Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00228787 Renewal 08/22/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Poisons are locked in the home due to Individual #2. At the time of the inspection, located under the kitchen sink was a spray can of Claire disinfectant Spray lemon scent and a 32oz container of professional formula mister plumber drain opener. The labels on both items stated to call Poison Control Center.Poisonous materials shall be kept locked or made inaccessible to individuals. The program specialist will review the individual's assessment to determine their current skills and update if needed. If the individual is safe with poisonous products the updated assessment will be sent to the supports coordinator for the ISP to be updated. If individual #2 is not safe then items will remain locked up. Please note items were locked up the day of licensing and remain locked up until the above has been completed. 10/18/2023 Implemented
6400.67(a)Floors, walls, ceilings, and other surfaces shall be in good repair. At the time of inspection, located in the basement where 2 sections of the ceiling insulation were hanging down approximately 6 feet from the ceiling. The air conditioning unit located in Individual #1's bedroom was missing the front plastic piece of the air conditioning unit exposing the wires and metal innards of the unit.Floors, walls, ceilings and other surfaces shall be in good repair. A work order was submitted through MaintainX for maintenance to fix the insulation and ceiling. 10/18/2023 Implemented
6400.68(b)The water in the in main bathtub/shower measured 127.5°F. Hot water temperatures in bathtubs and showers may not exceed 120°F. Until the water heater could be fixed DSPs assisted individuals with tempering water. Abma Mechanical LLC was out to the home to assess the hot water. They determined that the hot water tank was fine but the gas line to the tank was faulty. This was fixed by Abma Mechanical LLC on 10/6/23. 10/06/2023 Implemented
6400.71At the time of inspection, the portable handheld phone located in the living room did not contain the telephone numbers of the nearest hospital, police department, fire department, ambulance, and poison control center.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 with an outside line. Emergency numbers have been placed on the phone. Extra labels will be provided to all community homes and a recommendation will be made to put clear tape over the label to help with the integrity of the label. 10/25/2023 Implemented
6400.81(k)(6)Individual #1 did not have a mirror in their bedroom at the time of inspection.In bedrooms, each individual shall have the following: A mirror. Futures will purchase a mirror. 10/20/2023 Implemented
6400.82(f)At the time of the inspection, the main bathroom did not contain paper towels or individual cloth towels.Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. Paper towels were placed in the bathroom the day of inspection. 08/31/2023 Implemented
SIN-00191311 Renewal 08/18/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.52(c)(1)Staff # 4 did not receive training in the application of person centered practices, community integration, individual choice, and supporting individuals to develop and maintain relationships.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.Futures training committee will develop a list of trainings that meet the 6600 regulations for annual orientation and training. The list will be shared with program specialists, frontline supervisors, and direct support professionals 10/15/2021 Implemented
SIN-00117557 Renewal 07/05/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.33(a) Individual #1 has a past history of sexual deviance, perpetration on a youth, unwanted advances toward classmates and harassment by phone. Children under the age of 18 are not permitted in the home. The Social, Emotional, Environmental Needs Plan for Individual #1 includes ending outings if groups of children arrive or Individual #1 attempts to engage children. From 5/4/17 to 5/7/17, Individual #2, who is a minor, received respite services in the home of Individual #1. Individual #1 and Individual #2 were neglect as they were both put at risk during this period of time.An individual may not be neglected, abused, mistreated or subjected to corporal punishment. Staff were trained on individual #1 Risk Management Plan and Risk Screening. Anyone under the age of 18 will not be permitted to spend the night at the home in which Individual #1 resides. 08/01/2017 Implemented
6400.68(b)The water temperature reading in this residence was 129.3, exceeding the requirement by 9.3 degrees. Hot water temperatures in bathtubs and showers may not exceed 120°F. Water heater has been adjusted and temperature does not exceed 120F. Water will be tested weekly through November 4, 2017. Results of water test will be documented. 08/03/2017 Implemented
6400.181(a)Individual #2 had an assessment done on 9/9/2015. He didn't have another assessment until 11/8/2016, which exceeds the annual requirement. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential 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 residential home. Quality Assurance has developed a list of assessments and lifetime medical histories of those residing in community living arrangement (6400). The list contains dates of annual assessments and lifetime medical histories. A month prior to the due date a notification from Quality Assurance will be submitted to the assigned Program Specialist. When the Program Specialist completes the annual assessment and lifetime medical history they will submit to the assigned Supports Coordinator, Quality Assurance, and ID Director. Quality Assurance can then update the list. 08/01/2017 Implemented
