Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00236947 Monitoring - Reported Incident 01/03/2024 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The rug located in the living room in front of the couch had 9 ½ to 5 inch brown stains. The rug in individual #1's bedroom had three 2 inch circles of mold.Clean and sanitary conditions shall be maintained in the home. 1. A plan to fix the immediate problem a. WHO: QLS Management and Staff b. WHAT: QLS staff will be responsible for ensuring the cleanliness and sanitation of the homes in which they work in. QLS management will be responsible for weekly home inspections. 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 Not Implemented
6400.76(a)The chair in the living room located beside the tv had 5 ½ to 3 inch brown stains on the arms and seat cushion. The couch beside the chair in the living room had a broken left arm. Furniture and equipment shall be nonhazardous, clean and sturdy. 1. A plan to fix the immediate problem. a. WHO: QLS Management, Maintenance and Staff b. WHAT: QLS staff will be responsible for that all furniture is nonhazardous, clean and sturdy in the homes they work in. 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 are addressed promptly. c. WHEN and HOW: On 1/8/2024 QLS management began conducting weekly unannounced home inspections. QLS Staff immediately report any issues with furniture to the QLS management team. QLS Maintenance will address, repair or replace any items in question. 02/02/2024 Implemented
6400.77(b)At the time of the inspection there was no medical tape in the first aide kit. 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
6400.216(b)At the time of the inspection the staff #1 could not access the individual #1's ISP or assessment.The individual, and the individual's parent, guardian or advocate, shall have access to the records and to information in the records. If the interdisciplinary team documents that disclosure of specific information constitutes a substantial detriment to the individual or that disclosure of specific information will reveal the identity of another individual or breach the confidentiality of persons who have provided information upon an agreement to maintain their confidentiality, that specific information identified may be withheld.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
6400.165(b)Individual #1 did not have a current order for the following medications: Lithium Carb 450 MG, Clozapine 100mg, and Clozapine 200mg.A prescription order shall be kept current.a. WHO: QLS Medical Coordinator b. WHAT: QLS Medical Coordinator will ensure that all medication records have complete and accurate information along with a physicians order. c. WHEN and HOW: QLS Medical Coordinator will work with the pharmacy and the eMar System in order to ensure all medication records are accurate and complete by 2/1/2024 including obtaining a physicians order 02/02/2024 Implemented
6400.186Individual's ISP dated 7/18/23 states a 1500 calorie, low fat, and low cholesterol diet. At the time of the inspection there was 6 iced lattes on the counter each containing 260 calories per bottle. The counter was stacked with chips, cakes, cookies, and pastries. No diet information was being tracked for the individual.The home shall implement the individual plan, including revisions.1. A plan to fix the immediate problem. a. WHO: QLS Management and Staff b. WHAT: QLS Program Specialist will ensure that all revisions to the individual plan are made available for staff immediately via the online database and update the individual binder within the home. QLS Program Specialists will monitor that all plans are being implemented. QLS Staff will review any revisions and sign off that they have read and understand them as well as begin implementing the changes. c. WHEN and HOW: QLS Medical Coordinator will ensure all homes have received training on any and all medically related restrictions, recommendations, practices for each individual. QLS Behavior Specialist will ensure that staff are trained on all behavioral support plans, restrictions, non-restrictive environmental adaptations. QLS Program Specialists will ensure that all staff are trained on the individual plans and are implementing them by conducting weekly audits of documentation in the homes. QLS management will be conducting weekly house inspections to ensure compliance with this regulation. 02/02/2024 Not Implemented
