Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00291208 Unannounced Monitoring 05/27/2026 Needs Verification
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.78(a)At the time of the 05/27/26 inspection, Staff Person #1 made a bed out of blankets in the living room, between the couches, which prevented the Individuals that live in the home from accessing the space for their own use. A home shall have living and dining areas that are separate from bedrooms. Purpose of the requirement: Common living areas must remain available for the individuals' use and may not be converted into staff sleeping areas. This protects access, privacy, normal home life, supervision, and emergency egress. Finding addressed: During the 05/27/2026 inspection, Staff Person #1 made a bed from blankets between the couches in the living room, preventing the individuals from using that portion of the common living space. EIM status: The provider has already entered the event or events associated with this citation into EIM, and the related investigation or investigations are in process. The assigned Incident Management Representative/Certified Investigator will complete required notifications, interviews, record review, findings, and corrective-action recommendations within applicable timeframes. Final findings will be used to confirm or revise the preliminary root cause and to add any further individual-specific or systemic corrective action. The applicable EIM incident number(s) and actual entry date(s) will be included with the supporting evidence. Preliminary root cause pending completion of the EIM investigation - confirm before submission: The apparent causes were failure to establish and enforce expectations for staff personal belongings and rest, insufficient overnight/early-morning supervisory checks, and scheduling practices that may not have adequately addressed staff fatigue. Immediate and citation-specific corrective actions: - 07/15/2026 - The bedding will be removed from the living room, the room will be inspected to confirm full access and unobstructed egress, and staff personal belongings will be stored only in the designated staff-storage area. No staff person may establish a bed or sleeping area in a living room, dining room, hallway, or other individual common area. - 07/15/2026 - Staff Person #1 is no longer employed by the provider and will have no further assignment in the home. Human Resources and the Chief Executive Officer will document the separation and verify deactivation of all applicable schedule, electronic-record, medication, key, and building access. If Staff Person #1 is ever rehired, training on common-space access, awake/available supervision, and professional use of the individuals' home must be completed before assignment. The Chief Executive Officer will also review whether schedule length, overtime, or double shifts contributed and will adjust scheduling as needed to ensure alert and available staffing for current staff. 07/31/2026 Accepted
6400.141(a)Individual #1 had a physical on 1/16/25 and not again until 2/3/26.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Purpose of the requirement: Annual physical examinations identify changes in health, reconcile medication and treatment needs, update emergency information, and support timely preventive and specialty care. Finding addressed: Individual #1 had a physical examination on 01/16/2025 and did not have the next physical examination until 02/03/2026, outside the annual interval. EIM status: The provider has already entered the event or events associated with this citation into EIM, and the related investigation or investigations are in process. The assigned Incident Management Representative/Certified Investigator will complete required notifications, interviews, record review, findings, and corrective-action recommendations within applicable timeframes. Final findings will be used to confirm or revise the preliminary root cause and to add any further individual-specific or systemic corrective action. The applicable EIM incident number(s) and actual entry date(s) will be included with the supporting evidence. Preliminary root cause pending completion of the EIM investigation - confirm before submission: The apparent cause was an ineffective due-date and appointment follow-up process. The annual physical was not scheduled with a sufficient advance window, and no manager-level report identified the approaching or missed due date. Immediate and citation-specific corrective actions: - 07/15/2026 - The Program Specialist will verify that the 02/03/2026 physical is complete, signed, dated, and filed and that all recommendations from that examination have been implemented or assigned for follow-up. - 07/17/2026 - The Program Specialist will complete a 100% review of the last and next physical-examination due dates for all individuals in every agency Chapter 6400 home. Any overdue examination will be scheduled immediately, and the PCP will be asked to identify interim health instructions if the appointment cannot occur promptly. 07/31/2026 Accepted
6400.141(c)(3)Individual #1 had a TDAP immunization on 12/10/14 and not again until 9/22/25, outside of the 10-year recommended time period.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. Purpose of the requirement: Review and timely completion of recommended immunizations reduce preventable illness and complications and ensure that the individual's annual physical and health record accurately address preventive health needs. Finding addressed: Individual #1 received a Tdap immunization on 12/10/2014 and did not receive the next Tdap until 09/22/2025, outside the 10-year recommended interval. EIM status: The citation-related event has been entered into EIM and is being investigated. The assigned Incident Management Representative/Certified Investigator will review the admission health documentation, subsequent physicals, immunization records, and the process used to identify preventive-health due dates. Final findings will be used to confirm the root cause and determine whether additional corrective action is required. Preliminary root cause pending completion of the EIM investigation: Upon review, the provider identified that Individual #1 entered the program with a pre-existing lapse in Tdap compliance and that the admission review did not identify and resolve the overdue immunization before or immediately after admission. The admission and ongoing health-review processes did not contain a sufficiently reliable verification of required health documentation and immunization due dates. Immediate and citation-specific corrective actions: - Individual #1 received the Tdap immunization on 09/22/2025. The Program Specialist will verify the administration record, retain it in the health record, and obtain the PCP's written recommendation concerning the next due date or any additional follow-up. - The provider reviewed the admission process and implemented additional safeguards so that required medical documentation, annual physical information, immunization history, and practitioner recommendations are reviewed before admission. - The Admissions Team and designated supervisory/health-services staff will complete a thorough review of required medical documentation before accepting a new admission. The provider will not finalize an admission until all required regulatory health documentation has been received, reviewed, and confirmed as compliant. - The Program Specialist will review the immunization record of every individual in agency Chapter 6400 homes against the most recent practitioner recommendations. Any overdue, missing, or unclear item will be referred promptly to the practitioner and tracked to completion. 07/31/2026 Accepted
6400.141(c)(14)The medical information pertinent to diagnosis and treatment in case of emergency section of Individual #2's 5/29/26 annual physical is blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. Purpose of the requirement: Complete emergency medical information gives emergency responders and treating clinicians immediate access to facts that may affect diagnosis and treatment when delay or error could cause serious harm. Finding addressed: The section for medical information pertinent to diagnosis and treatment in case of emergency was blank on Individual #2's 05/29/2026 annual physical examination. Preliminary root cause: The apparent cause was failure to review the practitioner-completed physical for completeness before accepting and filing it. There was no second-level check for required fields or prompt return to the practitioner for a signed correction. Immediate and citation-specific corrective actions: - The provider will send the 05/29/2026 physical to the completing practitioner and request that the emergency-information section be completed, signed, and dated, or that the practitioner provide a signed addendum. Agency staff will not complete the medical section on the practitioner's behalf. - Upon receipt, the provider will compare the completed information with Individual #2's emergency face sheet, diagnoses, allergies, medications, and ISP; correct any inconsistency through the appropriate source; and train staff on any new emergency instruction before their next shift. - The provider will review every current annual physical in agency Chapter 6400 homes for all required elements, including emergency information, diet instructions, limitations, allergies, and health-maintenance recommendations. Incomplete documents will be returned to the practitioner within one business day. 07/31/2026 Accepted
6400.144Individual #1 is prescribed the following medications: Nytsop, Celenium Sulfide, Ciproflax, Dexamethazone, Advil, and Lorazepam. None of these medications were available in the home at the time of the inspection on 5/27/26. On 2/5/26, the ENT ordered that Individual #1 have 2 drops of olive oil to be administered in each ear on Monday, Wednesday, and Friday. As of the 5/27/26 inspection, olive oil has not been administered to Individual #1. On 3/25/26, the doctor ordered Individual #1 to have a refit of their CPAP due to a recurrent scalp ulcer. As of the 5/27/26 inspection, this appointment has not been scheduled or completed. On 3/17/26, Individual #1's Weight Management physician recommended a diet of 1500-1600 calories per day, as well as 80 grams of lean protein daily and low calorie/high protein snacks 1-2 times per day. There is no tracking being completed by the provider agency to ensure that the individual is following this recommendation. Individual #2 had a PCP appointment on 3/26/26 where it was noted that the individual had lower extremity edema for the past few days. The physician ordered a reduction in salt intake, elevation of legs, and compression stockings. If the edema worsened, the physician was to be notified. It was not documented that any of these recommendations were followed. On 4/30/26, the individual returned to the PCP for swollen ankles/edema. At this time, a new medication was prescribed. Individual #2 had an appointment with their kidney specialist on 12/18/25. It was recommended that follow up was to occur in 3 months. As of the 5/27/26 inspection, this follow-up appointment has not been completed. On 12/18/25, Individual #2's kidney specialist ordered twice daily blood pressure checks. If Individual #2's blood pressure was over 150/90, the physician was to be contacted. The individual's blood pressure was over the prescribed threshold on the following dates, and the physician was not contacted: · 12/31/25 6am -- 153/99 · 1/1/26 6am -- 151/99 · 1/2/26 6am -- 157/108 · 1/2/26 6pm -- 157/117 · 1/24/26 6pm -- 158/111 · 1/25/26 6pm -- 150/112 · 1/26/26 6pm -- 151/125 · 3/6/26 6pm -- 152/108 · 3/21/26 6pm -- 151/99 · 3/22/26 -- 156/98 · 4/6/26 730a -- 150/92 · 4/7/26 6pm -- 154/105 · 4/8/26 6pm -- 155/98 · 4/11/26 730am -- 150/112 · 4/11/26 6pm -- 182/125 · 4/12/26 730a -- 150/108 · 4/13/26 730a -- 153/99 · 4/17/26 6pm -- 152/94 · 4/18/26 6pm -- 150/92 · 5/1/26 6pm -- 152/103 · 5/13/26 6pm -- 160/96 · 5/15/26 730am -- 160/91 · 5/17/26 730am -- 160/100 · 5/29/26 730am -- 150/110 · 5/29/26 6pm -- 152/111 Additionally, blood pressure tracking was not completed from 6/1/26 through 6/6/26 in the morning, 6/8/26 in the evening, and 6/10/26 in the morning. On 10/18/24, Individual #2's physician recommended a 1400 calorie/day diet with no sweets permitted. On 5/29/25, the PCP recommended continuing this same diet. On 2/9/26, the PCP recommended limiting treats to once weekly and counting carbohydrates, not calories, limiting carbohydrates to 60 grams/day. This diet order was reaffirmed at Individual #2's 5/29/26 annual physical. There is no tracking in place to ensure that the individual has been following their diet recommendations.