| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.44(c) | Qualification for the Program Specialist was not provided at time of inspection. Minimum Qualification is needed for staff #3. | A program specialist shall have one of the following groups of qualifications: (1) A master's degree or above from an accredited college or university and 1 year work experience working directly with persons with intellectual disability. (2) A bachelor's degree from an accredited college or university and 2 years work experience working directly with persons with intellectual disability. (3) An associate's degree or 60 credit hours from an accredited college or university and 4 years work experience working directly with persons with intellectual disability. | ARCC's has properly filed the documentation for staff #3 ensuring the employee meets the Program Specialist qualification. The employee has a bachelors degree from an accredited college/university in arts and 10 plus years experience working with individuals with Intellectual Disabilities, Autism and Mental Health diagnosis (see attached) |
09/08/2022
| Implemented |
| 6400.67(b) | There was lint the size a golf ball located in the dryer lint trap. | Floors, walls, ceilings and other surfaces shall be free of hazards. | A staff meeting was held on 9/14/22 at 9:30am to address all citations and plans of corrections. On 9/14/22 the Residential Director also created a sign to ensure the lint is removed from the lint trap after every use was placed in the laundry room. Picture of sign and staff meeting notes are attached. |
09/14/2022
| Implemented |
| 6400.68(b) | The water in the tub/shower measured at 152.0*F on 08/30/2022 at 7640 Rugby Street Phila, licensing informed agency that the temperature should be adjusted and should measure at 120*F.
On 09/01/2022 licensing rep returned back to 7640 Rugby street and measured the temperature in the shower/tub and it measured at 130.1*F after the agency reported the water temperature was 101.0*F.
On 09/02/2022 again licensing returned back to measure the water and again measured over 120.0*F. Licensing rep went in the basement with agency staff and directed the staff to adjust the water heater. After time the temperature was retested and measured at 121.1*F. Agency was instructed to obtain the correct thermometer and measure the water temperature to ensure it is in compliance and at 120.0*F. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Shower anti-scalding Devices were purchased for all homes and delivered on September 3, 2022. See attached a copy fo the receipt. All devices were placed in all homes licensed by ARCC on September 6, 2022 by the Residential Director. |
09/06/2022
| Not Implemented |
| 6400.77(b) | The first aid kit did not contain a thermometer. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | ARCC/The Residential Director replenished the first aid kit at all sites to ensure all required items as per 6400.77 (b) are included. On 9/13/22 ARCC purchased a thermometer and antiseptics that wee placed into the first aid kit. Photo of the first aid kits are included. A staff meeting was held for the Rugby site on 9/14/22 at 9:30am to address all citations and plans of corrections. |
09/14/2022
| Implemented |
| 6400.151(c)(3) | The Communicable disease portion on the physical exam dated 01/29/2022 was left blank for staff #3. | 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. | ARCC held staff meetings for each residential home from September 14, 2022-September 23, 2022 to review the Physical Exam requirements along with all things that need to be completed to ensure their physical exam requirements are fulfilled prior to hire and bi-annually thereafter. Specifically discussed the communicable disease requirements. Staff #3 has scheduled an appointment with her PCP for October 6, 2022 to have her physical exam thoroughly completed. (see attached staff meeting notes) |
09/19/2022
| Implemented |
| 6400.46(b) | Agency did not provide verification that staff #3 was trained by a Fire Safety Expert.
Agency did not provide verification that staff #4 was trained by a Fire Safety Expert. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a). | ARCC Director will ensure all training certificates/attendance sheets for all employees will be placed in their training files and accessible for review by any ODP, SC, Licensing, or AE upon request on the date of request. Staff # 3 and Staff #4 were both trained by a Fire Safety Expert. Staff #3 Fire Safety was completed on 8/26/22 and it expires on 8/31/23 |
09/16/2022
| Not Implemented |
| 6400.52(b)(1) | The CEO did not complete 12 hours of training for the training year reviewed 01/2021 - 12/2021. | The following shall complete 12 hours of training each year: Management, program, administrative and fiscal staff persons. | A new CEO/Residential Director was hired and approved through ODP qualification process in July 2022. The CEO has completed 12 hours of training for 2022 (see attached). ARCC CEO/Director will ensure all training certificates/attendance sheets for all employees will be placed in their training files and accessible for review by any ODP, SC, Licensing, or AE upon request on the date of request. ARCC has hired an consultant to also provide quarterly internal audits. |
09/23/2022
| Implemented |
| 6400.169(a) | Medication Administration Training not provided at time of inspection for staff #4 | A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6400.162 (relating to medication administration). | Staff #4 completed the Modified Medication Administration Training Course from Office of Developmental Programs on August 29, 2022 (see attached). The course is an approved course including for Residential employees until 2023. ARCC Director will ensure all training certificates/attendance sheets for all employees will be placed in their training files and accessible for review by any ODP, SC, Licensing, or AE upon request on the date of request. |
09/16/2022
| Not Implemented |