Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00256648 Unannounced Monitoring 12/03/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)At the time of the inspection there was a small trash can sitting on the bathroom sink in both bathrooms in the home. This is unsanitary and trash cans should remain on the bathroom floor.Clean and sanitary conditions shall be maintained in the home. At the time of the inspection, it was observed that small moveable trash cans were sitting on the bathroom sinks in both bathrooms, which is unsanitary. In response, a plan of correction will be implemented to address this issue and ensure compliance with sanitation standards. The Management Team will be responsible for overseeing the removal of these moveable trash cans and ensuring that only the trash cans mounted to the walls remain in the bathrooms. The immediate corrective action will involve removing all small trash cans from the sinks in both bathrooms and leaving only the mounted trash cans that are placed securely against the walls. The root cause of the issue with small moveable trash cans being placed on the bathroom sinks is staff error during cleaning. It appears that during routine cleaning, staff may have inadvertently left the trash cans on the sinks instead of placing them back on the bathroom floor. 01/20/2025 Implemented
6400.171At the time of the inspection there was a bowl of mashed potatoes being stored in the refrigerator without a protective cover over the top and there was a metal pan with brownies in it without a protective cover over it and a knife laying on top.Food shall be protected from contamination while being stored, prepared, transported and served. At the time of the inspection, several food safety violations were observed in the kitchen. A bowl of mashed potatoes was being stored in the refrigerator without a protective cover, and a metal pan containing brownies was uncovered with a knife placed on top. These issues pose risks for contamination and cross-contamination, which can affect the safety and quality of the food. The root cause of these violations likely stems from a lack of adherence to proper food storage protocols and insufficient training on food safety practices, resulting in uncovered food items and improper storage methods. To address the immediate issue, the Supervisor (or designated staff member) will take responsibility for correcting the violations. The immediate corrective actions will include covering the mashed potatoes with a lid or plastic wrap, and properly covering the brownies with a suitable cover while removing the knife from the pan to prevent contamination. Additionally, the refrigerator will be cleaned to ensure that all food is properly stored and organized. 01/20/2025 Implemented
SIN-00243955 Unannounced Monitoring 05/02/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)Individual # 1's bedroom had a pungent odor during the physical site walk through.Clean and sanitary conditions shall be maintained in the home. The individuals in this home need education and reminders about hygiene practices and their effects. In order to remedy the immediate issue, the maintenance team scrubbed the carpeting immediately to ensure the odor was no longer present. Additionally, QLS decided to replace the flooring, and by 6/1/2024 the floors in Individual #1 bedroom will be replaced. A copy of the maintenance request for the flooring to be replaced is attached as exhibit#1. 06/01/2024 Implemented
6400.67(a)Individual # 2's right sliding closet door was not secured on the bottom of the door.Floors, walls, ceilings and other surfaces shall be in good repair. The QLS Maintenance Team will be responsible for correcting this issue. The maintenance team will repair the door immediately and ensure that all surfaces are in good repair company-wide. One of the biggest challenges is getting staff members to identify and report hazards and maintain cleanliness to the extent that is required by regulation, which is the root cause of this violation. We employee a diverse group of employees that come from many different walks of life and what are acceptable conditions to one could be viewed as unacceptable by another. 06/01/2024 Implemented
6400.80(b)There was toilet paper and paper (trash) on the back lawn during the physical site walk through. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.The QLS Field Team will be responsible for correcting this issue. The trash was picked up from the outside of the home immediately. A major hurdle lies in encouraging staff members to recognize and report hazards while maintaining cleanliness to the standards mandated by regulations, which constitutes the root cause of this violation. Our workforce encompasses a diverse array of individuals from varied backgrounds, each with their own interpretations of acceptable conditions. What one regards as acceptable may differ significantly from another's perspective, complicating efforts to uphold consistent cleanliness standards. 06/01/2024 Implemented
