Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00292314 Renewal 07/21/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(c)At 10:12AM on 7/22/2026, a plastic spray bottle containing a purple liquid substance with, "Fabuloso," hand-written on it in black marker was in the locked cabinet under the sink in the kitchen of the home.Poisonous materials shall be stored in their original, labeled containers. Regulations Cited: · 55 Pa. Code §6400.62(a) -- Poisonous materials shall be kept locked or made inaccessible to individuals. · 55 Pa. Code §6400.62(c) -- Poisonous materials shall be stored in their original, labeled containers. Immediate Corrective Action Immediately upon discovery, all poisonous and hazardous cleaning products within the home were inspected. · The plastic spray bottle containing the purple liquid labeled "Fabuloso" was removed from service and discarded. Cleaning products are no longer transferred into secondary containers unless the container is the manufacturer's original labeled bottle. · All hazardous cleaning products, including Clean Oxy Pet Stain Remover, The Works Toilet Bowl Cleaner, Foaming Carpet Cleaner, and any other poisonous materials, were immediately placed in the locked chemical storage cabinet. · The home was inspected to verify that all poisonous materials throughout the residence were both: o stored in their original manufacturer's labeled containers; and o secured in locked storage or otherwise inaccessible to individuals receiving services. Systemic Corrective Action All Residential Supervisors and Direct Support Professionals will receive retraining regarding: · Requirements of 55 Pa. Code §6400.62 regarding poisonous materials. · Safe storage of all hazardous substances. · Requirement that cleaning products remain in their original manufacturer-labeled containers. · Prohibition against transferring cleaning products into unlabeled or handwritten containers. · Routine environmental safety inspections and immediate correction of any deficiencies identified. 07/22/2026 Implemented
6400.64(a)At 10:10AM on 7/22/2026, the interior ceiling of the microwave had a five-inch by five-inch area of rust and delamination.Clean and sanitary conditions shall be maintained in the home. Following the licensing inspection, the rusted microwave was immediately removed from service and replaced with a new microwave on the day of discovery. The agency Maintenance Department conducted inspections of all other residential homes to verify that microwaves and other household appliances were clean, sanitary, in good working order, and free of defects that could impact health or safety. Appliances inspected included, but were not limited to, refrigerators, freezers, stoves, ovens, microwaves, dishwashers, coffee makers, air fryers, blenders, toasters, and other commonly used kitchen appliances. No additional deficiencies were identified. To prevent recurrence, Armstrong Care, Inc. has implemented a Monthly Environmental & Safety Compliance Inspection to verify appliances remain clean, sanitary, and in safe operating condition. Staff and supervisors have been re-educated regarding the requirements of 55 Pa. Code §6400.64(a). 07/22/2026 Implemented
6400.67(a)At 10:19AM on 7/22/2026, there was water along the walls on the floor of the basement of the home.Floors, walls, ceilings and other surfaces shall be in good repair. Immediately upon discovery during the licensing inspection, standing water was removed from the basement floor. The affected area was inspected to ensure there were no immediate hazards to individuals and no structural concerns affecting the safety of the home. Armstrong Care, Inc. completed corrective measures to address water intrusion into the basement. These measures included: · Applying a waterproof basement and masonry sealer to the basement walls and floor. · Sealing identified foundation cracks. · Installing a sump pump to improve water removal. · Purchasing and installing dehumidifiers to reduce moisture and humidity within the basement. · Consulting with maintenance personnel and an individual experienced in residential waterproofing to evaluate the source of water intrusion and recommend appropriate corrective measures. Following subsequent periods of heavy rainfall, the basement has continued to be monitored. While a slight amount of dampness was observed following unusually heavy rainfall, no standing water accumulated. To further reduce moisture, an additional dehumidifier was installed. Staff responsible for home maintenance and environmental safety were re-educated regarding the requirements of 55 Pa. Code §6400.67(a) and the importance of promptly reporting and addressing any signs of water intrusion or deterioration. This was done the day of inspection but the repairs and ongoing work on this and any other home that gets any ground water in the basement will be repaired by the end of the month. 07/22/2026 Implemented
