Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00191106 Renewal 08/10/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(1)Individual #3's annual physical dated December 20, 2020 did not include documentation of her 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
6500.121(c)(6)Individual #3's last TB Test was completed on July 25, 2019 and is out of the 2 year time period.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 obtained her TB on 8/11/21 and it was read (negative) on 8/13/21. 08/13/2021 Implemented
6500.32(r)(1)Individual #3's bedroom door has a lock on it. There is not key to access the lock from the outside. The lock on the door is a pin hole lock and neither Individual #4 nor the Family Living Provider have a key to access the lock.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.A lock with a key will be placed on individual #3 bedroom door. 09/30/2021 Implemented
6500.34(a)Individual #3 was informed of her rights on 10/25/2020, however the individual rights were not current. The missing right included: 32(o) An individual has the right to manage and access the individual's finances.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 to include the individual's right to manage their own finances. The updated individual rights will be reviewed with individual #1. Upon review the individual will sign an acknowledgement form. 09/15/2021 Implemented
6500.133(h)Individual #3 is prescribed Neomycin Polymyxin HC Ear. Place 3 drops into the left ear twice daily for five days. Dated May 3, 2021. This medication was administered in May and discontinued after 5 days. It was still in the home during this inspection. The discontinued medication was not disposed of properly.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.Medicine was discarded. This medicine is something that individual #3 needs periodically so the next this medicine is needed the provider will discuss the possibility of it being prescribed as a PRN for individual #3. 08/13/2021 Implemented
6500.152(c)Individual #3's assessment indicates that she is independent with money management. It further indicates that Individual #3 is able to manage a small amount of money. Individual #3's Individual Service Plan indicates that they are unable to handle and manage their finances but that they are able to carry up to $5. The Family Living Provider reports that Individual #3 is unable to manage their money and can only carry a small amount at a time. It is unclear what Individual #3's ability to manage money is based on the information provided as it is conflicting information. Individual #3's assessment indicates that they are self-medicating. The Family Living Provider indicated that Individual #3 is unable to self-medicate. Individual #3's Individual Service Plan does not address their ability to self-medicate or the level of assistance they require when administering medication. Individual #3's assessment indicates that they are able to have up to 30 minutes of unsupervised time while at the home. Individual #3's Individual Service Plan indicates that they are able to have up to 1 hour of unsupervised time while at the home. It is unclear how much unsupervised time Individual #3 is permitted to have while at home as the information is conflicting.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.Individual #3 assessment has been updated. The updated assessment will be submitted to the supports coordinator with a request to update individual #3 ISP. 09/07/2021 Implemented
SIN-00178616 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 6/3/19, 12/3/19 and 6/3/20. Fire drills were conducted on 6/10/19, 12/3/19 and 6/2/20. 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
6500.135(g)On the individual #2's psychiatric medication review on 6/15/20, the form was blank for the reason for prescribing the medication, and the need to continue the medication.If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review by a licensed physician at least every 3 months to document the r reason for prescribing the medication, the need to continue the medication and the necessary dosage.Provider will be retrained on what forms are taken to psychiatric medication review appointments and how to work with the attending physician to ensure the form is completed in its entirety. 11/25/2020 Implemented
6500.152(c)On individual #2's assessment it states in the community she can be unsupervised for 15 minutes, and then needs to check in with her Life Sharing Provider. Her Individual Support Plan(ISP) states she has up to 20 minutes of unsupervised time in the community. The ISP was not updated to reflect the needs change in the area of supervision based on the current assessment.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.The assessment has been updated to be consistent with the Individual Support Plan. 11/10/2020 Implemented
SIN-00134949 Renewal 05/09/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.31(a)Individual #3 was admitted on 10/12/2017. She wasn't informed of her Individual Rights until 10/25/2017.Each individual, or the individual's parent, guardian or advocate if appropriate, shall be informed of the individual's rights upon admission and annually thereafterIntake Checklist was updated on 6/1/18 to include individual¿s rights to be completed upon admission. 06/01/2018 Implemented
SIN-00230597 Renewal 08/10/2023 Compliant - Finalized
SIN-00118797 Renewal 07/18/2017 Compliant - Finalized
SIN-00095629 Renewal 06/01/2016 Compliant - Finalized