6400.81(k)(3)Individual # 1 did not have linens/sheets on his bed during the physical site walk through.In bedrooms, each individual shall have the following: Bedding, including pillow, linens and blankets appropriate for the season.Program Specialist will be responsible for overseeing the correction process in the future by emailing the Support Coordinator (SC) to request updates to the Individual Support Plan (ISP) to include specific language for individuals who choose not to have sheets or bedding on their bed due to personal preferences. The Program Specialist will email the SC to request updates to the ISP for each individual who chooses not to have sheets or bedding on their bed. The email will include details about the individual's preferences and any necessary accommodations. By implementing this plan of correction, we aim to ensure that individual preferences regarding bedding are properly documented in the ISP, promoting person-centered care and compliance with regulatory requirements. Additionally, ISP reviews will include verification that individual preferences are accurately documented and communicated. 06/01/2024 Implemented
6400.82(f)The upstairs bathroom did not have a trash receptacle in it during the physical site walk through.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. Individuals that QLS services may remove or discard trash cans for various reasons, such as personal preference or misunderstanding of proper usage. This behavior could stem from cultural norms, hygiene concerns, or a lack of awareness about the importance of providing waste disposal options. Environmental factors such as limited space or layout constraints in the bathroom may influence the decision to remove or relocate trash cans. Staff members or individuals may perceive certain locations as more convenient or accessible for waste disposal. In order to resolve this, wall-mounted trash cans will be installed in all of QLS bathrooms. The field manager immediately purchased a trash can and placed it in the bathroom of this home. The Maintenance Department will survey all bathrooms in each home to determine suitable locations for wall-mounted trash receptacles and install them accordingly. By implementing this plan of correction, we aim to address the immediate need for wall-mounted trash receptacles in bathrooms and prevent future occurrences of inadequate waste management by ensuring consistent maintenance and inspection protocols across all homes. 06/01/2024 Implemented
SIN-00236942 Monitoring - Reported Incident 01/03/2024 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)Individual # 2's third drawer from the top of his dresser was not attached to the dresser.Floors, walls, ceilings and other surfaces shall be in good repair. 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 all floors, walls, ceilings and other surfaces are in good repair. 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
6400.72(b)Individual # 1's sliding closet doors in the bedroom were not secured on the bottom track. Screens, windows and doors shall be in good repair. 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 screens, windows and doors are in good repair. 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
6400.77(b)The first aid kit did not contain scissors, tweezers or a thermometer during the physical site walk through. 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
6400.77(c)The first aid manual was not included in the First Aid Kit during the physical site walk through. A first aid manual shall be kept with the first aid kit.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(b)Piles of Leaves were found in the yard during the physical site walk through. Carboard was in the yard of the home during the physical site walk through. 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 Not Implemented
6400.214(b)The current Physical Exam, current ISP and current Assessment were not at the home during the physical site walk through. Staff IPAD was not charged to access Agency Software due to not having a charger within the home. The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. 1. A plan to fix the immediate problem. a. WHO: QLS Management b. WHAT: QLS Management will ensure that the staff have access to the most recent assessment, physical, ISP, Behavior Support Plan and any other pertinent information specific to the individual being served c. WHEN and HOW: QLS Program Specialist, Medical Coordinator and Behavior Specialist will ensure that all records are kept in digital and paper form in the homes for the staff by 2/1/2024. 02/05/2024 Implemented
6400.182(a)Individual # 2's ISP last updated 06/15/23 lists his address as a different agency home rather than his current residence. Individual # 2's ISP last updated 06/15/23 reads "Appendix K -- 11/24/21 DUE TO THE STAFFING CRISIS, (Individual # 2) WILL BE STAYING A DIFFERENT LOCATION···". Appendix K was discontinued on 10/21/22 and the CEO was informed via email on 01/31/23 at 11:45 am that Appendix K is no longer applicable. The ISP was not updated to reflect Appendix K discontinuance.The program specialist shall coordinate the development of the individual plan, including revisions with the individual and the individual plan team.1. A plan to fix the immediate problem. a. WHO: QLS Program Specialists b. WHAT: QLS Program Specialists will ensure immediate updates to individual plans based on the latest assessment and any change of needs that occur, by conducting timely and accurate addendums and revisions as needed. c. WHEN and HOW: QLS program specialists developed a streamlined communication process between the departments for accurate information regarding revisions and updates to individual plans, this was put into effect on 1/22/2024. 02/05/2024 Implemented