6400.71At 11:01AM on 7/22/2026, the telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not on or near the telephone in Individual #2's bedroom.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. Plan of Correction Immediately upon discovery, emergency telephone numbers for the nearest hospital, police department, fire department, ambulance service, and poison control center were placed beside the individual's telephone. The individual had previously declined to keep the emergency numbers near the telephone. Staff reviewed with the individual the purpose and importance of having emergency contact numbers readily accessible. Following education, the individual agreed to have the emergency numbers maintained on the desk beside the telephone. All homes were reviewed to verify emergency numbers were present at every telephone with an outside line. Staff received re-education regarding the requirements of 55 Pa. Code §6400.71. 07/22/2026 Implemented
6400.101At 10:20AM on 7/22/2026, there was a slide locking mechanism on the inside of the exit door leading from the basement of the home.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. Regulation: 55 Pa. Code §6400.101 Immediately following the licensing inspection, the slide locking mechanisms identified on basement exit doors and storage room doors were removed from the cited homes and replaced with magnetic catch latches that do not obstruct egress and are compliant with the requirements of 55 Pa. Code §6400.101. To ensure the deficiency was not present elsewhere within the agency, the Maintenance Department conducted an agency-wide review of all licensed residential homes. Any remaining slide locking mechanisms identified on interior doors were removed and replaced with compliant magnetic catch latches. Maintenance staff were re-educated regarding the requirements of 55 Pa. Code §6400.101, emphasizing that locking devices may not obstruct stairways, halls, doorways, passageways, or exits from rooms or the building. In addition, Armstrong Care, Inc. has revised its maintenance standards to require that all future residential homes utilize only approved door hardware that complies with egress requirements 07/22/2026 Implemented
6400.104The agency did not provide written notification to the local fire department of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire.The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. 6400.104 -- Notification to the Fire Department Immediately following the licensing inspection, Armstrong Care, Inc. provided written notification to the local fire department that included: · The address of the licensed home. · A diagram identifying the layout of the home. · The exact location of bedrooms occupied by individuals requiring assistance with evacuation. · The location of smoke detectors and fire extinguishers. · The designated outdoor meeting location. · General information regarding evacuation assistance needs. This notification has been placed into the home's permanent records and will be updated whenever there is a change affecting evacuation assistance or the home's layout. 07/22/2026 Implemented
6400.110(e)At 11:19AM on 7/22/2026, the smoke detector on the second floor of the home was not interconnected with the smoke alarms on the first floor and basement of the three-story home.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. Immediately upon identification of the deficiency during the licensing inspection, Armstrong Care, Inc. contacted Two Crew Home Alarm Systems to inspect the interconnected smoke detection system. The licensed alarm contractor determined that the interconnection fault was caused by a failed battery in one of the interconnected smoke detectors. The battery was replaced on July 22, 2026, restoring the interconnected smoke alarm system to proper working order. Following the repair, the system was tested to verify that all smoke detectors were interconnected, functioning properly, and audible throughout the home. 07/22/2026 Implemented
6400.141(c)(6)Individual #1, date of admission 3/2/2026, had a Tuberculin test by Mantoux Method on 2/26/2025.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Regulation: 6400.141(c)(6) Following the licensing inspection, Armstrong Care, Inc. completed a thorough review of the individual's medical records. It was determined that the required Tuberculin Skin Test (Mantoux Method) had been completed within the required two-year timeframe prior to admission. The deficiency resulted from the TB documentation not being identified and verified during the admission review process. To prevent recurrence, Armstrong Care, Inc. has implemented the following corrective actions: · A New Admission Checklist has been revised to include a specific verification of the required Tuberculin Skin Test (Mantoux Method) or, if applicable, documentation of a positive test with the required chest x-ray results. · The Program Specialist responsible for admissions will verify and document completion of all required medical documentation, including TB testing, prior to finalizing the admission. · The Admission Checklist will be reviewed and signed by both the Program Specialist and the Quality Management Department (or designee) prior to admission to ensure all regulatory medical requirements have been met. · Staff responsible for admissions have been retrained on the medical documentation requirements of 55 Pa. Code §6400.141(c)(6) and the revised admission checklist. 07/22/2026 Implemented