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. Purpose of the requirement: Prescribed medical, nursing, pharmaceutical, dietary, and specialty services must be carried out accurately and on time. Closed-loop implementation prevents untreated conditions, missed follow-up, worsening symptoms, and avoidable serious harm. Finding addressed: Multiple prescribed or recommended services were not arranged, implemented, tracked, or documented: the 02/05/2026 ENT olive-oil ear treatment for Individual #1 was not administered; the 03/25/2026 CPAP refit for a recurrent scalp ulcer was not scheduled; the 03/17/2026 weight-management diet was not tracked; Individual #2's 03/26/2026 edema instructions were not documented as implemented and edema recurred; the 12/18/2025 kidney follow-up due in three months was not completed; ordered blood-pressure checks, threshold notifications, and multiple checks were missed; and Individual #2's diet recommendations were not tracked. The inspection narrative alternates between Individual #1 and Individual #2 when describing the 12/18/2025 blood-pressure order, so the original order must be verified before submission. Preliminary root cause: The apparent systemic cause was the absence of a closed-loop medical-order and appointment-management process. Orders and recommendations were not consistently converted into the MARs, health plan, diet supports, staff training, and appointment calendar; completion was not verified; and supervisors did not audit open orders or unresolved appointments. Immediate and citation-specific corrective actions: - Ear treatment - The provider contacted the individual #1 physician to obtain clarification regarding the treatment instructions. A revised physician order was received from the doctor, dated 6/12/26, which states to administer 3 drops of olive oil in each ear daily for one week prior to the individual's next ENT appointment scheduled for August 12th. - CPAP/scalp ulcer -- 6/16/2026 at 11:30AM Appointment -- Individual #1 attended appointment for fitting of new gear for CPAP. - Individual #1 diet -- The provider created a new tracking form, and the form tracks the calories and lean protein. The provider obtained written diet recommendations from the weight-management practitioner addressing 1,500-1,600 calories, 80 grams of lean protein, and 1-2 low-calorie/high-protein snacks. - Individual #2 edema -- The individual is wearing compression socks at nighttime. Staff will document edema observations, use of stockings/elevation, refusals, and any worsening and will notify the provider according to the written parameters. - Kidney follow-up -- The provider spoke with the nurse at the kidney specialist and confirmed the notes from the 12/18/2025 appointment stated to follow up in 6 months. Appointment was completed on 6/18/2026 at 9:00AM. - Blood pressure -- All applicable staff members have received training on blood pressure protocol and signed off on this training as of 6/19/2026. All applicable staff members have been retrained on the required blood pressure monitoring procedures, including obtaining readings as outlined in the individual's plan, documenting results accurately, and following established parameters for reporting abnormal readings. Blood pressure checks must be completed at the frequency and times specified within the individual's approved health care plan/protocol and that any missed readings, abnormal results, or concerns must be reported promptly to the appropriate supervisory personnel and healthcare provider as indicated. - Individual #2 diet -- The provider created a new tracking form where all staff members document. This tracking tracks the calories and lean protein. 07/31/2026 Accepted
6400.216(a)At the time of the 5/27/26 inspection, the closet in the living room that housed the records for Individual #1 and Individual #2 was unlocked. An individual's records shall be kept locked when unattended. Purpose of the requirement: Locking records when unattended protects privacy, dignity, confidentiality, and the integrity of sensitive medical, behavioral, financial, and personal information. Finding addressed: During the 05/27/2026 inspection, Individual #1's and Individual #2's records were located in an unlocked closet in the living room. Immediate and citation-specific corrective actions: - Individual #1's and Individual #2's paper records were secured in a locked file cabinet, locked records container, or other secure locked area. Records will remain locked whenever they are not in the direct use of authorized personnel. - The provider reviewed with all applicable current staff the requirements for confidentiality, security, and protection of individual records. Staff were retrained that individual files, medical records, medication documentation, and other protected information must be stored in a secure locked location when not actively in use and may be accessed only by authorized personnel. - Staff were instructed that confidential records may not be left unattended on desks, counters, common-area furniture, or in an unlocked closet. Lost keys, suspected unauthorized access, or suspected disclosure must be reported immediately. - The Quality Management Director will inspect record-storage areas in every agency Chapter 6400 home and administrative location. Any unsecured record will be secured immediately, and the cause will be corrected. 07/31/2026 Accepted
6400.18(b)(2)The medication errors described in 6400.167a1, 6400.167a3, and 6400.167a4 were not reported in the department's incident management system.The home shall report the following incidents, alleged incidents and suspected incidents through the Department's information management system or on a form specified by the Department within 72 hours of discovery by a staff person: A medication error as specified in § 6400.166 (relating to medication errors), if the medication was ordered by a health care practitioner.Purpose of the requirement: Timely medication-error reporting allows the Department and the provider to protect the individual, complete required clinical follow-up, investigate contributing factors, identify patterns, and implement corrective action before another error occurs. Finding addressed: The medication errors described under §§ 6400.167(a)(1), 6400.167(a)(3), and 6400.167(a)(4), including alleged omitted doses, a wrong dose, and medications administered on dates identified by licensing as incorrect, were not reported in the Department's incident management system within the required timeframe. EIM and investigation status: The provider reports that citation-related medication incidents are represented in open EIM investigations. The 05/25/2026 medication omission is associated with EIM 9854572, identified by the provider as a medication-error report, and EIM 9856567, identified by the provider as a neglect report. The provider has also requested written clarification regarding whether separate EIM reports are required for cited entries that the provider's record review indicates may involve guardian or individual self-administration, a pharmacy supply issue, a late or missing MAR signature, or a three-times-weekly order that did not name specific days. Any additional report directed by the Department will be entered immediately and linked to the investigation. Preliminary root cause: The apparent systemic cause was the absence of a closed-loop process connecting MAR exceptions, pharmacy or supply problems, guardian/self-administration documentation, supervisor notification, and EIM reporting. Staff and supervisors did not consistently recognize that a blank MAR entry, late signature, unavailable medication, disputed administration responsibility, or possible medication variance required immediate supervisory and incident-management review rather than waiting for later record reconciliation. Immediate and citation-specific corrective actions: - EIM 9854572 and EIM 9856567 remain open and under investigation. The Incident Management Representative/Certified Investigator will retain the original MARs, pharmacy records, progress notes, practitioner communications, self-administration documentation, staff schedules, and related records; complete required notifications and interviews; and document the reason for any delayed report before closure. - By 07/31/2026, the Incident Management Representative and Program Specialist will create a citation-by-citation crosswalk showing each medication, date, alleged error type, applicable EIM number, date entered, investigation status, prescriber/pharmacy follow-up, and any item for which written reporting clarification has been requested. If an item is not separately reported, the file will contain the written basis and any Department response. - As of 07/15/2026, all applicable currently employed medication-administration staff and supervisors have been retrained on the Six Rights of Medication Administration, documentation at the time of administration, immediate reporting of medication concerns and errors, notification of supervisory and health-care personnel, and the requirement to preserve rather than alter the original medication record. Staff were instructed that a later investigation does not delay the initial EIM reporting obligation when an event is reportable. 07/31/2026 Accepted
6400.31(a)This violation is a summation of rights the individual was deprived of, see 6400.32d, 6400.32g, and 6400.32t.An individual may not be deprived of rights as provided under § 6400.32 (relating to rights of the individual.).Finding addressed: This is a summary citation for the rights violations described under §§ 6400.32(d), 6400.32(g), and 6400.32(t). Staff Person #1 used language that Individual #2 could not understand, repeatedly used a profane or derogatory Spanish term, and prevented Individual #2 from preparing or obtaining breakfast until staff-selected times even though the ISP documented independent breakfast preparation. EIM status: The cited rights events have been entered into EIM and are being investigated. The assigned Incident Management Representative/Certified Investigator will complete required notifications, interviews, record review, findings, and corrective-action recommendations. Final findings will be used to confirm or revise the preliminary root cause and to implement any additional individual-specific or systemic corrective action. Preliminary root cause: The apparent causes were inadequate staff understanding of individual rights and self-determination, failure to implement Individual #2's ISP, staff convenience being allowed to override the individual's choices, and insufficient supervisory observation of early-morning practices. Immediate and citation-specific corrective actions: - Staff Person #1 is no longer employed by the provider and will have no further assignment or contact with Individual #2. Human Resources and the Chief Executive Officer will retain the separation documentation - Effective 07/13/2026, the provider revised its new-hire orientation process to require completion of the ODP training "The Right to Eat Too Many Donuts and Take a Nap: Self-Determination for ID/DD" and all applicable provider policies concerning individual rights. New hires may not complete orientation or begin independent work until these requirements are successfully completed and documented. - By 07/31/2026, all currently employed direct-support, supervisory, program, scheduling, and on-call staff will complete targeted retraining on individual rights, informed choice, personal preferences, self-determination, respectful communication, control of schedules and activities, access to food, the difference between health education and an unauthorized restriction, and the duty to implement the ISP. 07/31/2026 Accepted
