Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00289038 Renewal 06/02/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(f)There was no wall mirror in the home's main bathroom.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. A temporary, flexible wall mirror was placed on the wall in the bathroom. The individual's ISP Team will meet and discuss necessary updates to reflect the individual's unwillingness to maintain a mirror in his preferred bathroom. 06/25/2026 Implemented
6400.141(c)(4)Per the Individual Record, Individual #5's most recent hearing examination was conducted on 11/12/2024. Individual #5's 11/20/2025 physical examination did not note that the physician completed a hearing examination and there was no record of another, more recent hearing examination. This individual did not receive a hearing examination annually as required.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. The hearing examination will be addressed at the individual's appointment on June 25, 2026 at 1:15pm with the physician. 06/25/2026 Implemented
6400.143(a)Individual #5 was admitted to the provider's program effective 07/18/2024. Per Individual #5's Individual Record, this Individual did not see a dentist with the intent of having a dental examination conducted until 07/23/2025. The appointment form for this appointment noted that the individual refused to have a dental examination conducted and was referred to a sedation dentist. Individual #5 had a consultation with a sedation dentist on 05/20/2026. It was noted by the provider that Individual #5 has behavioral issues and refuses dental appointments. Although the refusal of the 07/23/2025 dental examination was documented on the medical encounter form, the provider did not document any continued attempts to train the individual about the need for health care in the individual's record and there was no desensitization plan in place for the individual.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. The Provider will document attempts to educate the individual moving forward. The team will discuss desensitization planning specific to this individual's capacity. An Emergency HRT was held on 6/4/2026 to approve the updated plan. 06/10/2026 Implemented
6400.144Per Individual #5's June 2026 Medication Administration Record (MAR), this individual was prescribed the following two Pro Re Nata (PRN) medications: 1) Pepto-Bismol Tablet Chew and 2) Tylenol Cold Head Congestion Caplet. At the time of inspection, neither of these prescription medications could be located in the home; as such, the provider failed to arrange pharmaceutical services for Individual #5. Per Individual #5's June 2026 MAR, the individual was prescribed PRN Haloperidol 10mg Tablet ("Take 1 tablet by mouth every 2 hours as needed for agitation; max daily dose of 10 tablets = 100mg"). According to the Chapter 6400 Regulatory Compliance Guide (RCG), revised 03/15/2023, the use of PRN psychotropic medications is only permissible if certain regulatory requirements are met. The requirements were not met for this medication in the following area: The physician's prescription for the medication was lacking the specific symptoms that would necessitate the use of the medication. The prescribing physician would need to note, for example, that agitation for an individual is expressed as "pacing back and forth while muttering to himself, throwing objects at staff, or slamming doors repeatedly" or other similar, observable symptoms of the diagnosis "agitation." The provider did not arrange these pharmacy services for the individual.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. Tylenol Cold Head Congestion and Pepto-Bismol Tablet Chews were purchased and placed in the PRN box. The individual's care plan was amended to include observable symptoms for "agitation" provided by the individual's physician. 06/04/2026 Implemented
6400.34(a)Per Individual #5's Individual Record, Individual Rights were reviewed with this individual on 08/05/2024 and 01/27/2025. The provider's digital record system also contained an entry for a review of individual rights dated 01/08/2026; however, a scan of the signed individual rights statement attached to this entry was dated 01/08/2025 by the individual and staff signing the form. The date that this review of individual rights occurred could therefore not be conclusively determined. The documentation did not support that a review of individual rights was conducted with this individual annually as required.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.The individual was provided the information on individual rights and resigned the form. 06/04/2026 Implemented
6400.195(a)At the time of inspection, knives and other sharps were locked in Individual #5's home. It was reported that there was a Restrictive Procedure Plan (RPP) in place for Individual #5 due to the individual's unsafe behaviors with knives; however, no RPP of this nature could be located within Individual #5's most recent Behavioral Support Plan (BSP), dated 04/01/2026. Individual #5's right to access knives was restricted without the implementation of an RPP in the BSP and without review and approval by a Human Rights Team (HRT).For each individual for whom a restrictive procedure may be used, the individual plan shall include a component addressing behavior support that is reviewed and approved by the human rights team in § 6400.194 (relating to human rights team), prior to use of a restrictive procedures.An Emergency HRT was held on 6/4/2026 to add sharps/knives being locked in the home to protect the individual's safety. 06/10/2026 Implemented