6400.181(e)(13)(viii)Individual #1's assessment, completed 4/2/2026, did not include progress or current level in managing personal property.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Managing personal property. Plan of Correction The Individual Assessment was revised to include both a comprehensive assessment of the individual's ability to manage personal property and a required narrative documenting the individual's progress over the previous 365 calendar days and current level of functioning in this area. Individual #1's assessment has been updated accordingly. Program Specialists received instruction on documenting both current abilities and measurable progress. The Individual Assessment was revised to include a dedicated section documenting the individual's progress over the previous 365 calendar days and current level of functioning in the area of Health. The assessment for Individual #1 has been corrected to include this required information. All Program Specialists were retrained on the revised assessment format and the requirements of 55 Pa. Code §6400.181(e) to ensure all required assessment components are completed prior to finalization. The Individual Assessment was revised to include a mandatory section evaluating the individual's ability to self-administer medications. The revised section documents the individual's level of independence, need for prompting or assistance, any changes since the previous assessment, and a narrative describing the individual's medication management abilities and required staff supports. Individual #1's assessment has been updated to include this information. Program Specialists were instructed that this section may not be left blank. Armstrong Care, Inc. developed and implemented a comprehensive Lifetime Medical section that is incorporated directly into the Individual Assessment. The Lifetime Medical History now documents historical and current medical information including diagnoses, physician information, developmental history, past medical history, body systems review, immunizations, medications, current diagnoses, and ongoing medical updates. Individual #1's assessment has been updated to include the required lifetime medical history rather than referencing information maintained elsewhere. Program Specialists received training on completing this section in its entirety 07/24/2026 Implemented
SIN-00270814 Renewal 07/29/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)On 7/30/2025 at 10:49am, a hole measuring approximately one foot in diameter by one foot in depth was observed in the middle of the basement floor, to the left after descending the basement stairs. The hole was placed in the floor to allow for the home's sump pump to drain; however, the hole posed as a tripping hazard for individuals and staff. Floors, walls, ceilings and other surfaces shall be free of hazards.Correction Completed: ¿ Maintenance professional addressed the hazard on site by constructing and securely placing a custom wooden box over the sump pump hole to eliminate the tripping risk. ¿ Photographic evidence of the repair was obtained and filed for documentation 08/07/2025 Implemented
SIN-00211443 Renewal 09/14/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(10)Individual #1 had an assessment completed 8/30/2022 that did not include a current lifetime medical history.The assessment must include the following information: A lifetime medical history. As per regulation 6400.181 e (10), all individuals residing in Armstrong Care, Inc shall have a Lifetime Medical History attached to the assessment and it will be updated yearly or as necessary. Program Specialists along with the residential supervisors will review their caseloads and ensure that individuals Lifetime Medical histories are attached and updated. 09/16/2022 Implemented
6400.51(b)(1)Direct Service Worker #2, date of hire 5/17/2022, per staff interview worked alone with an individual on 5/26/2022, and has no record of having been trained in the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.The orientation must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.For Direct Service Worker #2, date of hire 5/17/2022, has been trained on the following topics prior to working with an individual: ¿ person centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships o date of training: 5/18/2022 ¿ individual rights o date of training: 5/18/2022 ¿ recognizing and reporting incidents o date of training: 5/18/22 ¿ job related knowledge and skills o date of training: 5/17/2022 & 5/19/2022 This information was crossed off on the orientation checklist due to being a rehire, but was recorded on the annual training log. Orientation checklist has been updated as of 9/20/22. 09/20/2022 Implemented
6400.51(b)(3)Direct Service Worker #2, date of hire 5/17/2022, per staff interview worked alone with an individual on 5/26/2022, and has no record of having been trained in individual rights.The orientation must encompass the following areas: Individual rights.For Direct Service Worker #2, date of hire 5/17/2022, has been trained on the following topics prior to working with an individual: ¿ person centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships o date of training: 5/18/2022 ¿ individual rights o date of training: 5/18/2022 ¿ recognizing and reporting incidents o date of training: 5/18/22 ¿ job related knowledge and skills o date of training: 5/17/2022 & 5/19/2022 This information was crossed off on the orientation checklist due to being a rehire, but was recorded on the annual training log. Orientation checklist has been updated as of 9/20/22 09/20/2022 Implemented
