Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00234830 Renewal 11/14/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.101At 10:24 AM on 11/15/23, the apartment's front door, which serves as the only exit to the outside, was observed with a sliding chain latch-lock in addition to a standard doorknob lock and deadbolt, posing a possible entrapment risk.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. On 12/6/2023 the maintenance man removed all chain locks from the door. Leasing office was informed that those type of locks cannot be used in the future. On 12/07/2023 the Program Specialist check all locations to ensure locks were removed. The site supervisor will monitor locks on lead checklist monthly to ensure compliance is being met, Program Specialist will monitor lead checklist monthly and site location quarterly to ensure compliance is being met for 1 year. On 12/08/2023 CEO trained the Program Specialist on appropriate lock systems and when and how they should be used. 12/08/2023 Implemented
6400.112(c)The written fire drill record provided from 12/5/22 to 10/7/23 is a three-page chart documenting all fire drills conducted. Near the bottom of each page is a field with two blank lines to document any problems encountered during the fire drill. However, any information provided in this field is not referenced specifically to any one fire drill. Therefore, compliance could not be measured to determine if all fire drills provided in the written fire drill record address problems encountered.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. On 11/21/2023 the agency representative Gail Tooks (Administrator assistant) updated the Fire evacuation record/fire system check sheet to reflect problems during fire drill being kept and tracked every time a fire drill is being performed. The new procedures will be implemented on upcoming fire drill and every fire drill thereafter. The site supervisors will check each fire drill log to ensure compliance is being met, tracking will be completed on lead checklist to prevent the violation from occurring again. This tracking system will apply to every fire drilled performed. 11/21/2023 CEO trained Program Specialist and Supervisors on updated Fire Evacuation Record. 11/21/2023 Implemented
6400.141(c)(7)Individual #1 had a gynecological examination completed on 4/20/22. The agency presented an undated physician's letter on 11/15/23, recommending Individual #1 to have a gynecological examination completed every three years. Individual #1's record did not include any other completed gynecological examinations. Therefore, compliance was not demonstrated.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. On 11/15/2023 the agency provided documentation from the physician stating the recommendations that the individual should be seen every 3 years. On 11/20/2023 the CEO trained the Program Specialist the site supervisor that a summary should be collected after all exams and appointments which should include follow-up instructions. The Program Specialist and the CEO will audit Physicals quarterly to ensure compliance is being met and to prevent the same violations from occurring again. 11/20/2023 Implemented
6400.32(h)On 11/15/23, Ring cameras that record audio and video were observed outside the apartment unit's front door, on the side balcony, and in the living room common area. A consent form was presented by the agency and signed by the individuals. The CEO #1 stated that the live feed captured on the cameras is directed to an iPad that is accessible only to CEO #1 and Administrative Assistant #2. CEO #1 further explained that the live feed disappears from the iPad after seven days but that there is an option to save the recordings for an unlimited period of time.An individual has the right to privacy of person and possessions.On 12/7/2023 the audio was removed from the front door camera by disabling the audio in the system, there is no side balcony attached to this apartment, the audio was removed by disabling the audio in the system from the living room common area location. The audio will remain disabled at all times during recording. The CEO will monitor the function of the device quarterly to ensure compliance is being met. On 12/7/2023 the CEO will train the administrative assistance on the regulation surround the use of cameras in a residential setting. 12/07/2023 Implemented
SIN-00181822 Renewal 01/20/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency did not fully complete the self-assessment, dated 3/7/20, to measure and record compliance with each regulation for Title 55 Pa. Code Chapter 6400. The sections, to record if each regulation was either compliant, a violation, not applicable or not measured, were left blank.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. On January 29, 2021, (Program Specialist) complete the self assessment. Program specialist will make sure that a self-assessment for each site is completed 3-6 months prior to on site inspection. CEO will audit assessment to assure the assessment is complete and all correction are made to assure compliance and assure that the same violation do not reoccur in the future. The POC will be implemented as of February 1, 2021. Upon receipt of certificate of compliance, the CEO or designee shall develop and implement a tracking system to ensure the self-assessment is completed timely. Prior to 3 months of the expiration date of the current certificate of compliance the CEO shall audit all completed self-assessment to ensure completion, timely. Documentation of audits shall be kept. 02/01/2021 Implemented
6400.63(a)On 1/21/2021at 12:03PM, the hot water temperature at the sink in the bathroom in the hallway of the home measured 126.1°F.Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. On February 3, 2021, a regulator was place by certified plumber to meet requirements as per 6400.63. The water temperature was taking 3 times and did not exceed 120. The last temperature was taken read 108 F. The program specialist check all water tempers in the homes to ensure compliance. All anti-scald protective devices will be checked for functionally upon installation and monthly thereafter. The Program will use a audit check to check temperatures and functionally to ensure safety. The CEO or designee shall educate all staff to the aforementioned procedures. 02/03/2021 Implemented
SIN-00162132 Renewal 09/03/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At 4:05PM, the hot water temperature at the bathtub in the bathroom adjacent to the hallway in the home measured 156.6°F. Hot water temperatures in bathtubs and showers may not exceed 120°F. On September 5, 2019, Britney Dunbar (CEO) , reached out to Linda Cline ( fair housing officer) for Crane apartments expressing concerns pertaining to the scalding hot temperature, informing her that we needed the hot water tank turned downed to meet regulation. On September 6, 2019, the regional property manager for Crane Village, Jackie Wert, reached out to Britney Dunbar (CEO) informing her that the hot water tank would be switched out September 10, 2019 and the water temperature will be decreased. On September 13, 2019 Joanne Walker (program specialist) check the hot water temperature in the bathtube and it measured, 125. Joanne Walker called the rent office on September 13, 2019 requesting that the temperature be decreased to 120. The rent office informed Joanne that they would turn the temperature down. The agency is still working to get the temperature not to exceed 120. The apartment is not being occupied and will not be until the temperatures measure 120 or below. The POC: Immediately the CEO will train program specialist that hot water temperatures in bathtube and showers may not exceed 120F, Joanne Walker (program specialist) will train current staff and future staff that hot water temperatures in bathtubs and shower may not exceed 120f to assure safety and avoid accidents and monitor throughout the course of their daily duties and the agency's procedure for repairs or replacements is completed, timely. She will document date and time inspection was performed and audit hot water charts quarterly, for 1 year. Documentation of training shall be kept. [Upon opening a new home, and continuing at least weekly for 1 month and then continuing at least monthly at all community homes, a designated trained staff person shall measure hot water temperature at all bathtubs and showers to ensure the hot water temperatures in bathtubs and showers does not exceed 120°F. Documentation of all measurements shall be kept. (DPOC by AES,HSLS on 9/26/19)] 09/05/2019 Implemented
SIN-00197318 Renewal 12/07/2021 Compliant - Finalized