Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00270092 Renewal 07/15/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Staff #2 was hired effective 05/28/2025. Per the staff record, this staff did not have a Pennsylvania State Police (PSP) criminal background check requested until 07/15/2025, more than 5 working days after the staff's date of hire.An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire. At time of inspection provider completed criminal background check. 07/15/2025 Implemented
6400.67(a)The doorknob on the door leading to the basement from the upstairs living area was loose to the touch. With minimal force, the doorknob jiggled back and forth in the door; it appeared to be loose from the door such that a gap of a few centimeters appeared when it was pulled on. This doorknob was not in good condition.Floors, walls, ceilings and other surfaces shall be in good repair. The basement doorknob was replaced effective 7/15/2025. 07/15/2025 Implemented
6400.80(a)The wooden staircase leading from the back porch to the ground below was in an unsafe condition. When stepped upon, the third stair from the top was felt to buckle under the weight. Upon examination, the wood of this stair had a hairline crack extending the long way across the stair. The stair flexed along this crack when weight was applied. Outside walkways shall be free from ice, snow, obstructions and other hazards. The wooden staircase from the back porch to the ground below was repaired effective 7/15/2025. 07/15/2025 Implemented
6400.141(c)(14)Individual #1's Annual Physical Form, dated 05/19/2025, did not contain information pertinent to diagnosis and treatment in case of an emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. An addendum form for the annual physical, was created to specifically address pertinent information to diagnosis and treatment in case of an emergency. Prior to 09/01/2025, the addendum form will be completed for Individual #1 by his Primary Care Physician to add to current annual physical in the file. 09/01/2025 Implemented
6400.151(c)(2)Staff #2 was hired by the provider effective 05/28/2025. Per a 05/27/2025 physical form in the staff record, this staff had a Mantoux test administered on 05/27/2025; however, the form noted that "PT did not return" and did not include a negative result. Another record of Mantoux testing existed in the staff record, showing a Mantoux placement on 06/18/2025 and a negative reading on 06/20/2025; however, this testing was conducted after the staff member's 05/28/2025 hire date. As such, no Mantoux testing was conducted for this staff prior to hire as required. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. The administrative team will be responsible for completing the checklist and ensuring all onboarding activities are completed timely. 09/01/2025 Implemented
6400.51(b)(2)Staff #2, who was hired on 05/28/2025, was missing orientation training on the following topic(s) per documentation in the staff record: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. § § 10225.101---10225.5102), the Child Protective Services Law (23 Pa.C.S. § § 6301---6386), the Adult Protective Services Act (35 P.S. § § 10210.101---10210.704), and applicable protective services regulations.The orientation must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§10225.101-10225.5102). The child protective services law (23 PA. C.S. §§6301-6386) the Adult Protective Services Act (35 P.S.§§ 10210.101-10210.704) and applicable protective services regulations.It was available in the employee file that the certificate was awarded on July 3, 2025, Staff #2 completed training on the prevention, detection, and reporting of abuse, suspected abuse, and alleged abuse in accordance with the Older Adult Protective Services Act, the Child Protective Services Law, the Adult Protective Services Act, and applicable protective services regulations. 07/15/2025 Implemented
6400.51(b)(3)Staff #2, who was hired on 05/28/2025, was missing orientation training on the following topic(s) per documentation in the staff record: Individual Rights.The orientation must encompass the following areas: Individual rights.It was available in the employee file that the certificate was awarded on May 11, 2025, Staff #2 completed training on Individual Rights. 07/15/2025 Implemented
6400.51(b)(4)Staff #2, who was hired on 05/28/2025, was missing orientation training on the following topic(s) per documentation in the staff record: Recognizing and Reporting Incidents.The orientation must encompass the following areas: recognizing and reporting incidents.On 7/30/2025, Staff #2 completed training on recognizing and reporting incidents. 09/01/2025 Implemented
