Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00230593 Renewal 08/10/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(9)Individual #1's annual physical exam did not include a prostate exam. The physical examination shall include: A prostate examination for men 40 years of age or older.Individual #1's physician ordered PSA testing that is scheduled for 10/3/023. 10/30/2023 Implemented
6500.48(b)(5)Staff #1 did not receive annual training in the safe and appropriate use of behavior supports.The annual training hours specified in subsection (a) must encompass the following areas: The safe and appropriate use of behavior supports.Lifesharing specialist was re-educated on regulations as he thought this training was only required. 12/30/2023 Implemented
SIN-00191104 Renewal 08/10/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(d)The fire drill conducted on August 4, 2021 did not indicate what time of day the drill took place.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative.Lifesharing specialist will provide training to the lifesharing provider as to how to properly complete a fire drill form. 09/30/2021 Implemented
6500.121(c)(1)Individual #2's annual physical did not include documentation of their medical history. The physical indicated that the Physician reviewed the medical history, however there was no documentation on or attached to the physical.The physical examination shall include: (1.) A review of previous medical history.Futures has updated their physical form to prompt an attachment of what medical history was reviewed. Physicians do review an individuals medical history at the onset of each appointment through their electronic health record but in addition to this Futures will provide the physician completing the annual physical a written document that includes information related to the individuals medical history. 09/01/2021 Implemented
6500.32(r)(1)Individual #2 does not have a lock on their bedroom door. Family Living Provider and Family Living Specialist indicated that Individual #2s sister who is their guardian does not want Individual to have a lock on their bedroom door, however Individual #2's Individual Service Plan indicates that there is a lock on the bedroom door.An individual has the right to lock the individual's bedroom door. Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door.Lifesharing specialist will request that individual #2 ISP be updated to reflect the guardian's (sister) wishes for individual #2 to not have a lock on his bedroom door. 09/30/2021 Implemented
6500.156Individual #2's Individual Support Plan indicates that they have a lock on their bedroom door. There is not a lock on the Individual's bedroom door.The home and the agency shall implement the individual plan, including revisions.Lifesharing specialist will request that individual #2 ISP be updated to reflect the guardian's (sister) wishes for individual #2 to not have a lock on his bedroom door. 09/30/2021 Implemented
SIN-00178614 Renewal 10/13/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(d)There was no documentation that the smoke detectors were operational on the day of the drills as required. The fire drills produced had no area for the participants to indicate if the smoke detectors were operative during the drill. The document produced to illustrate compliance with 107d did not record that the smoke detectors were operative on the days fire drills were conducted. Dates on the "Life Sharing Fire Systems Check" form were recorded as 2/2020 and 8/20. Fire drills were conducted on 6/10/19, 2/4/20 and 8/4/20. There was no additional documentation on the form to satisfy the requirement.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative.Futures Lifesharing Fire Drill Record has been updated to prompt the provider to indicate if the smoke detectors were operational as this will ensure they are inspected and functional the day the dire drill is conducted. All lifesharing providers will be given the updated form and trained. 11/30/2020 Implemented
SIN-00095627 Renewal 06/01/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.68(b)The water temperature in the bathroom was 126.8 degrees. Hot water temperatures in bathtubs and showers that are accessible to individuals may not exceed 120°F.Water temperature was adjusted at the site visit on 6/2/16. Since 6/2/16, the water temperature has been adjsut d 6 times which resulted in a heating company getting contacted and they replaced the water elements in the water heater. As of 8/12/16, the water temperature was 119. By 8/31/16, Monthly Family Livng Monitoring checklists will be updated to include a question on water temperature. Family Living Specialists will be required to document of water temperature is +\- 2 of 120 degrees in all locations of the house. 08/12/2016 Implemented
SIN-00078955 Renewal 05/06/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.67Individual # 1's doorknob is broken causing a hazard. The doorknob on the inside of his door is missing leaving an exposed prong sticking out. The door can be opened from the inside using the prong but can be difficult without this handle.Floors, walls, ceilings and other surfaces shall be free of hazards.Life Sharing Provider replaced the individual¿s doorknob. The exposed prong is no longer sticking out. Life Sharing Provider was re-trained on regulation 6500.67. Life Sharing Provider was reminded by the Life Sharing Specialist of the Importance of keep things safe and free from hazards. Life Sharing Specialist will monitor the door knob, floors, ceilings, walls and other surfaces to ensure they are free from hazards. This will be documented on a Monthly Monitoring Checklist and monitored for a period of 6 months. 05/08/2015 Implemented
6500.77The only antiseptic in the first aid kit was Triple Antibiotic Ointment with an expiration date of 2008. There was one other Triple antibiotic Ointment in the home but its expiration date was 10/2013. The home did not contain any other antiseptic. Each home shall have antiseptic, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and syrup of Ipecac if any individual 4 years of age or younger, or an individual likely to ingest poisons, is served.Life Sharing Provider secured antiseptic that was not expired. The Life Sharing Provider placed the antiseptic in the First Aid kit at the home on 05/08/2010. The Life Sharing Provider will be re-trained on regulation 6500.77. Life Sharing Specialist shall inspect the First Aid Kit at the site monthly for a period of six months to ensure antiseptic is present an not expired. This will be documented monthly on a Monthly Monitoring Checklist. 05/08/2015 Implemented
6500.121(c)(3)The Diphtheria and Tetanus immunization was last done on 12/20/2004 as indicated on the physical examination form for individual #1. The DT booster is due every 10 years.Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333.Individual#1 had a DVAP (Tetanus, Diphtheria, and Pertussis) Immunization on 05/13/15. Family Living Specialist will re-train provider on regulation 6500.125(c) (3) Family Living Specialist will ensure immunizations are completed and documentation to support can be found in individual # 1 case file. Life Sharing Specialist will continue to monitor immunization records for compliance of recommended immunizations for individuals 18yrs or older by the United States Public Health Services and Centers for Disease Control for a one year. 05/13/2015 Implemented
SIN-00062235 Renewal 03/27/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.109(b)A fire drill was held on 8-7-2013, and again on 3-14-2014. This is four months between fire drillsA fire drill shall be held at least every 6 months if all individuals have the ability to evacuate as specified in subsection (a).Fire drills will be held every 6 months, as per regulations. The next fire drill is due in September 2014, and the Program Specialist will assure it is completed in a timely manner. 09/14/2014 Implemented
SIN-00118795 Renewal 07/18/2017 Compliant - Finalized