Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00283786 Renewal 01/20/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(b)Rodent droppings were observed in several kitchen cabinets and behind the refrigerator and deep freezer.There may not be evidence of infestation of insects or rodents in the home. All affected areas (kitchen cabinets, behind refrigerator, and deep freezer) were immediately cleaned and sanitized using appropriate disinfectants. Food items and materials in affected cabinets were discarded if contaminated. Appliances were moved and thoroughly cleaned behind and underneath. A licensed pest control company was contacted, and treatment was initiated to address the infestation. Entry points were assessed and sealed as needed to prevent further rodent access. 04/30/2026 Implemented
6400.68(b)The bathroom's water temperature was recorded at 126.8 degrees, which exceeded the allowable amount of 120 degrees. This was fixed within 24 hours after the inspection. (Repeat Violation) Hot water temperatures in bathtubs and showers may not exceed 120°F. Maintenance will adjust the hot water heater and/or mixing valve to ensure the water temperature does not exceed 120°F. Water temperature will be checked in all bathrooms and kitchen sinks to ensure compliance throughout the home. The Program will implement a weekly water temperature log to monitor all sinks and showers. Any temperature reading above 120°F will be reported immediately to management and maintenance. 01/21/2026 Implemented
6400.72(b)The kitchen window lacked a screen. The middle bedroom window screen appeared to be punched through. The same room also contained a cracked storm window. Screens, windows and doors shall be in good repair. A new screen will be installed on the kitchen window. The damaged bedroom window screen will be replaced. The cracked storm window will be repaired or replaced to ensure proper function and safety. All repairs will be completed to ensure compliance with applicable health and safety standards. 04/20/2026 Implemented
6400.76(a)The individual's left drawer beneath the bed did not fit properly and wobbled on the track. Furniture and equipment shall be nonhazardous, clean and sturdy. The drawer was repaired and properly secured to its track to ensure stability. If repair was not sufficient, the drawer unit was replaced to ensure safe and proper function. The furniture was inspected to confirm it is now stable and safe for use. 01/30/2026 Implemented
6400.77(b)The first aid kit did not contain a thermometer. 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. A thermometer was purchased and added to the first aid kit to ensure it meets regulatory requirements. The first aid kit was reviewed to confirm that all required contents are present and complete. 01/21/2026 Implemented
6400.104·There was no notification letter 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. A notification letter was completed and sent to the local fire department informing them of the home's occupancy and use. Documentation of the notification has been maintained on file for review 01/21/2026 Implemented
6400.106No furnace inspection was found in the binderFurnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. licensed HVAC professional was scheduled and completed a furnace inspection and cleaning. Documentation of the inspection was obtained and placed in the facility binder for review. 01/21/2026 Implemented
6400.111(a)The basement fire extinguisher's gauge indicated that it was under-pressurized. This was corrected within 24 hours after the inspection.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. The under-pressured fire extinguisher was replaced or recharged within 24 hours of the inspection. The extinguisher was verified to be fully operational and properly pressurized. All other fire extinguishers in the home were checked to ensure compliance. 01/22/2026 Implemented
6400.112(a)·There were no December 2025 drill was not located in the binder. An unannounced fire drill shall be held at least once a month. Documentation for the December 2025 fire drill was completed and placed in the binder within 24 hours of the inspection. The binder was reviewed to ensure all required fire drill records are present and up to date. 01/21/2026 Implemented
SIN-00255553 Renewal 11/12/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)PA criminal history record checks were requested late based on the date of hire for the following staff members: #2 requested 11/11/24 under review, hired 9/1/24; #3 requested 8/1/24 cleared, hired 6/24/24; #4 requested 11/11/24 cleared, hired 7/5/24; #5 requested 9/6/24 cleared, hired 6/24/24; #1 requested 8/13/24 cleared, hired 6/24/24; #8 - hire date 6/24/24, check 7/30/2024An 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. New staff employee checklist utilized for employee on board document which shows the criminal history completed within 5 days of hire. 12/02/2024 Implemented
6400.67(a)The dishwasher door is missing its handle. A kitchen cabinet door is missing 3 of its handles.Floors, walls, ceilings and other surfaces shall be in good repair. Dishwashers handle fixed/replace on 11/21/2024 & 12/15/24. Checklist will be completed Program manager on weekly basis for physical site as of 12/15/24. 12/15/2024 Implemented
6400.68(b)The water temp read 136 degrees. Hot water temperatures in bathtubs and showers may not exceed 120°F. Water temperature value fixed to regulate temperature under 120 degrees on 11/19/2024 and retested 11/26/24. Physical site checklist will be utilized weekly to remain in compliance on all sites. 11/19/2024 Implemented
6400.107There was a space heater located in the basement and being used.Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms. The portable space heater was removed immediately from the basement it is not being used any where in the home on 11/19 and follow-up 11/26/24. Physical site checklist will be completed weekly to assure no items are in the home that are permitted. 11/19/2024 Implemented
6400.112(f)The fire drill records did not show that alternate exit routes were being used for the past several months. Each month showed that only the front door was being used for evacuations.Alternate exit routes shall be used during fire drills. Fire drill completed on 11/19/2024 and re-run 11/26/24 to show alternate route for the evacuation of the individual within regulations. Fire drill will be complete monthly to show alternative routes per the 6400 regulations. 11/19/2024 Implemented
6400.141(c)(6)Physical exam completed for individual #1 was completed on 7/3/24. The initial TB results are needed. There was no record of a Tuberculin skin testing by Mantoux method with negative results on file at the time of the review.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Individual #1 received their Tuberculin skin test by Mantoux method with a negative result on 6/28/2024 from previous placement. Staff checklist developed for monthly checks to determine physicals are fully complete with TB testing every 2 years. 11/19/2024 Implemented
6400.151(a)Staff #1 DOH 6/24/24 -- Staff #1 did not have a physical exam on file at the time of the review. 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. A physical exam completed by staff on 12/10/2024. Staff checklist developed upon hire. Staff will have physical before working in any homes with individual. 12/10/2024 Implemented
6400.151(c)(3)Staff Member #6's physical does not indicate their communicable disease status. 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. The staff member #6 physical was completed to show the staff is free from communicable diseases on 12/10/2024 Staff checklist developed upon hire. Staff will have physical before working in any homes with individual. 12/10/2024 Implemented