6400.32(c)On 12/29/25, the provider agency sent a message to Individual #1's physician indicating that the individual had pain and drainage in their left ear since Christmas break. The physician did not respond until 1/4/26, and an ENT appointment was not conducted until 1/5/26, when an ear infection was diagnosed. An antibiotic was prescribed at this time. This delay in care created conditions conducive to serious harm for Individual #1.An individual may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment.Purpose of the requirement: Prompt assessment and treatment of acute health symptoms protects an individual from preventable pain, worsening infection, serious injury, hospitalization, or death. Finding addressed: On 12/29/2025, the agency notified Individual #1's physician that the individual had left-ear pain and drainage present since Christmas break. The physician did not respond until 01/04/2026, and an ENT visit did not occur until 01/05/2026, when an ear infection was diagnosed and an antibiotic was prescribed. The delay created conditions conducive to serious harm. Preliminary root cause: The apparent cause was reliance on a non-urgent message without a defined escalation pathway when the physician did not respond. Staff did not obtain same-day clinical triage, contact an alternate or on-call provider, or escalate the unresolved concern to supervisory and health-services staff. 07/31/2026 Accepted
6400.32(d)At the time of the 05/27/26 inspection, Staff Person #1 was speaking in English and Spanish throughout the inspection, so Individual #2 could not understand what was being said. Individual #2's 02/02/26 Individual Support Plan (ISP) states that Individual #2's Primary Language is "English". Additionally, while speaking in Spanish, Staff Person #1 repeatedly used the word "cabròn", which translates to "bastard" or "ass" in English (the direct translation is "male goat", however, there were no goats in the home at the time of the inspection). It is unclear if Staff Person #1 was referring to the Individual, Licensing Staff, or someone that was on the phone with Staff Person #1 during the inspection.An individual shall be treated with dignity and respect.Purpose of the requirement: Respectful and understandable communication protects the individual's dignity, emotional well-being, participation, and ability to know what is occurring in the individual's home. Finding addressed: During the 05/27/2026 inspection, Staff Person #1 spoke in English and Spanish even though Individual #2's ISP identifies English as the primary language. While speaking Spanish, Staff Person #1 repeatedly used a profane or derogatory term. It was unclear whether the term referred to Individual #2, licensing staff, or a person on the telephone. Preliminary root cause: The apparent causes were unacceptable staff conduct, failure to maintain communication understandable to the individual, inadequate understanding of dignity and self-determination, and insufficient supervisory oversight of staff professionalism and rights practices. Immediate and citation-specific corrective actions: - Staff Person #1 is no longer employed by the provider and will have no further assignment or contact with Individual #2. - Effective 07/13/2026, new-hire orientation requires the ODP training "The Right to Eat Too Many Donuts and Take a Nap: Self-Determination for ID/DD" and all applicable provider policies concerning individual rights. New hires may not complete orientation or work independently until completion is verified. - By 07/31/2026, all current direct-support and supervisory staff will complete retraining on dignity and respect, professional language, communication in the individual's preferred language, informed choice, personal preferences, confidentiality during telephone conversations, and the prohibition against humiliating, profane, insulting, or derogatory speech. 07/31/2026 Accepted
6400.32(g)At the time of the 05/27/26 inspection, Staff Person #1 told Individual #2 that Individual #2 "can't have breakfast until 6" at 5:35am and later stated that Individual #2 "can't have breakfast until 6:15 when staff arrive". Per Individual #2's 02/02/26 ISP, Individual #2 can prepare breakfast independently.An individual has the right to control the individual's own schedule and activities.Purpose of the requirement: An individual's control over daily routines promotes autonomy, independence, informed choice, and person-centered services. Staff schedules and convenience may not replace the individual's preferences or documented abilities. Finding addressed: At 5:35 a.m. on 05/27/2026, Staff Person #1 told Individual #2 that breakfast could not be eaten until 6:00 a.m. and later stated that breakfast could not occur until 6:15 a.m. when other staff arrived. Individual #2's 02/02/2026 ISP documents the ability to prepare breakfast independently. Preliminary root cause: The apparent causes were an informal staff-imposed morning schedule, inadequate understanding of self-determination and the ISP, and insufficient supervisory observation of early-morning practices. Staff convenience was allowed to override Individual #2's documented independence and preference. Immediate and citation-specific corrective actions: - Staff Person #1 is no longer employed by the provider and will have no further assignment or contact with Individual #2. - On 07/15/2026, the Program Specialist and House Manager informed Individual #2, in plain English, that the individual may choose when to begin the morning routine and may prepare breakfast independently as documented in the ISP. Staff will provide assistance only when requested or required by the current plan. - The House Manager verified that food, utensils, and appliances needed for breakfast are accessible and that no staff-created schedule prevents use. Any legitimate safety concern will be addressed through assessment and the individual-plan process rather than an informal restriction. - Effective 07/13/2026, the provider's new-hire orientation requires the ODP training "The Right to Eat Too Many Donuts and Take a Nap: Self-Determination for ID/DD" and all applicable individual-rights policies. - By 07/31/2026, all current direct-support, supervisory, scheduling, and on-call staff will complete retraining on informed choice, personal preferences, control of schedules and activities, implementation of documented independence, and the prohibition against staff-created routines that are not supported by the ISP. 07/31/2026 Accepted
6400.32(t)At the time of the 05/27/26 inspection, Staff Person #1 told Individual #2 that Individual #2 "can't have breakfast until 6" at 5:35am and later stated that Individual #2 "can't have breakfast until 6:15 when staff arrive". Per Individual #2's 02/02/26 ISP, Individual #2 can prepare breakfast independently.An individual has the right to access food at any time.Purpose of the requirement: Continuous access to food protects personal choice, dignity, comfort, and health. Medical or dietary recommendations must be supported in a person-centered manner and may not be converted into an unapproved denial of food. Finding addressed: On 05/27/2026, Staff Person #1 told Individual #2 that breakfast was not permitted until 6:00 a.m. and later 6:15 a.m., although the ISP states that Individual #2 can prepare breakfast independently. EIM status: The cited rights event has been entered into EIM and is being investigated. The assigned Incident Management Representative/Certified Investigator will complete required notifications, interviews, record review, findings, and corrective-action recommendations. Final findings will determine whether any other food-access restrictions occurred and whether additional corrective action is required. Preliminary root cause pending completion of the EIM investigation: The apparent causes were an informal staff-controlled meal schedule, inadequate understanding of the right to access food at any time, failure to implement the ISP, and insufficient management verification that food and the kitchen remained available. Immediate and citation-specific corrective actions: - Staff Person #1 is no longer employed by the provider and will have no further assignment or contact with Individual #2. Separation and access-deactivation records will be retained. - On 07/15/2026, the House Manager verified that Individual #1 and Individual #2 have access to food, beverages, the kitchen, and needed meal-preparation items at all times, subject only to individualized, approved, and documented health or safety supports. No staff person may deny food because of the time, staffing pattern, behavior, or staff convenience. - The Program Specialist reviewed or will document reviewing the kitchen and food preferences with both individuals and will identify any needed assistance, adaptive equipment, or safety support. Any lock, blocked cabinet, withheld item, or staff-only rule that prevents access will be removed unless supported by an approved rights modification. - Effective 07/13/2026, the provider's new-hire orientation requires the ODP training "The Right to Eat Too Many Donuts and Take a Nap: Self-Determination for ID/DD" and all applicable provider policies concerning individual rights. - By 07/31/2026, all current direct-support and supervisory staff will complete retraining on informed choice, personal preferences, access to food, person-centered support of medical diet recommendations, respectful documentation of choices or refusals, and the difference between offering health education and denying food. 07/31/2026 Accepted
6400.44(b)(2)The Program Specialist is responsible for the implementation of the Individual Support Plan (ISP) developed for Individual #2 on 02/02/26; see violations 6400.32d and 6400.32t.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.Purpose of the requirement: The Program Specialist is a central safeguard for translating the ISP into daily services. Active participation in plan development, review, and implementation prevents staff from substituting personal practices for the individual's assessed needs, skills, and rights. Finding addressed: The Program Specialist was responsible for implementation of Individual #2's 02/02/2026 ISP, but the practices cited under §§ 6400.32(d) and 6400.32(t) showed that staff did not implement the plan and rights requirements. Immediate and citation-specific corrective actions: - 07/15/2026 - The Program Specialist will complete a line-by-line implementation review of Individual #2's ISP, assessments, health plans, protocols, and rights information with Individual #2 and the House Manager. The review will identify the exact staff actions required for breakfast independence, food access, communication, health supports, and all other current outcomes and needs. - As of 07/15/2026, the Program Specialist compared the current ISP and protocol requirements with the training records and work schedule. All currently employed staff assigned to or previously working at the cited home completed the required person-specific training, and the Program Specialist established an approved-to-work roster. Staff without current training may not be independently assigned. 07/31/2026 Accepted
6400.52(c)(6)Individual #1 and Individual #2 both have an Individual Support Plan (ISP) and plans and protocols that staff are to be trained in before working with the individuals. From 12/1/25 through 5/27/26, the only staff who were fully trained to work with both individuals in this home were Staff Persons #2, 3, and 7. The other 9 staff who worked in the home were only partially trained or not trained at all.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Implementation of the individual plan if the person works directly with an individual.Purpose of the requirement: Person-specific training ensures that staff know how to safely and consistently implement each individual's ISP, Behavior Support Plan when applicable, medical orders, plans, protocols, communication needs, rights, and independence skills before providing unsupervised services. Finding addressed: From 12/01/2025 through 05/27/2026, only Staff Persons #2, #3, and #7 were fully trained to work with both individuals. Staff Persons #1, #4, #5, #6, #8, #9, #10, #11, and #12 were partially trained or not trained but worked in the home. Staff Persons #1, #2, #5, #7, and #12 are no longer employed; their current employment status does not change the historical finding. Immediate and citation-specific corrective actions: - As of 07/15/2026, all currently employed staff who are assigned to, or who previously worked at, the cited home identified by the provider as "230" have completed training on each individual's current ISP, BSP when applicable, all required health and behavioral plans and protocols, communication and rights supports, emergency information, dietary and medication-related instructions, and any additional training necessary to support both individuals safely and effectively. - The currently employed cited staff covered by this correction are Staff Persons #3, #4, #6, #8, #9, #10, and #11. Training records will identify the exact plans and protocols reviewed, the trainer, completion date, staff signature or electronic acknowledgement, and any competency or return demonstration required for hands-on tasks. - Human Resources and management have documented that Staff Persons #1, #2, #5, #7, and #12 are no longer employed and have removed them from active schedules and access rosters. If any former employee is rehired, all current orientation and person-specific training must be completed before assignment or access is restored. - The and Program Specialist reviewed the training records and established an approved-to-work roster for the home. Only staff whose required person-specific training is current may work independently or perform a task covered by a plan or protocol. 07/15/2026 Accepted
