Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00286716 Renewal 04/07/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At the time of inspection, the water temperature in the bathroom of the home was 133°. Hot water temperatures in bathtubs and showers may not exceed 120°F. The hot water temperature in the home was immediately adjusted by the maintenance department upon discovery of the concern. In addition, hot water temperatures are set and regulated by an external plumbing and heating company as an added measure to help ensure temperatures remain within acceptable ranges (see attached documentation). Ongoing monitoring will continue to ensure compliance with 55 Pa. Code §6400.68(b). The water temperature was adjusted on 05/16/2026Please see attachment #1. 05/13/2026 Implemented
6400.70There was no telephone in the home at time of inspection.A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons. At the time of inspection, Individual #9 was incarcerated. Prior to incarceration, the individual damaged the home's landline telephone. Each agency home is equipped with both a landline telephone and a shared cellular device connected to the corporate network. The shared cellular phone remained available for use by all individuals and staff. The landline has since been addressed to ensure continued compliance with 55 Pa. Code §6400.70. The land line was replaced on April 30, 2026. Please see attachment #2. 04/30/2026 Implemented
6400.104The notification to the local fire department submitted was dated 12/2/25. Individual #9 was admitted into the home on 11/16/25. The notification was not kept current due to the delay in notification from 11/16/25 to 12/2/25. Previous fire drills indicate that Individual #10 moved from the home between 10/20/25 and 11/16/25. There was no documentation to support that notification of their departure was made to the local 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. The agency's understanding of the notification requirements to the local fire department differed from the clarification provided during the annual inspection and exit interview. Upon clarification, an updated notification letter reflecting the current individuals residing in the home was submitted to the local fire department to ensure compliance with 55 Pa. Code §6400.104 on 05/08/2026. Please see attachment #3. 05/08/2026 Implemented
6400.112(i)Documentation of the fire drill completed on 11/16/25 indicates that the smoke detectors were not working at the time of the drill and therefore not set off as required. A fire alarm or smoke detector shall be set off during each fire drill.At the time of the fire drill, the staff person conducting the drill was unfamiliar with the testing procedure for the newly installed smoke detector model. Staff have since been educated (by our maintenance department) on the proper testing procedures for the updated system. Additionally, the agency maintains a policy requiring 15-minute hazard and risk surveillance checks in the event smoke detectors are non-functional to ensure the continued safety of individuals served and staff. Additionally, when Individual #9 returned from incarceration an additional supporter was present to ensure all alarms were functioning properly. 02/24/2026 Implemented
6400.141(b)The admitting physical dated 11/22/24 for Individual #9 was not dated by the physician as required.The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or licensed physician's assistant. The admitting physical dated 11/22/24 was completed by the individual's previous provider prior to admission. Although the physician's signature was present at the bottom of the physical, the document was not dated by the physician's name as required. There is a date at the top of the physical form. The previous medical provider declined to add a date next to the signature line. Please see attachment #4 05/10/2026 Implemented
6400.141(c)(1)The admitting physical dated 11/22/24 for Individual #9 did not include information on their medical history as required. The section to provide the information noted "See attached summary." There were no attachments.The physical examination shall include: A review of previous medical history. The admitting physical dated 11/22/24 was submitted by the individual's previous provider as Individual #9 transitioned from a children's program into an adult 6400 residential program. The physical referenced an attached medical history summary; however, the attachment was not included in the records received. The previous medical provider was contacted and declined to provide additional documentation regarding the individual's medical history. The agency will continue efforts to obtain complete medical documentation and will review all admission records for completeness upon receipt to ensure compliance with 55 Pa. Code §6400.141(c)(1). 03/10/2026 Implemented
6400.141(c)(11)The admitting physical dated 11/22/24 for Individual #9 did not include information on medication regimen as required. The section for the information noted "See attached MAR." There were no attachments.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 admitting physical dated 11/22/24 was submitted by the individual's previous provider as Individual #9 transitioned from a children's program into an adult 6400 residential program. The physical referenced an attached medical history summary; however, the attachment was not included in the records received. The previous medical provider was contacted and declined to provide additional documentation regarding the individual's medical history. The agency will continue efforts to obtain complete medical documentation and will review all admission records for completeness upon receipt to ensure compliance with 55 Pa. Code §6400.141(c)(11). A MAR was able to be obtain prior to admission. 03/10/2026 Implemented
