Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00280428 Renewal 08/13/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The Agency has not completed a self-assessment annually on the home to measure and record regulatory compliance.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. Plan of Correction -- Annual Self-Assessment Regulation Reference: 55 Pa. Code §6400.15(a) Plan to Correct the Non-Compliance Lifetime Support Services LLC will immediately complete a comprehensive self-assessment of the home using the most current ODP Chapter 6400 Self-Assessment Tool. Corrective actions include: · Completion of a full regulatory self-assessment covering all applicable sections of Chapter 6400. · Identification and documentation of any areas requiring corrective action. · Development and implementation of corrective actions for any deficiencies identified during the self-assessment. · Dating and signing the completed self-assessment to verify completion. The completed self-assessment will be maintained on-site and in the Agency's administrative compliance records and will be made available to DBHIDS upon request. Result: a self assessment has been completed and is kept on files and at location 08/31/2025 Implemented
6400.66There was no functional outside lighting during the time of inspection.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Plan of Correction -- Outside Lighting Regulation Reference: 55 Pa. Code Chapter 6400 (Physical Site / Safety Requirements) Plan to Correct the Non-Compliance Lifetime Support Services LLC will immediately restore and ensure functional outside lighting at all required exterior locations, including but not limited to outside doorways, steps, porches, walkways, ramps, and any other exterior areas used for ingress and egress. Corrective actions include: · Inspection of all exterior lighting fixtures by maintenance staff or a licensed electrician. · Replacement of non-functional bulbs, fixtures, or wiring as needed. · Verification that lighting provides adequate illumination during nighttime and low-visibility conditions. Once repairs are completed, the Agency will document: · Date of correction · Areas repaired or replaced · Type of lighting installed or restored · Name/title of person or contractor completing the work Documentation will be maintained on-site and available for DBHIDS review. Result: The correction has been done by August 31st, 2025 and all is now functional. Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes are now lighted. The outside lighting is fully functional and working . 08/31/2025 Implemented
6400.106The Agency must provide documentation that an inspection of the furnace has been completed and is conducted annually.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. Plan of Correction -- Furnace Inspection Regulation Reference: 55 Pa. Code Chapter 6400 (Physical Site / Safety Requirements) Plan to Correct the Non-Compliance Lifetime Support Services LLC will immediately obtain and document a professional furnace inspection conducted by a licensed and qualified HVAC contractor. The inspection will include verification of safe operation, carbon monoxide safety, ventilation, and overall system condition. Upon completion, the Agency will maintain the following documentation on-site and in the administrative file: · HVAC contractor invoice or inspection report · Date of inspection · Contractor name, license number, and contact information · Confirmation that the furnace is operating safely The completed inspection documentation will be submitted to DBHIDS upon request and retained in the Agency's physical plant maintenance records. 08/31/2025 Implemented
6400.111(f)A fire extinguisher found in the home was expired and had not been inspected within the last year. A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. Plan of Correction -- Fire Extinguisher Inspection Regulation Reference: 55 Pa. Code Chapter 6400 (Fire Safety Requirements) Plan to Correct the Non-Compliance Lifetime Support Services LLC will immediately address this deficiency by ensuring that all fire extinguishers in the home are inspected and approved by a qualified fire safety expert in accordance with regulatory requirements. Corrective actions include: · Removal of the expired fire extinguisher from service. · Replacement of the expired extinguisher or completion of an annual inspection by a licensed fire safety professional. · Placement of a current inspection tag on each fire extinguisher clearly indicating the date of inspection and approval. The Agency will maintain documentation of: · The inspection or replacement date · The name and credentials of the fire safety professional or company · Verification that each fire extinguisher is compliant and operational Documentation will be kept on-site and made available to DBHIDS upon request. Result: the fire extinguisher has been inspected and is now fully compliant. a qualified fire safety expert provided the service and documentation is on site. 08/31/2025 Implemented
