Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00249373 Renewal 08/14/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(d)There was documentation of an extended evacuation time of 4 minutes and 30 seconds for this home, signed by a fire safety expert on 06/17/2024. This document was, however, missing two pieces of information required for the extended evacuation time to be enacted for the home: 1) Whether individuals should evacuate outside of the home or to a fire-safe area and 2) a statement attesting that the extended time (and fire-safe area) is based on the design and construction of the home and not on the needs of the individuals served. Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. Futures will work with respective local fire departments to ensure all components of the extended evacuation time are included in the letter. 09/06/2024 Implemented
6400.113(a)Individual #2 was admitted to the home effective 05/17/2024; however, per a training sign-in sheet found within the Individual Record, the individual did not receive Fire Safety Training until 06/14/2024. This individual was not instructed in Fire Safety topics upon admission to the provider's program as required. An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. Program Specialist and Program Managers will re-trained on this regulation, including the discussion contained in the regulatory compliance guide. 09/17/2024 Implemented
6400.144Per the August 2024 digital Medication Administration Record (MAR), Individual #2 was prescribed a Pro Re Nata (PRN) psychotropic medication, Lorazepam 1mg Tablet, with instructions to "Take 1 tablet by mouth two times daily as needed for aggression. Max daily amount: 2mg." The administration instructions for this restrictive intervention were deficient in one area: they did not include a frequency (allowable rate of recurrence of dosage) for the administration of the PRN. The provider's protocol for the administration of this PRN psychotropic medication, which was accessible through the digital MAR, otherwise met the regulatory requirements.Health 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. Additional instruction from prescriber will be obtained to detail frequency for the administration of the PRN. 08/30/2024 Implemented
6400.171At the time of inspection, there was an open plastic bag full of "Cheez-it" crackers found inside one of the home's kitchen cabinets. These crackers were stored in a manner that left them susceptible to contamination.Food shall be protected from contamination while being stored, prepared, transported and served. Staff are working with Individual regarding proper food storage and the importance of putting food away properly after eating. 08/26/2024 Implemented
SIN-00209686 Renewal 08/09/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(a)Futures Individual Finance Policy last revised on 4/6/20 indicates that each individual shall "maintain a maximum of $100.00 at their home, unless specified differently in their individual support plan. However, an individual may retain more than the maximum amount if deemed necessary by the program specialist, frontline supervisor and the individual." "Any amount in excess of $250.00 should be spent as soon as possible so excessive amounts are not on hand, or individual's benefits are not affected. Also noted in the policy is "A minimum amount of cash on hand for each person and from agency household money will be accessible to staff each day. For most individuals, this amount will not be more than $25.00 dollars. The remaining money in the house will be placed in a lock box which will be maintained in a secured location. This box will be accessible to only the frontline supervisor or the program specialist." During a review of individual finances for Individual #6 it was discovered that the established financial policy was not being followed as written. Client finance reports illustrated that amounts in the "Lock Box" greatly exceeded outlined amounts during the months reviewed. The lock box designated for Individual #6 in the home held amounts that were recorded on the Client Finance Reports for Individual #6 as 2/1/22 $671.47, 3/2/22 $721.47, 4/1/22 $356.05, 5/1/22 501.65, 6/1/22 $371.65 and 7/1/22 $576.65. Each month exceeds amounts outlined in the Individual Finance Policy. Futures must follow policies established by the agency.There shall be a written policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the individual concerning the use of funds and property. Futures Individual Finance Policy 200.6 has been updated. Current direct support professionals, frontline supervisors, and program specialist Staff will read and acknowledge this by 9/4/22. In addition, frontline supervisors, and program specialists will review the updates in the policy and the reasons why during a staff meeting by 9/30/22. 09/30/2022 Implemented