SIN-00101219 Renewal 07/07/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(d)Staff 1 was hired on 6/20/2016. Final results of a PA criminal history were not received for Staff 1. His request was completed on 6/22/2016 which stated that it was under review. A copy of the final reports received from the State Police and the FBI, if applicable, shall be kept. Staff hired on 6/20/16 PA Criminal Clearance was under review during inspection therefore the final outcome could not be added to the staff's file. On 7/11/16 Futures received the PA Criminal Clearance in the mail and filed in the staff's personnel file. There was nothing on the PA Criminal Clearance that prevented him from working. Between 6/20/16 and 7/11/16 staff did not work directly with clients but staff did partake in required agency trainings. 10/17/2016 Implemented
6400.33(a)According to individual and staff interviews, Individual 1 was verbally abused by agency direct service worker (staff 2) in April of 2016. Direct service worker/staff 2, threatened individual 1 that if she did not clean her bedroom her dad would be contacted. This would cause Individual 1 emotional distress.An individual may not be neglected, abused, mistreated or subjected to corporal punishment. The incident was reported on 4/20/16 and entered into EIM on 4/20/16. The target was immediately placed on administrative leave. The investigator confirmed the allegation and the target was trained on individual's needs as well as trained on individuals ' rights. In addition the target was given a formal performance evaluation for their personnel file. 04/28/2016 Implemented
6400.113(a)Individual 1 was admitted to the home on 2/1/2016. Individual 1 received her fire safety training on 2/28/16 (27 days late). An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. Effectively immediately any individuals moving into a CLA will receive their fire safety training at admission. Record of completed training will be kept on sight. Program Specialist will assure this training occurs as required. 10/16/2016 Implemented
6400.141(c)(1)The physical dated 9/8/15 for individual 1 does not contain a review of medical history. The physical examination shall include: A review of previous medical history. The 9/8/15 physical was not corrected by the primary care physician. She received her annual physical in September 2016 where Tina Route, CRNP, did review the medical history. Moving forward the house manager and program specialist will review the physical form to be sure the form is completed in its' entirety by the treating physician before the form is filed. 10/16/2016 Implemented
6400.141(c)(3)Individual 1's physical dated 9/8/15 does not contain immunization records. The agency is unsure if individual 1 has had her immunizations. The physical examination shall include: 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. House manager and program specialist will review the annual physical form before the form is filed. If immunizations are not completed on the form the house manager and/or program specialist will request the treating physician complete this section. If treatment physician does not have relevant records to complete the house manager and program specialist will obtain necessary records from appropriate physician. If records are not obtainable then the house manager and program specialist will work with primary physician to schedule. 10/30/2016 Implemented
6400.141(c)(7)Individual 1's date of birth is 2/9/1996 (20 years old) and has not received a gynecological exam, breast exam, or a pap test. The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. On July 18, 2016 individual's primary care physician (Tina Marie Route, CRNP) issued a letter stating that individual was seen on 7/18/16 and due to medical reasons she does not require annual pap smear at this time. 07/18/2016 Implemented
6400.141(c)(14)Individual 1's physical dated 9/8/15 does not contain information pertinent to diagnosis in case of an emergency as this was not asked on the physical form. The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. House manager and program specialist will assure the required information is completed on annual physical before filing. If the required information is missing then the house manager or program specialist will work with primary care physician on completing the form. The individual's annual exam was completed 9/16 and the primary care physician, Tina Route, CRNP, addressed medical information pertinent to diagnosis and treatment in case of emergency. 10/16/2016 Implemented
6400.186(b)Individual 1's ISP review dated 3/31/2016 was not signed by the program specialist or the individual. The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. The individual's ISP review dated 3/3/1/16 will be reviewed with the PS and the individual. A signature page that includes date of the review will be added to the file upon completion. This will be completed by 10/30/16. 10/30/2016 Implemented
6400.213(1)(i)Individual 1's record did not contain information on her identifying marks or her religious affiliation. Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph.The Face Sheet was updated on 8/23/16 to include identifying marks. All files will contain the updated Face Sheet by 8/30/2016. All new admissions will after 8/23/16 will use the updated Face Sheet. Effective immediately there will be no blanks on the Face Sheet that includes religious affiliation. This was updated on Individuals Record 1. 08/30/2016 Implemented
SIN-00081564 Renewal 06/16/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Staff #1 was hired on 09/02/2014 and a criminal history check was not submitted until 09/22/2014. An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire. Human resources will ensure that all prospective employees of the home who will have direct contact with individuals, including full-time, part-time and temporary employees will complete an application for a Pennsylvania criminal history record check and submit it to the State Police within 5 working days after the person's date of hire. The Human Resources Director will be re-trained on regulation 6400.21 (a). She will also ensure that all applicants Criminal History Checks are submitted within 5 working days of the person's date of hire by the Human Resource Director or designee. 08/18/2015 Implemented
