| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(c) | There was no criminal history check for staff number 3-6 on file. | The Pennsylvania and FBI criminal history record checks shall have been completed no more than 1 year prior to the person¿s date of hire.
| Staff #3-6 wasn't furnished to the Department at the time of the inspection for verfication and compliance.
On 11/14/24, J-30 Solutions completed an audit of all staff personnel file. Staff #3-6 criminal history checks were obtained and/or verified for compliance. |
03/16/2025
| Implemented |
| 6400.68(b) | The Water temp was at 150 degrees. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | The Executive Director failed to ensure the water temperature for the home was lowered upon discovery of the water temperature exceeding 120 degrees.
11/14/24, the water temperature was lowered to under 120 degrees by the landloard. |
11/14/2024
| Implemented |
| 6400.151(a) | 6400.151a No physical on file for staff number two, the program specialist. | 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 COO/Program Specialist failed to obtained an annual physical.
On 3/14/24, annual physical exam and PPD was completed for the program specialist (staff #2) . |
03/14/2025
| Implemented |
| 6400.151(a) | 6400.151 (a No physical on file for staff member number one who began employment on 5/1/2024. | 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 Executive Director failed to ensure staff #1 had a pre employment physical completed prior to hire.
On 11/24/24 staff #1 physical exam and PPD was completed. |
11/24/2024
| Implemented |
| 6400.46(b) | 6400.46b Staff number one had no record of annual training by a fire safety expert. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | The Executive Director failed to ensure that staff #1 received fire safety training.
On 3/14/25 J-30 Solutions has secure a contract with Elsevier Direct Course for all staff including staff #1 to complete the online Department approved fire safety training course. |
03/14/2025
| Implemented |
| 6400.46(b) | No record of annual training for staff number two by a fire safety expert. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | The Executive Director failed to ensure that staff #2 (program specialist) was trained in fire safety.
On 3/14/25 all staff and program specialist working in the residential site was trained in fire safety by a fire safety expert. |
03/14/2025
| Implemented |
| 6400.46(b) | Fire safety trainer certification record was not on file at the time of the review- | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | On 3/14/25, J-30 Solutions obtained the credentials for the agency's fire safety training expert. A copy of the fire safety trainer credentials was placed in the agency's training record. |
03/14/2025
| Implemented |
| 6400.52(a)(1) | No annual 24 hours of training was found staff number two. | The following shall complete 24 hours of training related to job skills and knowledge each year: Direct service workers. | J-30 Solutions failed to ensure that staff #2 trainings were placed in the personnel file.
On 11/1/14/24, Staff #2 training record was compiled and placed in the personnel file. |
03/16/2025
| Implemented |