Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00274636 Unannounced Monitoring 09/29/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The lid to the kitchen trashcan was dirty and covered with dried food.Clean and sanitary conditions shall be maintained in the home. The Program Specialist immediately replaced the trash can as it appeared to easily get dirty due to the structure and functioning. The Program Manager completed a full kitchen inspection to confirm all surfaces and receptacles were clean and free of debris. To ensure agency-wide compliance, all licensed sites were reviewed and no similar issues were identified. 10/08/2025 Implemented
6400.64(d)A plastic bag with garbage was found on the bathroom floor, and trash was found in the cabinet underneath the bathroom sink.Trash in the bathroom, dining and kitchen areas shall be kept in cleanable receptacles that prevent the penetration of insects and rodents. On 9/29, the Program Manager and DSP on duty immediately removed the garbage from the bathroom floor and cabinet. The area was thoroughly cleaned and sanitized. The Program Manager inspected all bathrooms within the home to confirm they were free from trash and in a sanitary condition. 09/29/2025 Implemented
6400.68(a)The hot water in the kitchen measured at 95.5°F, and the hot water in the bathroom measured at 96.4°F. The water in both areas was warm to the touch.A home shall have hot and cold running water under pressure. The program manager increased the temperature on the hot water tank. Temperature measures between 110 and 120 currently. 09/29/2025 Implemented
6400.76(a)The blinds covering the living room window had numerous broken slats. The kitchen drawer located next to the oven was not secured and did not appear to be internally supported by a drawer railing or other mechanism. The headboard in Individual #1's bedroom was not secured to the wall or bed and presents a safety hazard if it were to fall. Furniture and equipment shall be nonhazardous, clean and sturdy. The blinds were immediately removed and replaced with curtains for better functionality. Additionally, a brand new bedroom set has been purchased and delivered and installed 10/03/2025 Implemented
6400.77(b)The first aid kit in the home did not contain a first aid manual. This was corrected at the time of the visit. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. At the time of the inspection on September 29, 2025, the Program manager was able to locate the existing manual and placed it together with the first aid Kit to bring it into full compliance. All other first aid kits in the homes were inspected to confirm that they were complete and properly stocked. Following the immediate correction, the Program Manager reviewed all licensed Resource Pro sites to ensure that each home's first aid kit contained all required items, including a current first aid manual. Any missing items were replaced immediately. 09/29/2025 Implemented
6400.101A large, rectangular picture was laying against the wall at the bottom of the stairwell coming down the stairs from Unit #2 to the building exit. The picture partially obstructed the only means of egress directly leading from the home. This was corrected at the time of inspection.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The wall was recently painted, and so the picture was removed to be reinstalled once the wall dried out. The Program manager immediately requested maintenance to rehang the painting. All pathways were immiediately inspected to ensure they are free from obstruction 09/29/2025 Implemented
SIN-00241726 Renewal 03/27/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The lower kitchen cabinets and lazy Susan have amassed dirt and grime and need cleaning.Clean and sanitary conditions shall be maintained in the home. WHO The Program Director is responsible for the correction of this violation The Lazy the Suzan would be thoroughly cleaned. The Program manager would supervise the DSP to thoroughly clean. 03/31/2023 Implemented
6400.66There is no light outside of the basement door entrance/exit.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Residential Director would be responsible for fixing this violation. A light would be installed outside of the basement door A licensed electrician would be contracted to install a light fixture at the basement door 04/03/2022 Implemented
6400.68(a)The water pressure was extremely low.A home shall have hot and cold running water under pressure. The Residential Director is responsible. The water pressure for the hot and cold supplies would be corrected. New faucets would be installed. A licensed Plumber has corrected this issue. The issue was corrected on the 31st of may 03/31/2023 Implemented
6400.111(a)There was no fire extinguisher in the basement.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. The Residential Director is Responsible for this A fire extinguisher would be installed in the basement immediately. The Correction would completed immediately. The fire extinguisher was installed on the day of inspection and photographic evidence was provided to the inspection team. 03/27/2024 Implemented
