| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(b) | Staff #1, Staff #2 and Staff #3 did not have an FBI criminal background check conducted through OAPSA | If a prospective employe who will have direct contact with individuals resides outside this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the person's date of hire.
| A Facility ID was requested and obtained from the OAPSA on 04/04/2025. This enabled us to complete the needed background check for our Agency. Identified staff member have been scheduled to complete their FBI background check through OAPSA. Completed background check are attached. |
04/25/2025
| Implemented |
| 6400.62(a) | There were unlocked poisons in the home and antibacterial soap which is a poison in the individual's bathroom. | Poisonous materials shall be kept locked or made inaccessible to individuals. | The chemical was locked up on April 2, 2025, and an update was made to the assessment. |
04/02/2025
| Implemented |
| 6400.214(a) | Individual #1's current ISP was not in the home. | Record information required in § 6400.213(1) (relating to content of records) shall be kept at the home. | The ISP was updated on April 3, 2025, and the newly updated ISP was retained and locked at the
site for staff review and training. |
04/03/2025
| Implemented |