| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | The self-assessment for 1008 Chamblee Ct., West Chester, PA was missing or not completed. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| The self assessment was not completed as this home has not opened yet. In the future, Residential Director will ensure a self assessment is completed for each home on the license regardless of occupancy. Residential Director retrained on this responsibility on 4/1/26. |
04/02/2026
| Implemented |
| 6400.82(d) | One of the bathrooms did not contain a shower curtain. | Privacy shall be provided for toilets, showers and bathtubs by partitions or doors. Curtains are acceptable dividers if the bathroom is used only by one sex or only by individuals 9 years of age or younger. | Shower curtain was installed on 3/19/26 (Supporting Document 32). |
03/19/2026
| Implemented |
| 6400.82(f) | The bathroom located in the basement did not have a trashcan. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | Trashcan was placed in the bathroom on 3/19/26(Supporting Document 32). |
03/19/2026
| Implemented |