Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00255325 Renewal 10/22/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(k)(6)On 10/23/2024 at approximately 10:05am, Individual #3's bedroom did not contain a mirror. Individual #3 signed a declination on 11/24/2021 indicating that they did not wish to have a mirror in their bedroom for fear of breaking it; however, the Individual's Support Plan, last updated 10/15/2024, had not been updated to reflect this choice.In bedrooms, each individual shall have the following: A mirror. Each individual will have a mirror in their bedroom. If they choose not to have a mirror in their bedroom, their decision will be indicated on their annual assessment. 06/30/2025 Implemented
6400.181(e)(8)Individual #2's current assessment, completed 6/21/2024, did not include an assessment of the individual's ability to evacuate in the event of a fire. This section was omitted from the Individual's assessment.The assessment must include the following information: The individual's ability to evacuate in the event of a fire. Assessment will clearly indicate the ability of the individual to evacuate in the event of a fire. 06/30/2025 Implemented
6400.181(e)(11)Individual #1's current assessment, completed 10/15/2024, did not include a copy of the individual's psychological evaluation. According to Individual #1's Individual Support Plan, last updated 9/23/2024, a psychological evaluation was completed on 11/8/2007. The agency did not have documentation of any attempts made to obtain a copy of this evaluation prior to the violation being identified by licensing personnel.The assessment must include the following information: Psychological evaluations, if applicable. The assessment will include psychological evaluations. If one in not able to be obtained, then every effort to obtain one will be documented. 06/30/2025 Implemented
6400.166(a)(7)Individual #2 is prescribed Ibuprofen 200mg-400mg caplets to be administered every 4-6 hours as needed for minor aches and pain or to reduce a fever. On 10/23/2024 at approximately 10:24am, Individual #2's October 2024 Medication Administration Record listed the dose of the medication to be administered as "200mg".A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Dose of medication.Medication record shall be kept for each individual. The medication administration record for the proper dose of medication. 06/30/2025 Implemented
6400.166(a)(9)Individual #2 is prescribed Ibuprofen 200mg-400mg caplets to be administered every 4-6 hours as needed for minor aches and pain or to reduce a fever. On 10/23/2024 at approximately 10:24am, Individual #2's October 2024 Medication Administration Record listed the frequency of the administration as "3 times daily···PRN".A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Frequency of administration.Medication record shall be kept for each individual. The medication administration record for the frequency of the medication. 06/30/2025 Implemented
SIN-00234303 Renewal 11/07/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.63(a)On 11/8/2023 at 10:31am, the water temperature in the kitchen sink measured 125.0°F.Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. We will be placing digital thermometers on handheld showers that will help staff and individuals identify the temperature before using the shower. We will be replacing all regulators on the water heater sources in the very near future. 06/30/2024 Implemented
6400.112(f)All fire drills conducted at this location between 10/18/2022 and 10/17/2023 utilized the front door as the exit route. There is an alternate exit route on the side of the house, leading down the stairs adjacent to the kitchen.Alternate exit routes shall be used during fire drills. There will be a remediation training for all agency Supervisors and Directors during an Administration monthly meeting. This remediation will review the entire 55 PA Code Chapter 6400.112 to include 6400.112(f). The agency Director of Compliance will check all the fire drills done within the agency every six months to ensure the entire 6400.112 code is being followed. 06/30/2024 Implemented
SIN-00142440 Renewal 09/18/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.31(b)Individual #1, admission date 5/21/18, initially signed the statement acknowledging receipt of the information on individual rights on 5/24/18.Statements signed and dated by the individual, or the individual's parent, guardian or advocate, if appropriate, acknowledging receipt of the information on rights upon admission and annually thereafter, shall be kept. 1. Mandatory meeting for all management staff educating all clinical managers that the Individual Handbook which contains all individuals rights will be given to individual on day of admission. 55PA Code Chapter 6400.31(b). 2. All new admissions will have Individual Handbook completed and signed on day of admission. Copies to be sent to CEO on day of admission. Responsibility: Deborah L. Price, CEO; All Residential Directors; All Residential Supervisors; Correction Date: 09/21/2018 and repeated on 10/23/2018. 09/21/2018 Implemented
6400.101The door leading to the attic of the home was equipped with a padlock locking system preventing egress from the attic when engaged.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. 1. Padlock removed and replaced with a breakaway door knob. Opens without a key from exit side of door. 2. All homes checked for locks preventing egress, none found. 55 PA Code Chapter 6400.101 Responsibility: Deborah L. Price, CEO; Fred Raszmann, Maintenance Worker 09/21/2018 Implemented
6400.113(a)Individual #1, admission date 5/21/18, had initial fire safety training on 5/25/18. 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. 1. Mandatory meetings for all management staff educating all clinical managers that fire training will be done on first day of admission, 55 PA Code Chapter 6400.113(a). 2. All new admissions will have fire training completed and copies sent to CEO on day of admission. Responsibility: Deborah L. Price, CEO; All Residential Directors; All Residential Supervisors; Correction Date: 9/21/2018 and repeated on 10/23/2018. 09/21/2018 Implemented
SIN-00215084 Renewal 11/08/2022 Compliant - Finalized
SIN-00181608 Renewal 01/19/2021 Compliant - Finalized
SIN-00162674 Renewal 09/04/2019 Compliant - Finalized
SIN-00122871 Renewal 10/11/2017 Compliant - Finalized
SIN-00060229 Renewal 09/18/2014 Compliant - Finalized
SIN-00048353 Renewal 04/18/2013 Compliant - Finalized