| Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
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SIN-00283053
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Renewal
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02/17/2026
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2390.81 | The exit door for the wash area was stuck and did not open during the physical site walk through. | Stairways, hallways and exits from rooms and from the facility shall be unobstructed. | OSI's Director of Facilities has contacted a contractor to order and install a door to replace the exit door in the wash area that is sticking. The Executive Director issued a memo on 2/26/26 to the staff and individuals that work at Industrial Drive directing them to use a temporary emergency exit in the event of an emergency that blocks the other two open exits. They have been directed to use the garage bay door in the wash area between the tool room and racking as an alternate exit. This is located at the back corner of the parking lot away from traffic. The Industrial Drive staff and clients participated in a mock fire drill on 2/27/26 using the alternative exit. |
02/27/2026
| Implemented |
| 2390.87 | Staff # 1 received fire safety training on 09/27/24 and not again until 10/20/25. Staff # 4 received fire safety training on 09/20/24 and not again until 10/22/25. | Staff, and clients as appropriate, shall be instructed upon initial admission or initial employment and reinstructed annually in general fire safety and in the use of fire extinguishers. A written record of the training shall be kept. | OSI's Annual Training Schedule will ensure that Fire Safety Training is scheduled for all staff within a year from the date of the previous year's training. OSI's Training Plan will be reviewed annually by the Executive Director, Assistant Director, Client Services Manager, and HR/Administrative Assistant. |
02/18/2026
| Implemented |
| 2390.21(l) | Individual # 2 does not have documentation of the summaries of quarterly community participation discussions. | A client has the right to make choices and accept risks. | Program Specialists will ensure that a summary of quarterly community participation discussions with individuals is included in each individual's quarterly progress report. Clients will be provided the opportunity to make choices and accept risks in their chosen activities. |
02/27/2026
| Implemented |
| 2390.33(c) | Staff # 1 is hired as a Program Specialist. The resume does not include one year of experience working with individuals with disabilities. | (c) A program specialist shall meet one of the following groups of qualifications:
(1) Possess a master's degree or above from an accredited college or university in Special Education, Psychology, Public Health, Rehabilitation, Social Work, Speech Pathology, Audiology, Occupational Therapy, Therapeutic Recreation or other human services field.
(2) Possess a bachelor's degree from an accredited college or university in Special Education, Psychology, Public Health, Rehabilitation, Social Work, Speech Pathology, Audiology, Occupational Therapy, Therapeutic Recreation or other human services field; and 1 year experience working directly with disabled persons.
(3) Possess an associate's degree or completion of a 2-year program from an accredited college or university in Special Education, Psychology, Public Health, Rehabilitation, Social Work, Speech Pathology, Audiology, Occupational Therapy, Therapeutic Recreation or other human services field; and 3 years experience working directly with disabled persons.
(4) Possess a license or certification by the State Board of Nurse Examiners, the State Board of Physical Therapists Examiners, or the Committee on Rehabilitation Counselor Certification or be a licensed psychologist or registered occupational therapist; and 1 year experience working directly with disabled persons. | The Program Specialist's (Staff #1) resume was revised to include her previous work experience of more than one year working with individuals with disabilities before starting in her position. |
02/27/2026
| Implemented |
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SIN-00224452
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Renewal
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05/16/2023
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2390.152(a) | OSI was made aware of Individual #1 moving from 2411 Jack Rd. Chambersburg 6500 home to a temporary 6500 respite home at 2320 Somerset Road Chambersburg, Pa within the Family Care Services 6500 provider, August 8th, 2022, to January 12th, 2023.
Individual #1 later informed OSI that a move from companies took place from Family Care Services to KHS Residential Services, with a new FLP provider at 861 Stouffer Ave. Chambersburg on January 13th of 2023. Which was confirmed via email on: January 3rd, 2023.
