Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00286876 Renewal 03/25/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Poisons shall be kept locked or made inaccessible. The current assessment completed on 3/18/2026 for Individual #1 states that cleaning supplies and "potentially hazardous household item" are kept secured in the home and the Individual Support Plan (ISP), last updated 2/24/2026, states that all cleaning supplies are kept locked in the home. At the time of the inspection, a large refill-size bottle of Ajax dishwashing liquid was found unlocked and accessible under the kitchen sink. Additionally, a large bottle of hand sanitizer labeled "contact poison control" if ingested, was found unlocked and accessible on a table near the front door of the home.Poisonous materials shall be kept locked or made inaccessible to individuals. The provider acknowledges that, at the time of inspection, cleaning supplies and potentially hazardous substances were not secured in accordance with the Individual Support Plan (ISP), the individual's assessment, and regulatory requirements under 55 PA Code Chapter 6400.62(a). Immediate corrective action was taken on the date of inspection. All cleaning supplies, including the Ajax dishwashing liquid found under the kitchen sink, were secured in a locked cabinet. The hand sanitizer previously located on the table near the front door was also removed and placed in a locked storage area inaccessible to individuals. A comprehensive environmental review of the home was completed to identify and secure any additional potentially hazardous substances. No additional unsecured items were identified at that time. All staff assigned to the home were retrained on the requirements of 55 PA Code Chapter 6400.62(a), the Individual #1 ISP, and the individual's assessment regarding the proper storage of cleaning supplies and hazardous household items. Training emphasized that all such items must remain locked or otherwise inaccessible at all times 05/04/2026 Implemented
6400.181(e)(2)The annual assessment completed on 3/18/2026 for Individual #1 did not contain or document the individual's dislikes.The assessment must include the following information: The likes, dislikes and interest of the individual. The provider acknowledges that the annual assessment for Individual #1, completed on 3/18/2026, did not include documentation of the individual's dislikes, as required by 55 PA Code Chapter 6400.181(e)(2). While the assessment included the individual's likes and interests, the required component addressing dislikes was omitted. To correct this, the assessment for Individual #1 will be updated to include a dedicated section identifying and documenting the individual's dislikes. Information will be gathered through direct communication with the individual, as appropriate, as well as input from staff, family members, and other team members familiar with the individual's preferences. All Program Specialists and staff responsible for completing assessments will be retrained on the requirements of 55 PA Code Chapter 6400.181(e)(2), with specific emphasis on ensuring that assessments include all required components, including likes, dislikes, and interests. 05/04/2026 Implemented
6400.181(e)(14)The assessment notes that the individual participates in pool outings at the YMCA and requires close supervision but does not state whether the individual is able to swim.The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. The provider acknowledges that the annual assessment for Individual #1 did not fully address the requirements of 55 PA Code Chapter 6400.181(e)(14). While the assessment notes that the individual participates in pool outings at the YMCA and requires close supervision, it does not document the individual's knowledge of water safety or ability to swim, nor does it clearly reflect progress over the last 365 calendar days in this area. To correct this, the assessment for Individual #1 will be updated to include a comprehensive description of the individual's knowledge of water safety and swimming ability. This will include documentation of the individual's current skill level, any supports required, and progress made over the past 365 days. Information will be obtained through observation, staff input, and, when appropriate, input from the individual and relevant team members. All Program Specialists and staff responsible for completing assessments will be retrained on the requirements of 55 PA Code Chapter 6400.181(e)(14), with specific emphasis on documenting progress over the last 365 days and clearly identifying the individual's current level of functioning in required areas, including water safety and swimming ability. 05/04/2026 Implemented
