Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00258357 Unannounced Monitoring 01/08/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.214(b)Repeat - Individual #1's current assessment was not in the home at the time of inspection. The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. The Supervisors will be responsible for ensuring that Individual #1's assessment, as well as all other critical records, are present in the home. Each supervisor will also oversee the process of confirming the functionality of the tablets used for accessing assessments and other necessary documents. The immediate correction includes ensuring that Individual #1¿s assessment is available in the home at all times and that all tablets are fully functional with accessible tabs. Immediate Action: Supervisors will check tablets weekly to confirm that all tabs are properly opening and functioning. They will complete this check at the start of each shift. POC Addressing Violations: The violation noted in the LIS is addressed by ensuring that Individual #1s assessment is accessible and that technology tools (tablets) are operating correctly for all residents. Supervisors will review all resident assessments in the system for potential similar issues and correct any other assessments that may be missing or inaccessible. Target Completion Date: January 30th 2025 01/30/2025 Implemented
SIN-00253482 Unannounced Monitoring 10/09/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(b)The closet door in Individual # 1's bedroom was broken during the physical walk through. Screens, windows and doors shall be in good repair. The QLS Maintenance Team will be responsible for correcting this issue. The maintenance team has repaired the closet door and will continue to ensure that all doors are in good repair company-wide. One of the biggest challenges is getting staff members to identify and report hazards and maintain that all doors are in good repair to the extent that is required by regulation, which is the root cause of this violation. We will implement more consistent training to all staff and management; along with implementation of Connecteam Launch Pad. This is an interactive system that provides a more effiecient way to track maintenance work lists and issues. 12/15/2024 Implemented
6400.81(k)(6)There is no mirror in Individual # 1's bedroom.In bedrooms, each individual shall have the following: A mirror. The QLS Maintenance Team will be responsible for correcting this issue. The maintenance team has hung a mirror in individual #1's bedroom and will continue to ensure that bedroom furnishings meet specific individual needs and desires to reduce risk of injury and to provide comfort company-wide. One of the biggest challenges is getting staff members to identify and report missing items to meet the individuals specific needs to provide comfort to the extent that is required by regulation, which is the root cause of this violation.We will implement more consistent training to all staff and management; along with implementation of Connecteam Launch Pad. This is an interactive system that provides a more effiecient way to track maintenance work lists and issues. 12/15/2024 Implemented
SIN-00241867 Unannounced Monitoring 03/28/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(b)Individual #1 Medication Adminsitration Record stated Levetiraceta 8pm dose as take 1 tab twice daily for mental health. The label on the medication states take 2 tabs 1000mg twice daily for mental health.A prescription order shall be kept current.It is important for individuals to receive the proper dosage of their medications and for staff to know without a doubt what they should be administered. It is apparent that there was an instances in which a new medication must have been received by the home, but not accepted into the EMAR, therefore displaying conflicting information. The medical coordinator has been educated and now checks the pharmacy waiting portion of the EMAR every evening after the pharmacy closes to obtain knowledge of what medications are out for delivery. She then follows up with the home and they compare the lablels of the medications received with what is in pharmacy waiting and once it is confirmed that they match the medication is accepted into the EMAR system. The Management Team has verified that all medications that are prescribed to the individuals match the EMAR. 05/10/2024 Implemented
SIN-00237052 Unannounced Monitoring 01/03/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)There was no thermometer in the first aid kit at the time of the inspection. The first aid kit in the home was missing scissors at the time of the inspection. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. 1. A plan to fix the immediate problem. a. WHO: QLS Management and Staff b. WHAT: QLS staff will be responsible for ensuring that all first aid kits are equipped and well maintained with the appropriate items. QLS management will be responsible for weekly home inspections, including a comprehensive inventory check of the first aid kits. QLS Program Specialists will be responsible for ensuring all issues are addressed promptly. c. WHEN and HOW: On 1/8/2024 QLS management began conducting weekly unannounced home inspections. 02/02/2024 Implemented
