Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00280384 Renewal 11/24/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(c)Staff Member #5 was hired on 10/7/25 and the provided Criminal History background check was completed on 6/23/23, exceeding the one-year requirement.The Pennsylvania and FBI criminal history record checks shall have been completed no more than 1 year prior to the person's date of hire.Biacons HR Director/Administrator audited each employee record to ensure all background checks are done no more than 1 year prior or 5 days after the persons hire date. 02/02/2026 Implemented
6400.67(a)Bathroom sink in basement staff office area and the second-floor hall bathroom tub were draining slowly. The cabinet door closest underneath the kitchen island (on the side by the sink) is loose and should be secured.Floors, walls, ceilings and other surfaces shall be in good repair. Maintenance staff cleared blockages using appropriate solvent to restore normal water flow and fastened screws to secure the cabinet door. 01/07/2026 Implemented
6400.68(b)The running water measured more than the allowable 120°F in several areas of the home including the basement staff bathroom, kitchen, and Individual #1's room. Hot water temperatures in bathtubs and showers may not exceed 120°F. Maintenance staff adjusted the water heater to ensure water temperatures are within safe and compliant limits. The water temperature was taken and returned a temperature within compliance. 02/01/2026 Implemented
6400.72(b)Screens were observed to need repair from rips in two windows in multiple bedrooms. Screens, windows and doors shall be in good repair. Maintenance staff replaced the damaged window screens to ensure proper function and safety. 01/07/2026 Implemented
6400.72(c)The interior door exit to the garage had a top lock that was inoperable. Outside doors shall have operable locks.Maintenance staff removed the inoperable lock, capped the opening and ensured the door is secure with the bottom lock. 11/30/2025 Implemented
6400.80(b)When viewed from looking directly at the home, on the left side of the structure, it was observed that the siding was bulging away from the building, which should be repaired to prevent an unsafe condition. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.Maintenance staff refastened the siding on the exterior side of the home to prevent unsafe conditions. 02/01/2026 Implemented
6400.151(a)Staff Member #1 had a physical examination completed on 5/12/22 and then on 9/18/25 exceeding the biennial requirement. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. Biacon's HR Director/Administrator audited employee files to ensure all physicals are current and not due for completion. 02/01/2026 Implemented
6400.166(a)(11)The Medication Administration Record (MAR) for Individual #1 inconsistently identified the specific reason(s) for each prescription being issued.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.The Providers nurse contacted the local pharmacy to ensure all Medication Administration Records (MARs) include each medication and its corresponding reason for use. 02/01/2026 Implemented
6400.166(a)(13)It was observed that PRN medications were administered and improperly documented for Individual #1 on three occasions. On 11/17/25, Magnesium Citrate was administered but not initialed on the Medication Administration Record (MAR). On 11/12/25, Senna was initialed as administered, but no reason was documented as it had been in other instances. On 11/2/25, Acetaminophen was initialed as administered, but the medication was used from the blister pack for the third of the month with handwritten initials on the blister pack indicating it was given on the second of the month.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name and initials of the person administering the medication.Administrative staff conducted a comprehensive medication review for all individuals to ensure medications were administered and documented in accordance with guidelines. Staff also verified that reasons for PRN medications were properly documented. 12/16/2025 Implemented
6400.167(a)(3)Polyethylene Glycol medication instructions read "17 grams in 8 ounces of water/juice". Staff explained the use of measuring cups to convert the dosage. However, the measuring cups said to have been used did not have the proper measurement, nor could the staff explain the converted dosage being provided to the Individual #1.Medication errors include the following: Administration of the wrong dose of medication.Biacon's nurse provided instruction and guidance to staff on the usage of the medication cap to provide the accurate dosage. 11/25/2026 Implemented
SIN-00236916 Renewal 01/04/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)Screens were missing in the family room window, individual #4's bedroom, and front window.Windows, including windows in doors, shall be securely screened when windows or doors are open. 55 PA Code Chapter 6400.72(a) - Windows, including windows in doors, shall be securely screened when windows or doors are open. Biacon will ensure that all windows, including windows in doors, shall be securly screened when windows or doors are open. Biacon's supervisor will check all windows and windows in doors during their weekly round to maintain compliance. See attachments - (205 A,B,C) and (Attachment R) 01/15/2024 Implemented