6400.32(r)Individual #1 has chosen to have a lock on their bedroom door. The lock installed on the bedroom is a key lock and the key to unlock the door in an emergency was found hanging from the door frame outside the bedroom door at the time of the inspection. Hanging the key on the outside of the door appears to be an agency policy as the individual and the individual's representative signed a form titled "Locked Doors Consent Statement for Wisna Serenity Homes Corporation" which states under the heading Emergency Access that all locked doors will have an emergency key hanging above the door to "ensure quick and safe exits in case of emergency." When an individual has a key-locking device on their door, all staff are required to carry a labeled key on their person while working in the home, and spare keys must be kept in a secure location only accessible to staff. Additionally, hanging a key above the door to the room does not allow for the privacy of person and possessions that is required by this regulation as anyone living in the home, working in the home, or visiting the home could utilize the key and access the individual's room and/or possessions.An individual has the right to lock the individual's bedroom door.The provider acknowledges that the prior practice of hanging a key above the individual's bedroom door does not comply with 55 PA Code Chapter 6400.32(r), as it did not ensure the individual's right to privacy and security of their personal space and belongings. Immediate corrective action was taken on the date of inspection. The key previously hanging above the bedroom door was removed. A digital lock with a punch pad has been installed on the individual's bedroom door, allowing the individual to independently access their room using a secure code of their choosing, thereby supporting their right to privacy and autonomy. Staff are required to carry a labeled key on their person at all times while on duty to ensure access in the event of an emergency or if the individual experiences difficulty with the lock. Spare keys are maintained in a secure location accessible only to authorized staff. The provider will revise the existing "Locked Doors Consent Statement for Wisna Serenity Homes Corporation" to eliminate the practice of hanging keys above doorways and to ensure full alignment with regulatory requirements. The updated policy will reflect appropriate emergency access procedures that protect both safety and individual privacy. All staff will be retrained on 55 PA Code Chapter 6400.32(r), with emphasis on the individual's right to lock their bedroom door, proper key control procedures, and maintaining privacy at all times. 05/04/2026 Implemented
6400.165(c)Prescription medications shall be administered as prescribed. Individual #1 is prescribed the medication Metformin ER 500 mg. tablets, 1 tablet to be administered by mouth once every day with dinner and the prescription label on the blister pack indicates that the administration time is 6:00 PM. The medication administration record (MAR), however, indicates that the administration time is 8:00 PM and staff have initialed the MAR as having administered the medication at 8:00 PM daily since the order began on 3/17/2026. The medication is not being administered as ordered by the physician. Prescription medications shall be administered as prescribed. Individual #1 is prescribed the medication Lorazepam Tab 1 mg., to be administered on a pro re nata (PRN) basis as follows: "take 1 tablet daily as needed for verbal and physical aggression or agitation (max 1 tablet in 24 hours)." On March 11, 2026, the PRN medication was administered to Individual #1 twice in a 24-hour period, once and once again at later time the same day.A prescription medication shall be administered as prescribed.The provider acknowledges that prescription medications for Individual #1 were not administered in accordance with physician orders, as required by 55 PA Code Chapter 6400.165(c). Regarding Metformin ER 500 mg, prescribed to be administered once daily with dinner at 6:00 PM, it was identified that the Medication Administration Record (MAR) incorrectly listed the administration time as 8:00 PM, and staff administered the medication at that time. Immediate corrective action was taken to update the MAR to reflect the correct administration time of 6:00 PM in accordance with the prescription label. Staff have been instructed to administer the medication as prescribed moving forward. Regarding the PRN medication Lorazepam 1 mg, the previous order indicated: "take 1 tablet daily as needed··· (max 1 tablet in 24 hours)." It was identified that on March 11, 2026, the medication was administered twice within a 24-hour period, constituting a medication error. The error was documented per agency protocol and reviewed with involved staff. A revised physician's order has since been obtained and reads: "Take 1 tablet (1 mg total) by mouth every 8 (eight) hours as needed (for verbal and physical aggression or agitation) (MAX 3 TABLETS IN 24 HOURS)." The MAR has been updated to reflect this current order accurately. All staff responsible for medication administration have been retrained on: Following the physician's order exactly as written Accurate transcription of orders onto the MAR Understanding and adhering to PRN parameters, including dosage limits and timing intervals Proper documentation and communication between staff to prevent duplication of PRN administration A full audit of Individual #1's medications and MAR entries was completed to ensure all orders are current and accurately transcribed. No additional discrepancies were identified. 05/04/2026 Implemented
