Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
SIN-00251138
|
Renewal
|
09/10/2024
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2380.53(a) | Poisons are not locked or made inaccessible to individuals when not in use. There was a bottle of hand sanitizer located attached to a staff member's bag in an unlocked cabinet in that is used as storage in the individual program area. Individuals have full access to the cabinet. | Poisonous materials shall be kept locked or made inaccessible to individuals, when not in use. | Staff were retrained in poisonous substances and where to put items that should not be ingested. |
09/10/2024
| Implemented |
2380.91(a) | Individual #5 was admitted to the program on 6/11/24. Individual #1 did not receive fire safety training upon admission. There was a document in Individual #1's record dated 6/11/24, however there was white out under the writing, upon review of the back of the document, the date 6/26/24 was visible and it was clear that this was the original date the document was signed and later whited out to include the 6/11/24 date. | An individual shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general firesafety, 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 facility. | Program Specialist was retrained in fire safety requirements and white out protocol - Cori's Place doesn't not use white out for signed & legal documents. |
09/11/2024
| Implemented |
|
|
SIN-00231691
|
Renewal
|
09/19/2023
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2380.181(e)(13)(i) | Individual #1, Individual #12 and Individual #3's annual assessments did not include the progress over the last 365 calendar days the area of health. | The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Health. | This section was added during the inspection. Program Specialist reviewed and completed this for all individuals within This section was added during the inspection. Program Specialist reviewed and completed this for all individuals within the week. the week. |
09/19/2023
| Implemented |
2380.181(e)(13)(ii) | Individual #1, Individual #12 and Individual #3's annual assessments did not include the progress over the last 365 calendar days the area of motor and communication skills. | The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Motor and communication skills. | This section was added during the inspection. Program Specialist reviewed and completed this for all individuals within the week. |
09/19/2023
| Implemented |
2380.181(e)(13)(iii) | Individual #1, Individual #12 and Individual #3's annual assessments did not include the progress over the last 365 calendar days the area of personal adjustment. | The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Personal adjustment. | This section was added during the inspection. Program Specialist reviewed and completed this for all individuals within the week. |
09/19/2023
| Implemented |
2380.181(e)(13)(iv) | Individual #1, Individual #12 and Individual #3's annual assessments did not include the progress over the last 365 calendar days the area of socialization. | The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Socialization. | This section was added during the inspection. Program Specialist reviewed and completed this for all individuals within the week. |
09/19/2023
| Implemented |
2380.181(e)(13)(v) | Individual #1, Individual #12 and Individual #3's annual assessments did not include the progress over the last 365 calendar days the area of recreation. | The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Recreation. | This section was added during the inspection. Program Specialist reviewed and completed this for all individuals within the week. |
09/19/2023
| Implemented |
2380.181(e)(13)(vi) | Individual #1, Individual #12 and Individual #3's annual assessments did not include the progress over the last 365 calendar days the area of community integration. | The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Community-integration. | This section was added during the inspection. Program Specialist reviewed and completed this for all individuals within the week. |
09/19/2023
| Implemented |
2380.125(a) | Prescription medications are not prescribed in writing by an authorized provider. There are 8 packets of non-aspirin, 9 packets of aspiring and 8 packets of antiacid located in the first aid kit. These medications were not prescribed to any individuals in the program by an authorized prescriber. | A prescription medication shall be prescribed in writing by an authorized prescriber. | These items were removed at time of inspection and disposed of appropriately. |
09/19/2023
| Implemented |
|
|
SIN-00134423
|
Renewal
|
04/26/2018
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2380.113(c)(3) | This section wasn't completed on Staff #1's physical exams dated 3/9/2016 and 3/19/2018. | The physical examination shall include: A signed statement that the person is free of serious communicable diseases as defined in 28 Pa. Code § 27.2 (relating to specific identified reportable diseases, infections and conditions) to the extent that confidentiality laws permit reporting, or that the person has a serious communicable disease as defined in § 27.2 to the extent that confidentiality laws permit reporting, but is able to work in the facility if specific precautions are taken that will prevent spread of disease to individuals. | The violation was corrected while the inspection was still going on -- Tara Gwilliam faxed the form to the Doctor to fill out that section and was returned to us with the correction - Tara then showed the inspector the form. From this point on Cori's Place will tell the staff to review the Physical form before leaving the office and also attach a sheet to the form to tell the doctor to complete all questions on the form |
05/21/2018
| Implemented |
|
|
SIN-00114461
|
Renewal
|
06/12/2017
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2380.111(c)(7) | The section pertaining to health maintenance needs in individual 1's, 2's, 3's and 4's files were left blank. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | Program Specialist identify to the individual and his/her caregivers via letter when a physical is due and that it needs to be completed in entirety. Once received, program specialist review the physical to assure no aspect of the physical is left blank. If there is a spot left blank, program specialist will either notify the parent or doctor to have it corrected in a timely manner. Review of the physical and assurance of the necessary corrections will continue to be repeated until the entire physical is completed correctly by the medical professional. |