During the first Quarterly review, held on March 14th, 2023, covering dates 12/20/22 to 3/13/23, there was no information included in the review notifying the SC that this change in FLP providers needed to be updated in individual #1's ISP. There was also no email notifications or documentation demonstrating OSI requesting this information be put in the newest updated ISP; most currently dated 3/17/2023. | The program specialist shall coordinate the development of the individual plan, including revisions with the client and the individual plan team. | All Program Specialists and supervisory program staff have been retrained on 55 PA Code Chapter 2390.152(a). |
05/22/2023
| Implemented |
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SIN-00200692
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Renewal
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03/01/2022
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2390.14(b) | The annual letter indicating that the Fire Safety Occupancy permit has not been withdrawn for the facility was sent on 1/4/21 and then not again until 2/17/22. | After initial issuance of the fire safety occupancy permit by the Department of Labor and Industry, the provider shall verify, annually in writing, that the permit for the facility has not been withdrawn. | An recurring reminder has been set on the Executive Director's Outlook calendar to complete an annual Fire Safety Occupancy letter by January 4 annually. The Executive Director (Michelle Lane) will complete the letter each year by January 4 or within one year of the previous year's letter. |
03/04/2022
| Implemented |
| 2390.87 | Staff #2 has not received annual Fire Safety training since 10/29/2020. | Staff, and clients as appropriate, shall be instructed upon initial admission or initial employment and reinstructed annually in general fire safety and in the use of fire extinguishers. A written record of the training shall be kept. | Staff #2 (Gabby Snider) will document annual Fire Safety training on the cumulative training sheet for each fiscal year. |
03/04/2022
| Implemented |
| 2390.124(1) | Individual #2's record contents do not include birthplace. | Each client's record must include the following information: The name, sex, admission date, birthdate and place, Social Security number and dates of entry, transfer and discharge. | Birthplace has been added to Individual #2's record. |
03/01/2022
| Implemented |
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SIN-00160790
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Renewal
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10/03/2019
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2390.151(e)(5) | Individual #1's assessment dated 9/24/19 doesn't assess his ability to self-medicate while at the vocational facility. | The assessment must include the following information: The client's ability to self-administer medications. | OSI's policy with regard to medication administration is stated in OSI's Client Handbook as follows: "You are permitted to take medication on your own. For example, if you have a headache you may bring Aspirin or Tylenol to work and take as needed. Bring only enough medication for one day. No medication will be given to you by any staff member. If you need any medication during program hours that you do not have with you, you should speak to your Program Specialist. You may be advised to go home for specific help if you are unable to take medication on your own or have forgotten it." (pgs. 12 & 13)
OSI's plan to correct the violation on 151(e)(5) is to add the following statement to Individual #1's assessment as an amendment and to include this statement in each individual's assessment going forward: "While in OSI¿s 2390 program, individuals are expected to comply with medication administration as per agency policy outlined in OSI's Client Handbook.¿ |
10/22/2019
| Implemented |
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SIN-00124934
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Renewal
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11/17/2017
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2390.152(d)(4) | Individual #1's record did not contain documentation that an ISP meeting invitation was sent to plan team members at least 30 calendar days prior to the ISP meeting. | The plan lead shall develop, update and revise the ISP according to the following: An invitation shall be sent to plan team members at least 30 calendar days prior to an ISP meeting. | Program Specialists will use the Plan Lead Checklist when they are the Plan Lead developing and reviewing ISPs.
The checklist will include the ISP meeting invitation was sent to plan team members at least 30 day prior to the ISP meeting. Attachment #2
This plan of correction will be ongoing.
Training was held 12-13-17 Attachment #3 |
01/02/2018
| Implemented |
| 2390.152(d)(5) | Individual #1's record did not contain documentation regarding the ISP being sent to plan team members. | The plan lead shall develop, update and revise the ISP according to the following: Copies of the ISP, including annual updates and revisions under § 2390.156 (relating to ISP review and revision), shall be provided as required under § 2390.157 (relating to copies). | Program Specialists will use the Plan Lead Checklist when they are the Plan Lead developing and reviewing ISPs.
The checklist will include the ISP being sent to the team members. Attachment #2
This plan of correction will be ongoing.
Training 12-13-17 attachment #3 |
01/02/2018
| Implemented |
| 2390.153(3) | Individual #1's ISP outcome did not include a method of evaluation to determine progress toward expected outcome. | The ISP, including annual updates and revisions under § 2390.156 (relating to ISP review and revision) must include the following: Current status in relation to an outcome and method of evaluation used to determine progress toward that expected outcome. | Rehab Manager will take the ODP Outcome Development course by January 31, 2017
Program Specialists will use the Outcome Development Check List attachment #1
This will be ongoing
Training 12-13-17 attachment #3 |
01/31/2018
| Implemented |
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SIN-00266112
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Renewal
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05/09/2025
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Compliant - Finalized
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SIN-00244249
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Renewal
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05/21/2024
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Compliant - Finalized
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SIN-00182863
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Renewal
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02/04/2021
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Compliant - Finalized
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SIN-00142746
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Renewal
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10/05/2018
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Compliant - Finalized
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SIN-00104008
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Initial review
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11/28/2016
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Compliant - Finalized
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