Article X.1007The Provider is required to maintain criminal history checks and hiring policies for the hiring, retention, and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P.S. § 10225.101 -- 10225.5102) and its regulations (6 Pa. Code Ch. 15). A Federal Bureau of Investigation (FBI) background check was not completed for Staff #2, and there was no indication that this staff was a resident of Pennsylvania for two years prior to hire.When, after investigation, the department is satisfied that the applicant or applicants for a license are responsible persons, that the place to be used as a facility is suitable for the purpose, is appropriately equipped and that the applicant or applicants and the place to be used as a facility meet all the requirements of this act and of the applicable statutes, ordinances and regulations, it shall issue a license and shall keep a record thereof and of the application.The license was provide as proof of residency. The attestation was created and added on our onboarding documentation. 09/01/2025 Implemented
SIN-00247707 Renewal 07/22/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(c)Poisonous materials shall be stored in their original, labeled containers. There was a bottle at the kitchen sink with blue liquid soap. The bottle was old and the labels had since been rubbed off. There was also a piece of tape on the bottle which said do not fill past this line. This would allow you to assume the liquid in the bottle is filled from another container over time. It is not able to be determined if the refill liquid was the same as the original liquid in the bottle.Poisonous materials shall be stored in their original, labeled containers. On the date of inspection, the old bottle was discarded and replaced with a new container of dish soap, which was already in the home. 09/01/2024 Implemented
SIN-00227386 Renewal 07/06/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(e)The home has three levels and the smoke detector located in the attic was not interconnected or functioning in an interconnected manner and was not audible throughout the home with the smoke detectors on the other two levels at the time of the inspection.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 7/12/2023, provider maintenance staff added an additional interconnected smoke detector in the attic of the home, which now is functioning in an interconnected manner with the smoke detectors on the other two levels of the home. 08/31/2023 Implemented
6400.151(c)(3)Staff person #1 had a physical examination completed on 6/29/2022; the physical examination form did not document or have a physician-signed statement verifying that the staff was free of communicable disease. The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. On 7/24/2023, the physical form was edited to include the statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. 08/31/2023 Implemented
6400.151(c)(4)Staff person #1 had a physical examination completed on 6/29/2022; the physical examination form did not document whether the staff has any health problems that may 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.On 7/24/2023, the physical form was edited to include Information of medical problems which might interce of this fere with the health of the individuals. 08/31/2023 Implemented
6400.32(r)The door lock on Individual #1's bedroom door is a "thumb-nail" or coin-style locking device. This type of lock is not allowed as it can be opened by anyone without a special key or device which does not provide privacy and security to the individual or their possessions.An individual has the right to lock the individual's bedroom door.On 7/12/2023, provider maintenance staff changed the thumb-nail style door lock on Individual #1¿s bedroom door. 08/31/2023 Implemented
6400.163(f)Individual #1 is prescribed two medications that require refrigeration, Latanoprost eye drops and DorzolamideTimolol eye drops. At the time of the inspection, the medications were stored in the kitchen refrigerator in a non-locking plastic container.Prescription medications stored in a refrigerator shall be kept in an area or container that is locked.On 7/12/2023, provider replaced the non-locking plastic container in the refrigerator, which contained two of Individual #1¿s prescribed medications. 08/31/2023 Implemented
6400.166(a)(11)The July 2023 medication administration record (MAR) for Individual #1 did not list a diagnosis or purpose for the medication Benztropine MES 0.5 mg., to be administered 1 tablet by mouth twice daily at 8am and 8pm.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.On 7/7/2023, the program specialist corrected the MAR for Individual #1 to include a diagnosis/purpose for the medication, Benztropine MES. 08/31/2023 Implemented