6400.162(b)(2)(iii)Staff persons #1, 2, 3, 4, 5, 6, 8, 9, and 10 were not trained in administering eye drop medications. These staff administered eye drops to Individual #1.A prescription medication that is not self-administered shall be administered by one of the following: A person who has completed the medication administration course requirements as specified in § 6400.168 (relating to medication administration training) for the administration of the following: Eye, nose and ear drop medications.Purpose of the requirement: Route-specific medication training and competency protect the individual from contamination, injury, incorrect technique, missed treatment, and ineffective medication administration. Finding addressed: Staff Persons #1, #2, #3, #4, #5, #6, #8, #9, and #10 administered eye-drop medications to Individual #1 without documented qualification in administering eye-drop medications. Staff Persons #1, #2, and #5 are no longer employed; their current employment status does not change the historical finding. Immediate and citation-specific corrective actions: - Currently employed Staff Persons #3, #4, #6, #8, #9, and #10 are not permitted to administer eye, nose, or ear drops until the approved training and competency are completed and documented. Coverage will be provided by a staff person whose route-specific qualification is current or by a licensed health professional. - Human Resources, the House Manager, and the Medication Administration Trainer will retain documentation that Staff Persons #1, #2, and #5 are no longer employed and that their medication and other applicable access has been deactivated. If any is rehired, all current medication-administration and route-specific training requirements must be completed before medication access is restored. - The provider contacted a doctor to obtain approved training on the proper administration of eye drops, ear drops, and nasal sprays. The provider will retain documentation of the training source, approval status, curriculum, and trainer qualifications. - Within five business days after the approved training is received, and before any affected staff person resumes drop administration, all currently employed cited staff and all other medication-administration staff who may administer these routes in any agency home will complete the training and demonstrate competency in hand hygiene, correct individual/medication/site/dose, positioning, infection control, avoiding contact with the dropper, documentation, and response to refusal or adverse symptoms. - The Medication Administration Trainer will complete an agency-wide route-qualification audit and will block each staff person from any medication route not supported by current training and competency. - The Program Specialist will review Individual #1 for any current eye, ear, or nasal concern related to medication administration and will contact the practitioner if follow-up is indicated. 07/31/2026 Accepted
6400.163(d)At the time of the 5/27/26 inspection, the closet that held the medications was unlocked. The medications for Individual #1 were in a locked box. However, the controlled substances were not double locked.Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.Purpose of the requirement: Secure medication storage prevents unauthorized access, diversion, accidental ingestion, theft, and harm. Controlled substances require reliable access control, count verification, and staff accountability. Finding addressed: During the 05/27/2026 inspection, Lorazepam, a controlled substance, was not double locked and was located in an unlocked living-room closet. Immediate and citation-specific corrective actions: - On 07/15/2026, the provider trained the House Manager on the required procedure for storing controlled substances. The House Manager then retrained all applicable currently employed medication-administration staff on locked storage, the provider's double-lock procedure for controlled substances, key control, count verification, and immediate reporting of a broken lock, missing key, or count discrepancy. - On 07/15/2026, the House Manager verified and documented that Lorazepam and all other controlled substances in the home were maintained in the required locked medication area or container and that access was limited to authorized medication staff. - Lorazepam was discontinued on 06/23/2026. The Program Specialist will retain the signed discontinuation order and documentation showing that any remaining supply was returned to the pharmacy or destroyed in accordance with applicable requirements. - Two authorized staff, or an authorized staff person and supervisor, reconciled or will document reconciliation of the Lorazepam quantity against the pharmacy record, controlled-substance count record, and MAR. Any unexplained discrepancy will be reported and investigated immediately. - The Program Specialist and Quality Management Director will inspect medication storage, refrigerator storage, keys, controlled-substance security, and count records in every agency Chapter 6400 home. Any unsecured medication will be secured immediately and the contributing cause corrected. 07/15/2026 Accepted
6400.165(c)Individual #1 is prescribed Vitamin D2 that is to be administered twice a week. This medication was administered on 5/1/26, 5/3/26, 5/5/26, and 5/7/26; four times in one week.A prescription medication shall be administered as prescribed.Purpose of the requirement: Administering a prescription medication exactly as prescribed protects the individual from excessive dosing, adverse effects, toxicity, ineffective treatment, and avoidable medical complications. Non-daily medications require clear day-of-week scheduling and accurate medication-record documentation so that doses are neither omitted nor administered too often. Finding addressed: Individual #1 is prescribed Vitamin D2 to be administered twice each week. Vitamin D2 was administered on 05/01/2026, 05/03/2026, 05/05/2026, and 05/07/2026, resulting in four administrations during one week instead of the prescribed twice-weekly schedule. Immediate and citation-specific corrective actions: - 07/15/2026 - The Program Specialist will notify Individual #1's prescribing practitioner and dispensing pharmacy of the exact Vitamin D2 administration dates and doses, obtain written direction regarding the current twice-weekly schedule, whether any upcoming dose is to be held or changed, and whether a clinical evaluation, laboratory work, or other follow-up is required. Staff will administer or withhold future doses only in accordance with the practitioner's written direction. - 07/15/2026 - A qualified health professional will assess Individual #1 for any current symptoms or possible adverse effects and will arrange urgent or emergency evaluation when directed by the practitioner or when clinically indicated. The assessment, practitioner contact, instructions received, and completion of all follow-up will be documented in the health record. - 07/15/2026 - The Program Specialist and House Manager will reconcile the current written Vitamin D2 order, pharmacy label, medication supply, and MAR. The MAR will be corrected prospectively to show the exact practitioner-approved days and administration time. Historical entries will not be erased, overwritten, or back-initialed. - 07/17/2026 - The Program Specialist will complete a 100% review of Individual #1's Vitamin D2 administrations from the beginning of the current order through 07/15/2026 and will review all weekly, twice-weekly, monthly, alternating-day, and other non-daily medications for Individual #1 and Individual #2 from 12/01/2025 through 07/15/2026. A 90-day sample of non-daily medications will also be reviewed in every agency-operated Chapter 6400 home. Each additional variance will receive immediate clinical follow-up, medication-error reporting, and correction. 07/31/2026 Accepted
6400.167(a)(1)Individual #1 was not administered the following medications: · 1/29/26 -- Zepbound · 2/9/26 -- 7am Sertraline · 5/15/26 -- 8am Folic Acid, Liothyronine Sodium · 5/22/26 -- 8am Folic Acid, Liothyronine Sodium · 5/25/26 -- 5pm Buspirone · 5/28/26 -- Zepbound Individual #1 is prescribed Ferrous Sulfate to be given 3 times weekly on Monday, Wednesday, and Friday. On the following dates, the prescribed dose was omitted: · 5/11/26 · 5/15/26 · 5/20/26 · 5/22/26 · 5/25/26Medication errors include the following: Failure to administer a medication.Purpose of the requirement: Administering each medication as prescribed is essential to maintain therapeutic benefit and prevent worsening psychiatric, endocrine, hematologic, metabolic, or other health conditions. Accurate contemporaneous documentation is necessary to establish whether a dose was administered and to identify an omission immediately. Finding addressed: Licensing identified that Individual #1 did not receive Zepbound on 01/29/2026 and 05/28/2026; Sertraline at 7:00 a.m. on 02/09/2026; Folic Acid and Liothyronine Sodium at 8:00 a.m. on 05/15/2026 and 05/22/2026; Buspirone at 5:00 p.m. on 05/25/2026; and Ferrous Sulfate on 05/11/2026, 05/15/2026, 05/20/2026, 05/22/2026, and 05/25/2026. EIM and investigation status: The 05/25/2026 medication omission is associated with EIM 9854572, identified by the provider as a medication-error report, and EIM 9856567, identified by the provider as a neglect report. Other citation-related medication matters are being reviewed through the open investigations. The provider emailed for written clarification regarding whether separate EIM reports are required for the cited entries that the provider's record review indicates may be guardian/self-administered doses, pharmacy-supply events, or documentation exceptions rather than confirmed omitted doses. The 05/28/2026 Zepbound event was not separately entered because Individual #1 self-administers the medication under practitioner authorization and administered the dose on 05/29/2026 after a pharmacy delay and practitioner approval to move the weekly date. Any additional EIM report directed by the Department will be entered immediately. Preliminary root cause pending completion of the EIM investigation: The cited events appear to involve multiple contributing factors rather than one cause: unclear documentation of whether the guardian, Individual #1, or provider staff were responsible for Zepbound; a pharmacy-supply error; missing or late MAR signatures; weak end-of-shift review of MAR blanks; ambiguity between a three-times-weekly order and an assumed Monday/Wednesday/Friday schedule; and failure to escalate each discrepancy immediately for clinical and EIM review. Provider record review and citation-specific response: - 01/29/2026 Zepbound: The medication record states that the guardian administers this medication, and Staff Person #1 was working. The provider will retain the applicable order, self-administration/guardian-administration documentation, staff schedule, and guardian confirmation to establish responsibility and whether a provider-administered dose was due. - 02/09/2026 7:00 a.m. Sertraline: The provider identified this as a missed