SIN-00175839 Unannounced Monitoring 09/01/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.32(d)The Office of Developmental Programs requires that staff who provide direct services wear a mask that covers the nose and mouth during the entirety of service provision. Staff #1 was not wearing a mask during the inspection on 9/1/2020. Failure to wear masks is undignified and disrespectful in that it creates a risk of transmitting the COVID-19 virus from staff to individuals.An individual shall be treated with dignity and respect.1. 6400.32 (d)- dignity and respect- staff were not wearing a mask when supporting people in the group homes. a. Office manager will supply a check list to all homes to reflect COVID-19 regulations are being followed. This will include: Do you have a temperature less than 100.0 degrees, have you been out of the local area, have you been exposed to people who have tested positive for COVID-19, do you have any symptoms of COVID-19, and a reminder to wear your mask for your entire shift. RSS and House supervisor will be responsible for signing off on the check list prior to each shift to minimize the risk of exposure for the individuals we support. b. All staff working have been reminded of the importance to wear a mask while on shift. c. The checklist will have a reminder to wear a mask for all staff prior to their shift this will be put into place by 9/17/2020 via email and a paper copy will be picked up in the office. 2. The program specialist will check the COVID-19 check list to assure all staff are reading and signing off that they are following the regulation. This will be completed every Thursday when consumer funds are picked up. Every group home within QLS Inc. was equipped with new thermometers by 9/8/2020 to assure staff had adequate ways to check their temperature prior to working a shift in the home 3. (HR specialist) completed a ZOOM call with all QLS Inc. staff to train on the importance of minimizing the spread of COVID-19 on 9/3/2020. Emily also sent out a powerpoint to all staff with a quiz on 9/11/2020 to follow up on the COVID-19 training. 4. COVID-19 check list and the training memo that have been distributed company wide are attached to this POC. 5. Attachment #1- Memo Attachment # 4- COVID-19 check list 09/30/2020 Implemented
SIN-00171290 Unannounced Monitoring 02/12/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(b)There were piles of cigarette butts located in the front and back of the home. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.The cigarette butts were cleaned from the front and back of the home on February 12, 2020. Pictures - Exhibit #1. In order to prevent recurrence of this violation, the House Supervisors will be responsible to report weekly that the outside of the home/yard is well maintained, in good repair and free from unsafe conditions, including cigarette receptacles cleaned and no cigarette butts on the ground. This reporting will occur on the Weekly Compliance-Maintenance Checklist - Exhibit #2. The Field Managers Inspection Checklist has been updated to specifically have him checking and ensuring that the outside of the homes are clear of cigarette butts and that the cigarette butt receptacle is clean too Exhibit #3. 03/03/2020 Implemented
SIN-00139743 Unannounced Monitoring 07/31/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.183(4)Supervision- Staff person #5 left Individuals #2 & #3 unsupervised during the incident on 7/14/18. Staff person #5 walked away from Individuals #2, #3 to assist with an incident involving Individual #1. Individual #2's supervision in the ISP requires to be supervised at all times while in the community. Individual #2 's ISP under the stranger awareness section has that Individual #2 requires arm's length supervision. Individual #3's ISP has supervision as line of sight and cannot be without direct supervision in the community.The ISP, including annual updates and revisions under § 6400.186 (relating to ISP review and revision), must include the following: A protocol and schedule outlining specified periods of time for the individual to be without direct supervision, if the individual's current assessment states the individual may be without direct supervision and if the individual's ISP includes an expected outcome which requires the achievement of a higher level of independence. The protocol must include the current level of independence and the method of evaluation used to determine progress toward the expected outcome to achieve the higher level of independence. Upon us being made aware that the Supervision Care Needs need to be more specific in regard to the setting in which the supervision is being provided. Quality Life Services have decided to utilize the Safer Options Manual developed in 2010 as a basis to developing individualized Supervision Plans. Plans are going to be developed based upon the current needs within the ISP and the Plans will be forwarded to all team members starting with Support Coordinators first for their approval and/or comments and the plan will be revised as needed and a final copy will be presented to the individual and/or family for their approval. Upon final approval the plan will become a part of the Assessment, ISP and BSP. A ruff example of what we see the plans looking like is attached for your Review as Exhibit #4. It is our intention to have all of these plans developed and sent out to the Supports Coordinators by October 1, 2018. 10/01/2018 Implemented
