Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00285243 Renewal 03/17/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Individual #2's Service Plan, last updated 12/31/25, explains that Individual #2 has no unsupervised time around poisons, that Individual #2 would need supervision when utilizing such materials, and that Individual #2 has eaten soap, paper, and crayons in the past. At 2:58 PM on 3/17/26, unlocked and accessible in the closet located directly outside of Individual #2's bedroom at the end of the hallway were the following poisonous materials: three 32-ounce spray bottles of Great Value All-Purpose Cleaner with Bleach; a 17.5-ounce aerosol can of Raid Wasp and Hornet; and a 24-fluid-ounce bottle of Clorox Toilet Bowl Cleaner. [Repeated Violation-5/28/25]Poisonous materials shall be kept locked or made inaccessible to individuals. Door was locked immediately upon discovery by the present house staff. 04/04/2026 Implemented
6400.104The home's undated Fire Department Notification Letter did not provide the exact bedroom locations of Individual #1 and Individual #2, who both require assistance to evacuate in the event of a fire, as the letter lacked a description and/or diagram of the home's general layout for reference to provide specificity to the vague bedroom locations given. This Fire Department Notification Letter read as follows: "[Individual #1] at the end of the hallway to the right is ambulatory but will require assistance to exit the home in case of an emergency. The bedroom on the left is now occupied by another individual [Individual #2] who is also ambulatory. [Individual #2] will also require assistance to exit the home in case of an emergency."The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. CEO will resend a dated fire department notification letters with an attached floor plan documenting the exact location for the current individuals. 03/25/2026 Implemented
6400.106The home's furnace was inspected on 9/18/24, and then again on 11/10/25. In addition, the furnace inspection invoice provided for 11/10/25 did not include documentation that the home's furnace was also cleaned.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. DTE's CEO Spoke with Cochran's Heating and Air (provider of furnace inspection and cleaning) to investigate why this occurred. We were late in the scheduling for this past year due to their office changing personnel and an oversight with our renewal being due. We are currently renewed for another 3 year contract. In addition we requested that Cochran's update their printouts to reflect what cleaning was done. They agreed to do so and emailed us an update of the previous inspection paperwork for our records. 03/23/2026 Implemented
6400.141(c)(3)Individual #1's date-of-birth is 1/19/49, and their date-of-admission is 10/11/20. Individual #1 did not complete a tetanus-diphtheria immunization, as recommended by the Centers for Disease Control. Individual #1's current physical examination, completed on 12/2/25, states, "Patient is medically exempt due to intolerance of vaccine." Individual #1's content of records did not include documentation of Individual #1's last completed tetanus-diphtheria immunization.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. The Program Specialist faxed the physician's office of who filled out the individuals physical requesting more detailed information on what the "intolerance" is. The Tetanus Diptheria Vaccination was last given on 11/27/2018 as noted in his ISP so no change was needed to stay in compliance of 10 years. No further information was given with his records when the individual transitioned into his home from another facility. 03/28/2026 Implemented
6400.50(a)On 3/17/25, Chief Executive Officer #1 self-attested to providing direct care services. On 7/1/25, 7/2/25, and 7/12/25, Chief Executive Officer #1 completed annual training for the 2025 calendar year on job-related knowledge and skills regarding individual-specific reviews of behavior support plans and service plans. However, this aforementioned training neither documented the trainer or facilitator who conducted the sessions, nor the training lengths, as the corresponding fields were left blank. Individual #1 completed annual fire safety training on 9/10/25. However, documentation for this fire safety training record did not include the trainer who facilitated the session. Individual #2 completed an initial fire safety training on 12/1/25. However, documentation for this fire safety training record did not include the trainer who facilitated the session.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.Chief Executive Officer #1's training was signed by the trainer and the length of the training documented in the provided spaces on the training form. Individual#1's and Individual #2's fire safety training record was updated and signed by the trainer who facilitated the training.. 03/23/2026 Implemented
SIN-00267019 Renewal 05/28/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC 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
6400.101At 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
SIN-00226725 Renewal 06/29/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(f)According to the written fire drill record submitted from August 2022 to June 2023, the front door was the only exit route utilized.Alternate exit routes shall be used during fire drills. Due to individuals inability to navigate stairs safely, provider is having a man door installed to replace garage door to be able to safely evacuate individuals from the main level. This eliminates the risk of fall injury on the only other current evacuation point in the home. 08/15/2023 Implemented
SIN-00208530 Renewal 07/21/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(k)(6)Individual #1's bedroom did not include a mirror. Individual #2's bedroom did not include a mirror.In bedrooms, each individual shall have the following: A mirror. Both individuals have since purchased mirrors that are now in their bedrooms and are to remain there. 08/08/2022 Implemented
6400.112(c)The written fire drill records for the fire drills held on 7/7/2021, 2/2/2022, and 4/5/2022 indicated the the garage door was used as the exit route. There is not a man door located in the garage of the home.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. Moving forward, Down to Earth Community Homes will no longer use any garage doors as exit routes for fire drills unless it is a man door. Staff running fire drills will only use manual doors for exits. 08/08/2022 Implemented
6400.52(c)(6)Direct Service Worker #1's annual training hours for training from January 1, 2021 to December 31, 2022 did not include implementation of the individual plan.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.The ISP training verification sheets were turned in on 8/8/2022 for verification 08/08/2022 Implemented
SIN-00244939 Renewal 06/25/2024 Compliant - Finalized
SIN-00191287 Renewal 07/29/2021 Compliant - Finalized
SIN-00176027 Renewal 09/01/2020 Compliant - Finalized