Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00227722 Renewal 07/25/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The asleep fire drill occurred on 6/30/22 and then not again until 1/20/23.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 fire alarm or smoke detector was operative. LCSS has changed its policy for nighttime fire drills. Nighttime fire drills will be held every four months, not only to ensure compliance, but also to ensure that the individuals are trained more often during this time frame. Tracking will be completed by the Field Managers of all fire drills outlining, date, time, exit, alarm, evacuation time, meeting spot, and any issues that was noted. 08/02/2023 Implemented
SIN-00207215 Unannounced Monitoring 06/06/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.43(b)(1)Life Changing Support Services smoking/vaping procedure that was issued on 5/1/13 permits smoking of any kind indoors at any LCSS owned or leased buildings or vehicles. Smoking occurred for an undisclosed amount of time in the "furnace room" of LCSS's leased office building. Smoking/vaping procedure was not being implemented and followed accordingly.The chief executive officer shall be responsible for the administration and general management of the home, including the following: Implementation of policies and procedures. When LCSS first moved into this building it was said by the previous tenant and the landlord employees of the office were able to smoke in the room that holds the coal furnace. Around March/April 2021 it was found out this was not accurate. Since there was no written documentation that it was communicated to the office staff, it is not able to be proven that smoking was not permitted in the furnace room and no verification that the directive was followed. A companywide review of has been completed and the updated policy includes recommendations by the CIAA and all houses have been equipped with the proper smoking receptacles, smoking areas were determined, and checking for smoking violations in the home and vehicles has been added to the weekly house check documentation. Stickers have been ordered for the cars and will be put in the cars no later than 07/15/2022. The updated smoking/vaping policy was distributed companywide by memo. Updated signage as recommended by the CIAA has been put through out the office areas. No smoking signage will be also put in the houses no later than 07/15/2022. A lock was put on the office furnace room door by the landlord to restrict unauthorized access. 07/15/2022 Implemented
6400.43(b)(3)Life Changing Support Services used a "furnace room" in LCSS office building as a smoking room for an undisclosed amount of time. Individuals frequent LCSS's office building to clean or complete various tasks. An LCSS licensed home is also directly above the office building where Individual #1 resides. Individuals' safety is at risk due to being potentially exposed to second-hand smoke.The chief executive officer shall be responsible for the administration and general management of the home, including the following: Safety and protection of individuals. When LCSS first moved into this building it was said by the previous tenant and the landlord employees of the office were able to smoke in the room that holds the coal furnace. Around March/April 2021 it was found out this was not accurate. Since there was no written documentation that it was communicated to the office staff it is not able to be proven that smoking was not permitted in the furnace room and no verification that the directive was followed. The individual in Apt 4 did not move into the apt until March 22, 2022, this was about a year after the smoking had stopped in that room. Being that there is no verification of compliance with this issue the following corrective actions have been taken. A lock was put on the door to prevent unauthorized access to the furnace room. Updated signage, as recommended by the CIAA was put up through out the office. The smoke free compliance toolkit from the CIAA was reviewed by all office staff. Office staff were required to sign a training sheet noting that they read and understood the information. 07/15/2022 Implemented
SIN-00188596 Unannounced Monitoring 05/21/2021 Compliant - Finalized