Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
SIN-00259794
|
Renewal
|
02/11/2025
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.80(a) | Outside walkways shall be free from ice, snow, obstruction and other hazards. At the time of the physical site inspection. The deck area outside of the home's back door, that leads to a ramp to the side of the home, was not shoveled and there was covered with a layer of snow and ice. | Outside walkways shall be free from ice, snow, obstructions and other hazards. | The deck area outside of the homes back door, that leads to the the ramp at the back and side of the home was shoveled and cleared of ice and snow |
02/11/2025
| Implemented |
6400.112(e) | The home did not successfully complete a fire drill during sleeping hours at least every six months. A fire drill was completed during sleeping hours on February 16, 2024, at 6:23 AM. No other fire drills since that drill were successfully completed during sleeping hours. Fire drill documents show that a fire drill was attempted on August 31, 2024, and is labeled a sleep drill, but the drill took place at 10:45 which is not considered sleeping hours, and the fire drill record documents that Individual #1 was awake at the time the drill was held. | A fire drill shall be held during sleeping hours at least every 6 months. | A Sleep fire drill was held at this site on 2/27/25 at 2:50 am. Everyone was asleep at the time of the drill and evacuated in 1 minute 43 seconds. |
02/27/2025
| Implemented |
|
|
SIN-00238374
|
Renewal
|
02/27/2024
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.77(b) | The first aid kit did not contain antiseptic. | 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. | Antiseptic was added to the first aid kit |
02/27/2024
| Implemented |
6400.110(b) | There was not a working smoke detector/fire alarm within 15 feet of the bedroom door located in the lower level of the home. | There shall be an operable automatic smoke detector located within 15 feet of each individual and staff bedroom door. | One of the two smoked detectors in the individuals bedroom, was moved to the lower level hallway with in 15 feet of the bedroom door located in the lower level. |
02/27/2024
| Implemented |
|
|
SIN-00166290
|
Renewal
|
11/25/2019
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.15(a) | The license for this chapter expires on 12/15/2019. A self-assessment wasn't completed until 11/12/2019. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| UCP of NE PA will complete a self-assessment of each home the agency operates serving eight or fewer individuals within 3 to 6 months prior to the expiration date of our certificate of compliance.
((management staff were trained on the requirements of this regulation 11/26/19 -CH 12/18/19)) |
12/03/2019
| Implemented |
|
|
SIN-00200612
|
Renewal
|
03/21/2022
|
Compliant - Finalized
|
|
SIN-00183481
|
Renewal
|
03/30/2021
|
Compliant - Finalized
|
|
SIN-00147614
|
Renewal
|
01/09/2019
|
Compliant - Finalized
|
|
SIN-00109706
|
Renewal
|
03/01/2017
|
Compliant - Finalized
|
|
SIN-00087815
|
Renewal
|
02/09/2016
|
Compliant - Finalized
|
|
SIN-00069755
|
Renewal
|
11/05/2014
|
Compliant - Finalized
|
|
SIN-00055910
|
Renewal
|
10/03/2013
|
Compliant - Finalized
|
|