| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.70 | At the time of inspection there was no operable phone in the home. | A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.
| Moving forward LVCC will make sure there is an operable, non-coin-operated telephone with an outside line that is easily accessible to individuals and staff persons. There is an operable phone in the home. The phone number is (484-221-9005) |
02/17/2025
| Implemented |
| 6400.77(b) | At the time of inspection there was no thermometer or scissors in the first aid kit in the home. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | LVCC CEO made sure that there is a brand-new First Aid kit in the home and made sure that the first aid kit contains antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape and scissors. A first aid manual shall be kept with the first aid kit. |
02/17/2025
| Implemented |
| 6400.151(c)(4) | The section to identify problems which might interfere with the health of the individuals was blank on the physical dated 1/7/25 for Staff #1.
A completed physical dated 12/3/23 for Staff #2 did not contain an area for information of medical problems which might interfere with the health of the individuals. | The physical examination shall include: Information of medical problems which might interfere with the health of the individuals. | Moving forward LVCC will make sure that all physicals are checked thoroughly to make sure all information in the physical examination are in compliance with chapter 6400. Most importantly, LVCC will make sure the physical information includes information of medical problems which might interfere with health of the individual |
02/17/2025
| Implemented |
| 6400.52(c)(1) | There was no record of Staff #1 completing training on individual choice and supporting individuals to develop and maintain relationships as required during the 7/1/23 to 6/30/24 training year. There was no record of Staff #2 receiving training on community integration during the 7/1/23 to 6/30/24 training year as required. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | Moving Forward, LVCC CEO will make sure staff are trained on the annual training hours specific in subsections which encompasses the following areas. The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. |
02/17/2025
| Implemented |
| 6400.169(a) | Documentation provided for Staff #2 notes a completion date of 12/14/23 for the Medication Administration Standard Student Course with observations completed on 12/14/23 and 12/15/23. There was no additional documentation that the course renewal requirements had been met as required. There was no documentation to support that the annual practicum had been completed as required. The annual practicum consists of two observations of medication administration and two Medication Administration Record (MAR) reviews. Observations occur in 6-month intervals based on the date the person received the initial training. Per definition observations in June and December 2024 should have been completed along with to two MAR reviews from 12/23 to 12/24. As of inspection on 1/23/25 there was no documentation to support that the course renewal requirements had been satisfied. | A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6400.162 (relating to medication administration). | Moving Forward LVCC medication administration Trainer will make sure that There is additional documentation that the course renewal requirements has been met as required |
02/17/2025
| Implemented |