| Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
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SIN-00288240
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Unannounced Monitoring
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04/24/2026
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.32(c) | On 4/23/2026 at 8:11pm Staff #1 was seen on video engaging in a physical altercation with Individual #1. Staff #1 was seen throwing an aerosol can towards the individual, hitting them, then pushing them down. At 8:12pm, Individual #1 is seen on video seeming to exit the home. Staff #1 proceeds to follow the Individual and physically pull them back into the home. As a result of the physical altercations, Individual #1 was taken to the Emergency Room where they received sutures.
Retaliation against an Individual for exhibiting behaviors is prohibited and constitutes abuse/mistreatment. Staff failed to properly utilize their prior training consistent with appropriate physical restraints. | An individual may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment. | At the time of this incident, the target was not only arrested by the local police but she was also suspended from all LCSS homes/properties. This target staff has been terminated by LCSS after a full investigation was completed. She did not return to LCSS since the date of the altercation. |
05/22/2026
| Implemented |
| 6400.186 | Individual #1's current Behavior Supports Plan dated 4/16/2025 provides the following interventions that are to be offered to the Individual as a choice rather than a command when they are unable to communicate their feelings and emotions: coloring, fidget toys, taking walks, watching television, petting their cat. Prior to the physical altercation seen on video on 4/23/2026, staff did not appear to attempt any deescalation techniques, instead they engaged in aggressive body language which could be interpreted as yelling and arguing with the individual. | The home shall implement the individual plan, including revisions. | Target staff that did not implement the plan as written has been suspended and after an investigation by LCSS, this target staff has been terminated. |
05/22/2026
| Implemented |
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SIN-00227722
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Renewal
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07/25/2023
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC 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 |
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SIN-00207215
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Unannounced Monitoring
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06/06/2022
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC 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 |
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SIN-00250555
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Renewal
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09/03/2024
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Compliant - Finalized
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SIN-00188596
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Unannounced Monitoring
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05/21/2021
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Compliant - Finalized
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