Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00259720 Renewal 02/04/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Staff members 2, 3, 5, and 6 were hired on 07/01/24 and the criminal history background check was not requested until 01/28/25.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. The criminal background check for all staff members has been completed. 02/07/2025 Implemented
6400.21(b)There is no attestation of PA residency for the past two years and there is no FBI criminal history record check for staff member 1.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. Staff member 1 has signed the attestation of PA residency and submitted a copy of her driver¿s license and FBI criminal history check as proof of residence. 02/07/2025 Implemented
6400.104The provider did not provide a notification to the fire department.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. Notification letter has been sent to the local fire department (Philadelphia Fire Department) in Woodland, PA. A copy of the letter is attached 02/04/2025 Implemented
6400.151(a)There is no physical examination in file for Staff members 2 and 3. 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, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. The general physical examination for staff members 2 and 3 has been completed. The results are attached 02/13/2025 Implemented
6400.18(i)Individual 1 - There is an open incident which occurred on 9/9/2024 for choking, he was taken to the ER, no follow up details yet, no extension requested.The home shall finalize the incident report through the Department's information management system or on a form specified by the Department within 30 days of discovery of the incident by a staff person unless the home notifies the Department in writing that an extension is necessary and the reason for the extension.The point person has requested an extension to enable him to gather all the relevant information to finalize the incident. 02/12/2025 Implemented
6400.32(r)Individual 1 - The Individual rights on file do not include the right to lock the individual's bedroom door.An individual has the right to lock the individual's bedroom door.The individual has been informed of his rights, including the right to lock his door. He has initialed them accordingly. A copy is attached 02/07/2025 Implemented
6400.46(a)Staff member 4 was hired on 07/01/24 and did not have the fire safety training until 10/03/24.Program specialists and direct service workers shall be trained before working with individuals 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, smoking safety procedures if individuals or staff persons smoke at the home, 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.All staff have received training in fire safety by a fire safety expert 02/07/2025 Implemented
6400.52(c)(4)Staff member 1 did not complete the Recognizing and reporting incidents annual training.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents.Staff member 1 has completed the training. Training record is attached 02/12/2025 Implemented
6400.52(c)(6)Staff member 1 did not complete the Implementation of the individual plan annual training.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.Staff member 1 has completed the training. Training record is attached 02/12/2025 Implemented