Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.64(a) | At 1:23PM, the top interior of the microwave in the kitchen of the home contained a dark brown and black stains from what appeared to be from burnt food. | Clean and sanitary conditions shall be maintained in the home. | Admin 1 ordered a new microwave and it was delivered on 5/31/2025
Staff were retrained on 55 PA Code 6400.64. There was also a discussion on assuring the interior of ovens, refrigerators, and microwaves are checked on the monthly site checklist for sanitary conditions as well as deterioration so that Admin 1 can replace when necessary.
Physical site checklist has highlighted area pertaining to this violation |
06/06/2025
| Implemented |
6400.101 | At 1:28PM, the basement screen door was equipped with a hook and eye latch lock posing an obstructed egress when engaged. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| Admin 1 removed the hook eye lock from door on 5/28/2025
All agency staff received a retrain on fire drills and a discussion on fire safety that included the importance of keeping all egress clear from debris and other obstructive items that could hinder the safe evacuation of the individuals we care for.
The physical site checklist was updated to highlight the infraction. Staff at each house check on a monthly basis for any problems with egress and turn form into Admin 1 |
05/28/2025
| Implemented |
6400.182(c) | Individual #1's annual assessment, completed 9/20/24, assess Individual #1 as not understanding of potential danger of heat sources, unable to identify heat sources, and unable to move away from heat sources. In the general health and safety risks section of Individual #1's Individual Plan, updated 4/14/25 reads, "[Individual #1] is able to recognize heat sources and will avoid the stove." | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | Program specialist sent an email to the SC requesting the change to the ISP to match the assessment on 6/04/2025 |
06/04/2025
| Implemented |