SIN-00208286 Renewal 07/11/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(d)(1)Individual #1's assessment indicates that the individual is unable to count money or make change, budget money, protect and care for the individual's personal property, handle money discretely in public and is unable to handle any amount of money without producing a receipt. It further indicates that the individual is able to recognize the need for money but is not able to comprehend that money is limited or that the cost of certain items is not within his budget. Individual #1's Individual Service Plan does not indicate that the individual is capable of managing money or personal property. Individual #1 receives $30 weekly in two separate increments from The Advocacy Alliance. Staff transport the individual to the bank to cash the checks upon receipt and provide the individual with the money for spending purposes. The home does not maintain an up to date financial and personal property record for the individual that includes personal possession and funds received by or deposited with home.The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. A New Direction What¿s Next has updated Individual #1¿s assessment to indicate that the individual is able to handle up to $15, via cash or debit card, without producing receipts. Please note, individual #1 receives $15, deposited two times per week to a debit card, NOT $30 twice per week as indicated on the plan of correction. Updated assessment was forwarded to Individual #1¿s Supports Coordinator on August 2, 2022 and revisions to the Individual Support Plan were requested to reflect the updated individual assessed needs. A New Direction What¿s Next has also created an Individual financial and property record which is maintained in Individual #1¿s home effective August 1, 2022. 08/31/2022 Implemented
6400.22(e)(1)Individual #1's assessment indicates that the individual is unable to count money or make change, budget money, protect and care for the individual's personal property, handle money discretely in public and is unable to handle any amount of money without producing a receipt. It further indicates that the individual is able to recognize the need for money but is not able to comprehend that money is limited or that the cost of certain items is not within his budget. Individual #1's Individual Service Plan does not indicate that the individual is capable of managing money or personal property. Individual #1 receives $30 weekly in two separate increments from The Advocacy Alliance. Staff transport the individual to the bank to cash the checks upon receipt and provide the individual with the money for spending purposes. The home does not maintain a separate record of financial resources, including the dates and amounts of deposits and withdrawals. 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 New Direction What¿s Next has created an individual financial and property record, which is maintained in Individual #1¿s home effective August 1, 2022. The financial and property record specifically details receipt of funds and expenses, with all receipts for purchases exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person, attached to the record. 08/01/2022 Implemented
6400.22(e)(2)Individual #1's assessment indicates that the individual is unable to count money or make change, budget money, protect and care for the individual's personal property, handle money discretely in public and is unable to handle any amount of money without producing a receipt. It further indicates that the individual is able to recognize the need for money but is not able to comprehend that money is limited or that the cost of certain items is not within his budget. Individual #1's Individual Service Plan does not indicate that the individual is capable of managing money or personal property. Individual #1 receives $30 weekly in two separate increments from The Advocacy Alliance. Staff transport the individual to the bank to cash the checks upon receipt and provide the individual with the money for spending purposes. The home does not maintain a record that funds were directly given to the individual. If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: For a withdrawal when the individual is given the money directly, the record shall indicate that funds were given directly to the individual. A New Direction What¿s Next has created an individual financial record and property record, which is maintained in Individual #1¿s home effective August 1, 2022. 08/01/2022 Implemented
6400.64(a)The basement floor contained an area of a green mold like substance. It was unclear what the substance was. The area was approximately 12inches by 18 inches in the middle of the room.Clean and sanitary conditions shall be maintained in the home. A New Direction What¿s Next cleaned the green mold-like substance off of the basement floor effective July 19, 2022. 07/19/2022 Implemented
6400.80(b)There was an old washing machine located on the back deck of the home. Staff indicated that the washing machine had been on the deck since at least May. The grounds are not maintained. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.A New Direction What¿s Next removed the old washing machine from the back deck of the home effective July 19, 2022. 07/19/2022 Implemented
6400.144Individual #1 had an appointment on 12/23/21 at Willis Eye following eye surgery with a recommendation to return in one week. The individual was not seen at the appointment on 12/30/21 as the house supervisor forgot about the appointment. The appointment was rescheduled upon staff becoming aware of the missed appointment.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. The employee responsible for Individual #1¿s missed appointment at Wills Eye Hospital is no longer employed by the agency. 08/31/2022 Implemented