dose related to a pharmacy error while Staff Person #2 was assigned. Staff Person #2 is no longer employed. The pharmacy was notified, and the provider will retain the pharmacy communication and any practitioner follow-up. - 05/15/2026 Folic Acid and Liothyronine Sodium: Staff Person #4 was assigned. The provider located documentation indicating the medications were given, but the MAR signature was missing. The original MAR and supporting contemporaneous documentation will be preserved for the investigation. This will be treated as a medication-documentation exception unless and until the investigation confirms an omitted dose. - 05/22/2026 Folic Acid and Liothyronine Sodium: Staff Person #1 was assigned. The MAR was signed after the missing entry was identified. The later signature will be identified as a late entry and will not be used by itself as proof of timely administration. The investigation will review contemporaneous records and interviews to determine whether the doses were administered. - 05/25/2026 5:00 p.m. Buspirone: The missed dose is included in EIM 9854572 and EIM 9856567 and remains under investigation. - 05/28/2026 Zepbound: The pharmacy was out of stock until the following day, and the guardian who typically administered the medication was hospitalized and unavailable. The practitioner approved moving the weekly administration date, and Individual #1 self-administered the medication on 05/29/2026. Melinda Jimenze, NP, signed documentation authorizing Individual #1 to self-administer Zepbound. The provider will retain the pharmacy record, practitioner direction, self-administration authorization, guardian-administration information, and 05/29/2026 administration documentation. - Ferrous Sulfate: The signed order directs administration three times weekly and does not identify specific days. For the weeks containing 05/20/2026 and 05/22/2026, the provider's review indicates that the medication was administered three times during the week in accordance with the written frequency. Health Direct prepared the medication packs and selected the administration days. The provider has communicated with Health Direct, which now packages Ferrous Sulfate for Monday, Wednesday, and Friday to eliminate ambiguity. The 05/11/2026, 05/15/2026, and 05/25/2026 entries will remain under record and EIM review; the 05/25/2026 omission is included in EIM 9854572 and EIM 9856567. Immediate and citation-specific corrective actions: - The Program Specialist will reconcile all current Zepbound, Sertraline, Folic Acid, Liothyronine Sodium, Buspirone, and Ferrous Sulfate orders with the pharmacy profile, medication supply, self-administration assessment, and MAR. Any current ambiguity concerning who administers a medication or the exact days/times will be clarified in writing before the next dose. - The provider will submit the cited dates and supporting records to the applicable practitioners and pharmacy and will complete any clinical, laboratory, or treatment follow-up directed. - As of 07/15/2026, all applicable currently employed medication-administration staff have been retrained on the Six Rights of Medication Administration, following practitioner orders and MARs, documentation at the time of administration, non-daily medications, self-administration documentation, supply problems, and immediate reporting of medication concerns and errors. - Staff were specifically instructed that original MAR entries may not be erased, overwritten, or back-initialed to conceal a blank. A late entry must be clearly identified as late and supported by contemporaneous documentation. - The provider established pharmacy-supply escalation: staff will notify the supervisor and pharmacy immediately when a medication is unavailable; the supervisor will seek emergency supply or practitioner direction before the dose is due; and the response will be documented. 07/31/2026 Accepted
6400.167(a)(3)Individual #1 was prescribed an extra 50mcg dose of Synthroid to be administered on Mondays only with their regular daily 200mcg dose. Beginning 3/1/26, this Monday dose was no longer administered. There is no doctor's order discontinuing this supplemental dose. Individual #1 is prescribed Ferrous Sulfate to be given 3 times weekly on Monday, Wednesday, and Friday. On the following dates, the wrong dose was administered: · 5/5/26 -- Extra dose givenMedication errors include the following: Administration of the wrong dose of medication.Purpose of the requirement: Accurate dosing prevents under-treatment, toxicity, abnormal laboratory values, adverse effects, and avoidable medical emergencies. Supplemental and non-daily medications require exact reconciliation of the written order, pharmacy packaging, and MAR. Finding addressed: Individual #1's extra 50 mcg Monday dose of Synthroid was no longer administered beginning 03/01/2026 even though there was no discontinuation order. Individual #1 was also cited as receiving an extra dose of Ferrous Sulfate on 05/05/2026. EIM status: The cited medication matters are represented in open EIM review and investigation. The Incident Management Representative/Certified Investigator will preserve the original orders, MARs, pharmacy profiles, laboratory and practitioner information, and will complete required notifications, findings, and corrective actions. Any additional report directed by the Department will be entered immediately. Preliminary root cause pending completion of the EIM investigation: The apparent causes were failure to reconcile a supplemental Monday Synthroid order during MAR changes, acceptance of an undocumented change to the medication schedule, ambiguity in a Ferrous Sulfate order written only as three times weekly, and absence of a second check for complex or non-daily dosing. Immediate and citation-specific corrective actions: - The Program Specialist will obtain a current signed Synthroid order clarifying the daily 200 mcg dose and whether the supplemental 50 mcg Monday dose remains active. The practitioner will receive the dates of missed supplemental doses and will direct any laboratory, monitoring, or treatment follow-up. Staff will not resume, discontinue, or alter the supplemental dose without written direction. - The original Ferrous Sulfate order dated 04/09/2025, states that the medication is to be given three times weekly and does not name specific days. The Program Specialist will review the total number of Ferrous Sulfate doses administered during the week containing 05/05/2026 to determine whether the cited dose resulted in more than three doses that week. If the weekly frequency was exceeded, the practitioner will be notified, and the error will be reported and investigated. - The provider has communicated with Health Direct, which now packages Ferrous Sulfate for Monday, Wednesday, and Friday. The current written order, pharmacy profile, medication pack, and MAR will be made consistent so staff have one clear schedule. - As of 07/15/2026, all applicable currently employed medication staff have been retrained on the Six Rights of Medication Administration, complex and supplemental dosing, written-order requirements, documentation at the time of administration, and immediate reporting of any wrong or questioned dose. - The Program Specialist will review every supplemental, taper, alternating, weekly, and other non-daily medication order for Individual #1 and Individual #2 and will complete an agency-wide sample. Any mismatch will be clarified before the next dose. 07/31/2026 Accepted
6400.167(a)(4)Individual #1 is prescribed Ferrous Sulfate to be given 3 times weekly on Monday, Wednesday, and Friday. On the following dates, the medication was administered on the wrong date: · 5/14/26 · 5/21/26 · 5/23/26 · 5/26/26Medication errors include the following: Failure to administer a medication at the prescribed time, which exceeds more than 1 hour before or after the prescribed time.Purpose of the requirement: Medication must be administered according to the prescribed frequency and schedule so that the intended therapeutic interval is maintained and duplicate, omitted, or mistimed doses are prevented. Finding addressed: Licensing identified that Individual #1's Ferrous Sulfate was administered on the wrong dates of 05/14/2026, 05/21/2026, 05/23/2026, and 05/26/2026 based on an expected Monday/Wednesday/Friday schedule. EIM status: The cited medication dates are under EIM and record review. The provider has requested clarification because the underlying signed order states three times weekly and did not identify Monday, Wednesday, and Friday. Preliminary root cause: The apparent causes were an ambiguous non-daily order, reliance on the dispensing pharmacy's blister-pack dates without a documented provider verification, and inconsistent assumptions that three times weekly meant Monday/Wednesday/Friday even though those days were not stated in the signed order. Immediate and citation-specific corrective actions: - The provider reviewed the initial Ferrous Sulfate order from the 04/09/2025 appointment. The order states that the medication is to be administered three times weekly and does not specify particular days. - Health Direct prepared the medication packs and selected the administration days. The provider has communicated with Health Direct, and the pharmacy now packages Ferrous Sulfate for Monday, Wednesday, and Friday to create a consistent schedule. - The Program Specialist will obtain or retain a current signed order that clearly states the intended frequency and, when the practitioner agrees, the specific Monday/Wednesday/Friday schedule. The pharmacy profile, medication packs, and MAR will match the signed order before further administration. - The Program Specialist will review each cited week to determine the total number of Ferrous Sulfate doses administered. If more or fewer than three doses were given during any week, the practitioner will be notified and the variance will be reported and investigated as required. - As of 07/15/2026, all applicable currently employed medication staff have been retrained on the Six Rights of Medication Administration, checking the current signed order, reviewing the date and prior doses before administering a non-daily medication, and immediately reporting any discrepancy. - The provider will retain the written request for clarification concerning whether the cited dates constitute wrong-date errors under the order as written. Regardless of the final citation determination, the provider has eliminated future ambiguity by aligning the practitioner order, Health Direct packaging, and MAR. 07/31/2026 Accepted
6400.186Staff person #1 did not implement Individual #2's 02/02/26 Individual Support Plan; see violations 6400.32d, 6400.32g, and 6400.32t.The home shall implement the individual plan, including revisions.Purpose of the requirement: The ISP is the authorized, person-centered direction for services. Consistent implementation protects the individual's health, safety, rights, choices, and progress toward outcomes. Finding addressed: Staff Person #1 did not implement Individual #2's 02/02/2026 ISP, as shown by the use of language the individual could not understand and the restrictions on breakfast timing and food access described under §§ 6400.32(d), 6400.32(g), and 6400.32(t). EIM status: The provider has already entered the event or events associated with this citation into EIM, and the related investigation or investigations are in process. The assigned Incident Management Representative/Certified Investigator will complete required notifications, interviews, record review, findings, and corrective-action recommendations within applicable timeframes. Final findings will be used to confirm or revise the preliminary root cause and to add any further individual-specific or systemic corrective action. The applicable EIM incident number(s) and actual entry date(s) will be included with the supporting evidence. Preliminary root cause pending completion of the EIM investigation - confirm before submission: The apparent causes were incomplete or ineffective person-specific training for Staff Person #1, lack of competency verification, and insufficient Program Specialist observation of ISP implementation on the early-morning shift. Immediate and citation-specific corrective actions: - 07/15/2026 - Staff Person #1 is no longer employed by the provider and will have no further assignment or contact with Individual #2. Human Resources and the Chief Executive Officer will document the employment separation, remove the former staff person from all schedules and authorization rosters, and verify deactivation of electronic-record, medication, key, building, and other agency access, as applicable. The associated event was entered into EIM and is being investigated using available records and interviews. If Staff Person #1 is ever rehired, complete current ISP, rights, communication, breakfast-independence, food-access, health-and-safety training, competency, and written authorization will be required before assignment. - 07/15/2026 - The Program Specialist will review the ISP with Individual #2 and document whether the plan accurately reflects the individual's current skills and preferences. Any needed revision will be requested through the plan team; current supports and rights will remain in effect while revisions are pending. - As of 07/15/2026, all currently employed staff assigned to or previously working at the cited home completed training on every current ISP, BSP when applicable, plan, and protocol element for both individuals, with competency documented as required under the corrective action for § 6400.52(c)(6). 07/31/2026 Accepted
