Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
SIN-00200610
|
Renewal
|
03/21/2022
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.67(a) | The surface of a pivoting, metal safety bar and plate attached to the outside of the shower in the main bathroom was covered in what appeared to be rust. The shower in this same bathroom had an open crack extending past twelve inches in length that weakened the surface so that the shower wall could be pushed in slightly. This crack and the surrounding area was covered in a black tape. The basement bedroom had a door that opened directly into the driveway. Although operable, this door was difficult to open on some attempts. The knob on this door was also loose. Surfaces shall be in good repair. | Floors, walls, ceilings and other surfaces shall be in good repair. | The pivoting metal safety bar is being replaced. The complete shower unit in the bathroom is also being replaced. Both items should be completed by 5/6/2022.
The knob on the door noted was tightened and is no longer loose. The door was adjusted so that it open and closes easily. This was completed on 3/23/2022 |
05/06/2022
| Implemented |
|
|
SIN-00183479
|
Renewal
|
03/30/2021
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.82(f) | The bathroom located on the lower level did not have any hand 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. | Hand soap, that was on site, was put in the lower level bathroom immediately. |
04/01/2021
| Implemented |
|
|
SIN-00166288
|
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 11/21/2019. | 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-00127886
|
Renewal
|
01/29/2018
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.111(a) | The fire extinguisher in the kitchen was not fully charged. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | The fire extinguisher was replaced on the day it was discovered not to be fully charged. As part of the monthly fire drill, staff will check fire extinguishers. If not fully charged, or there are other issues, fire extinguisher will be replaced. |
01/30/2018
| Implemented |
|
|
SIN-00109708
|
Renewal
|
03/01/2017
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.181(f) | The ISP meeting was held on 9/16/16 and the assessment for Individual #3 was completed on 8/26/16 which is less than 30 days. | (f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).
| The Program Specialist will provide the completed assessment to the SC and plan team at least 30 calendar days prior to the ISP.
The ISP will not be held until at least 30 days after the completion of the assessment. |
04/06/2017
| Implemented |
6400.213(1)(i) | The record for Individual #3 did not include information regarding identifying marks. | Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph. | The record for individual 3 has been corrected noting N/A in response to the section: information regarding identifying marks
All records will either note identifying marks or will be marked N/A in response to the section: information regarding identifying marks. |
04/06/2017
| Implemented |
|
|
SIN-00259792
|
Renewal
|
02/11/2025
|
Compliant - Finalized
|
|
SIN-00219587
|
Renewal
|
02/14/2023
|
Compliant - Finalized
|
|
SIN-00147612
|
Renewal
|
01/09/2019
|
Compliant - Finalized
|
|
SIN-00087813
|
Renewal
|
02/09/2016
|
Compliant - Finalized
|
|
SIN-00069753
|
Renewal
|
11/06/2014
|
Compliant - Finalized
|
|