Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00257372 Renewal 01/07/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.82(b)An annual fire safety inspection was completed on 05/03/23 and not again until 05/09/24.Facilities shall have an annual onsite fire safety inspection by the local fire department or other fire safety authority or shall notify the local fire department or other fire safety authority in writing annually of address of the facility and the number and disabilities of the clients served. Documentation of the fire safety inspection or the written notification shall be kept on file.EARS Client Services Director will contact the fire safety inspector to schedule the 2025 fire safety inspection for April, 2025. 01/14/2025 Implemented
2390.87Staff # 1 and staff # 2 received annual fires safety training on 05/03/23 and not again until 05/09/24. Individual # 6 did not receive fire safety training in 2023.Staff, and clients as appropriate, shall be instructed upon initial admission or initial employment and reinstructed annually in general fire safety and in the use of fire extinguishers. A written record of the training shall be kept.EARS Client Services Director will contact the fire safety inspector to schedule the 2025 fire safety training for April, 2025. 01/14/2025 Implemented
2390.153(a)(5)Individual #5 takes Concerta for the diagnosis of ADHD. A Social, Emotional, Environmental Needs protocol/plan is not contained within the record.The individual plan shall be developed by an interdisciplinary team, including the following: The program specialist for the client's residential program, if applicable. A Social, Emotional, Environmental Needs Plan was developed for Individual 5, on 1/13/25. Individual 5 does not reside in a residential program and therefore does not have a residential program specialist. The individual plan was developed by the individual, their family, and EARS program specialist. 01/13/2025 Implemented
SIN-00238084 Renewal 01/30/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.153(a)(3)Individual # 1's ISP meeting occurred on 03/13/23. A DSP was not in attendance for the ISP meeting.The individual plan shall be developed by an interdisciplinary team, including the following: The client's direct care staff persons. EARS Rehab. Director met will all agency program specialists (attachment #2) to review the requirement that a DSP attend the ISP meeting, when possible. If the DSP is unable to attend the meeting, the program specialist will ensure that the DSP provides input for the meeting. The ISP signature sheet was amended to include space for the DSP to sign and date when they provided input for the meeting (attachment #1). An ISP meeting has not been held for any individuals since the signature sheet has been amended. 02/21/2024 Implemented
2390.153(a)(3)Individual # 2's ISP meeting occurred on 01/25/24. A DSP was not in attendance for the ISP meeting.The individual plan shall be developed by an interdisciplinary team, including the following: The client's direct care staff persons. EARS Rehab. Director met will all agency program specialists (attachment #2) to review the requirement that a DSP attend the ISP meeting, when possible. If the DSP is unable to attend the meeting, the program specialist will ensure that the DSP provides input for the meeting. The ISP signature sheet was amended to include space for the DSP to sign and date when they provided input for the meeting (attachment #1). An ISP meeting has not been held for any individuals since the signature sheet has been amended. 02/21/2024 Implemented
2390.153(a)(3)Individual # 4's ISP meeting occurred on 07/25/23. A DSP was not in attendance for the ISP meeting.The individual plan shall be developed by an interdisciplinary team, including the following: The client's direct care staff persons. EARS Rehab. Director met will all agency program specialists (attachment #2) to review the requirement that a DSP attend the ISP meeting, when possible. If the DSP is unable to attend the meeting, the program specialist will ensure that the DSP provides input for the meeting. The ISP signature sheet was amended to include space for the DSP to sign and date when they provided input for the meeting (attachment #1). An ISP meeting has not been held for any individuals since the signature sheet has been amended. 02/21/2024 Implemented
2390.153(a)(3)Individual # 5's ISP meeting occurred on 09/14/23 A DSP was not in attendance for the ISP meeting.The individual plan shall be developed by an interdisciplinary team, including the following: The client's direct care staff persons. EARS Rehab. Director met will all agency program specialists (attachment #2) to review the requirement that a DSP attend the ISP meeting, when possible. If the DSP is unable to attend the meeting, the program specialist will ensure that the DSP provides input for the meeting. The ISP signature sheet was amended to include space for the DSP to sign and date when they provided input for the meeting (attachment #1). An ISP meeting has not been held for any individuals since the signature sheet has been amended. 02/21/2024 Implemented