SIN-00228780 Renewal 08/22/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(k)(6)Individual #2 did not have a mirror in his bedroom.In bedrooms, each individual shall have the following: A mirror. The mirror in individual #2 bedroom was broken by the individual the day before inspection. Due to the individual's unpredictable behaviors a plastic mirror will be purchased. 10/20/2023 Implemented
6400.141(a)An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Individual #1 had a physical examination on 6/27/2022, then not again until 7/18/2023.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Futures moved to an eHR in 2021. Upon implementation Annual Physicals were saved in the individual's medical appointments. Searching for physicals is cumbersome in appointments which was a factor in the late physical. Annual physicals are now saved in the Screening Record. 08/01/2023 Implemented
6400.216(a)An individual's records shall be kept locked when unattended. The Individual's program binders were stored on an open shelf in a common area that leads to the kitchen. An individual's records shall be kept locked when unattended. Records maintained at the house has been reduced due to implementation of EHR. All records that are not current have been removed and stored with all other files per agency policy. In addition, any records needed on site are locked in the program managers office. 09/15/2023 Implemented
SIN-00191304 Renewal 08/18/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The bottom of the shower in the shared bathroom was dirty with some grime. There was also dried body wash running down the walls from the shelves in this shower.Clean and sanitary conditions shall be maintained in the home. The shower has been cleaned. The individuals will be educated on how to clean up after themselves when showering. Staff will be there to provide support and monitoring. 10/08/2021 Implemented
6400.51(b)(1)Staff #1 was hired on 6/22/2021. His orientation did not include individual choice and supporting individuals to develop and maintain relationships.The orientation must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.Futures training committee will develop a list of trainings that meet the 6400 regulations for annual orientation and training. The list will be shared with program specialists, frontline supervisors, and direct support professionals. 10/15/2021 Implemented
6400.52(c)(1)Staff #2 did not receive annual training in person-centered practices, individual choice and supporting individuals to develop and maintain relationships.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.Futures training committee will develop a list of trainings that meet the 6400 regulations for annual orientation and training. The list will be shared with program specialists, frontline supervisors, and direct support professionals 10/15/2021 Implemented
6400.52(c)(2)Staff #2 did not receive annual training in prevention, detection and reporting of abuse.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§ 10225.101-10225.5102). The child protective services law (23 Pa. C.S. §§ 6301-6386) the Adult Protective Services Act (35 P.S. §§ 10210.101 - 10210.704) and applicable protective services regulations.Futures training committee will develop a list of trainings that meet the 6600 regulations for annual orientation and training. The list will be shared with program specialists, frontline supervisors, and direct support professionals 10/15/2021 Implemented
6400.52(c)(3)Staff #2 did not receive annual training in individual rights.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights.Futures training committee will develop a list of trainings that meet the 6600 regulations for annual orientation and training. The list will be shared with program specialists, frontline supervisors, and direct support professionals 10/15/2021 Implemented
6400.52(c)(4)Staff #2 did not receive annual training in recognizing and reporting incidents.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents.Futures training committee will develop a list of trainings that meet the 6600 regulations for annual orientation and training. The list will be shared with program specialists, frontline supervisors, and direct support professionals 10/15/2021 Implemented
6400.52(c)(5)Staff #2 did not receive annual training in the use of behavioral supports.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The safe and appropriate use of behavior supports if the person works directly with an individual.Futures training committee will develop a list of trainings that meet the 6600 regulations for annual orientation and training. The list will be shared with program specialists, frontline supervisors, and direct support professionals 10/15/2021 Implemented
6400.52(c)(6)Staff #2 did not receive annual training in plan implementation.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Implementation of the individual plan if the person works directly with an individual.Futures training committee will develop a list of trainings that meet the 6400 regulations for annual orientation and training. The list will be shared with program specialists, frontline supervisors, and direct support professionals 10/15/2021 Implemented