6400.151(a)Staff Member 2 does not have a completed physical on file from date of hire onward. 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. Plan of Correction -- Staff Physical Examination Regulation Reference: 55 Pa. Code Chapter 6400 (Staff Health Requirements) Plan to Correct the Non-Compliance Lifetime Support Services LLC will immediately correct this deficiency by ensuring that Staff Member 2 completes a physical examination conducted by a licensed medical professional. Corrective actions include: · Staff Member 2 will be scheduled for and required to complete a physical examination immediately. · Upon completion, documentation will be obtained that includes: · Date of examination · Name and credentials of the medical provider · Statement confirming the staff member is medically cleared to work · The completed physical examination documentation will be placed in the staff member's personnel file. If Staff Member 2 is unable to complete the physical examination immediately, the Agency will ensure the staff member does not have direct contact with individuals or prepare/serve food until compliance is achieved. Result: Staff number 2 has now a full physical done on file and is in compliance 01/08/2026 Implemented
6400.151(a)Staff Member 1 did not have a current physical in personnel file. 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. Plan of Correction -- Staff Physical Examination Regulation Reference: 55 Pa. Code Chapter 6400 (Staff Health Requirements) Plan to Correct the Non-Compliance Lifetime Support Services LLC will immediately correct this deficiency by ensuring that Staff Member 2 completes a physical examination conducted by a licensed medical professional. Corrective actions include: · Staff Member 1 will be scheduled for and required to complete a physical examination immediately. · Upon completion, documentation will be obtained that includes: · Date of examination · Name and credentials of the medical provider · Statement confirming the staff member is medically cleared to work · The completed physical examination documentation will be placed in the staff member's personnel file. If Staff Member 1 is unable to complete the physical examination immediately, the Agency will ensure the staff member does not have direct contact with individuals or prepare/serve food until compliance is achieved. result: Staff member 1 has now a full physical done on file and is in compliance 01/08/2026 Implemented
6400.46(b)Staff Member #1 and #2 completed fire safety training in July 2023 and not again until November 2024; exceeding the 365-day requirement.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a).Plan of Correction -- Annual Fire Safety Training Regulation Reference: 55 Pa. Code Chapter 6400 (Fire Safety Training) Plan to Correct the Non-Compliance Lifetime Support Services LLC has ensured that Staff Member 1 has now completed fire safety training conducted by a qualified fire safety expert. Documentation of the completed training, including the date, trainer credentials, and training content, has been obtained and placed in the staff member's personnel file. In addition, the Agency has reviewed the training records of all program specialists and direct service workers to confirm that no other staff members are outside of the required annual training timeframe. Any discrepancies identified will be addressed immediately. Result: all required staff are now in compliance 01/08/2026 Implemented
6400.52(a)(1)Staff Member 2 did not complete 24 hours of required training related to job skills and knowledge during the last completed training period (11/1/23-10/31/24).The following shall complete 24 hours of training related to job skills and knowledge each year: Direct service workers.Plan of Correction -- Annual 24 Hours of Staff Training Regulation Reference: 55 Pa. Code Chapter 6400 (Staff Training -- Job Skills and Knowledge) Plan to Correct the Non-Compliance Lifetime Support Services LLC will immediately correct this deficiency by ensuring Staff Member 2 completes the remaining required training hours related to job skills and knowledge. Corrective actions include: · A review of Staff Member 2's training record to identify the number of hours missing from the required 24 hours. · Immediate assignment and completion of approved job-related training modules to meet or exceed the required annual total. · Documentation of completed training, including: · Training title/topic · Date of completion · Number of hours credited · Trainer or training source All completed training documentation will be placed in Staff Member 2's personnel file. If Staff Member 2 has not yet completed the required hours, the Agency will ensure the staff member's training is prioritized and monitored until full compliance is achieved. result: all staff are now in compliance 01/08/2026 Implemented
6400.52(a)(3)Staff Member 1 did not complete 24 hours of required training related to job skills and knowledge during the last completed training period (11/1/23-10/31/24).The following shall complete 24 hours of training related to job skills and knowledge each year: Program specialists.Plan of Correction -- Annual 24 Hours of Staff Training Regulation Reference: 55 Pa. Code Chapter 6400 (Staff Training -- Job Skills and Knowledge) Plan to Correct the Non-Compliance Lifetime Support Services LLC will immediately correct this deficiency by ensuring Staff Member 1 completes the remaining required training hours related to job skills and knowledge. Corrective actions include: · A review of Staff Member 1's training record to identify the number of hours missing from the required 24 hours. · Immediate assignment and completion of approved job-related training modules to meet or exceed the required annual total. · Documentation of completed training, including: · Training title/topic · Date of completion · Number of hours credited · Trainer or training source All completed training documentation will be placed in Staff Member 1's personnel file. If Staff Member 1 has not yet completed the required hours, the Agency will ensure the staff member's training is prioritized and monitored until full compliance is achieved. result: all staff are now in compliance 01/08/2026 Implemented