6400.207(4)(I)On 12/11/25 at 7:00, Individual #1 was administered a PRN Lorazepam for "difficulty sleeping." This medication is to be utilized PRN for anxiety or agitation. The administration of this PRN medication for an unprescribed reason constitutes a chemical restraint. Additionally, there is no protocol in place for this medication that describes Individual #1's "signs and symptoms" that permit the administration of the PRN medication.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.Purpose of the requirement: A medication may be used only for its prescribed clinical purpose and under clear practitioner direction. Using a PRN medication for an unprescribed reason can suppress behavior, mask an unmet need, cause adverse effects, and constitute a prohibited chemical restraint. Finding addressed: On 12/11/2025 at 7:00, Individual #1 received PRN Lorazepam for "difficulty sleeping," although the medication was prescribed PRN for anxiety or agitation. There was no protocol defining the observable signs and symptoms that permitted administration. EIM status: The Lorazepam event has been entered into EIM and is being investigated. The Incident Management Representative/Certified Investigator will complete required notifications, interviews, record review, findings, and corrective-action recommendations and will determine whether any other PRN administration was outside the prescribed indication. Preliminary root cause pending completion of the EIM investigation: The apparent causes were an incomplete PRN protocol, failure to translate the prescribed indication into observable criteria and staff steps, use of the medication for an unprescribed reason, and failure to identify the variance through prompt PRN review. Immediate and citation-specific corrective actions: - On 06/23/2026 at 12:30 p.m., Individual #1 attended an appointment to clarify the signs and symptoms that would permit PRN Lorazepam administration. - The practitioner reviewed that Individual #1 did not typically use Lorazepam and had not received it since 12/11/2025. The doctor discontinued the Lorazepam on 06/23/2026. - The Program Specialist will retain the signed discontinuation order, remove the medication from the current MAR and pharmacy profile, notify all assigned staff, and retain documentation that any remaining supply was returned to the pharmacy or destroyed in accordance with applicable requirements. - The Program Specialist and Program Specialist will review all PRN Lorazepam documentation for the preceding 12 months to confirm that no additional dose was administered after 12/11/2025 and to identify any other use outside the prescribed indication. Any additional variance will receive clinical follow-up and incident reporting. - Because the medication was discontinued, a new Individual #1 Lorazepam protocol is no longer required. The provider will nevertheless complete an agency-wide review of active PRN psychotropic medications to ensure that each has a current written order, a person-centered protocol when required, observable signs and symptoms, permitted indications, dose/frequency/maximum, monitoring, and documentation instructions before staff may administer it. 06/23/2026 Accepted
SIN-00274185 Renewal 09/29/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(3)Individual #1's last documented tetanus/diphtheria immunization is dated 12/10/14 which is outside the recommended 10-year timeframe.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. Tetanus shot is scheduled for 10/16/25 at 1:30pm with the PCP. 10/07/2025 Implemented
6400.141(c)(7)(repeat from 11/5/24 renewal inspection) Individual #1's admission date was 1/25/25. There is no documentation of a pap test ever being done for individual #1 and no deferment letter in the record.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. CEO reached out to mom, who stated Individual #1 does not get PAP/gyno exams because they are not sexually active. CEO/House manager reached out to PCP via client's medical portal requesting a letter of deferment. 10/09/2025 Implemented
6400.34(a)Individual #1's admission date was noted as 1/25/25, however the individual rights were not reviewed and signed until 1/26/25.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.Program Specialist has created a New Admission Checklist for new clients listing everything that is needed on/before day of move-in. 10/06/2025 Implemented
6400.165(c)Individual #1 was prescribed Klayesta 100,000 units powder for a fungal infection as "apply topically 2 times a day for 14 days." The individual's first dose of this medication was on 7/24/25 at 7pm. They then received doses 2 times per day from 7/25/25-8/8/25. The medication was given for 15.5 days instead of the prescribed 14 days.A prescription medication shall be administered as prescribed.House manager will create MAR for temporary medications on the day the medication is prescribed. 10/08/2025 Implemented
6400.166(a)(4)(repeat from 11/5/24 renewal inspection) At the time of the inspection on 10/1/25 there was a bottle of over-the-counter TUMS in individual #1's medication box. This medication was not listed on the individuals MAR.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of medication.TUMS was removed from the medication box until approval can be obtained from the PCP. Retraining of OTC medications completed with house manager. 10/08/2025 Implemented
6400.166(a)(11)The June 2025 (6/26-6/30, July 2025, and August 2025 MAR did not have a diagnosis for Aripiprazole Tablet 5mg prescribed as take 1 tablet by mouth every day at bedtime. The June 2025 MAR does not list a diagnosis for Cephalexin 500mg capsule prescribed as take 1 capsule by mouth 3 times a day for 7 days that was administered from 6/19/25-6/25/25.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.Retraining on MAR documentation of prescriptions was completed with managers. 10/08/2025 Implemented
6400.167(a)(1)Per documentation on the June 2025 MAR, individual #1 was not administered the medication Rosuvastatin Calcium 10mg at 5pm on 6/9/25 as prescribed.Medication errors include the following: Failure to administer a medication.Expectations on MAR oversight with crossover staff was reiterated on 10/7/25. 10/08/2025 Implemented
SIN-00253770 Renewal 11/05/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The Self-Assessment for the home is not dated; the date of completion is not known.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.All self-assessments will be reviewed before submitting to ensure correct dates have been marked. Date assessment was completed was added to the self-assessment. 11/12/2024 Implemented
6400.66At the time of the 11/06/24 inspection, the light outside of the rear sliding doors did not illuminate.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Light bulb has been replaced and light is now working. 11/08/2024 Implemented
SIN-00233484 Renewal 11/07/2023 Needs Verification
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)During the inspection of the home on 11/18/23 when reviewing the items in the homes first aid kit, there was no thermometer in the first aid kit that was provided for inspection. 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. Thermometer has been put back into the first aid kit. A list of require items has been put onto each first aid kit box. 11/15/2023 Accepted
6400.77(c)During the inspection of the home on 11/18/23 when reviewing the items in the homes first aid kit, there was no first aid manual with the first aid kit provided for inspection. A first aid manual shall be kept with the first aid kit.First Aid manual has been put into the first aid box. A list of items required to be in the box is attached to all first aid boxes. 11/15/2023 Accepted
6400.141(a)Individual #1's annual physical exam was completed late- 10/26/21 not again until 11/22/22.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Staff will schedule annual appointments at least 3 months in advance to ensure appointments are met within the required time period. Retraining completed with all managers on time-frames for appointments. 11/15/2023 Accepted
6400.34(a)Individual #1 rights were reviewed on 2/20/23. Missing from the signed Rights documents was Rights-31a-g, 33 a & b, and 32i.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.Civil Rights form has been updated to reflect all required rights from the 6400 regulations. New rights were reviewed with all clients. 11/09/2023 Accepted
6400.163(h)During the walk-through of the home on 11/8/23 when reviewing the medications for Individual #1, there was a bottle of medication -Perphenazine 2mg tablets. This medication changed from 2mg to 4 mgs tablets 2xs day on 9/28/23. The 2mg medication was still available in the Individuals medication locked box.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.Medications were disposed of in accordance with State regulations. 11/15/2023 Accepted
SIN-00217085 Unannounced Monitoring 01/03/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(g)The fire drill held on 12/12/22 did not identify the time that the fire drill was conducted. Fire drills shall be held on different days of the week and at different times of the day and night. Staff reviewed progress notes and found the time of the fire drill and recorded it on the checklist. 01/05/2023 Implemented
SIN-00214174 Unannounced Monitoring 10/19/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(c)(2)Staff #1 had a TB test administered on 09/09/22 and read 09/12/22; Staff #1 date of hire is 8/18/22. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. Upon discovery, staff member went to Concentra to obtain a TB test. 09/12/2022 Implemented
6400.34(a)The Department issued updated regulatory rights, effective 2/3/2020, stating that individuals have additional rights they need to be informed of. At the time of the 10/19/2022 inspection, Individual #1 was never informed of all of the individual rights as described in 6400.32; regulation 6400.32s was not reviewed.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.HCA has updated its civil rights policy to include clients having a key to entry doors of the home. HCA has reviewed updated civil rights with all clients. 11/01/2022 Implemented
SIN-00202760 Renewal 03/08/2022 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.111(f)At the time of the 3/8/2022 inspection, there were no records maintained that the home had the fire extinguishers inspected in 2021. A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. All fire extinguishers have been reinspected by a fire professional and are up to code/in compliance with regulations. 03/21/2022 Not Implemented
6400.186Per agency staff, Individual #1 is not safe with sharp objects and sharp object should remained locked and inaccessible to Individual #1. The box where the sharp objects are kept was not locked at the time of the 3/10/22 inspection.The home shall implement the individual plan, including revisions.HCA has retrained house staff on sharp objects protocol/restriction to ensure sharp objects are kept locked at all times while restriction is in place. 03/21/2022 Implemented
