Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00208893 Renewal 08/02/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.31(b)The individual rights forms did not contain the rights information for regulation 32.r.1-5 or 32.s.1-3. Forms need to be updated to ensure individuals understand all of their rights afforded to them under this chapter's regulations.The home shall educate, assist and provide the accommodation necessary for the individual to make choices and understand the individual's rights.A company wide review was completed. The rights were immediately updated. To include the missing information. The individual rights were redistributed to all the individuals for review and sign. 08/10/2022 Implemented
6400.196(b)There was no documentation demonstrating that staff experienced the use of the physical restraints approved for use with individual #1's restrictive procedure plan. The most recent use of a restraint occurred on 4/07/2022.If a physical restraint will be used, the staff person who implements or manages the behavior support component of the individual plan shall have experienced the use of the physical restraint directly on the staff person.A company wide review was completed to ensure compliance. The training syllabus was updated to reflect the staff will experience the use of restraints on themselves. The certificates that are issued and signed by the instructor and the staff taking the course, also include the adherence to this regulation by stating staff will experience the restraints. 08/10/2022 Implemented
SIN-00188862 Technical Assistance 07/27/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(c)Individual #1 has purchased takeout food for other individuals and staff on numerous occasions since January 2021. While it is not prohibited to purchase food for others, the amount she is spending seems to be excessive and it does not appear she is being counseled by staff regarding her spending. In section 181(e)(1) of the assessment dated 12-14-2020, it states that the individual "enjoys spending money but will typically ask staff for guidance when it comes to the budgeting portion. If left on her own to spend her money she would overspend and not have enough monies to do other things she would like to do". In section181(e)(3)(i) it states that individual "does not understand the value of money but can count money independently. Individual tends to get her wants and needs mixed up and without guidance will pick her wants over a need every time". In section 181(e)(13)(vii) it states that individuals "understanding of money is limited.", it goes on to say that in the individual's eyes , "chips, candy, and soda are more important than paying your water bill". In the desired activities section of the individual's ISP, it does state "occasionally individual will buy her house mates dinner using the money that she makes at work". The adaptive self/help section of the ISP states that the individual needs assistance with functional academics and managing her money. The individual requires a rep payee to assist with money management, Life Changing Supports is the rep payee. The financial section of the ISP states that the individual does not always make sound financial decisions. Individual is impulsive with spending. Individual put herself in debt making unreasonable purchases beyond what she could afford. The assessment and ISP clearly document the inability of this individual to understand the amount of money she is spending on food for others. On one occasion the individual's receipt shows a $6 tip for a $14 buffet. With the individual's inability to understand money it is the responsibility of staff to use situations such as this as teaching moments to help individual learn the reasonable amount for tipping to help her gain a better understanding of money and spending. While it is ultimately the individual's money to spend as she wishes, LCSS has a responsibility to help teach individual money and budgeting skills.Individual funds and property shall be used for the individual's benefit. A companywide review was completed. A companywide training was conducted on 8/24/21 which included 6400.181(e)(1), the importance of proper documentation, encouraging healthy eating and giving healthy options and making restaurant food healthy at home, and the Program Specialist completed an assessment addendum for the individual to include educating the individual on money, this will be reflected upon sections 181(e)(3)(i) & 181(e)(13)(vii) in the assessment, this will be also in the individuals ISP and she will also be placed on a ¿budgeting¿ (Money Management) outcome to help assist with educating her when going out to eat. This will help ensure that LP isn¿t spending excessively when going out to eat and paying for other people¿s food items. Staff will encourage the individual to learn how to make her favorite out to eat meals at home. Staff was also instructed during training to document progress with this new goal. 08/27/2021 Implemented
SIN-00227726 Renewal 07/25/2023 Compliant - Finalized