| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2380.84 | The facility had an annual fire safety inspection completed on 06/13/23 and then again on 06/18/24. This exceeds the annual requirement. | The facility shall have an annual onsite firesafety inspection by a firesafety expert. Documentation of the date, source and results of the firesafety inspection shall be kept. | The Annual Fire Safety Inspection will be scheduled prior to 6/18/2025 to ensure compliance for this year. |
06/18/2025
| Implemented |
| 2380.111(c)(6) | Individual #2's physical examination, completed 1/15/2025, indicated that the individual was not free of communicable disease; however, the physician did not indicate the specific precautions that should be taken to prevent the spread of disease. This section was left blank. | The physical examination shall include: Specific precautions that shall be taken if the individual has a serious communicable disease as defined in 28 Pa. Code § 27.2 (relating to specific identified reportable diseases, infections and conditions) to the extent that confidentiality laws permit reporting, to prevent the spread of the disease to other individuals. | The Information on the Individual¿s Physical exam has been updated to reflect the correct information. Sent in an attached email. All client physical details have to be reviewed by the Program Specialist initially and the Program Director or Assistant Program Director upon completion to ensure compliance. If the physical is not compliant the physical will be sent back to the doctor to update for compliance, then reviewed by the PS and Program Director or assistant Program Director for s second time. This process will be repeated until compliance is achieved. The Physical will then be uploaded to OTC and the reminder date set 3 months in advance. |
06/30/2025
| Implemented |
| 2380.111(c)(10) | Individual #2's physical examination, completed 1/15/2025 did not include medical information pertinent to diagnosis and treatment in case of emergency. This section was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | The Information on the Individual¿s Physical exam has been updated to reflect the correct information. S(ent in an attached email). All client physical details have to be reviewed by the Program Specialist initially and the Program Director or Assistant Program Director upon completion to ensure compliance. If the physical is not compliant the physical will be sent back to the doctor to update for compliance, then reviewed by the PS and Program Director or assistant Program Director for s second time. This process will be repeated until compliance is achieved. The Physical will then be uploaded to OTC and the reminder date set 3 months in advance. |
06/30/2025
| Implemented |
| 2380.113(a) | Program Specialist #2, date of hire 11/26/18, had their physical examinations completed on 3/20/2023 and 3/24/2025. [Repeated violation: 4/3/2024]. Direct Service Worker #3, date of hire 9/30/2024, had their initial physical examination completed on 10/4/2024. [Repeated violation: 4/3/2024]
Direct Service Worker #4, date of hire 02/25/21, had their biennial physical examinations completed on 3/14/2023 and 3/27/2025. [Repeated violation: 4/3/2024] | A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff persons, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | The Personal Records Specialist will send a reminder to the DSP/PS and their Supervisor to complete their Biennial Physical a month in advance. Once received the Supervisor and DSP/PS will connect to ensure the physical exam is scheduled within the appropriate timeframe and updated in on target Clinical. Once complete the physical will be updated in On target and reminder date set to one month prior for reminder to be sent. Program Director and/or assistant Director will pull a report in OTC to ensure Physical dates are compliant and being completed monthly.
On boarding will ensure that a physical and Mantoux are competed prior to starting orientation training. It was discovered upon this investigation that on boarding was not scheduling Physical and Mantoux¿s required prior to training. The regulations related to this have been shared with On boarding and they have changed their process which include a Pre employment physical prior to date of hire. The Program Director and or Assistant Program Director will run a report each month to ensure compliance. |
06/30/2025
| Implemented |
| 2380.113(c)(2) | Direct Service Worker #3, date of hire 9/30/2024, had their initial tuberculin skin testing completed via Mantoux method on 10/7/2024. [Repeated violation: 4/3/2024] | The physical examination shall include: Tuberculin skin testing with negative results every 2 years; or, if the 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, certified nurse practitioner or certified physician's assistant. | On boarding will ensure that a physical and Mantoux are competed prior to starting orientation training. It was discovered upon this investigation that on boarding was not scheduling Physical and Mantoux¿s required prior to training. The regulations related to this have been shared with On boarding and they have changed their process which include a Pre employment physical prior to date of hire. The Program Director and or Assistant Program Director will run a report each month to ensure compliance. |
06/30/2025
| Implemented |
| 2380.21(u) | Individual #1, date of admission 03/20/24, was most recently informed of their individual rights and the process to report a rights violation on 03/20/24. This exceeds the annual requirement. Individual #3, date of admission 01/31/22, was informed of their individual rights and the process to report a rights violation on 12/5/2023 and again on 12/6/2024. This exceeds the annual requirement. | The facility shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the facility and annually thereafter. | Upon admission and annually thereafter, all individuals will be provided with a clear and accessible statement of rights in the Abound Annual Consent Packet. This Packet can either be sent electronically to the individual/family member to sign or completed signed and uploaded to On Target Clinical. The Program Specialist assigned to the day program will be responsible for completing this information in a timely manner. The On-target line will be updated to reflect a reminder date of 2 months prior to the date the Annual Consent Packet Expires. An Audit of all client profiles is in the process of being completed and all Annual Consent Packets that were not completed or not completed within the appropriate time frame are being completed now. The Assistant Program Director will also conduct audits every month to ensure compliance. |
05/01/2025
| Implemented |
| 2380.36(b) | Program Specialist #2, date of hire 11/26/18, participated in training to encompass general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the facility or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the facility, 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 on 08/01/2023 and again on 08/30/2024. This exceeds the annual requirement.