SIN-00142294 Renewal 09/11/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.33(g)During the home inspection on 9/12/18, individual #1 was witnessed to be sitting in the agency office waiting area. He was sitting with a staff waiting for his housemate's meeting to be over that was being held at the agency office. After he returned to him home located a few blocks away, individual #1 indicated that he was tired and wanted to be home. According to staff, if he wasn't feeling well and wanted to stay home, another staff from another house and the individuals living in that home will come to stay with individual #1 in his home; a rights violation for all individuals involved. Today, 9/12/18, he was made to walk to the agency office for his housemate's meeting when he wanted to stay home because he was tired.An individual has the right to receive scheduled and unscheduled visitors, communicate, associate and meet privately with family and persons of the individual's own choice. This regulation is important because it ensures that the individuals being supported by QLS staff enjoy the right to receive scheduled and unscheduled visitors, communicate, associate and meet privately with family and persons of the individuals own choice. This violation occurred because QLS staff misunderstood proper protocol when it comes to shared staffing. On September 13, 2018 Incident #8469381 was entered for Individual #1 for a Rights Violation and the investigation was conducted and completed. It was determined through an investigation that the individual did not express the want to stay home or not wanting to go to the office with staff and housemate. As of September 13, 2018, once made aware of the violation, QLS management contacted house supervisors of the infraction, and informed them that each individual QLS supports has the right to refuse any activity or meeting and should be asked to determine whether they want to participate. This will also be discussed in the company meeting scheduled for October 25, 2018. Moving forward, to ensure all QLS staff is made aware of individual rights, we have incorporated a Notice of Individual Rights form that is attached as Attachment #5 that will be signed and trained on for all new hires. Staff already employed at QLS will review and be trained on this form by October 25, 2018, or on their re-training certification date, whichever is sooner, by the recruitment and training coordinator. This sheet will be made a part of the employees file and tracked by the operations department to ensure staff is training on this annually. QLS is also currently creating a position to help with staffing issues to ensure that proper staffing is available when an individual expresses his or her desire to stay home. 09/13/2018 Implemented
6400.216(a)Repeat from 8/16/17: Multiple individual specific information was found unlocked an accessible at the home. Those items included demographic sheets for the two individuals currently in the home and a previous housemate, incident report from EIM, daily notes, over the counter medication sheet. An individual's records shall be kept locked when unattended. It is important for all individual records to be kept locked when unattended because it is important to keep an individual¿s records confidential. The staff failed to properly file the paperwork in the individual¿s records, as required by QLS policy, and left the documentation unsecured in a common area of the home. This violation occurred as an oversight by QLS direct care staff and management as they did not follow QLS procedure to ensure all personal information was locked. Upon the licensers exiting meeting on September 14, 2018 the home that was found to be out of compliance with this regulation was contacted by their Program Specialist and informed that the documents found needed to be secured immediately in the home office. On September 17, 2018 an agency wide memo was issued by the Operations Manager educating staff that all individual records, schedules and staff note books are required to be kept in the designated locked areas. This memo is being forwarded to you as Attachment #1 The week of September 17, 2018 the Field Manager inspected every location ensuring that all staff offices and confidential information was locked. During the companywide meeting scheduled for October 25, 2018, all direct care staff will be educated on the importance of locking personal information. Furthermore, the Field Mangers checklist of regulatory items was revised to include these specific items, which is being forwarded to you as Attachment #2. The Field Manager is responsible for unannounced inspections of each residential location multiple times a month. The Field Managers Checklist will be reviewed weekly by the Operations Manager to see which areas we are lacking compliance in, so an internal corrective action can be implemented and/or revised. There was also a management meeting held on September 18, 2018 in which this citation was reviewed with the managers and they were instructed to be more vigilant while out at the homes to ensure compliance with this regulation. Attached as Attachment #3 is the September 18, 2018 Management Meeting Agenda. 10/17/2018 Implemented
SIN-00277300 Unannounced Monitoring 11/05/2025 Compliant - Finalized
SIN-00271804 Unannounced Monitoring 08/13/2025 Compliant - Finalized
SIN-00264301 Unannounced Monitoring 04/10/2025 Compliant - Finalized
SIN-00239315 Renewal 02/21/2024 Compliant - Finalized
SIN-00218814 Renewal 02/06/2023 Compliant - Finalized
SIN-00195758 Renewal 11/30/2021 Compliant - Finalized
SIN-00180456 Renewal 12/07/2020 Compliant - Finalized
SIN-00117525 Renewal 08/16/2017 Compliant - Finalized