Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00279577 Renewal 01/21/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.195(a)(11)(repeat from 7/1/25 renewal inspection) The November 2025, December 2025, and January 2026 medication administration records for individual #3 do not include the diagnosis for the noon medication, Metformin 850mg tablet.A medication record shall be kept, including the following for each client for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.1. The Director of Compliance trained Suncom's 2390 Director and Medication Administration trained staff on their responsibility to ensure that for each client who is prescribed medication a complete Medication Administration Record (MAR) is created and maintained. Medication Administration trained staff are responsible for writing or typing the MAR in full and ensuring all required information is complete and accurate prior to implementation of the medication. -The Medication Administration Record (MAR) must include the client's name, name of the prescriber, documented drug allergies, name of the medication, dosage form, dose, route of administration, frequency of administration, administration times, diagnosis or purpose for the medication (including pro re nata medications), date and time of medication administration, name and initials of the person administering the medication, duration of treatment if applicable, and side effects of the medication, if applicable. -A Medication Administration trained staff has the responsibility of writing or typing the clients' Medication Administration Records (MARs) forms will be required to have all sections of the MAR completed, including the medication diagnosis/purpose. Prior to implementation of the MAR, the MAR form will be reviewed by a medication administration trained staff to ensure accuracy and completeness. A Medication Administration trained staff has the responsibility that prior to passing medications of checking the MAR are accurate prior to administration. If diagnosis or purpose for the medication is not properly documented according to regulation 2390.195(a)(11), the diagnosis or purpose of the medication will be added to the client's medication record (s) (MAR's) in the proper format and to include date and initials of entry. -A Medication Administration trained staff will review all MARs in the Bloomsburg 2390 Program by 1/29/2026 to ensure diagnosis or purpose for the medication is properly documented on the client(s) MAR's, if diagnosis or purpose for the medication is not properly documented according to the regulation 2390.195(a)(11), the diagnosis or purpose of the medication will be added to the client's medication record (s) (MAR's) in the proper format and to include date and initials of entry. ------Medication Administration Trained Staff were trained in the requirement of regulation 2390.195 (a)(11) Training memo created by Director of Compliance. (Attachment #1- Training Sheet completed & Attachment #2- Training Document) 2. The Medication Administration Records (MAR's) were corrected for individual #3 to include the diagnosis for the noon medication, Metformin 850mg tables for the MAR's of November 2025, December 2025, and January 2026. ·------The diagnosis for the medication Metformin was corrected by 2390 Director to individual's #3 Medication Record (MAR). (Attachment #3 Corrected MAR- & Attachment #4- November 2025 Corrected MAR, and Attachment #5- December 2025 Corrected MAR, and Attachment #6- January 2026 Corrected MAR, 01/30/2026 Implemented
SIN-00269115 Renewal 07/01/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.195(a)(11)Individual #3's MAR's from August 2024 through June 2025 do not contain a diagnosis or purpose for the medication Perphenazine 8mg.A medication record shall be kept, including the following for each client for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.Plan of Correction for Regulation 2390.195(a)(11) :A medication record shall be kept including the following for each client for whom a prescription medication is administered: (11) Diagnosis or purpose for the medication, including pro re nata. 1) Director of Compliance trained Suncom's 2390 Medication Administration Trained staff that they are responsible to ensure for each client for whom a prescription medication is administered a medication record (MAR) is completed. The Medication Record (MAR) includes clients name, name of prescriber, drug allergies, name of medication, dosage form, dose of medication, route of medication, frequency of administration, administration times, diagnosis or purpose for the medication including pro re nata, date and time of the medication administration, name and initials of the person administering the medication, duration of treatment if applicable, and side effects of the medication if applicable. Medication Administration Trained staff are responsible to check a client¿s prescription at time of receiving medication that the prescription includes all components of 2390.195(a) regulation including diagnosis or purpose for medication. If the prescription medication does not include one of the medication record requirements staff are instructed to notify director or program specialist of what is required for the prescription medication. -Medication Administration Trained Staff were trained in the requirement of regulation 2390.195 (a)(11) Training memo created by Director of Compliance. (Attachment #1- Training Sheet completed 7/14/2025 & Attachment #2- Training Document) 2) Director of 2390 contacted Individual #3 family on 7/02/2025 to request a diagnosis or purpose for the medication Perphenazine 8mg from individual #3 physician. A doctor's note was received by Suncom on 07/08/2025 from individual's #3 physician that includes a diagnosis or purpose for the medication. (Attachment #3-Doctors note) 3) The diagnosis or purpose for the medication Perphenazine 8mg per the doctor notes was updated by 2390 Director to individual's #3 Medication Record (MAR). (Attachment #4 -July 2025 Corrected MAR & Attachment #5- Corrected MAR) 4) Director of 2390 emailed individual #3 Support Coordinator on 07/09/2025 to update the ISP with the medication's diagnosis or purpose of the medication. (Attachment #6- email) 07/17/2025 Implemented