6400.207(4)(I)Individual #1 is prescribed the medication Lorazepam Tab 1 mg., to be administered on a pro re nata (PRN) basis as follows: "take 1 tablet daily as needed for verbal and physical aggression or agitation (max 1 tablet in 24 hours)." The home did not have a written protocol or instructions for staff indicating what symptoms should be demonstrated by the individual to indicate that the medication is necessary, and the procedure for obtaining authorization from the CEO or the CEO's designee before administering the PRN. On March 11, 2026, the PRN medication was administered to Individual #1 twice in a 24-hour period, once and once again at a later time on the same date. By administering the medication twice in a 24-hour period, staff not only failed to follow the prescriber's instructions not to exceed 1 tablet in 24 hours but over-medicated the individual which resulted in the application of a chemical restraint which is prohibited.A chemical restraint, defined as use of a drug for the specific and exclusive purpose of controlling acute or episodic aggressive behavior. A chemical restraint does not include a drug ordered by a health care practitioner or dentist for the following use or event: Treatment of the symptoms of a specific mental, emotional or behavioral condition.Upon review, it was identified that the medication label for Lorazepam (Ativan) 1 mg contained conflicting instructions. The intended physician order was for administration every 8 hours as needed, however, staff referenced an incorrect interpretation indicating a limitation of one tablet in a 24-hour period. Immediately upon identification of the discrepancy, the prescribing physician was contacted, and a corrected order was obtained clarifying the appropriate administration of the medication as prescribed. The pharmacy was notified, and steps were taken to ensure the medication label accurately reflected the physician's order. Subsequently, the prescribing physician discontinued the Lorazepam (Ativan) medication entirely due to lack of therapeutic effectiveness, and the individual was transitioned to an alternative medication (Clonazepam). Therefore, the medication in question is no longer active. 05/04/2026 Implemented
6400.210(b)(1)An individual's personal funds or property may not be used as payment for damages unless the individual consents to make restitution for the damages. The following consent provisions apply unless there is a court-ordered restitution: - A separate written consent is required for each incident of restitution. - Consent shall be obtained in the presence of the individual or a person designated by the individual. - The home may not coerce the individual to provide consent. Individual #1 and their representative signed a form titled "Property Consent" on 3/16/2026 which stated that the individual agrees to be responsible for any damages they cause to "persons or property, including but not limited to the program facility, vehicles, program materials, personal property of other consumers and staff." The form appears to be an annual form signed along with other consents and releases. A ledger for the past 12 months showed that reimbursements were made to the agency for damaged equipment including a computer replacement on 5/30/2025 in the amount of $465.34 and for repairs to a staff's cell phone on 12/08/2025 in the amount of $104.94. There was no documentation to support that a separate consent was received for each of these incidents of reimbursement for damages, or for other incidents that reimbursement was obtained from the individual and/or their representative.An individual's personal funds or property may not be used as payment for damages unless the individual consents to make restitution for the damages. The following consent provisions apply unless there is a court-ordered restitution: A separate written consent is required for each incidence of restitution.The provider acknowledges that the current practice regarding restitution for damages does not comply with 55 PA Code Chapter 6400.210(b)(1). Specifically, a general "Property Consent" form was utilized in place of obtaining separate written consent for each individual incident of restitution, and documentation did not support that consent was obtained in accordance with regulatory requirements. Immediate corrective action has been taken. The use of the annual "Property Consent" form for restitution purposes has been discontinued. The provider will implement a new procedure requiring a separate written consent for each individual incident of restitution, as required by regulation. For any future incidents involving damages, restitution will only be sought after: A separate written consent is completed for that specific incident Consent is obtained in the presence of the individual and/or a person designated by the individual It is clearly documented that the individual was not coerced in any way The provider will also review recent restitution transactions and, where applicable, address any missing documentation in accordance with agency policy and regulatory guidance. All administrative staff, program specialists, and direct support professionals responsible for handling individual funds and documentation will be retrained on the requirements of 55 PA Code Chapter 6400.210(b)(1), including proper consent procedures and documentation standards. 05/04/2026 Implemented
