; however, it was not present in the file at the time of inspection and still exceeds the three month time frame. In the future fire drills will be conducted on the day of admission and on a quarterly basis. A tracking form has been developed and will be utilized by the residential director to ensure compliance. 10/02/2015 Implemented
SIN-00234941 Renewal 11/08/2023 Compliant - Finalized