| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(a) | Direct Support Staff #1 hired 6/2/23 did not receive a PA state background check completed until 9/18/23. | 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.
| CCiD has retrained all internal/Admin staff on its criminal history record check policy on 11/06/2023. |
11/06/2023
| Implemented |
| 6400.64(a) | The refrigerator has standing water in the bottom and the shelves are pulled out, dirty and sitting on the counter. | Clean and sanitary conditions shall be maintained in the home. | CCiD has hired a cleaning company to conduct a thorough deep cleaning of the facility listed (Apt 1010) on 10/12/2023. |
10/12/2023
| Implemented |
| 6400.82(f) | The toilet paper holder and towel rack in the bathroom on the left of this vacant apartment are both broken and unusable so no toilet paper or towels are available for use. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | CCiD has established a monthly peer review form to cover monthly checks of facilities in its entirety including kitchen's, bathroom's, bedroom's, and entire facility premises. See attached "Standards for monthly peer review form". |
11/13/2023
| Implemented |
| 6400.111(f) | The fire extinguisher in the kitchen was due to be inspected and approved in May 2023 and is now expired. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | CCiD ensure that all facility fire extinguisher's were inspected and approved by Schweizer fire projection co. on 10/30/2023. CCiD retrained it's house manager on 11/01/2023 on CCiD's Fire extinguisher's policy. |
10/30/2023
| Implemented |
| 6400.151(c)(3) | Program Specialist staff #2's physical exam did not state if they were free of communicable diseases. | 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. | CCiD's Program Specialist has scheduled to be seen by a licensed physician for an updated physical on 12/01/2023 |
10/05/2023
| Implemented |
| 6400.151(c)(4) | Program Specialist staff #2's physical exam did not address any medical 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. | CCiD's Program Specialist has scheduled to be seen by a licensed physician for an updated physical on 12/01/2023 |
12/01/2023
| Implemented |
| 6400.169(a) | House Manager staff #3 administers medication to individuals throughout the agency, however has not completed a department approved medication course. | A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6400.162 (relating to medication administration). | CCiD House Manager has been retrained on modified medication administration as of 10/05/2023 by the program nurse. CCiD's house manager has successfully completed a department approved medication administration course conducted by a professional who is licensed by the department of state in the health care field. A Record of the training is attached. |
10/04/2023
| Implemented |