6400.51(b)(4)Direct Service Worker #2, date of hire 5/17/2022, per staff interview worked alone with an individual on 5/26/2022, and has no record of having been trained in recognizing and reporting incidents.The orientation must encompass the following areas: recognizing and reporting incidents.For Direct Service Worker #2, date of hire 5/17/2022, has been trained on the following topics prior to working with an individual: ¿ person centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships o date of training: 5/18/2022 ¿ individual rights o date of training: 5/18/2022 ¿ recognizing and reporting incidents o date of training: 5/18/22 ¿ job related knowledge and skills o date of training: 5/17/2022 & 5/19/2022 This information was crossed off on the orientation checklist due to being a rehire, but was recorded on the annual training log. Orientation checklist has been updated as of 9/20/22 09/20/2022 Implemented
6400.51(b)(5)Direct Service Worker #2, date of hire 5/17/2022, per staff interview worked alone with an individual on 5/26/2022, and has no record of having been trained in job-related knowledge and skills.The orientation must encompass the following areas: Job-related knowledge and skills.For Direct Service Worker #2, date of hire 5/17/2022, has been trained on the following topics prior to working with an individual: ¿ person centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships o date of training: 5/18/2022 ¿ individual rights o date of training: 5/18/2022 ¿ recognizing and reporting incidents o date of training: 5/18/22 ¿ job related knowledge and skills o date of training: 5/17/2022 & 5/19/2022 This information was crossed off on the orientation checklist due to being a rehire, but was recorded on the annual training log. Orientation checklist has been updated as of 9/20/22. 09/20/2022 Implemented
SIN-00194577 Renewal 10/19/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.34(a)"Individual #1 was informed and explained individual rights on 1/4/21. The rights document did not include the following rights: 6400.31(c), individual may not be reprimanded, punished; 6400.31(d), court's written order shall be followed; 6400.31(e), court-appointed legal guardian may exercise rights and make decisions; 6400.31(f), court-appointed legal guardian shall be involved in decision-making; 6400.31(g), the right to designate persons to assist in decision-making; 6400.32(a), individual may not be discriminated against; 6400.32(b), the right speak freely; 6400.32(d), individual shall be treated with dignity and respect; 6400.32(e), the right to make choices and accept risks; 6400.32(f), the right to refuse to participate in activities and services; 6400.32(g),the right to control his own schedule and activities; 6400.32(h), right to privacy of person and possessions; 6400.32(i),the right of access to and security of the individual's possessions; 6400.32(j), the right to voice concerns about the services; 6400.32(n), the right to unrestricted and private access to telecommunications; 6400.32(p), the right to choose persons with whom to share a bedroom; 6400.32(q), the right to furnish and decorate the individual's bedroom and common areas of the home; 6400.32(r), the right to lock the individual's bedroom door; 6400.32(r)(1-5), relating to locking mechanisms; 6400.32(s), the right to have a key, access card, keypad code, mechanism for the entrance door to the home; 6400.32(s)(1-3) relating to locking mechanisms for home's entrance door; 6400.32(t), the right to access food at any time; 6400.32(u), the right to make health care decisions; 6400.32(v), the right may only be modified in accordance with § 6400.185The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.The individuals in the homes cited, and all homes at ACI have been read and given a copy of the corrected rights. Program Specialist reviews the rights with each individual and signs off on the rights. All other copies of ¿The Rights¿ have been removed from the computers in the residential homes. Following are the rights as read to all the individuals in the homes: THIS INDIVIDUAL RIGHTS STATEMENT IS INTENDED TO PROVIDE THE INDIVIDUAL AND THE FAMILY AN OUTLINE TO ENSURE THAT THE INDIVIDUAL RIGHTS AND RESPONSIBILITIES ARE RESTRICTED AND ENCOURAGED ¿ I will not be deprived of rights as provided under § 6400.32 (relating to rights of the individual). ¿ The home shall educate, assist and provide the accommodation necessary for me to make choices and understand my rights. ¿ I may not be reprimanded, punished or retaliated against for exercising my rights. ¿ A court¿s written order that restricts my rights shall be followed. ¿ A court-appointed legal guardian may exercise rights and make decisions on behalf of an me in accordance with the conditions of guardianship as specified in the court order. ¿ A court-appointed legal guardian, or who has a court order restricting my rights, shall be involved in decision-making in accordance with the court order. ¿ I have the right to designate persons to assist in decision-making and exercising rights on behalf of the me. ¿ I will not be discriminated against because of race, color, creed, disability, religious affiliation, ancestry, gender, gender identity, sexual