Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00230594 Renewal 08/10/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.67Surfaces should be free from hazard. At the time of the inspection the window in the basement was broken. The only thing covering this part of the window was a brown paper covering.Floors, walls, ceilings and other surfaces shall be free of hazards.The window in the basement was repaired. 10/22/2023 Implemented
SIN-00209667 Renewal 08/15/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(a)The self-assessment was completed late. The Agency's expiration date of the certificate of compliance was 6/03/2022. The self-assessment is required to be completed within 3 to 6 months prior to the expiration date of the certificate of compliance which would be within the time-period of 12/03/2021 to 3/03/2022. The self-assessment was completed on 3/09/2022 to 3/24/2022.If an agency is the legal entity for the home, the agency shall complete a Self-Assessment of Homes 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.Director of Programs has implemented a monthly list of tasks to be completed and has added this to remind all staff of the due date. A task will be sent to all lifesharing specialist for at the beginning of December to remind them to complete. 09/07/2022 Implemented
6500.34(a)The individual rights statement reviewed with the individual and signed on 1/03/2022 did not include the following rights: 32r2 Access to an individual's bedroom shall be provided only in a life-safety emergency or with the express permission of the individual for each incidence of access. 32r3 Assistive technology shall be provided as needed for the individual to be able to lock and unlock door without assistance. 32r4 The locking mechanism shall allow easy and immediate access by individual and staff persons in the event of an emergency. 32r5 The caregiver shall have the key or other entry device to lock and unlock the door.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.Futures has updated their individual rights. The updated individual rights will be reviewed with the individual and signed. 09/23/2022 Implemented
SIN-00178615 Renewal 10/15/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.71Individual #3 has a cordless phone in her bedroom. The emergency numbers were worn off on the back of the phone, making them illegible.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.Lifesharing provider will replace worn out sticker on the back of the cordless phone 11/10/2020 Implemented
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 5/20. Fire drills were conducted on 5/9/19, 11/2/19, 5/2/20. 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-00118796 Renewal 07/18/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.155(b)Individual #1's assessment states her needs are money management. It states she is deficient in making change, handling simple purchases, exchanging money, and budgeting. Her ISP states she can be taken advantage of in those areas. "She can count up but has trouble with her subtraction". Futures is her rep payee. Staff state she "self manages" her money "even though her family sometimes is known to take it". There were no receipts made available to review even though it was stated the home keeps them. The ISP was not implemented as written.The ISP shall be implemented as written.Effective immediately family living provider will begin utilizing client finance report to track deposits and expenditures. Life Sharing Specialist will work with supports coordinator to have the ISP updated to accurately reflect individual #1¿s financial skills with her current support system that includes her family. 08/25/2017 Implemented
SIN-00095624 Renewal 06/01/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.182(c)(1)(ii)Individual #2¿s record did not indicate whether or not she had any identifying marks. Each individual's record must include the following information: Personal information, including: The race, height, weight, color of hair, color of eyes and identifying marks.Family Livng Specialist will add the missing information to the face sheet by 8/26/16. Effective immediately, intake packets will be completed by the Family Living Specialist upon admission, then reviewed by the ID Director to assure completion of the forms. 08/26/2016 Implemented
SIN-00079445 Unannounced Monitoring 05/06/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.182(c)(10)The ISP for Individual #1 states that he does not have any unsupervised time in the home or in the community and his Assessment states that he has 5 hours of unsupervised time in the home and 1 hour of unsupervised time in the community. Each individual's record must include the following information: Content discrepancy in the ISP, the annual updates or revisions under §  6500.156.The Life Sharing Specialist will be re-trained on regulation 6500.182(c) (10) to notify the SC of discrepancies in the individuals I.S.P. The individual's assessment and I.S.P currently reflect the correct levels of supervision as of 05/05/2015. The Life Sharing Specialist will continue to email discrepancies/changes to the plan to the SC on going. 06/05/2015 Implemented