| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(b) | An attestation of residency was provided 9/11/2024, dated 9/11/2024 for Pennsylvania residency. Therefore, at time of hire an FBI background check should have been completed for the staff person #1 at the time of hire which was 5/6/2024. Staff person #2, residency was provided 9/11/2024, dated 9/11/2024, although they were hired 1/8/2024. | 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.
| AOA HR designated person sent staff # 7 the attestation form to be signed and placed into his file. |
09/10/2024
| Implemented |
| 6400.77(b) | The first aid kit is missing 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. | AOA has placed all missing Items such as thermometer, tweezers, and scissors in the first aid kit as required by My ODP regulations. |
09/18/2024
| Implemented |
| 6400.32(r) | Individual rights form signed on 2/23/2024 by individual #1 upon admission is missing statement related to locking mechanism for the bedroom. | An individual has the right to lock the individual's bedroom door. | AOA individual Rights form was updated to reflect the criteria for locking mechanism. Individual #2 was retrained on the updated form on 09/23/24. |
11/01/2024
| Implemented |