orientation, national origin or age. ¿ I have the right to civil and legal rights afforded by law, including the right to vote, speak freely, practice the religion of my choice and practice no religion. ¿ I may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment. ¿ I shall be treated with dignity and respect. ¿ I have the right to make choices and accept risks. ¿ I have the right to refuse to participate in activities and services. ¿ I have the right to control my own schedule and activities. ¿ I have the right to privacy of person and possessions. ¿ I have the right of access to and security of my possessions. ¿ I have the right to voice concerns about the services I receive. ¿ I have the right to participate in the development and implementation of my individual plan. ¿ I have the right to receive scheduled and unscheduled visitors, and to communicate and meet privately with whom I choose, at any time. ¿ I have the right to unrestricted access to send and receive mail and other forms of communications, unopened and unread by others, including the right to share contact information with whom I choose. ¿ I have the right to unrestricted and private access to telecommunications. ¿ I have the right to manage and access my finances ¿ I have the right to choose persons with whom to share a bedroom. ¿ I have the right to furnish and decorate my bedroom and the common areas of my home in accordance with § 6400.33 (relating to negotiation of choices). ¿ I have the right to lock my bedroom door. o Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to me to permit me to lock and unlock the door. o Access to my bedroom shall be provided only in a life-safety emergency or with the express permission by me for each incidence of access. o Assistive technology shall be provided as needed to allow me to lock and unlock the door without assistance. o The locking mechanism shall allow easy and immediate access by me and staff person in the event of an emergency. o Direct service workers who provide services to me shall have the key or entry device to lock and unlock the door. ¿ I have the right to have a key, access card, keypad code or other entry mechanism to lock and unlock an entrance door of the home. o Assistive technology shall be provided as needed to allow me to lock and unlock the door without assistance. o The locking mechanism shall allow easy and immediate access by me and staff person in the event of an emergency. o Direct service workers who provide services to me shall have the key or entry device to lock and unlock the door. ¿ I have the right to access food at any time. ¿ I have the right to make health care decisions. ¿ My rights may only be modified in accordance with § 6400.185 (relating to content of the individual plan) to the extent necessary to mitigate a significant health and safety risk to the individual or others. I CERTIFY THAT I HAVE READ OR HAD THE ABOVE STATEMENTS READ TO ME 11/22/2021 Implemented
SIN-00118222 Renewal 07/17/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(11)The physical examination completed 1/23/17, for Individual #1, did not include an assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals.The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. Plan of correction for our Individual Physical Form was fixed on site the day of the inspection 7/18/17. A line has been added to our existing physical to address the need for an assessment of the individual¿s health maintenance needs, medication regimen and the need for blood work at recommended intervals. All physicals going forward will use the corrected Individual Physical Form. Paula Jones, Program Specialist 724-763-1492 7/31/17 [Immediately, the CEO or designee shall review regulations 6400.141(c) to ensure the agency¿s physical examination form includes required information. Immediately, and upon completion of initial and annual physical examinations, the program specialist shall review to ensure all required information is present and there are not any areas of required information left blank and all individuals' health care needs are being followed for their health and safety. (AS 8/10/17)] 07/18/2017 Implemented
SIN-00060883 Renewal 07/07/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(d)Staff person #1 did not sign and date the assessment for Individual #1 completed on 10-13-13.The program specialist shall sign and date the assessment. The assessment was signed on-site, the day of inspection. A copy of the signature page will be emailed. [The program specialist will audit the assessment signature pages monthly to ensure that they are all signed and dated. (CHG 7/28/14)] 07/07/2014 Implemented
6400.181(e)(10)Individual #1's assessment completed 10-13-13 did not include a lifetime medical history.The assessment must include the following information: A lifetime medical history. The Program Specialist has created a Lifetime Medical History Form to be attached to the assessment and updated regularly. A copy of the form will be emailed. [A lifetime medical history form will be created and attached to every assessment of 6400 participants by 8/31/14 (CHG 7/28/14)] 07/08/2014 Implemented
SIN-00230358 Renewal 09/06/2023 Compliant - Finalized
SIN-00156944 Renewal 06/12/2019 Compliant - Finalized
SIN-00077877 Renewal 07/01/2015 Compliant - Finalized