SIN-00181115 Renewal 01/04/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.32(r)Individual #1 does not have the ability to lock his bedroom door with a lock and key. Individual #1 was not offered the option to lock his bedroom door. Individual #1 did express a desire to licensing that he would like to be able to lock his bedroom door when he is not in his bedroom.An individual has the right to lock the individual's bedroom door.A new door knob has been put on the clients door, which includes a key lock so that the individual can lock his bedroom door from the outside. The individual is in possession of the key to his bedroom door and has the ability to lock the door from the outside. 01/25/2021 Implemented
SIN-00141597 Renewal 10/17/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103The written emergency evacuation plan did not include individual responsibilities.There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. A. Who- CEO, Program Specialist, House Managers, DSPs B. What- The written emergency evacuation plan will include the individual responsibilities. C. When and How- As of 10/18/2018 all Emergency Evacuation Plans were updated by HCA CEO to include the responsibilities of the individual during an emergency evacuation. All updated Evacuation plans were reviewed with current staff and individuals to ensure all parties were aware of the responsibilities of the individual during an emergency evacuation. The plan will continue to include responsibilities of the individual and be reviewed annually or as needed for any changes throughout the year. 10/24/2018 Implemented
6400.145(2)The written emergency medical plan did not list the following: The method of transportation to be used.The home shall have a written emergency medical plan listing the following: The method of transportation to be used. A. Who- CEO, Program Specialist, House Managers, DSPs B. What- The written medical emergency plan will list the method of transportation being used. C. When and How- As of 10/18/2018 all Medical Emergency Plans were updated by HCA CEO to include the method of transportation used in the case of an emergency. All updated plans were reviewed with current staff and individuals to make all parties aware of the method of transportation used in a medical emergency. The plan will continue to include method of transportation used and be reviewed annually with staff and individuals or as changes are needed throughout the year. 10/24/2018 Implemented
6400.145(3)The written emergency medical plan did not list the following: An emergency staffing plan.The home shall have a written emergency medical plan listing the following: An emergency staffing plan.A. Who- CEO, Program Specialist, House Managers, DSPs B. What- The written medical emergency plan must include a written emergency staffing plan. C. When and How- As of 10/18/2018 all Medical Emergency Plans were updated by HCA CEO to include an emergency staffing plan. All updated plans were reviewed with current staff and individuals to assure knowledge of the emergency staffing plan in place in the case of a medical emergency. The plan will continue to include an emergency staffing plan which will be reviewed annually or as changes are made throughout the year with all staff and individuals. 10/24/2018 Implemented
6400.167(b)On 7/6/18, Individual #1's Physician changed the prescription for metformin 1000g from 6am to 8am, Tamulosin .4mg from 7pm to 8pm, and Buspirone 30g from 6am to 8am. These changes did not occur in the home until 7/12/18.Prescription medications and injections shall be administered according to the directions specified by a licensed physician, certified nurse practitioner or licensed physician's assistant.A. Who- CEO, Program Specialist, House Managers, DSPs B. What- Prescription medications and injections shall be administered according to the directions specified by a licensed, certified nurse practitioner, or licensed physician¿s assistant. C. When and How- As of 10/24/2018 a protocol for medication changes and updates was developed by HCA CEO and presented to all HCA staff as a part of a monthly retraining and staff meeting. The protocol included addressing medication changes (including time changes) made by prescribing doctors, medication disposals, updating medication administration records, and when pharmacies should be contacted. Implemented
SIN-00101404 Renewal 09/27/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency's certification of compliance expired on 8/20/16. The agency did not complete a self-assessment of the home until 9/6/16.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. A. Who- Program Specialist and CEO B. What- The agency will complete a self-assessment of each home the agency operates serving eight or fewer individuals, 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. C. When and How- the CEO has created reminders on the agency¿s google calendar to ensure proper completion of the self-assessment packet. The CEO has scheduled a training for the completion of the assessment prior to the assessment packet due date in March of 2017. To be sent by 11/18/2016 for corrective proof: - Due dates listed on google calendar - Training proof provided to managers on completion of assessment packet. 11/18/2016 Implemented
6400.15(c)The self-assessment completed on 9/6/16 did not include a written summary of the violations or corrections made. A copy of the agency's self-assessment results and a written summary of corrections made shall be kept by the agency for at least 1 year. A. Who- Program Specialist, CEO, House Managers B. What- A copy of the agency¿s self-assessment results and written summary of corrections made shall be kept by the agency for at least one year. C. When and How- House managers and program specialist will be retrained on the completion of self-assessment packets to ensure proper completion. Training will be provided a month prior to the March 2017 completion of agency self-assessment packets. Managers will keep self-assessment packets in the home and comment on completion of corrections made. To be sent by 11/18/2016 for corrective proof: - Training materials on completion of agency self-assessment packet. 11/18/2016 Implemented
6400.21(a)REPEAT from 6/29/15 annual inspection: Staff #1's date of hire was 10/1/15 and his/her Pennsylvania State Police criminal history record check wasn't completed until 10/7/15. - Staff #2's date of hire was 6/23/15 and his/her criminal histroy record check wasn't completed until 8/27/15. - Staff #3's date of hire was 12/8/15 and he/she had a Pennsylvania criminal history record check completed on 11/13/15. However the request was under review for control. At the time of licensing on 9/27/16, there wasn't a finalized criminal history record check for Staff #3. An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire. A. Who ¿ HCA Corporate Office B. What ¿ Ensure all newly hired staff have completed a criminal background check within five working days of date of hire. C. When and How ¿ Staff 1¿s criminal background was run on time, but no follow-up occurred to obtain the dispensation that was under review. HCA Corporate Office will follow new policy regarding following up on criminal background checks that come back Under Review. To be sent by 11/18/2016 for corrective proof: - Dispensation for Staff 1. Per Peake v. Commonwealth of Pennsylvania, et al., M.D. 2015, we have decided to keep Staff 1 because the violations were non-violent in nature and they occurred many years ago. - Policy regarding following up on criminal background checks that come back Under Review. 11/18/2016 Implemented
6400.22(d)(1)The residential provider did not keep an up-to-date financial record for Individual #1. 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. A. Who- House Managers, DSPs, Program Specialist, CEO B. What- The home will keep an up-to-date financial and property record that includes the following: Personal possessions and funds received by or deposited within the home. C. When and How- The financial tracking has been updated as of 10/2/2016 and have been distributed to the team to reflect an up-to-date financial and property tracking. Staff including but not limited to House Managers and DSPs have been trained on the updated financial tracking form and have implemented the new system within the home. House managers will oversee proper completion of the up to date financial tracking for all individuals. To be sent by 11/18/2016 for corrective proof: - Updated financial tracking form - Training provided to staff on updated financials. 11/18/2016 Implemented
6400.67(a)There was approximately a 10 inch unpainted surface area above the fireplace mantle. The unfinished surface apeared to be spackling material covering up 3 holes. Floors, walls, ceilings and other surfaces shall be in good repair. A. Who- House Managers and DSPs B. What- House managers will ensure that floors, walls, ceilings, and other surfaces are in good repair. C. How and When- House managers and DSPs will report on the daily crossover any maintenance needs or repairs in the home. Maintenance will be called as needed to correct. Staff will report any needed repairs to the executive team to ensure that all repairs are addressed accordingly. To be sent by 11/18/2016 for corrective proof: - Completed daily crossovers by DSPs and House Managers - Proof of training on daily crossovers and repair expectations. 11/18/2016 Implemented
6400.144Individual #1 had a doctor's order to check his/her blood sugar 3 times per day. According to blood sugar logs, his/her blood sugar was not tested and recorded on 7/22/16 at 8am and 7/29/16 at 4pm. According to the blood sugar log, there weren't test strips at the home at 4pm on 7/29/16.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. A. Who- House Managers, Direct Support Staff, Program Specialist, CEO B. What- Health services such as medical, nursing, pharmaceutical, dental, dietary, and psychological services that are planned or prescribed for the individual shall be arranged or provided for. C. When and How- Blood sugar tracking has been updated as of 11/9/2016 and includes information pertaining to the protocol set in place by the Endocrinologist. Staff have been trained on the new protocol and completion of the blood sugar tracking form. DSPs and House Managers will ensure proper completion of the blood sugar tracking form as described in the offered training. To be sent by 11/18/2016 for proof of corrective action: - Updated and completed blood sugar tracking form. - Updated blood sugar protocol - Training provided to staff on updated blood sugar tracking and diabetes protocol. 11/18/2016 Implemented
6400.151(a)Staff #4 had a physical exam completed on 7/29/14 and not again until 8/26/16, outside of the 2 year time frame. 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. A. Who ¿ HCA Corporate Office B. What ¿ Ensure staff have completed a physical examination every two years. C. When and How ¿ Staff records will be reviewed monthly to see which staff will be requiring a physical for the following month. Arrangements will be made by the HCA Corporate Office for the staff to complete their physical within the two-year time frame. To be sent by 11/18/2016 for corrective proof: - Policy regarding staff physicals and the monthly review of records to ensure compliance with the two-year time frame. 11/18/2016 Implemented
6400.164(a)The over the counter medication logs for Individual #1 did not contain the strength of medicine prescribed, the dosage given, and the time of administration. The following dates were noted to be when this occurred; 6/11/16, 5/7/16, 5/6/16, 5/5/16, 5/4/16, 5/3/16, 5/2/16, 11/8/15, 11/4/15. A medication log listing the medications prescribed, dosage, time and date that prescription medications, including insulin, were administered and the name of the person who administered the prescription medication or insulin shall be kept for each individual who does not self-administer medication. A. Who- House Managers, Direct Support Professionals, Program Specialist, CEO B. What- The OTC medication log includes the following information; medication prescribed, dosage, time and date (including insulin) were administered, and the name of the individual administering the medication or insulin is kept on record for all individuals who are not self-medicating. C. When and How- OTC medication log has been updated and distributed to the team. OTC medication log includes; name of medication, dosage, time and date administered, and staff signature for administration. Staff including managers and the program specialist have been trained on the updated OTC log as of 11/9/2016. To be sent by 11/18/2016 for corrective proof: - Updated OTC Medication Log - Meeting agenda and sign in for training on updated OTC medication log. 11/18/2016 Implemented