6400.80(a)There were patches of snow and ice on both the front and back porch stairs at the time of the inspection. Outside walkways shall be free from ice, snow, obstructions and other hazards. 1. A plan to fix the immediate problem a. WHO: QLS Management, Maintenance and Staff b. WHAT: QLS staff will be responsible for ensuring that walkways are free of hazards. QLS management will be responsible for weekly home inspections to ensure compliance with this regulation. QLS Program Specialists will be responsible for ensuring all issues within this regulation are addressed promptly. c. WHEN and HOW: On 1/8/2024 QLS management began conducting weekly unannounced home inspections. 02/02/2024 Implemented
6400.80(b)There were cigarette butts on the ground next to the back porch stairs. There was an inflatable swimming pool beside the back porch stairs. The pool was filled with brown water and leaves. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.1. A plan to fix the immediate problem. a. WHO: QLS Management, Maintenance and Staff b. WHAT: QLS staff will be responsible for ensuring the outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. QLS management will be responsible for weekly home inspections to ensure compliance with this regulation. QLS Program Specialists will be responsible for ensuring all issues within this regulation are addressed promptly. c. WHEN and HOW: On 1/8/2024 QLS management began conducting weekly unannounced home inspections. 02/02/2024 Implemented
6400.114(b)The was an open pack of cigarettes laying on the end table in the living room at the time of the inspection, The room had a strong smell of cigarettes as well. Cigarette butts were littered on the ground beside the back porch stairs. QLS Non-Smoking Policy 02-0010 states that all cigarette butts are to be disposed of in a fire resistant container and that gounds must be kept clean of cigarette butts.Written smoking safety procedures shall be followed.1. A plan to fix the immediate problem. a. WHO: QLS Management and Staff b. WHAT: QLS management and staff will be responsible for complying to the smoking policy at QLS at all times. c. WHEN and HOW: On 2/1/2024 the QLS Smoking Policy was updated and reissued to the QLS Staff and Management and required signature of acknowledgement and understanding. 02/02/2024 Implemented
SIN-00175769 Unannounced Monitoring 09/01/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)There are 3 sections of kitchen flooring in front of the stove that are curling up or broken, creating a tripping hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.1. 6400.67 (b)- surfaces-three (3) sections of flooring in front of the stove were curling up and broken creating tripping hazards. a. WHO: RSS staff and house supervisors will be responsible for completing maintenance request forms and submitting them to the corporate office. Maintenance staff will be responsible to complete the request within a reasonable amount of time. b. The tiles on the floor in front of the stove were replaced by maintenance. c. The tiles were replaced on 9/8/2020. 2. Outside of COVID-19 restrictions, QLS Inc. typically has a field manager visit all homes weekly and provides maintenance request forms to management to fix problems within the homes. 3. A memo has been sent out on 9/17/2020 addressing this regulation and the role that RSS and House supervisors play while awaiting COVID-19 restrictions to be lifted. 4. No new form or plan was created due to the prior success of the policy this was simply overlooked as an effort to minimize COVID-19 exposure to the people we support. 5. Attachments #1- Memo Attachment #3- photo of fixed flooring 09/08/2020 Implemented
6400.82(f)There were no paper towels or hand towels present in the upstairs bathroom at the time of inspection.Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. 1. 6400.82- Bathrooms- paper towels and hand towels were not available in the upstairs bathroom. a. WHO: It is the responsibility of the RSS and House Supervisors to assure there are always paper towels and hand towels in all of the restrooms to assure proper hygiene and handwashing. b. WHAT: Hand towels and paper towels will always be available at all the sinks in the home. c. WHEN and HOW: 9/1/2020- paper towels and hand towels were made available at all the sinks in the home. 2. Upon shift change it will be the responsibility of the RSS/house supervisor to assure all the sinks in the home are equipped with paper towels and hand towels. If supplies on paper towels are running low, it will be the responsibility of the staff on shift to let the house supervisor know to get some more prior to running out. The house supervisor will assure ample supplies of paper towels and clean hand towels are available for use. These will be ordered weekly on the grocery order list that is provided to the QLS Inc. corporate office by 10AM every Monday for pick up on Thursdays. 3. All house supervisors and RSS staff will be trained on 6400.82 by 9/17/2020 via Memo. This will allow everyone to understand the role they play in staying in compliance with this regulation. This is to assure proper follow through of the POC in its entirety now and in the future. 4. Cleaning check list will be updated at the houses to reflect a proper amount of supplies are available and ready for use. It will also reflect a spot check of every sink in the home to assure there are paper towels and hand towels available for use. 5. Attachment #1- Memo Attachment #2- copy of the new cleaning check list that includes spot check of each sink and supply abundance 09/17/2020 Implemented
SIN-00277306 Unannounced Monitoring 10/30/2025 Compliant - Finalized
SIN-00265921 Unannounced Monitoring 05/06/2025 Compliant - Finalized
SIN-00212792 Renewal 10/03/2022 Compliant - Finalized
SIN-00160798 Renewal 10/23/2019 Compliant - Finalized
SIN-00117524 Renewal 08/16/2017 Compliant - Finalized