Article X.1007Futures Community Support Services is required to meet all requirements of Article X of the Public Welfare Code and of the applicable statutes, ordinances and regulations (62 P.S. § 1007) including criminal history checks and hiring policies for the hiring, retention and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P.S. § 10225.101 ¿ 10225.5102) and its regulations (6 Pa. Code Ch. 15). Staff #2 was hired on 04/01/2015 and as of 06/16/2015 a criminal history check has not been submitted.When, after investigation, the department is satisfied that the applicant or applicants for a license are responsible persons, that the place to be used as a facility is suitable for the purpose, is appropriately equipped and that the applicant or applicants and the place to be used as a facility meet all the requirements of this act and of the applicable statutes, ordinances and regulations, it shall issue a license and shall keep a record thereof and of the application.A criminal history check was secured and reviewed for staff # 2. Staff#2 is not longer employed with Futures Community Support Services, Inc. Training/Re-training will occur with person's responsible for hiring employees to ensure compliance with 55 PA Code Chapter Article X.1007. This training will be completed by The Human Resource Director's Supervisor. The Human Resources Director will ensure compliance of all employees with regard to 55 PA Code Chapter Article X.1007. 08/31/2015 Implemented
SIN-00079490 Unannounced Monitoring 05/14/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.33(a) On 03/13/2015 staff #1 and staff #2 were talking negatively about staff#3 and they decided to get individual #1 involved . They asked individual #1 to call staff #3 and to tell them where she lived as they wanted to get staff #3 fired. This entire incident caused stress for individual #1 as he liked staff #3 and didn¿t want any part of their scheme to have her fired. An individual may not be neglected, abused, mistreated or subjected to corporal punishment. Individual was offered Victims Assistance but the individual declined the service. He was also offered to making a counseling appointment to discuss what happened but the individual declined. Staff #1 was terminated. Staff # 2 received Caregiver Sensitivity Training. Staff #2 will be re-trained on regulation 6400.33 (a) The program specialist followed -up with the individual a week later to see how he was doing. He reported that he was fine. The Program Specialist and House Manager will pop in and /or observe staff #2 for various periods of time while she is working to ensure that she is treating individual #1 appropriately and having appropriate conversations with other staff. These observations will be documented on a tracking sheet and will occur at least twice weekly for a period of two months. 06/05/2015 Implemented
SIN-00077460 Unannounced Monitoring 03/15/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.33(f)Individual #1 paid for a Comcast Cable Box connection but was denied the right to purchase programs of his choice.An individual has the right to receive, purchase, have and use personal property. Individual #1 is currently on probation, as part of his court ordered probation guidelines; he is to be restricted from viewing material that is pornographic in nature. Individual has used different means to access pornographic material. Individual #1 and his team developed at Restrictive Procedure Plan that addresses his restrictions to a cable box due to his history of accessing pornography with it and prior through other means. This plan was reviewed/approved by the Restrictive Procedure Review Committee on 04/15/15. It was also revised and reviewed by the Committee again on 4/24/15. All staff working with Individual #1 received training on the plan on 4/17/15 and 4/24/15. The staff also received training on Court Ordered Probation Guidelines on 4/30/15. After alleged incident individual requested the cable box be removed from his room to reduce his anxiety and temptation. This was removal at his request the month of April 2015. A review of regulation 6400.33 (f) was completed with the Program Specialist by the I.D. Director. The use of Restrictive Procedure Plan will be monitored monthly through a Monthly Progress Note by the Program Specialist. The Restrictive Procedure Plan is reviewed and revised at least every 6 months by the Restrictive Procedure Review Committee. The Restrictive Procedure Review Committee Chair will be responsible for ensure plan is reviewed every 6 months. The Program Specialist will be responsible for the revision of the Restrictive Procedure Plan as it is needed or at least every 6 months. Program Specialist will be responsible for monitoring that the individual is receiving, having, using and purchasing personal property by discussing this with him bi-weekly. She will document this on a monthly progress note for a period of 6 months. 05/01/2015 Implemented
