Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00102547 Renewal 10/24/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(11)Individual #1's physical examination, dated 7-1-16 did not include special instructions for the individual's diet; this section was left blank. Individual #2's physical examination, dated 9-14-16, did not include special instructions for the individual's diet; this section was left blank.The physical examination shall include: Special instructions for an individual's diet.The HAP ATC Physical form has been amended to reflect a yes/no check box in the special diets and programs section of the physical. If the physician answers yes, a descriptive section has been added for them to fill in. The required information has also been added to the Physical due letter used by all Program Specialists that lists this information in the required sections to be filled out to maintain compliance. All Program Specialists were given new forms and re-trained on the regulations needed for the individual physicals to maintain compliance. [The current physical examination for Individual #1 and Individual #2 were updated to include diet. All individuals' current physical examination were reviewed to ensure all required information is present and there are not area left blank and needed information was corrected. Program specialist were trained on 11/1/16 on the policies and procedures to ensure all physical examination include all required information. (AS 11/29/16)] 11/05/2016 Implemented
SIN-00084552 Renewal 10/01/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
Article X.1007HAP Enterprises is required to meet all requirements of Article X of the Public Welfare Code and of the applicable statutes, ordinances and regulations (62 P.S. § 1007) including criminal history checks and hiring policies for the hiring, retention and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P.S. § 10225.101 ¿ 10225.5102) and its regulations (6 Pa. Code Ch. 15). Staff Person #1, date of hire 8/20/15 resides in Ohio and does not have a criminal background from the Department of Aging in accordance with OAPSA. When, after investigation, the department is satisfied that the applicant or applicants for a license are responsible persons, that the place to be used as a facility is suitable for the purpose, is appropriately equipped and that the applicant or applicants and the place to be used as a facility meet all the requirements of this act and of the applicable statutes, ordinances and regulations, it shall issue a license and shall keep a record thereof and of the application.Human Resources procedures amended to include Office on Aging criminal background checks for those living outside of PA within 2 years of date of hire instead of using Criminal/FBI Checks through PA DHS. All employee records throughout HAP Enterprises reviewed for compliance with Office on Aging requirements. All needed employee records updated between 10/19/2015 to 10/29/2015 per OAPSA requirements to bring HAP Enterprises into compliance with regulation. Current requests from OAPSA put into employee charts. Will file corrected criminal background check once received alongside originals. 11/09/2015 Implemented
SIN-00051643 Renewal 07/03/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(4)The vision screening was not completed annually for Individual #1. The last vision screening date available was 10/1/12 and no vision screening date available for 2011.(c)  The physical examination shall include:(4)  Vision and hearing screening, as recommended by the physician.A monthly tracking system has been created to ensure compliance with all health care requirements and timelines. A new procedure for ensuring health compliance has been instituted and all Program Specialists have received training on 2380 regs and new procedure. Non-compliance with health requirements from participants will be addressed per procedure. Documentation available upon request. 07/25/2013 Implemented
2380.186(d)The 3-month Individual Support Plan reviews for Individual #1, Individual #2, Individual #3, Individual #4, Individual #5 and Individual #6 were not sent to the individual¿s Supports Coordinator or plan team members within 30 calendar days. The 3-month Individual Support Plan reviews for Individual #1's were dated 5/9/12, 8/9/12, 11/9/12 and 5/8/13. Individual #2's were dated 12/14/12 and 12/14/12. Individual #3's was dated 1/27/13. Individual #4's were dated 9/8/12, 12/8/12 and 3/8/13. Individual #5's was dated 12/21/12. Individual #6's were dated 10/13/12, 1/13/13 and 4/13/13.(d)  The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC or plan lead, as applicable, and plan team members within 30 calendar days after the ISP review meeting3 month ISP reviews will be completed and mailed to all team members and Supports Coordinator within 30 days of meeting. New signature page and letter to mail with 3 month ISP review has been created by HAP. Information already being mailed to all team participants where applicable since licensing audit. All Program Specialists have been trained on 2380 regs to ensure future compliance. Documentation available upon request. 07/25/2013 Implemented
SIN-00069441 Renewal 09/30/2014 Compliant - Finalized