Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00252967 Renewal 10/03/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(f)Notification showing Program Specialist provided annual assessment to team 30 days prior to individual plan meeting was not on file in Individual One's binder.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.The 30-day annual assessment has been revised and implemented as of our first post-licensing assessment for 10/17/24. 10/17/2024 Implemented
SIN-00232572 Renewal 10/04/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(e)(1)The provider is the financial representative payee for individual #1, however a record of the financial resources, withdrawals and deposits is not being kept. If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: A separate record of financial resources, including the dates and amounts of deposits and withdrawals. A money ledger has been implemented to document a separate record of financial resources, including dates and amounts of deposits and withdrawals. 10/10/2023 Implemented
6400.81(k)(6)Individual #1 did not have a mirror in their bedroom.In bedrooms, each individual shall have the following: A mirror. Due to Jaio's propensity to break mirrors, he wishes not to have one in his room. There will not be a mirror in Jaio's room, unless he requests one. 10/05/2023 Implemented
6400.142(a)Individual #1 did not have a dental examination in their record.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. Jaio's dental appointment was completed on June 22, 2023; the paperwork is attached as confirmed with his dentist. 10/19/2023 Implemented
6400.194(d)Individual #1 has a restrictive behavior plan, involving a knife restriction. This restriction must be approved by a human rights team, however there was no record of the human rights team meeting available at the time of inspection.A record of the human rights team meetings shall be kept.A copy of the HRT meeting, which was completed in August, 2023 is now in Jaio's file. 10/09/2023 Implemented
SIN-00212855 Renewal 10/06/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(b)All staff who were new to the agency since last inspection did not have a formal FBI check or a sufficient request of previous residence to show whether or not they lived in Pennsylvania for the two years prior to hire. Those staff are as follows: Staff #1 Staff #2 Staff #3 Staff #4 Staff #5 Staff #6 Staff #7If a prospective employe who will have direct contact with individuals resides outside this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the person's date of hire. Staff #1 - Fingerprints check was submitted for the inspection. Staff #2 - Fingerprints check was submitted for the inspection. Staff #3 - Proof or residence in PA for more than two years is attached. Staff #4 - Proof or residence in PA for more than two years is attached. Staff #5 - Proof or residence in PA for more than two years is attached. Staff #6 - IndentGO receipt was fingerprints was submitted for inspection Staff #7 - Proof or residence in PA for more than two years is attached. 10/14/2022 Implemented
6400.62(c)There were two unlabeled bottles in the home that contained chemicals consistent with cleaning agents.Poisonous materials shall be stored in their original, labeled containers. The bottles have been removed and replaced with brand new labeled bottles. 10/06/2022 Implemented
6400.62(d)Cleaning chemicals and cooking oil were being stored next to each other the sink.Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.The cooking oil was moved to another cabinet to be stored with food. The cleaning chemical was moved to the locked closet on the 2nd floor of the home, where all other cleaning chemicals are stored. 10/06/2022 Implemented
6400.72(a)The windows in the dining room area next to the kitchen did not have screens installed.Windows, including windows in doors, shall be securely screened when windows or doors are open. A new screen has been ordered. 10/07/2022 Implemented
6400.181(e)(8)Annual assessment dated 11/2/21 for individual #1 does not state ability to evacuate in the event of a fire.The assessment must include the following information: The individual's ability to evacuate in the event of a fire. The annual assessment has been revised and Individual 1's ability to evacuate in a fire has been added to the home safety section of the document. 10/10/2022 Implemented
SIN-00194546 Renewal 10/14/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)Surfaces shall be free of hazards. Railing between 7114 and 7116 Ruskin lane is extremely loose. The bottom section lifts from the concrete with minimal pressure and is a hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.On 10/18/21, the contractor repaired the railings between 7114 & 7116 Ruskin Lane. He put concrete on the bottom section of the railing, the railing is now sturdy. 10/18/2021 Implemented
6400.151(a)Physicals for Staff #2 & Staff #3 were dated after date of hire. 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. Staff #2, Staff #3, and other staff that were hired before their physical examination, were not in contact with the individual until their physical examination were completed. Moving on provider will ensure that staff person have a physical examination within 12 months prior to date of hire. 11/08/2021 Implemented
6400.15(b)The agency did not use the licensing inspection self assessment form.(b) The agency shall use the Department's licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance.On 11/8/21,the program specialist/program director used the licensing inspection self assessment form to measure and record compliance. 11/08/2021 Implemented
6400.46(d)Staff #1 has not yet been trained in First Aid/CPR. This training is to be completed within 6 months after date of hire. DOH is 2/8/21.Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation.On 10/25/21, Staff #1 completed First Aid/CPR training 10/25/2021 Implemented
SIN-00177720 Renewal 09/28/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The bathroom medicine cabinet attached to the wall had a piece of metal hanging from it. This metal was removed by the provider prior to the conclusion of the exit.Floors, walls, ceilings and other surfaces shall be in good repair. The piece of metal hanging in the bathroom medicine cabinet was removed. Director of facilities, Abiodun Towolawi will ensure that floors, walls, ceiling and other surfaces are in good order. 09/28/2020 Implemented
6400.80(b)-The top landing step at the front exterior of the home sits lower than the other steps, creating a potential tripping hazard. -The exterior mailbox is affixed to the home by a string attached to nails stuck in the brick façade of the home. Mailbox should be affixed in a more permanent way to avoid potential injury. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.The top landing step at the front exterior of the home has been repaired. The landing step is at the same level with the other steps. Mailbox has been affixed permanently to the wall in front of the house. Director of facilities, Abiodun Towolawi will ensure that the outside of the building and the yard or grounds will be well maintained, in good repair and free from unsafe conditions. 10/23/2020 Implemented
SIN-00148928 Initial review 01/25/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(e)The home had 2 floors and a basement, and the smoke detectors were not interconnected.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. On 1/28/19, Abiodun Towolawi (Facilities Director) installed three wireless interconnected talking combination Smoke/Carbon Monoxide alarm with programmable locations detectors. In future If any of the smoke/CO detectors is inoperative, staff will follow Smoke Detectors and Fire Alarms Policy and send notification for repair within 24 hours and repairs completed within 48 hours of the time the detector(s) or alarm was found to be inoperative. Within the period the smoke detector is inoperable, staff will check on all individuals, all areas of the home every hour including common areas and individual rooms at every shift until the smoke detector or fire alarm are operable. 01/28/2019 Implemented