6400.112(a)December 21st, 2023 fire drill was refused by individual 1, no additional attempt recorded. An unannounced fire drill shall be held at least once a month. The program specialist is responsible for ensuring a fire drill is repeated when initially refused by an individual A fire drill would be completed within 24 hours of an individual refusing an initial attempt Correction is Immediate. A fire drill for an individual was attempted again and the document was presented to inspectors after the inspection 03/28/2024 Implemented
6400.112(e)More than 6 months has elapsed since most recent overnight fire drill completed, June 23rd, 2023.A fire drill shall be held during sleeping hours at least every 6 months. The program specialist would be responsible for this violation The program specialist would ensure that an overnight fire drill is completed every six months. The overnight fire drill was completed on 4/16/2024 04/16/2024 Implemented
6400.141(a)For individual 1, annual physicals were completed more than a year apart (March 2022 & December 2023).An individual shall have a physical examination within 12 months prior to admission and annually thereafter. The Program specialist is responsible for the correction of this violation The program specialist would ensure that every individual is scheduled for an annual physical once every 12 months. The fix to this violation would be immediate. 04/04/2024 Implemented
6400.141(c)(10)For individual 1, the most recent physical doesn't answer the "free of communicable diseases" question.The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. The program specialist and the Office admin would be responsible to correct this violation Every annual physical must document the free from communicable disease question. The fix is immediate. This particular physical did not state 'free from communicable disease' but an accompanying document came with the physical that stated 'free from communicable disease' document was presented to the inspectors on site. 04/12/2024 Implemented
6400.141(c)(11)For individual 1, the most recent physical doesn't answer the "assessment of the individual's health maintenance needs, etc."The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. The Program Specialist is responsible for fixing this violation. Every annual physical would answer the assessment of the individual's health maintenance needs. This fix would be implemented immediately. 04/12/2024 Implemented
6400.141(c)(14)For individual 1, the most recent physical doesn't answer the "info pertinent to diagnosis in the event of an emergency" section.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. The Program Specialist, DSP, and admin are responsible for fixing this violation. Every annual physical would document Medical information pertinent to diagnosis and treatment in case of an emergency. This fix would be implemented immediately. 04/12/2024 Implemented
6400.141(c)(15)For individual 1, the most recent physical doesn't answer the "special diet instructions" section.The physical examination shall include:Special instructions for the individual's diet. The Program Specialist, DSP, and admin are responsible for fixing this violation. Every annual physical would document special diet instructions This fix would be implemented immediately. 04/12/2024 Implemented
6400.181(a)For individual 1, the annual assessment was completed more than a year apart, June 2022 to October 2023. Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. The Program Specialist is responsible for fixing this violation. Every annual physical would document special diet instructions. This fix would be implemented immediately. 04/08/2024 Implemented
SIN-00222399 Renewal 03/29/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65The bathroom vent has a covering of dust and should be cleaned.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. WHO: The residential supervisor would be responsible for correcting this issue WHAT: The residential supervisor would ensure that all exhaust fans are free from dust and dirt. The Residential supervisor would also work with the program specialist to ensure that staff are properly trained to identify and bring to the notice of a supervisor any areas of a resident that needs special cleaning attention. WHEN and HOW: The cleaning of the fan and all other residents fans have been completed See attached picture labeled "72291 Exhaust Fan 6400.65" 03/31/2023 Implemented
6400.67(a)The lazy Susan kitchen cabinet was broken and was unable to turn to the right.Floors, walls, ceilings and other surfaces shall be in good repair. The residential supervisor would be responsible for correcting this issue The residential supervisor would ensure that every furniture in a residence is functionally operationally The Lazy suzan has since been repaired and is currently functional. 03/31/2023 Implemented
