Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00293138 Renewal 08/07/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.16On 6/11/26, staff documented that Individual # 1 had a complaint of not being able to feel her wrist and attributed that to a physical restraint on 06/10/26. No agency follow-up or treatment for the wrist was completed. Individual # 1's Constipation protocol indicates that the PCP should be contacted if no BM after three days and PRN protocol did not work on day four. On May 5-7 there were no Bowel movements and the PRN was administered. There is no documentation that the PCP was contacted on May 8 as the protocol requires. Individual # 1's Diabetic protocol indicates that if the Glucose is between 180-200, that she should take a walk or exercise, then recheck glucose. There is no documentation that walking or exercising occurred, nor the rechecking of glucose. Individual # 1 had glucose above 180-200 on 05/01-14, 16-17, 19-25, 27, 31/26.Abuse of an individual is prohibited. Abuse is an act or omission of an act that willfully deprives an individual of rights or human dignity or which may cause or causes actual physical injury or emotional harm to an individual, such as striking or kicking an individual; neglect; rape; sexual molestation, sexual exploitation or sexual harassment of an individual; sexual contact between a staff person and an individual; restraining an individual without following the requirements in this chapter; financial exploitation of an individual; humiliating an individual; or withholding regularly scheduled meals.All individuals files were reviewed for all protocols given to all individuals. 09/16/2026 Implemented
6400.67(a)Individual # 1's bedroom dresser is missing a handle/knob on the top drawer, right handle.Floors, walls, ceilings and other surfaces shall be in good repair. All lcss homes have been inspected for compliance with this regulation. 09/16/2026 Implemented
6400.144Individual # 1 is on a diabetic diet with recommended carbohydrate ranges and tracking. On 07/21/26, 07/03/26, 06/29/26 and 05/19/26, Individual # 1 had a soda for snack, but the number of carbs was left blank on the form. Individual # 1's constipation protocol does not includes specific information regarding how long to wait until PRN medications are given. The medical coordinator said the expectation is three days of no Bowel Movement, however, the protocol does not specify this information. Individual # 1's Diabetic protocol indicates that if the Glucose is between 180-200, that she should take a walk or exercise, then recheck glucose. There is no documentation Individual # 1's Antacid (Anti-gas) PRN MylantaHealth services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. All individual's medical records have been reviewed for all protocols given by physicians. 09/16/2026 Implemented
6400.181(e)(7)(Repeat 08/12/25) Individual # 1's 07/2/26 assessment explains that "due to neuropathy, decreased sensation and (she) does not always recognize when something is too hot. However, the assessment also reads in a previous section that she can temper her own water.The assessment must include the following information: The individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated. Individuals assessment has been updated and sent via email to her team. 09/16/2026 Implemented
6400.186(Repeat 08/12/25)- On 06/10/26 and 06/23/26, Individual # 1 had behavioral events which led to physical intervention. The behavioral plan reads: INTERVENTIONS WHEN Individual # 1 IS BECOMING UPSET & NOT ABLE TO COMMUNICATE FEELINGS, PRESENT HER WITH A COPING SKILL. ENSURE THAT YOU OFFER CHOICE & THAT DC DOESN'T FEEL YOU ARE COMMANDING HER TO USE THE SKILL. COPING SKILLS ARE: COLORING, FIDGET TOYS, TAKING WALKS, WATCHING TV, PETTING HER CAT. USE SOCIAL SCRIPTING. VALIDATE HER FEELINGS & ENSURE SAFETY. There is no documentation in the witness statements which indicate that the above-mentioned strategies were utilized prior to restraint. Witness statements refer to planned-ignoring as interventions utilized instead. Individual # 1's ISP dated 12/22/25 states that she needs encouragement to cut food into bite sized pieces. However, the assessment dated 11/05/25 and revised on 07/02/26 read that she has a diabetic diet and no reference is made to cutting food into bite sized pieces. Individual # 1 has a history of choking on food which required the Heimlich Maneuver and Emergency care. Individual # 1's Constipation protocol indicates that the PCP should be contacted if no BM after three days and PRN protocol did not work on day four. On May 5-7 there were no Bowel movements and the PRN was administered. There is no documentation that the PCP was contacted on May 8 as the protocol requires. Individual # 1's Diabetic protocol indicates that if the Glucose is between 180-200, that she should take a walk or exercise, then recheck glucose. There is no documentation that walking or exercising occurred, nor the rechecking of glucose.The home shall implement the individual plan, including revisions.Assessment was updated and shared with individuals team. 09/16/2026 Implemented
SIN-00288240 Unannounced Monitoring 04/24/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC 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
6400.186Individual #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
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-00250555 Renewal 09/03/2024 Compliant - Finalized
SIN-00188596 Unannounced Monitoring 05/21/2021 Compliant - Finalized