6400.22(d)(1)Individual Support Plan (ISP) last updated on 6/3/22 for Individual #6 indicates that Individual #6 is not able to take care of his own finances. Futures is Individual #6's rep payee." Receipt from Lowe's dated 4/25/22 show that a two swivel rocker set was purchased for a total amount of $254.40. The items were not added to the personal inventory/property record of Individual #6. Any item valued at or above $50 shall be added to the property record of the individual.The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. The swivel rockers have been added to his personal inventory. 08/26/2022 Implemented
6400.22(e)(3)June 2022 Client Finance Report for Individual #6 contains an entry and receipts for the purchases of an Amazon gift card in the amount of $100 and a Vanilla Visa card in the amount of $50. Receipts for purchases made with the Amazon and Visa card were not submitted as part of their financial record requested. Gift and credit cards are to be treated as financial resources belonging to the individual which require documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person. If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: Documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person. Direct support professionals, frontline supervisors, and program specialists will review and acknowledge Individual finance policy 200.6 by 9/9/22. Receipts for any gift cards will be kept with the individuals finance record. 09/09/2022 Implemented
6400.62(a)Upon inspection of the home it was stated by staff that poisons are locked in the home. During the of inspection, there was a cabinet inside the laundry room which contained several bottles of bleach which was not locked.Poisonous materials shall be kept locked or made inaccessible to individuals. Poisonous substances have been locked up and will remain locked up. 08/26/2022 Implemented
SIN-00178131 Renewal 10/06/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)The individuals in the home are not safe with poisons and DG brand oral dry mouth rinse (label states "contact poison control if ingested") was found unlocked and accessible in the bathroom located off an individual's bedroom.Poisonous materials shall be kept locked or made inaccessible to individuals. The mouthwash in the medicine cabinet was removed and placed with the locked poisonous substances. The frontline supervisor and program specialist will ensure staff understand what needs to be locked up. The program specialist will evaluate what needs to be locked up when completing annual assessments. 10/08/2020 Implemented
6400.73(a)There were approximately 9 steps leading from the basement to the Bilco door exit to the back yard. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. The steps in the basement leading outside will have handrails installed by maintenance. Please note the due date could be exceeded due to COVID. 12/30/2020 Implemented
6400.80(a)The ramp located to the left off the deck at the rear of the home was covered with wet leaves. Outside walkways shall be free from ice, snow, obstructions and other hazards. The ramp is cleared before any individuals exit or enter the home. In the fall leaves fall daily which requires he ramped to be cleaned more than once a day. 10/08/2020 Implemented
6400.81(k)(6)Individual #1 did not have a mirror in their bedroom.In bedrooms, each individual shall have the following: A mirror. The program specialist sent an email to the supports coordinator requesting she document in the individual¿s ISP that he does not like mirror in his room. 10/13/2020 Implemented
SIN-00117556 Renewal 07/05/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The furnace was inspected on 3/14/2016. It wasn't inspected again until 4/20/2017, which exceeds the annual requirement.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. A master list was developed on July 19, 2017 and disseminated to all managers and Program Specialists. This master contains information regarding the required inspection dates and entity who can complete the inspection. 07/19/2017 Implemented
6400.141(c)(3)This section was not on Individual #1's physical exam dated 9/30/2016.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. Individual #1 DTAP was completed on 7/1/2009 which was verified by his PCP on 7/21/17. There is an immunization list in individual #1 medical file. 07/21/2017 Implemented
6400.141(c)(6)This section was not on Individual #1's physical exam dated 9/30/2016.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Individual #1 Mantoux was negative on 10/21/15. This was verified on 7/21/17 by his PCP. The documentation can be located in individual #1 file. 07/21/2017 Implemented
6400.141(c)(10)This section was not on Individual #1's physical exam dated 9/30/2016.The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. On 7/21/17 a letter was received by Individual #1 PCP which states he is free from communicable diseases. This has been added to his medical file. 07/21/2017 Implemented
SIN-00065019 Initial review 06/30/2014 Compliant - Finalized