| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(d)(1) | Individual #1's service plan, last updated 8/13/2025, states, "[Individual #1] needs assistance with money recognition and budgeting." Staff interviews revealed that staff has been assisting Individual #1 with purchases. The provider agency is not keeping a financial ledger of funds received by or deposited with the home. Individual #2's service plan, last updated 6/4/2025, states, "[Individual #2] has limited understanding of/ability to manage finances and budgeting." Staff interviews revealed that staff has been assisting Individual #1 with purchases. The provider agency is not keeping a financial ledger of funds received by or deposited with the home. | The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. | Allegiant Human Services has updated its Individual Funds and Property Policy. The updated policy has been reviewed with staff and record of review has been documented. The Director of Operations reviewed and documented each individual's Personal Possessions and Property Record. A Cash and Money Reconciliation Binder has been created for each individual to keep an up-to-date financial ledger of funds received and deposited. In addition, each individual's Financial Management Plan has been reviewed and updated. Residential staff have received training on proper procedures to keep an up-to-date financial ledger of funds received and deposited. The Program Specialist has reviewed all financial areas in each individual's Skills Assessment and sent the assessment to the Supports Coordinator on November 25, 2025. |
11/25/2025
| Implemented |
| 6400.22(d)(2) | Individual #1's service plan, last updated 8/13/2025, states, "[Individual #1] needs assistance with money recognition and budgeting." Staff interviews revealed that staff has been assisting Individual #1 with purchases. The provider agency is not keeping a financial ledger of disbursements made to or for the individual. Individual #2's service plan, last updated 6/4/2025, states, "[Individual #2] has limited understanding of/ability to manage finances and budgeting." Staff interviews revealed that staff has been assisting Individual #1 with purchases. The provider agency is not keeping a financial ledger of disbursements made to or for the individual. | (2) Disbursements made to or for the individual.
| Allegiant Human Services has updated its Individual Funds and Property Policy. The updated policy has been reviewed with staff, and a record of review has been documented. The Director of Operations reviewed and documented each individual's Personal Possessions and Property Record. A Cash and Money Reconciliation Binder has been created for each individual to keep an up-to-date financial ledger of funds received and deposited. In addition, each individual's Financial Management Plan has been reviewed and updated. Residential staff have received training on proper procedures to keep an up-to-date financial ledger of funds received and deposited. The Program Specialist has reviewed all financial areas in each individual's Skills Assessment and sent the assessment to the Supports Coordinator on November 25, 2025. |
11/25/2025
| Implemented |
| 6400.142(f) | Individual #1 needs assistance with maintaining proper oral hygiene and documentation advises that staff will continue to prompt the individual daily to practice and maintain proper oral hygiene. Individual #1 does not have a written plan for dental hygiene. Individual #2 is able to independently maintain good oral hygiene with assistance from staff. Individual #2 does not have a written plan for dental hygiene. | An individual shall have a written plan for dental hygiene, unless the interdisciplinary team has documented in writing that the individual has achieved dental hygiene independence. | Allegiant Human Services has developed a Dental Care Policy. The policy has been reviewed with staff, and a record of review has been documented. On November 20, 2025, the Program Specialist reviewed and updated each individual's Dental Hygiene Plan. The Program Specialist has reviewed all areas of oral hygiene and dental care in each individual's Skills Assessment and sent the assessment to the Supports Coordinator. Assessment was set to Supports Coordinator on November 25, 2025. |
11/25/2025
| Implemented |
| 6400.181(e)(4) | Individual #1's assessment completed 9/01/2025 documents that the individual is able to remain in his home without staff supervision up to 7 hours during the day between 7:00 AM to 7:00 PM but also documents that he can be left unsupervised for only up to 5 hours. Individual #1's individual support plan, last updated 8/13/2025, documents that "[The individual] is able to remain in his home without staff supervision up to 7 hours during the day between 7:00 AM to 7:00 PM.' | The assessment must include the following information: The individual's need for supervision.