6400.68(b)The water temperature from kitchen sink read at 127 degrees,. Hot water temperatures in bathtubs and showers may not exceed 120°F. WHO: The Residential supervisor is responsible for implementing this fix. WHAT: The Temperature Guage on the hot water tank has been reduced to warm and the new water temperature is reflecting less than 120. See emailed video labeled "72291 hot water 6400.68b" 03/31/2023 Implemented
6400.72(b)The second bedroom which is used as an office window did not have a screen. Screens, windows and doors shall be in good repair. WHO: The residential supervisor would be responsible for correcting this issue WHAT: Ensuring that all facets of the residence is operational in in good repair WHEN: The residential supervisor immediately put in a work order for the item to be repaired by maintenance. See attached picture labeled "72291 screen 6400.72b" 05/13/2022 Implemented
6400.113(a)There is no fire safety training for Individual #2. An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. WHO: Program specialist would be responsible for this issue WHEN: Issue fixed immediately WhAT: The individual would have a fire safety training and ensure proper documentation is maintained. This applies to every one of our residents See emailed training form labeled "72291 indv fire safety 6400.113a" 04/16/2023 Implemented
6400.141(c)(9)There is no prostate exam for Individual #2.The physical examination shall include: A prostate examination for men 40 years of age or older. WHO: The program specialist is in charge of implementing this fix. WHAT: Ensure that there is proper records that indicate a resident who is required to obtain any routine screening has done so. In the instance where an individual declines such exam, agency would keep proper documentation. This was the case in this instance as individual refused exam. Attached is notice from individuals PCP excusing individual from exam labelled "72291 Prostrate letter 6400.141c9" 05/25/2023 Implemented
6400.141(c)(14)Individual #2's most recent physical does not include information pertinent to diagnosis and treatment in case of emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. WHO: Program specialist would be responsible for fixing this WHAT: All individual annual physical report must contain information pertinent to diagnosis and treatment in case of emergency. WHEN: Individual is not yet due for another physical and so program specialist has sent a original form to be updated during next PCP 06/30/2023 Implemented
6400.181(e)(14)The assessment does not indicate Individual #2's ability to swim.The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. WHO: Program specialist would be responsible for fixing this WHAT: The assessment would be updated to indicate individuals ability to swim WHEN: Issue has been fixed. See emailed correction labeled "AK Individual assessment 6400.181e14" 04/15/2022 Implemented
SIN-00203128 Renewal 03/30/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)The hire dates for all new employees was unclear, making it impossible to determine if the Criminal Background Checks were done within 5 calendar days.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. CEO Is in charge of this The issue was inconsistency in source of hire date. Going forward Hire date would always be the day before a staff works for the first time with any of our individuals. We are able to tell this by looking at the schedule in our app and we would pull that date and have it in a unified single spreadsheet. 04/22/2022 Implemented
6400.21(b)The agency did not kept a record of applicant' residence. It is unclear if any of the new hires need an FBI clearance.If a prospective employe who will have direct contact with individuals resides outside this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the person's date of hire. CEO/HR is responsible for this POC. The agency does keep records of all applicants residence but failed to track residents that have not resided in the state of PA for less than 2 years. Agency has subsequently updated application to include a mandatory question asking applicant if they have resided in PA for the last 2 years. 04/08/2022 Implemented
6400.112(c)The fire drill record shall state the problems encountered, weather the fire alarm or smoke detector was operative. A sleeping fire drill was not held at least every 6 months. The fire drill record did not indicate when evacuating the designated place outside the building or within the fire safe area.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. Program specialist is responsible for this POC We have updated our fire safety sheet to include details of problems encountered with the fire alarm or smoke detector 04/08/2022 Implemented
6400.15(b)The agency should use the Department's Licensing Inspection Instrument.(b) The agency shall use the Department's licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance.CEO is responsible for this POC Agency has updated access point for inspection instrument. We would henceforth only retrieve documentation from 'licensing' in 'Myodp.com' website 03/30/2022 Implemented
SIN-00270353 Renewal 05/29/2025 Compliant - Finalized