6400.163(a)Individual #1 is prescribed Dorzolamide Timolol, instill 1 drop into the right eye 2 times daily at 8am and 8pm. The bottle that was located in the medication box contained a pharmacy label that was dated 1/6/22 and the box contained a separate label that was dated 2/14/22. There was not a medication bottle with a label dated 2/14/22 or a box for the bottle dated 1/6/22.Prescription and nonprescription medications shall be kept in their original labeled containers. Prescription medications shall be labeled with a label issued by a pharmacy.New bottle of Individual #1¿s prescribed Dorzolamide Timolol was received on July 18, 2022. Medication is now being maintained in its original labeled container. 08/01/2022 Implemented
6400.163(h)Prescription medications that are expired are not being destroyed in a safe manner according to Federal and State statues and regulations. Individual #1 is prescribed Acetaminophen 500mg Cap-take 1 tablet by mouth every 6 hours as needed for pain/mild fever. This medication expired on 6/21/21 and remained with the individual's medications.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.Expired Acetaminophen 500 mg capsules were removed from the home on 7/18/2022 and were returned to the pharmacy for destruction. 07/18/2022 Implemented
SIN-00189584 Renewal 08/31/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Staff #2 was hired on 9/11/2020. The criminal history check is dated 2/5/2019, which exceeds 1 year prior to the hire date.An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire. Criminal background was performed for staff in question. 09/21/2021 Implemented
6400.64(a)There were clean and sanitary issues throughout the home. The walls and doors were covered in scuff marks and dirt as well as splashes of a dried liquid substance. The bathroom had what appeared to be a mold like substance on the tub and on the bathmat.Clean and sanitary conditions shall be maintained in the home. Walls, doors and bathroom were cleaned. 08/30/2021 Implemented
6400.72(a)The window in Individual #1's bedroom had no screen.Windows, including windows in doors, shall be securely screened when windows or doors are open. Window screen was placed back on the window. 08/30/2021 Implemented
6400.151(c)(4)This section was not on the physical exam for Staff #1 dated 8/10/2021 and Staff #4 dated 7/22/2021.The physical examination shall include: Information of medical problems which might interfere with the health of the individuals.Staff #1 and #4 went to the physicians and were re-examined to complete the new physical form. 09/14/2021 Implemented
6400.32(r)(3)Individual #1 had a pin hole key lock on his bedroom door. However, during the inspection staff were not able to provide a copy of the key that would unlock the bedroom door. It was stated that the key was with individual and staff on an outing and licensing requested a photo of the key that is used to unlock the bedroom door. A follow up text message from staff reports that the key has not been used, and that new locks are being installed today. No key was provided during the inspection for the bedroom door of individual #1.Assistive technology shall be provided as needed to allow the individual to lock and unlock the door without assistance.Bedroom lock has been changed and replaced with a key lock. A key has been given to the individual and the other copy is in the house staff office. 08/30/2021 Implemented
6400.46(d)There is no 1st Aid, Heimlich techniques and cardio-pulmonary resuscitation training for Staff #1.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.Staff #1 has completed First Aid/CPR 08/31/2021 Implemented
6400.52(c)(1)Staff #3 (DOH: 1/30/2020) did not receive training in community integration, individual choice and supporting individuals to develop and maintain relationships. Staff #4 (DOH: 5/1/2020) did not receive training in person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.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.Staff has completed all trainings that were missing 09/21/2021 Implemented
6400.52(c)(2)Staff #3 (DOH: 1/20/2020) did not receive training in the prevention, detection and reporting of abuse, suspected abuse and alleged abuse.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§ 10225.101-10225.5102). The child protective services law (23 Pa. C.S. §§ 6301-6386) the Adult Protective Services Act (35 P.S. §§ 10210.101 - 10210.704) and applicable protective services regulations.Staff has completed the required trainings 09/21/2021 Implemented
6400.166(a)(13)The full names of staff who administer Individual #1's medications are not recorded on the Medication Administration Record.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name and initials of the person administering the medication.Medication Administration Record has been signed by staff. 08/30/2021 Implemented
SIN-00177425 Initial review 10/07/2020 Compliant - Finalized