6400.195(a)Individual #1 is restricted from viewing and purchasing material that is considered sexual or pornographic in nature.For each individual for whom restrictive procedures may be used, a restrictive procedure plan shall be written prior to use of restrictive procedures. Individual #1 is currently on probation, as part of his court ordered probation guidelines; he is to be restricted from viewing/purchasing material that is pornographic in nature. He and his team developed at Restrictive Procedure Plan that addresses these issues. It was reviewed/approved by the Restrictive Procedure Review Committee on 04/15/15. It was also revised and reviewed by the Committee again on 4/24/15. All staff working with Individual #1 received training on the plan and 6400 Regulations Restrictive Procedures Section on 4/17/15 and 4/24/15. The staff also received training on Court Ordered Probation Guidelines on 4/30/15. Staff received training on 3/19/15 on Individuals Risk Screening and Risk Management Reports in case issues arose that would warrant support with regard to court ordered probation guidelines. A review of regulation 6400.195 (a) was completed with the Program Specialist by the I.D. Director on 4/17/15. The use of Restrictive Procedure Plan will be monitored monthly through a Monthly Progress Note by the Program Specialist. The Restrictive Procedure Plan is reviewed and revised at least every 6 months by the Restrictive Procedure Review Committee. The Restrictive Procedure Review Committee Chair will be responsible for ensure plan is reviewed every 6 months. The Program Specialist will be responsible for the revision of the Restrictive Procedure Plan as it is needed or at least every 6 months. 04/24/2015 Implemented
SIN-00072739 Unannounced Monitoring 12/19/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.33(a)On September 5, 2013 Individual #1 was sentenced to 5 years probation and 60 hours of community service. He was registered as a lifetime sex offender on Megan's Law for corruption of a minor and indecent assault. His probation guidelines included : no access to the internet , cannot possess any pornographic material, no unsupervised community time (as a result of a pornography violation in February 2014 ) and he was not allowed to possess any weapons. In addition Individual #1 was not allowed to have any contact with anyone under the age of 18, anyone who was on probation or parole or anyone deemed to be inappropriate by the Bradford County Probation Department. On November 19,2014 pornography was discovered on Individual #1's X-Box, two knives were found in his bedroom and he continued to have one hour of unsupervised time in the community. These parole violations resulted in Individual #1 being taken into custody and jail time. Futures, Inc. was neglectful in not providing the necessary supervision to protect Individual #1 and others plus not following the probation guidelines.An individual may not be neglected, abused, mistreated or subjected to corporal punishment. Staff will ensure that this individual is supervised at all times. The home this individual resides in has 24hr. awake staff to ensure supervision needs are being met. Two staff check the individuals room daily to ensure there are no knives or weapons. When individual arrives home daily his back pack and pockets are also checked for weapon and knives. This also occurs after visits with his mother to ensure he has no weapons or knives. There have not been any issues with this since said incident occurred. If there is a problem it I will be reflected in the individual¿s daily case note and a team meeting will occur. Individual's I.S.P was changed to include no unsupervised time in his home or his community. It was also updated to include stipulations of probation and guidelines for checking on possession of weapons/knives. Staff received training on these updates and best practices to support Michaels on 12-4-14 and 12-17-14. The Program Specialist will monitor on going to ensure supervision, and probation guidelines are followed which includes no possession of weapons/knives. This will be reflected in a monthly progress note. 02/24/2015 Implemented
SIN-00069510 Unannounced Monitoring 10/01/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.33(a)On 9/3/2014, staff #2 observed staff #1 sitting on individual #1's lap while outside with housemates. Individual #1 stated that this made him feel uncomfortable. An individual may not be neglected, abused, mistreated or subjected to corporal punishment. An incident of abuse was filed, IR#6742392, and an investigation was conducted and founded. Two of the three staff involved have been terminated. Individual will continue to be encouraged to report instances that he may feel neglected, abused, mistreated or subject to corporal punishment. Staff receive training on reporting incidents as part of initial training. At the next staff meeting on 10-22-14 staff will receive training on boundaries. 10/20/2014 Implemented
6400.64(a)On 10/01/2014, I observed that two of the three individuals bedrooms had many articles of clothing piled on the bedroom floor. Clean and sanitary conditions shall be maintained in the home. Each individual has a hamper in their room. They are encouraged to use the hamper for dirty clothes and put clean clothing away. Staff will remind individuals of the importance of keeping their room clean and clothing put away in the appropriate place. Staff will continue to offer assistance to help. The house manager will monitor individuals bedrooms over the next several months to see if conditions have improved. Staff will be reminded at the next staff meeting staff on 10-22-14 to offer assistance. 10/20/2014 Implemented
6400.76(a)The third bedroom had a broken piece of white furniture with nails exposed (pointed ends sticking out). Furniture and equipment shall be nonhazardous, clean and sturdy. This furniture is owned by the individual. The furniture has been repaired so the nails are no longer exposed. The individual will be encouraged to report safety hazards with regard to his furniture or encouraged to dispose of furniture that is unsafe. The house manager will access the safety of the individual furniture over the next few months. If unsafe will ensure it is repaired or that individual is encouraged to dispose of it. Staff will be reminded at the next staff meeting on 10-22-14 to offer assistance to the individual. 10/20/2014 Implemented
SIN-00067018 Initial review 08/28/2014 Compliant - Finalized