SIN-00224711 Renewal 01/11/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(a)This provider was not able to provide an individual funds and property policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the individual concerning the use of funds and property.There shall be a written policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the individual concerning the use of funds and property. 99 PA Code Chapter 6400.22(a) - There shall be a written policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the individual concerning the use of funds and property. Biacon's administrator has developed a written policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the use of funds and property. This policy will be effective immediately to ensure compliance. See attachment B 01/16/2023 Implemented
6400.22(b)ISP states individual#1 is responsible for staff admission to specially planned events as well as a meal for staff.The home's policy may not prohibit the individual's right to manage the individual's own finances. 99 PA Code Chapter 6400.22(b) - The home's policy may not prohibit the individual's right to manage the individual's own finances. Biacons Administrator developed an individuals policy which will be effective immediately to ensure the homes policy does not prohibit the individuals right to manage the individuals own finances. See attachment B 01/16/2023 Implemented
6400.22(d)(1)There is $210.53 unaccounted for that has been withdrawn from individual#1 financial account. On 1/12/23, the provider deposited this amount back into the individuals account to make it whole. An accurate up-to-date financial record is not being kept for individual#1. For the months of October-December 2022 none of the ATM withdrawals match up to the receipts provided. Also, the room and board contract has not been signed by individual#1, indicating their agreement and awareness in paying this amount to the provider monthly.The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. 55 PA Code Chapter 6400.22(d)(1)- The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. Biacons Financial Administrator will ensure all consumers financial records are up to date and audited monthly to ensure all receipts and balances match up to the individuals accounts. A copy of the room and board contract is attached. see Attachment C 01/16/2023 Implemented
6400.67(a)The hot water knob on the sink located just outside of the garage was broken and unable to be turned on.Floors, walls, ceilings and other surfaces shall be in good repair. 55 PA Code Chapter 6400.67(a)- Floors, walls, ceilings and other surfaces shall be in good repair. Biacons Maintenance staff fixed the broken knob and will assess each home monthly for any items that are not in good repair. Items will be repaid within one week. See attachment D 01/16/2023 Implemented
6400.72(a)One of the windows in the upstairs bedroom did not have a screen installed.Windows, including windows in doors, shall be securely screened when windows or doors are open. 55 PA CODE Chapter 6400.72(a) - Windows, including windows in doors, shall be securely screened when windows or doors are open. Biacons maintenance staff will assess each home monthly to ensure all windows have a screen. Any window without a screen will be repaired within a week. see attachment E 01/16/2023 Implemented
6400.141(c)(14)The section referring to Information pertinent to diagnosis in case of emergency was left blank on the annual physical for individual#1 dated, 10/7/2022.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. 55 PA Code Chapter 6400.141(c)(14) - The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. Bacons Nurse will review all phyisicals upon receipt and quarterly to ensure all areas are filled out. Any physical not completed as per the 6400 regulations will be returned to the physicians office to be updated. See attachment F 02/25/2023 Implemented
6400.142(a)No Dental Exam on file for individual#1. ** Individuals still need annual dental visits for gum health even if they no longer have teeth **An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. 55 PA Code Chapter 6400.142(a) - An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. Biacons Nurse will ensure that each consumer has a dental exam according to the 6400 regulations. An audit of each consumers file will be conducted monthly to ensure complaince. See attachement F &G 02/25/2023 Implemented
6400.32(o)Individual#1 is being made to sign annually a document which requires payment for staff admission and a meal for said staff when the individual elects to go on outings and specially planned events.An individual has the right to manage and access the individual's finances.55 PA Code Chapter 6400.32(o)- An individual has the right to manage and access the individual's finances. Biacons administrator has implemented the individual funds policy which is effective immediately for all managers to follow. See atttachment B 01/16/2023 Implemented