| Allegiant Human Services has updated its Individual Assessment Policy. The updated policy has been reviewed with staff, and a record of review has been documented. Allegiant Human Services has evaluated the individual's need for supervision. The Program Specialist has reviewed the individual's need for supervision in each individual's Skills Assessment on November 24, 2025. The updated assessment was sent to the Supports Coordinator on November 25, 2025. Both the skills assessment and individual support plan have corresponding information on each individual's supervision needs. |
11/25/2025
| Implemented |
| 6400.181(e)(6) | Individual #1's assessment completed 9/01/2025 document the individual needs verbal Instruction, which means the individual exhibits behavior given only simple instructions and no other help, in regard to using or avoiding poisonous materials. Individual #1's individual support plan, last updated 8/13/2025, documents, "[The individual] independently recognizes poisonous substances, the poisonous substances are kept in an unlocked closet, and [The individual] will get cleaning supplies and use them when he needs them. Individual #2's assessment completed 1/03/2025 document the individual needs partial guidance, meaning the individual requires gestural (visible signal) or physical prompt (touch) to perform behavior, in regard to using and avoiding poisonous materials. Individual #2's individual support plan, last updated 6/04/2025, documents, "[The individual] has never attempted to ingest poisonous substances and will ask before drinking anything. [The individual] understands the differences between non-food items and food items and does not have a history of drinking or eating poisonous substances." | The assessment must include the following information: The individual's ability to safely use or avoid poisonous materials, when in the presence of poisonous materials. | Allegiant Human Services has evaluated each individual's ability to safely use or avoid poisonous materials when in the presence of poisonous materials. The Program Specialist has reviewed all areas of poison safety and the ability to safely use poisonous materials in each individual's Skills Assessment on November 24, 2025. The updated assessment was sent to the Supports Coordinator on November 25, 2025. Both the skills assessment and individual support plan have corresponding information on each individual's ability to safely use or avoid poisonous materials when in the presence of poisonous materials. |
11/25/2025
| Implemented |
| 6400.181(e)(11) | Individual #1's assessment, completed 9/01/2025, did not include a psychological evaluation. Individual #2's assessment, completed 1/03/2025, did not include a psychological evaluation. | The assessment must include the following information: Psychological evaluations, if applicable. | Allegiant Human Services will maintain a record of a psychological evaluation for each individual. If a psychological evaluation is unavailable, proof of attempt to obtain shall be kept on file. Psychological evaluations will be used in the development of the individual's skills assessments. The Program Specialist will provide the skills assessment, lifetime medical history, and psychological evaluation to the individual plan team. The Director of Operations has reached out to each individual's Supports Coordinator to request a copy of the psychological evaluation. Request for psychological evaluations has been documented. |
11/20/2025
| Implemented |
| 6400.44(b)(2) | Individual #1 had an annual individual support plan meeting 10/15/2025 and Program Specialist #1 did not attend the meeting. Individual #2 had an annual individual support plan meeting 3/25/2025 and Program Specialist #1 did not attend the meeting. | The program specialist shall be responsible for the following: Participating in the individual plan process, development, team reviews and implementation in accordance with this chapter. | Allegiant Human Services has developed a Residential Program Specialist Policy. The policy has been reviewed with the Program Specialist, and a record of review has been documented. The Program Specialist will participate in the individual plan process, development, team reviews, and implementation in accordance with 55 PA Code Chapter 6400. The Program Specialist will attend and participate in all Individual Support Plan meetings for all individuals receiving residential supports. |
11/24/2025
| Implemented |
| 6400.182(c) | Individual #2's assessment completed 1/03/2025 documents the individual needs partial guidance, meaning the individual requires gestural (visible signal) or physical prompt (touch) to perform behavior, in regard to swimming. Individual #2's individual support plan, last updated 6/04/2025, documents "[The individual] is a strong swimmer and enjoys swimming." | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | Allegiant Human Services has updated its Individual Assessment Policy. The updated policy has been reviewed with staff, and a record of review has been documented. Allegiant Human Services has evaluated the individual's knowledge of water safety and ability to swim. The Program Specialist has reviewed the knowledge of water safety and the ability to swim in each individual's Skills Assessment on November 24, 2025. The updated assessment was sent to the Supports Coordinator on November 25, 2025. |
11/25/2025
| Implemented |