06/12/2017
| Implemented |
2380.111(c)(9) | The section pertaining to allergies on Individual #3's physical form was left blank. | The physical examination shall include: Allergies or contraindicated medication. | Program Specialist identify to the individual and his/her caregivers via letter when a physical is due and that it needs to be completed in entirety. Once received, program specialist review the physical to assure no aspect of the physical is left blank. If there is a spot left blank, program specialist will either notify the parent or doctor to have it corrected in a timely manner. Review of the physical and assurance of the necessary corrections will continue to be repeated until the entire physical is completed correctly by the medical professional. |
06/12/2017
| Implemented |
2380.111(c)(10) | The section addressing info pertinent to diagnosis and treatment in case of emergency was left blank on the physicals of Individuals #2 and #3. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Program Specialist identify to the individual and his/her caregivers via letter when a physical is due and that it needs to be completed in entirety. Once received, program specialist review the physical to assure no aspect of the physical is left blank. If there is a spot left blank, program specialist will either notify the parent or doctor to have it corrected in a timely manner. Review of the physical and assurance of the necessary corrections will continue to be repeated until the entire physical is completed correctly by the medical professional. |
06/12/2017
| Implemented |
2380.181(f) | The asessment was not sent out at least 30 days prior to the ISP meeting for Individuals #1 & #2. Indivdual #1's assessment was sent out on 09-16-16 and the meeting was 09-20-16. Individual #2's assessment was sent out 01-19-17 and the ISP meeting was 02/02/17. | The program specialist shall provide the assessment to the SC or plan lead, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP). | Program Specialists have begun and will continue to send assessments at least 30 days before the ISP meeting. This is done by using QuickBooks to tell us when they are due at least 2 months in advance. It is also accomplished when scheduling meetings as the Program Specialist refuse to hold a meeting sooner than the 30 day timeline. |
06/12/2017
| Implemented |
|
|
SIN-00092185
|
Renewal
|
05/10/2016
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2380.58(b) | In the dining area, there is an orange extension cord running on the floor between the cash register and the wall which is a tripping hazard. The extension cord was loose and could be tripped over. There was not any tape or covering over the cord. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Cori's Place will tape cord to floor between wall and cash register -- Cori's Place will inspect tape on a daily bases to insure the cord is taped down and there is not a safety hazard |
05/10/2016
| Implemented |
2380.173(1)(ii) | The record for Individual #1 does not include eye color. | Each individual's record must include the following information: Personal information including: The race, height, weight, color of hair, color of eyes and identifying marks. | Cori's place will put in eye color location for individuals that are visually impaired either individual can not open eyes or pigmentation is gone on eyes but if pigmentation is still there we will put color |
02/25/2016
| Implemented |
|
|
SIN-00077547
|
Renewal
|
05/21/2015
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2380.52(a) | The capacity of Cori's Place was originally measured to accomadate 72 people based on 50 square feet per person. Nine program areas were created within this facility by using portable partitions/ walls to enclose a space that could only accommodate 3 or 4 people in each separate room. There are currently 6 individuals receiving programming in each area. Five areas measured 12 feet by 14 feet, two areas measured 16 feet by 12 feet, one area measured 14 feet by 12 feet and one area measured 15 feet by 12 feet. By creating the separate program rooms the total capacity was reduced significantly. | There shall be at least 50 square feet of indoor floor space for each individual. Indoor floor space shall be measured wall to wall, including space occupied by equipment, temporary storage and furnishings. Space occupied by lavatories, dining areas, loading docks, kitchens, offices and first aid rooms may not be included unless it is documented that the space is used for programming for at least 50% of each program day. Hallways and permanent storage space may not be included in the indoor floor space. | First I would like to state that the panel system has been up since moving to 495 Wyoming street in 2011 and we were never cited the last four inspections.
But if the citation stands, we will follow the recommendation of Chris Hadley and Rich Saikowski at the meeting on June 19th, 2015 at Cori¿s Place
1) We will remove all the front panels on all 9 educational areas. The 5units on the right wall will also have their inner/side panels moved to accommodate necessary square footage needed
2) By moving the side panels to accommodate the 300Sq Ft per area, we will also need to move the white boards and potentially move the TVs that are on the wall. Also, we will need new computer wiring and electrical outlets. Also, the side panels will need to be anchored to the wall since the support panels will be removed. Also, the walls will need to be repainted because of the moving of white boards and TVS
3) Time frame- 3 months from this date- reason is that the work will need to be done after hours or weekends by a licensed Hanover TWP contractor. We will move as fast as we can complete the changes. Once, everything gets done we will contact Rich Saikowski
|
10/02/2015
| Implemented |
|
|
SIN-00210862
|
Renewal
|
09/19/2022
|
Compliant - Finalized
|
|
SIN-00192164
|
Renewal
|
09/07/2021
|
Compliant - Finalized
|
|
SIN-00156801
|
Renewal
|
06/04/2019
|
Compliant - Finalized
|
|
SIN-00061807
|
Renewal
|
03/26/2014
|
Compliant - Finalized
|
|
SIN-00046274
|
Renewal
|
04/04/2013
|
Compliant - Finalized
|
|