2390.153(a)(3)Individual # 6's ISP meeting occurred on 06/06/23. A DSP was not in attendance for the ISP meeting.The individual plan shall be developed by an interdisciplinary team, including the following: The client's direct care staff persons. EARS Rehab. Director met will all agency program specialists (attachment #2) to review the requirement that a DSP attend the ISP meeting, when possible. If the DSP is unable to attend the meeting, the program specialist will ensure that the DSP provides input for the meeting. The ISP signature sheet was amended to include space for the DSP to sign and date when they provided input for the meeting (attachment #1). An ISP meeting has not been held for any individuals since the signature sheet has been amended. 02/21/2024 Implemented
2390.153(a)(3)Individual # 7's ISP meeting occurred on 03/10/23. A DSP was not in attendance for the ISP meeting.The individual plan shall be developed by an interdisciplinary team, including the following: The client's direct care staff persons. EARS Rehab. Director met will all agency program specialists (attachment #2) to review the requirement that a DSP attend the ISP meeting, when possible. If the DSP is unable to attend the meeting, the program specialist will ensure that the DSP provides input for the meeting. The ISP signature sheet was amended to include space for the DSP to sign and date when they provided input for the meeting (attachment #1). An ISP meeting has not been held for any individuals since the signature sheet has been amended. 02/21/2024 Implemented
2390.153(a)(3)Individual # 8's ISP meeting occurred on 7/11/23. A DSP was not in attendance for the ISP meeting.The individual plan shall be developed by an interdisciplinary team, including the following: The client's direct care staff persons. EARS Rehab. Director met will all agency program specialists (attachment #2) to review the requirement that a DSP attend the ISP meeting, when possible. If the DSP is unable to attend the meeting, the program specialist will ensure that the DSP provides input for the meeting. The ISP signature sheet was amended to include space for the DSP to sign and date when they provided input for the meeting (attachment #1). An ISP meeting has not been held for any individuals since the signature sheet has been amended. 02/21/2024 Implemented
SIN-00200717 Renewal 02/22/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.40(a)Staff # 2 has sign in sheets for ISP trainings on 08/24/20 and 01/12/21 which are not contained on the annual training log. There is a sign in sheet for an ISP trainings on 03/30/21 which is recorded on the log as 03/31/21, a sign in sheet for training on 03/15/21 which is recorded on the log as 03/17/21 and sign in sheets for 09/11/19 training which is not recorded on the training log. Trainings on 04/14/21 and 04/28/21 were recorded on the log but no sign in sheets were provided.Records or orientation and training, including the training source, content, dates, length of training, copies of certificates received and persons attending, shall be kept.On 3/2/22 (see signature sheet), EARS administrative staff met to review the annual training requirement to include the training source, content, dates, length of training, copies of certificates and persons attending (see 2390 regulations). A new training log (see training log attachment) was developed and training content was compiled. Remaining supervisory staff will be trained on the new training log when the POC has been approved. 03/02/2022 Implemented
2390.49(c)(2)Staff # 1, 2, 3 and 4 were not trained in the prevention, detection and reporting of abuse during the 2021 training year.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§ 10225.101 - 10225.5102), the child protective services law (23 Pa. C.S. §§ 6301 - 6386), the Adult Protective Services Act (35 P.S. §§ 10210.101 - 10210.704) and applicable protective services regulations.On 3/2/22 (see signature sheet), EARS administrative staff met to review the annual training requirement in the prevention, detection and reporting of abuse (see 2390 regulations). A new training log (see training log attachment) was developed and training content was compiled (see attachment labeled 2390.49 (c)(2). Remaining supervisory staff will be trained on the new training log when the POC has been approved. 03/02/2022 Implemented
2390.49(c)(3)Staff # 1, 2, 3 and 4 were not trained in client rights during the 2021 training year.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Client rights.On 3/2/22 (see signature sheet), EARS administrative staff met to review the annual training requirement in client rights (see 2390 regulations). A new training log (see training log attachment) was developed and training content was compiled (see attachment labeled 2390.49 (c)(3). Remaining supervisory staff will be trained on the new training log when the POC has been approved. 03/02/2022 Implemented
2390.49(c)(4)Staff # 1, 2, 3 and 4 were not trained in incident management during the 2021 training year.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents.On 3/2/22 (see signature sheet), EARS administrative staff met to review the annual training requirement in incident management (see 2390 regulations). A new training log (see training log attachment) was developed and training content was compiled (see attachment labeled 2390.49 (c)(4). Remaining supervisory staff will be trained on the new training log when the POC has been approved. 03/02/2022 Implemented
SIN-00218845 Renewal 02/21/2023 Compliant - Finalized