Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00267501 Renewal 06/03/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.46(a)Direct Support Worker #2, date of hire 11/29/24, was not trained in general fire safety during orientation.Program specialists and direct service workers shall be trained before working with individuals in general fire safety, 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, smoking safety procedures if individuals or staff persons smoke at the home, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered.Direct Support Worker #2 will be trained by the general fire safety trainer for AACS by 6/14/2025. Training will cover all aspects of general fire safety to include evacuation procedures relevant to assigned work sites, responsibility during fire drills, designated meeting locations, smoking safety procedures, use of fire extinguishers and fire alarms, and notifications in emergency situations. This training was completed for Direct Support Worker #2 at orientation, however proper documentation was not maintained in the employee file. 06/27/2025 Implemented
6400.46(b)Program Specialist #1, date of hire 3/29/2022, was not trained in general fire safety during training year, 1/1/2024 through 12/31/2024.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a).Program Specialist #1 will be trained by the general fire safety trainer for AACS by 6/14/2025. Training will cover all aspects of general fire safety to include evacuation procedures relevant to assigned work sites, responsibility during fire drills, designated meeting locations, smoking safety procedures, use of fire extinguishers and fire alarms, and notifications in emergency situations. 06/27/2025 Implemented
6400.50(a)The records of annual training year, 1/1/2024 through 12/31/2024, for Program Specialist #1 did not include the training content. The records of annual training year, 1/1/2024 through 12/31/2024, for Direct Service Worker #2 did not include the training content.Records of orientation and training, including the training source, content, dates, length of training, copies of certificates received and staff persons attending, shall be kept.All staff training files identified as deficient (Program Specialist #1 and Direct Service Worker #2) will be reviewed, and missing content details will be added, to include a training syllabus. This will include specifying the training topic, source, content summary, date(s), length of trainings, and certificates (if applicable). 06/27/2025 Implemented
6400.51(b)(5)Direct Service Worker #3, date of hire 11/29/2024, was not trained on the service plans of the individuals residing in the home.The orientation must encompass the following areas: Job-related knowledge and skills.Direct Service Worker #3 will complete Implementation of the Individual Plan by 6/14/2025. The Training Coordinator will complete the training in person and discuss the Support Plan for each individual that resides in the home. Key components will focus on person centered practices, likes and dislikes, effective communication with the individuals we serve, health and safety and desired outcomes. Annual training for Direct Service Worker #3 was completed during annual training year 2024 however, proper documentation was not maintained in the employee file. 06/27/2025 Implemented
6400.52(c)(5)Program Specialist #1, date of hire 3/29/2022, was not trained on the implementation of the individual plans during the annual training year, 1/1/2024 through 12/31/2024.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The safe and appropriate use of behavior supports if the person works directly with an individual.Direct Service Worker #1 will be retrained on the safe and appropriate use of behavior supports by 6/14/2025. This will be on-site training that is conducted by the training coordinator. Content will include support plans specific to individuals present in the home. Behavior interventions and specific behavior support plans, when applicable, will be reviewed. Positive reinforcement, crisis intervention, and functional behavior assessments will be reviewed. Annual training for Direct Service Worker #1 was completed during annual training year 2024 however, proper documentation was not maintained in the employee file. 06/27/2025 Implemented
6400.52(c)(6)Program Specialist #1, date of hire 3/29/2022, was not trained on the implementation of the individual plans during the annual training year, 1/1/2024 through 12/31/2024.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Implementation of the individual plan if the person works directly with an individual.Direct Service Worker #1 will complete Implementation of the Individual Plan by 6/14/2025. The Training Coordinator will complete the training in person and discuss the Support Plan for each individual that resides in the home. Key components will focus on person centered practices, likes and dislikes, effective communication with the individuals we serve, health and safety and desired outcomes. Annual training for Direct Service Worker #1 was completed during annual training year 2024 however, proper documentation was not maintained in the employee file. 06/27/2025 Implemented
SIN-00247190 Renewal 06/27/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(d)The written fire drill record submitted for this home from 7/11/23 to 5/28/24, included a drill completed on 12/10/23, with an evacuation time of 2 minutes, 47 seconds. The home did not have an extended evacuation time designated by a fire safety expert. Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. Management and site staff reviewed evacuation times with each site and reviewed policy to reattempt fire drills when someone's evacuation time exceeds the maximum time designated by a fire safety expert. This was also explained and reviewed with the individual named in the violation. 07/02/2024 Implemented
6400.181(e)(6)Individual #1's current assessment completed on 11/4/23, did not address their ability safely use poisonous materials.The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. Management team and program specialist were retrained on regulation 6400.181 (e)(6) and now understand that assessments must be thorough and include all required aspects outlined by regulation. In this case, the assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. Program Specialist on 7/1/2024 modified the assessment and has included the information on the individuals' ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. 07/02/2024 Implemented
6400.181(e)(14)Individual #1's current assessment completed on 11/4/23, did not address their knowledge of water safety.The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. Management team and program specialist were retrained on regulation 6400.181 (e)(14) and now understand that assessments must be thorough and include all required aspects outlined by regulation. In this case, the assessment must include the following information: The individual's knowledge of water safety and ability to swim. Program Specialist on 7/1/2024 modified the assessment and has included the information on the individual's knowledge of water safety and ability to swim. 07/02/2024 Implemented
6400.165(g)Individual #1 is prescribed medication to treat symptoms of a psychiatric illness. The medication reviews completed on 8/1/23 and 12/27/23, did not identify the specific medications that had been evaluated by the licensed physician.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.AACS management team and program specialist were retrained on 55 PA Code Chapter 6400.165 (g). A complete medication list will be added to all psychiatric forms with the reason of why the medication is being prescribed, the need to continue the medication, along with the dosage of the mediation to be given at a specific time period. Reviews will continue to occur at lease every 3 months. 07/02/2024 Implemented
SIN-00227940 Renewal 07/18/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(a)On 7/19/23 at 11:49AM, there was a mound of discarded yard materials to include tree branches, dirt, and dried leaves on the cement patio, approximately, 2 feet from the bottom of the outside steps in the rear of the home. Outside walkways shall be free from ice, snow, obstructions and other hazards. Alliance Adult Care Services will assign an employee to clean up the mound of discarded yard material that was found on the cement patio, located 2 feet from the bottom of the outside steps, in the rear of the home. 07/21/2023 Implemented