6400.141(c)(14)The admitting physical dated 11/22/24 for Individual #9 did not include medical information pertinent to diagnosis and treatment in case of an emergency as required. The section for the information on the physical form was blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. The admitting physical dated 11/22/24 was submitted by the individual's previous provider as Individual #9 transitioned from a children's program into an adult 6400 residential program. The physical referenced an attached medical history summary; however, the attachment was not included in the records received. The previous medical provider was contacted and declined to provide additional documentation regarding the individual's medical history. The agency will continue efforts to obtain complete medical documentation and will review all admission records for completeness upon receipt to ensure compliance with 55 Pa. Code §6400.141(c)(14). 03/10/2026 Implemented
6400.141(c)(15)The admitting physical dated 11/22/24 for Individual #9 did not include information on the Individual's diet. The section assigned for the information was blank.The physical examination shall include:Special instructions for the individual's diet. The admitting physical dated 11/22/24 was submitted by the individual's previous provider as Individual #9 transitioned from a children's program into an adult 6400 residential program. The physical referenced an attached medical history summary; however, the attachment was not included in the records received. The previous medical provider was contacted and declined to provide additional documentation regarding the individual's medical history. The agency will continue efforts to obtain complete medical documentation and will review all admission records for completeness upon receipt to ensure compliance with 55 Pa. Code §6400.141(c)(15). 03/10/2026 Implemented
6400.181(a)Individual #9 was admitted to the program on 11/16/25. As of 4/7/26 there was no evidence to illustrate that an assessment had been completed within 1 year prior to or 60 calendar days after admission to the residential home as required. 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. It was the agency's understanding that an assessment could not be completed due to the limited amount of time Individual #9 resided in the program, approximately 2.5 weeks prior to incarceration. The clarification and education provided during the annual licensing inspection and exit interview assisted the agency in better understanding the assessment requirements under 55 Pa. Code §6400.181(a). The agency will ensure assessments are completed within the required timeframe regardless of length of stay or other circumstances impacting service delivery. An assessment was completed. 04/27/2026 Implemented
6400.34(a)Documentation that the rights for Individual #9 were reviewed was dated 11/16/25, the Individual's admission date. The dated signature sheet indicated that the rights were reviewed but did not note the rights that were reviewed as required. Documentation of the exact rights reviewed was requested and not received.The home 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 home and annually thereafter.In an effort to reduce paper usage and waste, the agency implemented a process allowing individuals to sign acknowledgment that their rights were reviewed, explained, and provided to them rather than signing duplicate copies of the rights document. During the inspection, the rights reviewed with Individual #9 were present and available for review; however, the rights document was maintained separately and not physically attached to the signature acknowledgment page. The agency will revise its documentation practices to ensure the signed acknowledgment is maintained together with the specific rights reviewed to ensure compliance with 55 Pa. Code §6400.34(a). 05/08/2026 Implemented
6400.213(1)(i)The record for Individual #9 did not include the individual's eye or hair color as required.Each individual's record must include the following information: Personal information, including: (ii) The race, height, weight, color of hair, color of eyes and identifying marks.The record for Individual #9 has been updated to include the individual's eye and hair color as required. Please see the attached updated face sheet. Please see attachment 7 06/01/2026 Implemented
6400.213(1)(i)The record for Individual #9 did not include the religious affiliation of the Individual.Each individual's record must include the following information: Personal information, including: (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English.The record for Individual #9 has been updated to include the individual's religious affiliation as required. Please see the attached updated face sheet. Please see attachment 7 06/01/2026 Implemented
SIN-00247712 Renewal 07/09/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)There was a bottle of Lysol cleaner located in a cabinet under the kitchen sink of the home. This cabinet had a child safety lock, which could be opened by pinching the sides of the lock and pulling that device off to open the cabinet. This type of lock does not make the poisons inaccessible to the individual.Poisonous materials shall be kept locked or made inaccessible to individuals. Lysol was immediately moved to the locked black cabinet with the rest of the poisons. 08/01/2023 Implemented
