| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.33(e) | Individual #1's bedroom has an audio monitor; Individual #1 cannot independently turn the monitor on or off. | An individual has the right to privacy in bedrooms, bathrooms and during personal care. | The Audio Monitor was removed from The bedroom for client #1. |
12/29/2014
| Implemented |
| 6400.68(b) | The hot water temperature in the bathtub located in the large bathroom was 122.3 degrees Fahrenheit at 12:00 PM. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The mixing valve for the hot water tank was not properly regulating the water temperature. The Maintenance Manager purchased a replacement mixing valve on 12/16/2014 and installed it on 12/17/14. The water temperature will be taken daily by an assigned staff member in Rockwood and all group homes licensed by 6400 regulations. The staff member at Rockwood and all group homes will notify the EHCA maintenace worker and the Program Specialist if the water temperature exceeds the required temperature of 120 degrees. Maintenance will address the issue and ensure the water temperature is under 120 degrees. The Program Specialist will review the water temperature log each shift he/she works to ensure that is being completed accurately and thoroughly and that any issues with the water temperature are corrected. |
12/29/2014
| Implemented |
| 6400.103 | The written emergency evacuation procedures do not include the means of transportation. | There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location.
| The Quality Assurance Director revised the Emergency Evacuation Plan on 12/24/14 to include that the means of transportation will be by Agency and Staff vehicles and that the emergency shelter location are the Avalon Hotel on 16 West 10th Street, Erie, PA 16501, client family member's, or staff member's homes. The revised Emergency Evacuation Plan will be distributed to all group homes by January 1, 2015. |
12/29/2014
| Implemented |
| 6400.106 | The furnace has not been inspected and cleaned for several years by a professional furnace cleaning company or trained staff person. | 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.
| The Maintenance Manager will schedule the furnace cleaning and inspection with a professional cleaning company by January 16, 2015. The Maintenance Manager will schedule the cleaning and inspections to be done by a professional cleaning company annually. The Program Specialist will receive a copy of the cleaning and inspection reports to ensure they were done by the professionally cleaning company annually. |
12/29/2014
| Implemented |