SIN-00242927 Renewal 04/16/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency provided self-assessments of the home dated 4/10/24. The agency license expires on April 21, 2024. The self-assessments are to be completed within 3-6 months prior to the expiration date of the agency's certificate to measure and record compliance with this chapter. The self-assessments were not completed within the appropriate time frame.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. According to 55 PA Code Chapter 6400.15(a), the self-assessments are to be completed within 3-6 months prior to the expiration date of the agency's certificate to measure and record compliance with this chapter. The self-assessment was provided during the time of inspection which did not adhere to state guidelines. The Provider's Plan of Correction is to retrain their maintence staff on the importance of providing to licensing the self assessment 3 to 6 months prior to the inspection date. Implemented
6400.62(a)At the time of the inspection there was a large bottle of Ajax degreaser located under the kitchen sink, which was not locked. All poisonous materials shall be kept locked.Poisonous materials shall be kept locked or made inaccessible to individuals. According to 55 PA Code Chapter 6400.62(a), Poisonous materials shall be kept locked or made inaccessible to individuals. As the Provider's Plan of Correction, every DCW will be retrained on the importance of adhering to regulation 6400.62(a). 04/30/2024 Implemented
6400.62(c)At the time of inspection there was a hand soap located by the kitchen sink. The bottle reflects it was a Suave essentials lemon citrus soap. However, the liquid inside of the bottle was a peach colored liquid and upon opening the bottle there was not a lemon citrus fragrance. Also in the bathroom there was a soft-soap limited edition hooty Halloween hand soap which the bottle reflects was a raspberry vanilla scent. This bottle also contained a peach color liquid and also did not have the specified fragrance the bottle suggested. It appears that both of the soap dispensers had soap refilled that was not the original soap from each container. Poisons shall be stored in their original labeled containers.Poisonous materials shall be stored in their original, labeled containers. According to 55 PA Code Chapter 6400.62(a), Poisonous materials shall be stored in their original, labeled containers. The Provider's Plan of Correction are as followed: All DCW will be retrained on the importance of adhering to 6400.62(a), When replacing all hand soaps, all bottles will have their original contents. When refilling, all contents will reflect what the bottle reflects. 04/30/2023 Implemented
6400.110(a)At the time of inspection there was an area off of the kitchen which had steps that led to the attic/crawl space of the home. The agency had a fire extinguisher and smoke alarm at the top of the steps that led to the attic area; however, once opening the ceiling tile to the attic there was no fire extinguisher or smoke alarm in that area. The agency reports that the landlord does not allow them access to that area. It is essential that if the attic is accessible that the fire extinguisher and smoke alarm are in the attic as it is another level of the home. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. According to 55 PA Code Chapter 6400.110(a), A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. The Provider's Plan of Correction is to place the fire extinguisher and smokealarm will be place on the attic level with the Landlord's permission. 04/30/2024 Implemented
6400.111(a)At the time of inspection there was an area off of the kitchen which had steps that led to the attic/crawl space of the home. The agency had a fire extinguisher and smoke alarm at the top of the steps that led to the attic area; however, once opening the ceiling tile to the attic there was no fire extinguisher or smoke alarm in that area. The agency reports that the landlord does not allow them access to that area. It is essential that if the attic is accessible that the fire extinguisher and smoke alarm are in the attic as it is another level of the home.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. According to 55 PA Code Chapter 6400.111(a), There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. The Provider's Plan of Correction is to place the fire extinguisher and smoke alarm will be place on the attic level with the Landlord's permission. 04/30/2024 Implemented
6400.141(c)(13)Individual #1's annual physical examination dated 6/7/23 did not list any contraindicated medications. That area of the physical was left blank.The physical examination shall include: Allergies or contraindicated medications.According to 55 PA Code Chapter 6400.141(c)(13), the physical examination shall include: Allergies or contraindicated medications. The Provider's Plan of Correction are as followed. All individuals upon transitioning to Wisna is required to have a physical that clearly states any contraindicated medications. Although Individual #1 was received with out this information , this must be identified and mediated prior to intake. 04/30/2024 Implemented