6400.106The latest furnace inspection on record for this location was conducted on 10/25/2022. There was no evidence of a more recent furnace inspection occurring. The furnace at this location was not inspected annually as required.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. Furnace was inspected on 7/17/24. 07/17/2024 Implemented
6400.15(b)The self-assessment of this location, conducted 06/01/2024, was completed on the Department's "Self-Inspection and Declaration Tool," which is intended to be used for opening a new location, rather than the Department's "Self-Assessment Licensing Inspection Instrument," which is intended to be used for the annual self-assessment of a location. In addition, the self-assessment was not completed at least 3-6 months prior to the provider's 07/12/2024 license expiration date. As such, there was no valid self-assessment conducted for this location as is required within the specified time frame(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.Standard Operating Procedure was created for the Residential Licensing process. 08/31/2024 Implemented
6400.46(d)Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation. Staff #2 had CPR certification on 8.24.20 which was valid through 8.2022. Staff #2 did not have her current CPR training completed until 6.18.23. This exceeded the time frame.Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation.We have hired an additional Human Resources Professional to ensure on going compliance and accurate recording keeping, especially when an employee is out on leave as was the case with Staff #2. 08/12/2024 Implemented
SIN-00208294 Renewal 07/19/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(b)Prescription orders shall be kept current. Individual #1 had two topical medications ordered to be administered on a pro re nata (PRN) basis had expired prescriptions. The medication Secura Protective 10% cream was last filled on 7/02/2021 and the order stated that the medication could be refilled 2 times until 7/02/2022; and Triamcinolone cream which was last filled on 6/04/2021 and the order stated that the medication could be refilled 2 times until 6/01/2022.A prescription order shall be kept current.The doctor's office was contacted to determine if the medications should have the script renewed or if it would be more appropriate to discontinue the medications. The doctor determined that the medications were still necessary and resent the script to the pharmacy. These medications were left in the home until the new medications were present as it was the script from the doctor that had expired, not the medication itself. In addition, all other individual's medications were audited to ensure that the scripts were still valid. Any medications that were found to not have valid scripts were referred back to the doctor to be renewed or discontinued. 08/05/2022 Implemented
SIN-00180183 Renewal 12/01/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.81(k)(6)The bedroom of Individual #1 did not contain a mirrorIn bedrooms, each individual shall have the following: A mirror. At some point her former mirror was broken and staff did not inform anyone , Mirror installed on12/04/2020, Facilities and Leadership will check during house check at least quarterly 12/04/2020 Implemented
6400.112(a)Record of a fire drill being conducted in 12/2019 was requested and not produced. There is no evidence that a fire drill was conducted in 12/2019. An unannounced fire drill shall be held at least once a month. Staff conducted another review of documents and still could not find 12/2019. There were not systems in place to ensure all fire drills are completed. A schedule for residential fire drills was produced upon completion staff are to bring the drill to the office for admin review and scanning. 12/30/2020 Implemented
SIN-00159813 Renewal 07/10/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(c)(2)Staff #4 had a TB test on 2/6/2019. The results of her TB test are not documented on her physical exam. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if 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, licensed physician's assistant or certified nurse practitioner. Staff #4 did have a TB test. The results were not indicated on the physical, they were indicated a separate document. The staff completed their TB test prior to the initial offer of employment. The proof/ reading of the TB was not attached the physical. Prior to the start date of employment all employees will have their TB test completed, this includes the final reading. The reading will be documented on the appropriate physical form, unless the licensed medical professional choses to use an alternative method or the candidate has TB test with results within a year of their start date. In this case the alternative method of documentation will be attached to the physical. It is the responsibility of the Human Resources Recruiter to ensure initial compliance and the Human Resources Generalist thereafter. 08/14/2019 Implemented
6400.151(c)(3)This section was blank on Staff #4's physical exam dated 2/6/2019. 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. Staff #4 did have a completed physical. However, the signed statement indicating the staff person is free of communicable diseases was not completed and signed. This was not signed because the staff member had their TB test completed prior to the initial offer for employment. The TB results were provided the licensed medical professional, who then was able to verify that staff #4 was free of communicable diseases. An updated physical was entered into staff #4's employee record. It is the responsibility of the Human Resources Recruiter to ensure initial compliance and the Human Resources Generalist thereafter. 08/16/2019 Implemented
SIN-00137946 Initial review 07/12/2018 Compliant - Finalized