6400.186Individual#1's individual plan states the provider, the rep payee, will assist in managing the individual's money wisely, however the bulk of the individual's discretionary funds are being used to purchase fast food and/or quick restaurant chains despite this individual having an ISP outcome to lose weight.The home shall implement the individual plan, including revisions.55 PA Code Chapter 6400.186 - The home shall implement the individual plan, including revisions. Biacons staff have been trained on the individuals ISP by Biacons program specialist. Individual #1 does not have an outcome to lose weight. Its states her ISP that her preferred places to eat are WAWA and fast food chains. Biacon will continue to support each individual and encourage to make healthier food choices. see attachment H 01/16/2023 Implemented
SIN-00181557 Renewal 01/06/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Staff Member #1 DOH was 9/10/19 and criminal check was Completed on 9/26/19. This is past the allowable time frame for the criminal check to be completed. Staff Member #2 -- criminal check not available at time of inspectionAn 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. 55 PA Code Chapter 6400.21(a) - 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. Biacon Administrator(NC) will submit an application for a PA criminal history record check to the State Police for all newly hired Biacon employees within 4 working days after hire date. NC will review new employee records no later than 5 business days after new employee hire date to ensure compliance. 02/05/2021 Implemented
6400.62(a)Ajax bleach cleaner was located under the sink in individual Individual #1 Master Bathroom.Poisonous materials shall be kept locked or made inaccessible to individuals. 55 PA Code Chapter 6400.62(a) - Poisonous materials shall be kept locked or made inaccessible to individuals. Biacon supervisor(F.T) and staff will be trained on the proper storage of poisonous materials to ensure the safety of the consumers. Biacon supervisor will check each site during her weekly rounds to ensure all poisonous substances are locked and made inaccessible to individual - (see Attachment I) 01/09/2021 Implemented
6400.82(e)The standing shower and tub in individual #1 bathroom was missing a nonslip surface or mat Bathtubs and showers shall have a nonslip surface or mat. 55 PA Code Chapter 6400.82(e) - Bathtubs and showers shall have a nonslip surface or mat. Biacon Supervisor will check each Biacon home and bathrooms during their weekly rounds to ensure each bathrooms tub and/or shower has a nonslip surface. A nonslip surface was placed in individual #1's tub and shower - (see attachment F and Attachment FF) 01/10/2021 Implemented
SIN-00154223 Renewal 04/16/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Three staff had criminal history record checks submitted after 5 working days of hire. Staff 1 was hired 3/10/19 criminal history check was completed on 3/22/19. Staff 2 was hired on 2/18/19 and criminal history check was completed on 3/5/19. Staff 3 was hired on 3/20/19 and criminal history check was completed 4/8/19.An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employees 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.Violation 55 PA Code Chapter 6400.21(a) - Three staff had criminal history records checks submitted after 5 days of hire. Staff 1 was hired 3/10/19 criminal history check was completed 3/22/19. staff 2 was hired on 2/18/19 and criminal history check was completed 3/5/19. Staff 3 was hired on 3/20/19 and criminal history check was completed on 4/8/19. Biacon's Administrator will ensure that criminal history checks will be submitted prior to hiring new employees - see EXHIBIT S (new hire(HS) with criminal history checks submitted on 5/3 prior to start date 5/6) Administrator will review employee files as needed prior to work start date of all new employee to ensure criminal history check was submitted. 05/03/2019 Implemented
6400.82(e)Shower located on main level did not have a nonslip mat. Bathtubs and showers shall have a nonslip surface or mat. Violation 55 PA Code Chapter 6400.82(e) - Shower on mail level did not have a nonslip mat Non slip mat was purchased on 4/22/19 for the main level bathroom - see EXHIBIT G Biacon's Administrator will ensure all bathroom have a nonslip mat via site walk throughs monthly. 04/22/2019 Implemented
6400.111(f)The Fire extinguisher in the main level kitchen was not inspected annually. The last inspection date was noted to be in 2017. A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. Violation-55 PA Code Chapter 6400.111(f)- The fire extinguisher in the main level kitchen was not inspected annually. the last inspection date was noted to be 2017. All fire extinguishers at every biacon location was inspected by a fire safety expert on 5/3/19 - see EXHIBIT A & B. Fire extinguishers will be checked by a fire safety expert annually and verified by Biacon's Administrator annually to ensure compliance 05/03/2019 Implemented
6400.141(c)(14)Individual #1's physical exam dated 12/10/18 did not include information pertinent to diagnosis and treatment in case of an emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. Violation - 55 PA Code Chapter 6400.141(c)(14) - Individual #1's physical exam dated 12/10/18 did not include information pertinent to diagnosis and treatment in case of an emergency Individual #1's(DB) physical was reviewed and updated by her PCP on 4/22/19 to include information pertinent to diagnosis and treatment in case of an emergency - see EXHIBIT F Biacon's nurse will review all physicals annually to ensure completeness moving forward so this citation will not be a reoccurrence. 04/22/2019 Implemented
SIN-00130085 Initial review 02/09/2018 Compliant - Finalized