Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00248018 Renewal 07/15/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(3)The 06/05/24 physical examination for individual 3 does not discuss immunizations and neither do any of his previous physical exams in the file.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. On July 19, 2024, our Residential Manager communicated with individual #3's PCP to begin administering and updating the individual¿s immunization records. Both the Program Specialist and Residential Manager are responsible for ensuring that the individual¿s immunization records are accurate and that all information relevant to maintaining the individual¿s annual physical is in compliance with 55 PA Code Chapter 6400.141(c)(3). Additionally, we have reviewed all resident records to identify any others that may be out of compliance and require correction. 07/28/2024 Implemented
6400.32(e)The individual Rights statement provided to individual 3 does not include that an individual has the right to make choices and accept risks.An individual has the right to make choices and accept risks.On July 19, 2024, the Program Specialist, under the supervision of the Lifetime Q&R Representative, updated the individual's rights to include the previously missing statement: "The individual has the right to make choices and accept risks." Additionally, we have reviewed all resident records to identify any others that may be out of compliance and require correction. 07/28/2024 Implemented
6400.32(f)The individual Rights statement provided to individual 3 does not include that an individual has the right to refuse to participate in activities and services.An individual has the right to refuse to participate in activities and services.On July 19, 2024, the Program Specialist, under the supervision of the Lifetime Q&R Representative, updated the individual's rights to include the previously missing statement: "right to refuse to participate in activities and services individual has the right to refuse to participate in activities and services.." Additionally, we have reviewed all resident records to identify any others that may be out of compliance and require correction. Moving forward, the Program Specialist and the Q&R Representative will conduct bi-annual self-audits of all individual consent packages containing the Individual Rights Statement to ensure compliance with 55 PA Code Chapter 6400.32(f). This process will be overseen by our Q&R Representative. 07/28/2024 Implemented
6400.32(p)The individual Rights statement provided to individual 3 does not include that an individual has the right to choose persons with whom to share a bedroom.An individual has the right to choose persons with whom to share a bedroom.On July 19, 2024, the Program Specialist, under the supervision of the Lifetime Q&R Representative, updated the individual's rights to include the previously missing statement: "An individual has the right to choose persons with whom to share a bedroom." Additionally, we have reviewed all resident records to identify any others that may be out of compliance and require correction. 07/28/2024 Implemented
6400.32(q)The individual Rights statement provided to individual 3 does not include that an individual has the right to furnish and decorate the individual's bedroom and the common areas of the home.An individual has the right to furnish and decorate the individual's bedroom and the common areas of the home in accordance with § 6400.33 (relating to negotiation of choices).On July 19, 2024, the Program Specialist, under the supervision of the Lifetime Q&R Representative, updated the individual's rights to include the previously missing statement: "An individual has the right to furnish and decorate the individual's bedroom and the common areas of the home by § 6400.33 (relating to the negotiation of choices).-." Additionally, we have reviewed all resident records to identify any others that may be out of compliance and require correction. 07/28/2024 Implemented
6400.32(t)The individual Rights statement provided to individual 3 does not include that an individual has the right to access food at any time.An individual has the right to access food at any time.On July 19, 2024, the Program Specialist, under the supervision of the Lifetime Q&R Representative, updated the individual's rights to include the previously missing statement: "An individual has the right to access food at any time.).-." Additionally, we have reviewed all resident records to identify any others that may be out of compliance and require correction. 07/28/2024 Implemented
6400.165(g)A psychiatric medication review was done for individual 3 on 03/19/24 and was not done again until 07/09/24.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.Upon discovering the late psychotropic medication reviews for Individual #3, Lifetime Skills has implemented a policy to safeguard the health and safety of all individuals and rectify this violation. This policy ensures that all individuals prescribed psychotropic medications undergo quarterly medication reviews, with documentation in their medical binders. 07/28/2024 Implemented