6400.151(a)Staff #1 is the CEO and currently filling in as the Program Specialist. Staff #1 did not have a current physical examination on record at the time of inspection. Due to her current status as a Program Specialist that physical is needed every 2 years. 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. According to 55 PA Code Chapter 6400.151(a). 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. Staff #1 has completed their annual physical and their file is now compliant with an updated annual physical. 05/07/2024 Implemented
6400.32(r)(4)The individual bedroom door lock is a "privacy lock". This type of lock can be opened with a tool or device that is not specific to the door or lock, such as, a screwdriver or coin. These types of locks do not provide the level of privacy and security of person and possessions as expected by this regulation.The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency.According to 55 PA ode Chapter 6400.32(r)(4), The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. The Provider's Plan of Correction: is to replace the locking mechanism with a keyed lock for easy and immediate action. 04/30/2023 Implemented
6400.46(b)Staff #1 is the CEO and is currently filling in as the Program Specialist. Staff #1 had fire safety training dated 10/15/22 and 3/15/24. There was no fire safety training documented for 2023. Staff shall be trained annually 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).According to 55 PA Code Chapter 6400.46(b). Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). Staff #1 was trained on the importance of having all fire and safety training in Staff #1's file. Provider's Plan of Correction: The CEO has completed the necessary updates to their file as a Program Specialist. They are now in compliance. 05/02/2024 Implemented
6400.51(b)(2)Staff #2 date of hire was 10/16/23. The staff did not have orientation that encompassed the prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the older adults protective services act within the first 30 days of hire.The orientation must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§10225.101-10225.5102). The child protective services law (23 PA. C.S. §§6301-6386) the Adult Protective Services Act (35 P.S.§§ 10210.101-10210.704) and applicable protective services regulations.According to PA Code Chapter 6400.51(b)(2), The orientation must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§10225.101-10225.5102). The child protective services law (23 PA. C.S. §§6301-6386) the Adult Protective Services Act (35 P.S.§§ 10210.101-10210.704) and applicable protective services regulations. Provider's Plan of Correction: Staff #2 is now fully in compliance. Their employee files have been updated and the proper documents reflect the complete orientation for compliance. 05/02/2024 Implemented
6400.51(b)(3)Staff #2 date of hire was 10/16/23. The staff did not have orientation that encompassed the individual rights within the first 30 days of hire.The orientation must encompass the following areas: Individual rights.According to 55 PA Code Chapter 6400.51(b)(3), The orientation must encompass the following areas: Individual rights. Provider's Plan of Correction: Staff #2 is now in compliance. They have been retrained and their files consist of the missing orientation that encompassed the individual rights within the first 30 days of hire. 05/02/2024 Implemented
6400.51(b)(4)Staff #2's date of hire was 10/16/23. The staff did not have orientation that encompassed recognizing and reporting incidents with in the first 30 days of hire.The orientation must encompass the following areas: recognizing and reporting incidents.According to 55 PA Code Chapter 6400.51(b)(4), The orientation must encompass the following areas: recognizing and reporting incidents. Provider's Plan of Correction: Staff #2 has been retained and currently in compliance according to 6400.51(b)(4). Her file now reflects orientation that encompass the following areas: recognizing and reporting incidents. 05/02/2024 Implemented
6400.52(b)(1)Staff #2 date of hire was 10/16/23. The staff did not have orientation that encompassed the applications of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationship within the first 30 days of hire.The following shall complete 12 hours of training each year: Management, program, administrative and fiscal staff persons.According to 55 PA Code Chapter 6400.52(b)(1), The following shall complete 12 hours of training each year: Management, program, administrative and fiscal staff persons. Staff #2 is now in compiance. They have been retrained and their file now reflects completing the 12 hrs of yearly training that encompassed the applications of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationship within the first 30 days of hire. 05/02/2024 Implemented