Direct Service Worker #4, date of hire 02/25/21, participated in training to encompass general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the facility or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the facility, 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 on 09/6/2023 and again on 09/30/2024. This exceeds the annual requirement.
Direct Service Worker #5, date of hire 11/29/22, participated in training to encompass general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the facility or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the facility, 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 on 08/14/2023 and again on 08/29/2024. This exceeds the annual requirement. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | All dates for staff¿s Annual Fire Safety Training have been added to our Training Tracker and certifications are uploaded into On Target. The program specialist is responsible for ensuring staff complete Fire Safety within the annual training year. On or prior to the date of the previous training year. An Audit is in the process of being completed to ensure all Fire Safety dates for 2024 are complete and will be completed on or before 2025. The Assistant Program Director will conduct an audit every month to ensure compliance. |
05/01/2025
| Implemented |
| 2380.38(b)(1) | Chief Executive Officer #1, date of hire 04/22/24, did not participate in training to encompass the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships during orientation. | The orientation must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | The CEO completed the training on PCP once it was discovered that it was not completed initially in Orientation. He completed it on 10/30/2025. The CEO completes required annual trainings and they are tracked on the training tracker as well as uploaded in On Target Clinical. |
05/01/2025
| Implemented |
| 2380.38(b)(4) | Chief Executive Officer #1, date of hire 04/22/24, did not participate in training to encompass recognizing and reporting incidents during orientation. | The orientation must encompass the following areas: Recognizing and reporting incident. | The CEO completed the training on Recognizing and Reporting once it was discovered that it was not completed initially in Orientation. He completed it on 10/30/2025. The CEO completes the required annual trainings and they are tracked on the training tracker as well as uploaded in On Target Clinical. |
05/01/2025
| Implemented |
| 2380.39(c)(1) | Direct Service Worker #5, date of hire 11/29/22, did not participate in training to encompass the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships during the 7/1/2023 -- 6/30/2024 annual training year. | 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. | A Training Tracker has been implemented to ensure staff complete all required trainings for the 24-25 Fiscal year. This is reviewed on a daily basis by Abound health Personal Records specialist. She notifies the Program Specialist if staff have not completed their required training for the quarter. We have broken the 24-hour training requirement into 4 quarters to ensure that the 24-hour requirement is met along with the required 6100 Trainings. The certifications are then uploaded into OTC to ensure compliance by all Direct Support Professionals. The Program Director and /or Assistant Director review this information weekly in their 1 on 1 meeting with Program Specialists. |
05/01/2025
| Implemented |
| 2380.39(c)(3) | Direct Service Worker #5, date of hire 11/29/22, did not participate in training to encompass individual rights during the 7/1/2023 -- 6/30/2024 annual training year. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights. | A Training Tracker has been implemented to ensure staff complete all required trainings for the 24-25 Fiscal year. This is reviewed on a daily basis by Abound health Personal Records specialist. She notifies the Program Specialist if staff have not completed their required training for the quarter. We have broken the 24-hour training requirement into 4 quarters to ensure that the 24-hour requirement is met along with the required 6100 Trainings. The certifications are then uploaded into OTC to ensure compliance by all Direct Support Professionals. The Program Director and /or Assistant Director review this information weekly in their 1 on 1 meeting with Program Specialists. |
05/01/2025
| Implemented |
| 2380.39(c)(4) | Direct Service Worker #5, date of hire 11/29/22, did not participate in training to encompass recognizing and reporting incidents during the 7/1/2023 -- 6/30/2024 annual training year. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents. | A Training Tracker has been implemented to ensure staff complete all required trainings for the 24-25 Fiscal year. This is reviewed on a daily basis by Abound health Personal Records specialist. She notifies the Program Specialist if staff have not completed their required training for the quarter. We have broken the 24-hour training requirement into 4 quarters to ensure that the 24-hour requirement is met along with the required 6100 Trainings. The certifications are then uploaded into OTC to ensure compliance by all Direct Support Professionals. The Program Director and /or Assistant Director review this information weekly in their 1 on 1 meeting with Program Specialists. |
05/01/2025
| Implemented |