6400.183(6)(i)Use of Restrictive Procedures- Individual #1 has a restrictive procedure plan in place, but the ISP does not indicate there is a plan. This restrictive plan is being reviewed by the restrictive review committee and the restrictive techniques in the plan is currently being use on Individual #1. This information should have been relayed to the Supports coordinator when the ISP was received and reviewed by the Program Specialist -staff #2.The ISP, including annual updates and revisions under § 6400.186 (relating to ISP review and revision), must include the following: A protocol to eliminate the use of restrictive procedures, if restrictive procedures are utilized, and to address the underlying causes of the behavior which led to the use of restrictive procedures including the following: An assessment to determine the causes or antecedents of the behavior. Upon us being made aware that the Behavior Supports Section of the ISP is not containing all of the necessary information in regard to the Individuals Behavior Support Plan all Behavior Support Sections of the ISP were reviewed by the Behavioral Specialist and emails were drafted and sent to the Supports Coordinator with the information highlighted that needed to be added to the Behavior Support Section of the ISP. In addition to just forwarding the Behavior Support Plan to the Supports Coordinators in the future the Behavioral Specialist will also be highlighting the area that we are requesting to be added to the Behavior Support Section of the ISP. We have also developed an ISP Review Checklist that we are going to be implementing by October 1, 2018. This checklist will be utilized by the following departments; Medical, Program and Behavioral Supports to ensure that the content of the plan that their department oversees in correct and up to date. A copy of the emails that were sent to the Support Coordinators are attached to this LIS as Attachment #2 and the ISP Review Checklist that we are in the process of implementing is attached as Attachment #3. 10/01/2018 Implemented
6400.195(d)Individual #1 has a restrictive behavior support plan that is reviewed by the York/Adams Risk Management team. The January 2018 & July 2018 meeting was not signed and dated by the committee's chair person or the other committee participates. There was a cover page that just had initials on it with no full names, titles or a date when initialed.The restrictive procedure plan shall be reviewed, approved, signed and dated by the chairperson of the restrictive procedure review committee and the program specialist, prior to the use of a restrictive procedure, whenever the restrictive procedure plan is revised and at least every 6 months. Upon recognition that the Human Rights Sign Off Sheet that was being utilized by York-Adams to indicate that their Human Rights Committee had reviewed our restrictive procedure plan was not in compliant with Regulation 6400.195(d) Quality Life Services, Inc contacted Liz Vaught at York-Adams. Liz spoke to the licensors with us and was made aware of what was required by regulation. Quality Life Services, Inc. developed a Human Rights Committee Review Form and submitted it with the next Behavior Support Plan that was up for review. York-Adams approved the plan and sent back their own version of a Human Rights Committee Review Form and their form is compliant with the regulation. An administrative meeting was held on Monday, August 6, 2018 with the Program Specialist, Behavioral Specialists and Operations Manger at which time we reviewed the concerns brought forth during the unannounced licensing and everyone was made aware that if we have a County that we aren¿t currently utilizing that we are going to send our signature sheet over with the plan to be approved and when we get the signature sheet back that we are going to ensure that it is in compliant with the regulation. Attached to this LIS as Attachment #1 is a copy of the Human Rights Committee Review Sheet that is now being utilized for York-Adams. 08/20/2018 Implemented
SIN-00271809 Unannounced Monitoring 08/13/2025 Compliant - Finalized
SIN-00264307 Unannounced Monitoring 04/10/2025 Compliant - Finalized
SIN-00250013 Unannounced Monitoring 08/15/2024 Compliant - Finalized
SIN-00243962 Unannounced Monitoring 05/02/2024 Compliant - Finalized
SIN-00239321 Renewal 02/21/2024 Compliant - Finalized
SIN-00195764 Renewal 11/30/2021 Compliant - Finalized
SIN-00182246 Renewal 01/26/2021 Compliant - Finalized
SIN-00117532 Renewal 08/16/2017 Compliant - Finalized