6400.165(g)Individual #1 is prescribed several medications to treat symptoms of psychiatric illness. The individual's date of admission to Wisna Serenity was on 7/22/23. The only psychiatric medication review that was provided at the time of inspection was dated 11/21/23.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.According to 55 PA Code Chapter 6400.165(g), If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. Provider's Plan of Correction: Every individual has to go through their 90-day Psyc evaluation. While visiting their Pysc Physician, they will be accompanied by a 3-page approved state form. This form will be completed upon their visit. In addition, every individual will also take a 6 mos AIMS test. In the extreme case of an emergency, which may impedes a visit to the Pysc Physician, they will be seen by their PCP and the approved state form will be filled out by their Doctor. 05/10/2024 Implemented
6400.166(a)(11)The medication administration record did not include the diagnosis or purpose for the medication for the following medications: Lexapro, lithium carbonate, loratadine, lorazepam, omeprazole, and paliperidone.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.According to 55 PA Code Chapter 6400.166(a)(11), A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata. We are going to reinforce our training on how to perform a proper ¿Monthly Recap¿ of the MAR (Medication Administration Record and Reporting) for our nurses. What that means is before the new month starts, they will look for anything that¿s missing such as proper diagnosis for medications, route of administration, dosage etc¿ If we find any errors, we will then send it to our pharmacy to correct it. Going forward, this training will be added in to their onboarding training for medication administration. This has all been changed since we recently switched from PDC Pharmacy to HomeFree RX. 05/10/2024 Implemented
SIN-00222555 Initial review 04/07/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)There was a very fine, white, powdery substance completely coating the bottom-interior of the first-floor bathroom's bathtub's basin.Clean and sanitary conditions shall be maintained in the home. The tub was cleaned out and sanitized for future use 04/18/2023 Implemented
6400.70At the time of inspection, there were no dedicated, operable phones located within the home. Staff on site noted that landline phone service for the residence had not yet been established and that a landline phone was not yet installed in the home.A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons. Phone service was ordered and now is operating at the location 04/17/2023 Implemented
6400.72(a)Two windows in the basement garage and one window in the basement living area---all of which were capable of being opened---completely lacked window screens.Windows, including windows in doors, shall be securely screened when windows or doors are open. The screens were installed and placed at the needed locations 04/17/2023 Implemented
6400.73(a)The righthand railing of the basement stairway swayed from side-to-side when pressure was applied. There was no lefthand railing available to provide support to individuals traversing the stairs. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. A lefthand rail was installed and placed on the basement Stairwell. The righthand rail was secured and fastened to prevent it from swaying side to side. 04/17/2023 Implemented
6400.77(a)There was no first aid kit located in the home at the time of inspection. A home shall have a first aid kit. A first aid kit was placed in the office. 04/17/2023 Implemented
6400.82(e)At the time of inspection, the home's first-floor bathroom lacked a bathmat or nonslip surface for its bathtub. Bathtubs and showers shall have a nonslip surface or mat. The first-floor bathroom tub now has a nonslip rubber mat 04/17/2023 Implemented
6400.82(f)At the time of inspection, the home's first-floor bathroom lacked a trash can, paper or cloth hand towels, and soap. The basement bathroom lacked a wall mirror, paper or cloth hand towels, and soap.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. All the bathroom currently has a trash can, paper towel mirror, soap, toilet paper, individual clean paper or cloth towels, and a trash receptacle. 04/17/2023 Implemented
6400.110(a)There was no smoke detector located within the home's attic. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. A smoke detector was installed in the homes attic 04/17/2023 Implemented
6400.110(e)This location, which is a three-story home, did not have an automatic fire alarm system or interconnected smoke detectors on each of its floors. Smoke detectors were present only on the first floor and in the basement and were not interconnected.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. An interconnected fire alarm system was placed on every floor of the home 04/17/2023 Implemented
6400.111(a)At the time of inspection, there were no fire extinguishers within the home.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. Fire extinguishers were placed on every floor and they are all @-A rated 04/17/2023 Implemented
SIN-00264968 Renewal 04/22/2025 Compliant - Finalized