Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00276313 Renewal 09/29/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(c)All poisons must be stored in original containers. An unidentified poison was found under the sink in an unlabeled container.Poisonous materials shall be stored in their original, labeled containers. 1. The plan of correction is to store all poisonous materials in designated, locked cabinets that clearly labeled as hazardous material storage. 2. Keep poisonous materials in their original containers whenever possible; if transferred, use containers that are equally secure and properly labeled. 3. Restrict access to staff only. 01/27/2026 Implemented
6400.82(f)There was no soap in the bathroom.Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. On 09/29/2025, Program Specialist and staff put soap in the bathroom. FYI: There was soap in the home but locked in the cabinet. 01/27/2026 Implemented
6400.151(a)Bi-annual compliance with physicals cannot be determined for Staff #2 as the previous one is not dated. 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. On 09/30/2025, Program Specialist provided Staff#2 the physical form for doctor to fill out the previous year date that was (04/01/2023). 01/27/2026 Implemented
6400.151(c)(3)The physical of staff #2 does not include a signed statement that the staff member is free from communicable diseases. The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. On 09/30/2025, Program Specialist contacted PCP, to signed statement on physical form regarding communicable diseases. 01/27/2026 Implemented
6400.212(a)Individual #1 ISP found in another individual's program book. Individual #1 medical appointment summary found in individual #2 medical book. Individual #2 was referred to as individual #1 in the lifetime medical review. A separate record shall be kept for each individual. On 09/29/2025, the Director reviewed the individual's records to ensure that no other individual's information was mixed with their personal information. 01/27/2026 Implemented
6400.52(c)(2)Staff #1 and #2 did not complete training on the prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act for the 2024 training yearThe annual training hours specified in subsections (a) and (b) must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§ 10225.101-10225.5102). The child protective services law (23 Pa. C.S. §§ 6301-6386) the Adult Protective Services Act (35 P.S. §§ 10210.101 - 10210.704) and applicable protective services regulations.On 09/30/2025, Director scheduled staff#1 and staff#2 for the completion of the trainings. Please find attached completion of training. 01/27/2026 Implemented
6400.52(c)(4)Staff #1 and staff #2 did not complete training on the prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act for the 2024 training yearThe annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents.On 09/30/2025, Director scheduled staff for completion of all the missing trainings. 01/27/2026 Implemented
SIN-00253851 Renewal 09/16/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(g)Fire drills are being held on the 1st of every month. Note: drills should be rotated monthly on different date, day, & times in efforts to not appear as a set schedule regarding the monthly dates. 1 - fire drills are being held on the 1st of every month. Note: drills should be rotated monthly on different date, day, & times in efforts to not appear as a set schedule regarding the monthly dates. Fire drills shall be held on different days of the week and at different times of the day and night. All staff were trained on 9/16/24 on how to conduct fire drills according to the 6400 regulations to prevent the likelihood of conducting fire drills on the same day each month. 09/16/2024 Implemented
SIN-00230823 Renewal 09/13/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66The light at the front door was not operable at the time of inspection. A new bulb was located to replace it before the inspector left the premises.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. The plan of correction was repaired the light 09/13/2023 Implemented
6400.80(a)There is a walkway on the left side of the house (when facing the back porch) that has overgrowth of the plants obstructing it. Outside walkways shall be free from ice, snow, obstructions and other hazards. The plan of correction was to cut down the overgrowth trees that were (Apple Trees) cut down. 09/22/2023 Implemented
SIN-00210715 Renewal 08/23/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)Water temperature in the home was 141.6- the temperature was turned down at time of inspection. Hot water temperatures in bathtubs and showers may not exceed 120°F. The plan of correction is to find a plumber that could adjust the water temperature to 120F. 09/22/2022 Implemented
6400.111(f)There were no inspection tags on the fire extinguishers in the home. All were inspected by agency staff. A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. The plan of correction is schedule appointment with Emergency Response to conduct fire safety inspection and attach a tag on extinguishers in all the homes. 09/22/2022 Implemented