6400.181(d)The assessment completed on 4/15/16 for Individual #1 did not include a written signature and date from the program specialist. The signature and dated was electronically prepopulated from an unsecure system. The program specialist shall sign and date the assessment. A. Who- Program Specialist B. What- The program specialist will sign and date all completed assessments. C. When and How- The program specialist will ensure that all assessments are signed and dated once they have been completed by the program specialist and printed to be filed and sent to the support team. The program specialist and individual will sign off on the assessment upon review of all assessment content. To be sent by 11.18.2016 for corrective proof: - Program Specialist signature on completed annual assessment. 11/18/2016 Implemented
6400.181(e)(3)(ii)The assessment completed on 4/15/16 for Individual #1 did not include his/her current level of communication skills. The assessment must include the following information: The individual¿s current level of performance and progress in the following areas: Communication. A. Program Specialist and CEO B. What- The assessment will include the individual¿s current level of performance and progress in the area of communication. C. When and How- The assessment has been updated to include the current level of performance and progress in the area of communication as of 10/2/2016. The updated assessment has been presented and reviewed with the program specialist and trained on on 10/2/2016. To be sent by 11.18.2016 for corrective proof: - Updated assessment including the current level of performance and progress in the area of communication. - Completed assessment with the communication section completed in its entirety including current level of performance and progress. - Training on assessment completion by Program Specialist 11/18/2016 Implemented
6400.181(e)(4)The assessment completed on 4/15/16 for Individual #1 did not include his/her need for supervision. The assessment must include the following information: The individual's need for supervision. A. Who- Program Specialist and CEO B. What- The assessment will include the individual¿s need for supervision C. When and How- The assessment has been updated as of 10/2/2016 to include individual¿s supervision needs and comments on the supervision levels. The program specialist has been trained on the updated assessment and will ensure all assessments include the individual¿s supervision needs and comments on the supervision level. To be sent by 11.18.2016 for correct proof: - Updated assessment including the supervision needs of the individual and comments the supervision levels. - Completed assessment for an individual that includes the supervision needs and comments on the supervision level. - Training on assessment completion by Program Specialist on 10/2/2016. 11/18/2016 Implemented
6400.181(e)(9)The assessment completed on 4/15/16 for Individual #1 did not include his/her disability, including functional and medical limitations. The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. A. Who- Program Specialist B. What- All assessments will include documentation of the individual¿s disability including functional and medical limitations. C. How and When- The assessment has been updated as of 10/2/2016 to include comments on the individual¿s disability including functional and medical limitations. The program specialist has been trained on the new assessment template and will ensure that all individual annual assessment include documentation of the individual¿s disability including functional and medical limitations. To be sent by 11/18/2016 for corrective proof: - Updated assessment including documentation of the individual¿s disability including functional and medical limitations. - Completed assessment for an individual that includes comments on the individual¿s disability including functional and medical limitations. - Training provided to the Program Specialist on 10/2/2016 on updated assessment and completion. 11/18/2016 Implemented
6400.181(e)(10)The assessment completed on 4/15/16 for Individual #1 did not include a lifetime medical history. The assessment must include the following information: A lifetime medical history. A. Who- Program Specialist B. What- The assessment includes a lifetime medical history C. When and How- The annual assessment has been updated as of 10/2/2016 to include comments on the individual¿s lifetime medical history. The program specialist has been trained on the new assessment and completion of the updated assessment. The program specialist will ensure that this section of the assessment is completed for all individuals by commenting on their lifetime medical history. To be sent by 11/18/2016 for corrective proof: - Updated assessment that includes a section to comment on the lifetime medical history of the individual. - Completed assessment for an individual by the program specialist that includes comments on the lifetime medical history. - Training provided to the program specialist on 10/2/2016 on updated assessment and completion. 11/18/2016 Implemented
6400.181(e)(13)(v)The assessment completed on 4/15/16 for Individual #1 did not include progress in socialization. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization. A. Who- Program Specialist B. What- The assessment will include progress over the last 365 calendar days and current levels in the following areas: Socialization. C. When and How- The annual assessment has been updated as of 10/2/2016 to include progress and comments on the current level in the area of socialization. The program specialist has been trained on the updated annual assessment and completion of the assessment. The program specialist will ensure that the area of socialization is commented on in regards to the progress over the last 365 calendar days and the current levels in the area of communication. To be sent by 11/18/2016 for corrective proof: - Updated assessment that includes a section for progress and comments on current levels in the area of socialization. - Completed assessment for an individual in which the program specialist has commented on the progress over the last 365 calendar days and current levels in the area of socialization. - Training provided to the program specialist on 10/2/2016 on updated assessment and completion. 11/18/2016 Implemented
6400.181(e)(13)(vi)REPEAT from 6/29/15 annual inspection: The assessment completed on 4/15/16 for Individual #1 did not include progress in recreation. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation. A. Who- Program Specialist B. What- The assessment includes the individual¿s progress over the last 365 calendar days and current levels in the area of recreation. C. When and How- The annual assessment has been updated as of 10/2/2016 to include comments on progress and current levels in the area of recreation. The program specialist has been trained on the new assessment and completion as of 10/2/2016. The program specialist will ensure that all assessments for individuals includes comments on the progress over the last 365 calendar days and current levels in the area of recreation. To be sent by 11/18/2016 for corrective proof: - Updated annual assessment that includes comments on progress over the last 365 calendar days and current levels in the area of recreation. - Completed assessment for an individual that includes the information regarding recreation. - Training provided to the Program Specialist on 10/2/2016 that reviewed updated assessment and completion of annual assessments. 11/18/2016 Implemented
6400.186(b)The Individual Support Plan (ISP) reviews for Individual #1 completed on 7/8/16, 4/6/16, and 1/6/16 did not include a written signature and date. The signature and date was electronically prepopulated from an unsecure system. The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. A. Who- Program Specialist B. What- The ISP will be reviewed, signed, and dated by the program specialist within 30 days of the ISP update date. C. When and How- The program specialist will visit all homes when a new ISP has been issued, updated, and printed. The program specialist will visit the homes to review the ISP and sign off as well as date the updated ISP. To be sent by 11/18/2016 for corrective proof: - ISP signature pages signed and dated by HCA Program Specialist 11/18/2016 Implemented
6400.213(11)The assessment completed on 4/15/16 for Individual #1 indicated under supervision needs for home and community, "24." Individual #1's Individual Support Plan (ISP) updated on 7/6/16 indicated that he/she needs 24 hour supervision at home but may be left unsupervised for 15 minutes when staff walk the dog. Each individual's record must include the following information: Content discrepancy in the ISP, The annual update or revision under § 6400.186. A. Who- Program Specialist and House Managers B. What- All ISP discrepancies will be reported to the county support coordinator so the ISP can be revised accordingly. C. When and How- The Program Specialist and House Manager will review all ISPs on the 1st of every month, or when a new ISP is distributed by the county. The Program Specialist and House Managers will review the ISP in full and report any discrepancies to the county Support Coordinator within two days of the review or receipt of new ISP. Training and expectations for ISP reviews will be provided to the Program Specialist and House Managers by 11/18/2016. To be sent by 11/18/2016 for corrective proof: - E mails sent to support coordinators will all ISP discrepancies - Updated ISPs where discrepancies have been addressed and fixed - Proof of training on 6400 regs and ISP 11/18/2016 Implemented
Article X.1007REPEAT from 6/29/15 annual inspection: Hoffman Care Associates is required to meet all requirements of Article X of the Public Welfare Code and of the applicable statutes, ordinances and regulations (62 P.S. § 1007) including criminal history checks and hiring policies for the hiring, retention and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P.S. § 10225.101 ¿ 10225.5102) and its regulations (6 Pa. Code Ch. 15). Staff #1 was hired on 10/1/15; the criminal history check was requested on 10/7/15. Staff #2 was hired on 6/23/15; the criminal history check was requested on 8/27/15. Staff #3 was hired on 12/8/15; at the time of licensing on 9/27/15 results from his/her criminal history check were not obtained by the agency.When, after investigation, the department is satisfied that the applicant or applicants for a license are responsible persons, that the place to be used as a facility is suitable for the purpose, is appropriately equipped and that the applicant or applicants and the place to be used as a facility meet all the requirements of this act and of the applicable statutes, ordinances and regulations, it shall issue a license and shall keep a record thereof and of the application.A. Who ¿ HCA Corporate Office B. What ¿ Ensure all newly hired staff have completed a criminal background check within five working days of date of hire. C. When and How ¿ Staff 1¿s criminal check was run on the fifth business day after hire. HCA Corporate Office will follow new policy regarding following up on criminal background checks that come back Under Review. To be sent by 11/18/2016 for corrective proof: - Dispensation for Staff 1. Per Peake v. Commonwealth of Pennsylvania, et al., M.D. 2015, we have decided to keep Staff 1 because the violations were non-violent in nature and they occurred many years ago. - Policy regarding following up on criminal background checks that come back Under Review. 11/18/2016 Implemented
SIN-00177766 Renewal 04/05/2021 Compliant - Finalized
SIN-00160894 Renewal 09/17/2019 Compliant - Finalized
SIN-00121484 Renewal 10/11/2017 Compliant - Finalized
SIN-00071616 Initial review 11/19/2014 Compliant - Finalized