| Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
|
SIN-00236955
|
Renewal
|
01/03/2024
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.46(b) | Program Specialist #1 completed fire safety training on 3/18/22 and then again on 5/11/23. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | Point of Caring, Inc. was in violation of 55 PA code 6400.46(b), by failing to ensure the fire safety training was completed in the mandatory one-year time frame. This violation occurred due to a lack of training for the training coordinator, and the failure to implement a 2-point checking system. Adhering to this regulation is imperative to ensuring all staff receive proper and timely training on fire safety, and reducing risk of harm for all individuals in the care of Point of Caring, Inc.
Point of Caring, Inc. opted to utilize virtual fire safety training during the pandemic in order to ensure the trainings were still completed, while reducing the need for gatherings that could have resulted in spreading unwanted illness. The training coordinator failed to attend to the timeliness of these trainings following the pandemic resulting in the violation of 55 PA Code 6400.46(b). Point of Caring, Inc. provided additional training on the fire safety training requirements, which was completed 01/09/2024. |
01/09/2024
| Implemented |
|
|
|
SIN-00200281
|
Renewal
|
02/15/2022
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | The self-assessment for the home completed 8/24/21 had the following regulations left unanswered: 181e9-181f, 190a2-190c, and 211a-213(2). | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| Point of Caring, Inc. was in violation of 55 PA Code Chapter 6400.15(a), by failing to ensure that a self-assessment was fully completed for a home that the agency operates. Regulatory compliance within completion of self-assessments is critical in aiding provider agencies to measure compliance and correct any identified violations prior to an annual renewal inspection conducted by the Department. This violation occurred due to lack of experience for the new Program Specialist who was conducting the self-assessment. In order to avoid future violations of 55 PA Code Chapter 6400.15(a), the Program Specialist will receive extra training on 55 PA Code Chapter 6400.15(a), which occurred on February 22, 2022 and Point of Caring, Inc. will ensure a 2-point checking system wherein the Program Specialist will complete the self-assessment, and the CEO will review the self-assessment to ensure regulatory compliance. |
02/23/2022
| Implemented |
|
|
|
SIN-00171227
|
Renewal
|
01/29/2020
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(a) | Direct Service Worker, date of hire of 7/23/19, had a Pennsylvania criminal history check application submitted and completed on 7/29/19. | An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire.
| Effective 02/03/2020 All criminal clearances will be completed the first day the new employee completes hire packet and begins trainings, this date is considered the employees first day of hire.
The Human Resource Assistant will complete the criminal clearance checks as part of the new hire packet, the employee¿s first day of employment. [Immediately and upon hire, the CEO shall educate the Human Resources Assistant on the aforementioned procedures. Documentation of the training shall be kept. Upon hire for 1 year, the CEO or management designee shall audit all newly hired staff person to ensure all required criminal history checks are completed, timely. Documentation of the audits shall be kept. (DPOC by AES,HSLS on 3/5/20)] |
02/03/2020
| Implemented |
|
|
|
SIN-00052144
|
Renewal
|
02/12/2014
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.181(e)(8) | The Assessment for Individual # 1 did not include his/her ability to evacuate in the event of a fire. | (8) The individual's ability to evacuate in the event of a fire.
| Addendum made to all Residential Assessments immediately that includes the individual's ability to evacuate in the event of a fire. Additional question added to Assessment templates to include the ability to evacuate in the event of a fire to ensure on going compliance. |
02/13/2014
| Implemented |
|
|
|
SIN-00258449
|
Renewal
|
12/17/2024
|
Compliant - Finalized
|
|
|
SIN-00129427
|
Renewal
|
02/08/2018
|
Compliant - Finalized
|
|
|
SIN-00090404
|
Renewal
|
02/23/2016
|
Compliant - Finalized
|
|
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SIN-00071547
|
Renewal
|
02/12/2015
|
Compliant - Finalized
|
|
|
SIN-00069359
|
Renewal
|
10/02/2014
|
Compliant - Finalized
|
|