SIN-00212010 Renewal 07/18/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)The home did not contain a first aid kit. 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. LSHS plans to correct this non-compliance by purchasing a first aid kit that 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. Our Program Specialist is responsible for the correction of problems in the future, if any. LSHS has put in place a check list of areas for quarterly review to ensure that we remain in compliance with ODP 6100 regulations. 10/26/2022 Implemented
6400.111(c)The home did not have a 2A-10BC rated fire extinguisher in the kitchen, and no inspected extinguisher in the home. A fire extinguisher with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a). LSHS has a fire extinguisher with a minimum 2A*10BC rating situated in the kitchen as required in subsection (a) 55 Pa code chapter 6400 111. This was put in place immediately after the inspection. Our Program Specialist will be responsible for future corrections, if any to remain in compliance of this regulation. 10/26/2022 Implemented
SIN-00191730 Renewal 07/27/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(c)Failure to have FBI clearance in record for Staff #1 as date of residence is 10/2020 and is less than 2 years of residencyThe Pennsylvania and FBI criminal history record checks shall have been completed no more than 1 year prior to the person¿s date of hire. Under the direction of LIFETIME HR person, staff#1 fulfilled appointment FBI clearance checks on 9/29/21. Attachment#1 By the CEO's direction, on 9/23/21, LIFETIME revised the agency's employment policy to include a statement of confirmation that potential hire has at least a two-year PA residency. In addition, the agency Officer Manager completed an agency-wide inspection of every new employee verification of PA residency status. 09/23/2021 Implemented
6400.141(c)(13)The Physical Exam dated on 7/15/21 for individual #1 allergies section was left blank.The physical examination shall include: Allergies or contraindicated medications.LIFETIME'S CEO contacted individual #1 PCP that the allergies section was left blank. The PCP faxed the corrected Physical Exam dated 7/23/21, and the Program Specialist placed the corrected paperwork in Individual #1 file. 09/23/2021 Implemented
6400.151(c)(3)On physical dated 7/22/21 there is no indication if Staff #3 is free from communicable diseases. Line is left blank and not completed to indicated "yes or no". 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 Office Manager is responsible for securing and coordinating our personnel employment records, returned Staff#3 physical to his doctor for correction. In the future, our Office Manager will be careful to checked to ensure the completion of blank spaces and to indicate a "yes or no" freedom from communicable diseases on the document. 09/23/2021 Implemented
6400.46(a)Failure to have completed fire safety training completed at time of inspection for Staff #2Program specialists and direct service workers shall be trained before working with individuals in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the home, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered.On 10/01/21, staff#2 and other staff who needed this training, completed fire safety training with the Deputy Fire Marshall. 10/01/2021 Implemented
SIN-00143537 Initial review 10/19/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65The ventilation in the bathroom was inoperable.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. LSHS immediately repaired the vent in the bathroom and it went into operation. The Korman residential maintenance department made the repairs on 10/19/2018. LSHS Director went on site to test the vent in the bathroom and it was tested and operable. Attached is the maintainence record to verify that the vent in the bathroom was repaired. 10/19/2018 Implemented
6400.68(b)The hot water temperature in the bathtub was 127°F. Hot water temperatures in bathtubs and showers may not exceed 120°F. LSHS created a chart for Monitoring the Hot water temperature. We monitored and document in the chart from Monday October 22, 2018 thru Friday October 26,2018. We took the hot water temperature with a thermometer twice a day, at different times of the day to ensure that the hot water temperature did not exceed 120 degrees F. each time the temperatures were taken. Attached is the chart that LSHS used to document the temperature of the hot water in the residence. 10/22/2018 Implemented
6400.77(b)The first aid kit was missing 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. LSHS bought a new Thermometer for the First Aid Kit to replace the missing one. A copy of the receipt is attached to verify that the Thermometer was bought for the First Aid Kit. In the future the agency will open new First Aid Kit to check and make sure all required items in the First Aid Kit are there to avoid a repeat of this kind in the future. 10/19/2018 Implemented