SIN-00117554 Renewal 07/05/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)There was a foul odor coming from the closet in the bedroom of Individual #4. It couldn't be determined what was causing the odor.Clean and sanitary conditions shall be maintained in the home. The closet was completely cleaned out on 7/6/17 and no foul smell remains. 07/06/2017 Implemented
SIN-00105212 Unannounced Monitoring 11/30/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(c)On 11/20/16, Individual #1 sold his Playstation 4 video game console to the adult son of Staff #1 for $30, which is significantly less than its actual value. (Through online research, it was determined a used PS4 normally sells for approximately $200.) Staff interviews indicate that Individual #1 was seen leaving the home with the Playstation 4 console. When Individual #1 was questioned about where he was going, he stated, "Don't worry about it." When staff told Individual #1 that he could not sell that item, Individual #1 replied' "You'll see." and continued out the door. Staff witnessed Individual #1 go to the end of the driveway. A car arrived at the home, but staff could not see what was occuring because Individual #1 and the car were obscured by trees and shed. Staff "turned their backs for a second" and then Individual #1 returned to the home without the Playstation. Individual #1 stated he had sold his PS4 for $30 to the son of Staff #1. Individual #1's ISP states that he will sell his personal items for well below market value and can easily be taken advantage of in this regard. Staff failed to provide the proper assistance to Individual #1 to adequately protect him from financial exploitation when they allowed him to take his PS4 from the home to an obscured area with the intent of selling the item.Individual funds and property shall be used for the individual's benefit. Individual #1 owned a PS4 that he wanted to sell in order to purchase a Christmas gift for his girlfriend. Following a private phone call in his room Direct Care Workers on shift attempted to talk with Individual #1 about not selling his PS4 however he ignored their feedback which resulted in individual #1 selling his PS4 for under market value. Following the sale of the PS4 an investigation was launched to determine if staff #1 was involved in the selling of the PS4 to her son. Individual #1 ISP was updated to include information from his support plan that was developed. Staff were trained on his support plan December 12, 2016. Individual #1 has wanted to sell items since the incident. Staff have supported this by taking him to the local pawn shop where he would receive fair market value. Staff #1 is no longer working in the community home where individual #1 resides. 12/31/2016 Implemented
6400.33(a)On 11/20/16, Individual #1 sold his Playstation 4 video game console to the adult son of Staff #1 for $30. Individual interviews state that Individual #1 offered to sell his Playstation 4 to Staff #1's son on 11/19/16. Staff #1 gave Individual #1 her son's phone number and instructed Individual #1 to not tell the other staff in the home. Individual #1 does not understand the value of his personal items and it is noted in his ISP that he will sell his items for much less than market value and can easily be taken advantage of in this regard. A new PS4 has been determined as having a resale value of approximately $200. An individual may not be neglected, abused, mistreated or subjected to corporal punishment. An investigation ensued following the incident (#8249124). Futures Community Support Services, Inc. investigation was unable to determine with any level of certainty that Staff #1 facilitated the sale of the PS4 by providing Individual #1 with her son¿s telephone number. There were no direct witnesses to exchanging of the phone number. Following the incident staff #1 was offered another position at another location where she would not work alone with an individual. Staff #1 declined the offer and stepped down to a substitute direct care worker with the restrictions that she could not work alone with an individual. Staff #1 has not worked since December 28, 2016. 12/31/2016 Implemented
6400.183(5)Individual #1 does not understand the value of his personal items. His ISP states that he will sell his items for less than market value and and can easily be taken advantage of in this regard. The social, emotional, environmental plan (SEEP) does not meet the needs of the individual as it does not address this area of Individual #1's behavior.The ISP, including annual updates and revisions under § 6400.186 (relating to ISP review and revision), must include the following: A protocol to address the social, emotional and environmental needs of the individual, if medication has been prescribed to treat symptoms of a diagnosed psychiatric illness. Futures Community Support Services, Inc. developed a support plan for individual #1 to address buying, selling, and trading of belongings. The support plan was forwarded to individual #1 supports coordinator on December 5, 2016 with a request to add to his ISP. The information was added to know and do as well as the behavior support plan of his ISP. Staff were trained on the Support Plan for bartering, selling, and trading of belongings on December 12, 206. 12/12/2016 Implemented
SIN-00271336 Renewal 08/05/2025 Compliant - Finalized
SIN-00134432 Renewal 05/09/2018 Compliant - Finalized