Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00222340 Unannounced Monitoring 04/05/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)The first aid kit did not contain tweezers. 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. A tweezer was purchased right after the discovery that one was not in the first aid kit and placed in the first aid kit by the Program Supervisor. 04/17/2023 Implemented
SIN-00223799 Unannounced Monitoring 03/28/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.16Individual #1 and Individual #2 were abused. Staff #1 admitted to "finger flicking" Individual #1 on his nipples. Individual #2 reported that Staff #1 "finger flicked" Individual #2's nipples on at least one occasion. Individual #2 reported feeling uncomfortable around Staff #1 as a result of the "finger flicking." Individual #1 denied ever being touched in any way by any staff, however Staff #1 admitted to specifically "finger flicking" Individual #1's nipples. It is unknown when the "finger flicking" took place as Individual #2 could not provide a time frame beyond somewhere between Christmas and the time of the inspection. Staff #1 could not provide an exact time frame, however reported knowing the individuals in the home prior to being employed as a family member worked for the agency and he met the individuals through the family member. Staff #1 admitted the "finger flicking" occurred with Individual #1 prior to his employment and continued until after Staff #2 "yelled" at Staff #1 for doing it. Staff #1 was unable to provide a time frame for when Staff #2 became aware of the "finger flicking." Staff #2 denied being aware of the "finger flicking" when asked and denied ever addressing this with any staff in the home.Abuse of an individual is prohibited. Abuse is an act or omission of an act that willfully deprives an individual of rights or human dignity or which may cause or causes actual physical injury or emotional harm to an individual, such as striking or kicking an individual; neglect; rape; sexual molestation, sexual exploitation or sexual harassment of an individual; sexual contact between a staff person and an individual; restraining an individual without following the requirements in this chapter; financial exploitation of an individual; humiliating an individual; or withholding regularly scheduled meals.An incident report was entered by administrative staff from Independent Living LLC and a certified investigation was conducted. Individual # 1 and Individual # 2 were offered personal centered support and given contact information for victim's assistance. Staff # 1 & Staff # 2 were retrained on abuse and also retrained on reporting suspected abuse in a timely manner. 05/03/2023 Implemented
6400.67(a)All surfaces in the home were not in good repair. The shower curtain in the main bathroom of the home had a hole on the upper right side of the curtain, the hole was approximately 3x4 inches. There was a hole in the wall next to the vanity in the bathroom that was approximately 3/4 inches.Floors, walls, ceilings and other surfaces shall be in good repair. A new shower curtain was purchased and hung in the main bathroom of the home. The wall was also repaired to fix the hole in the wall. 03/31/2023 Implemented
6400.67(b)Floors, walls, ceilings and other surfaces were not free of hazards. There was a light fixture in the laundry room of the home that was missing the light fixture and had exposed wires creating a hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.The Program Supervisor reported that they tried to change the light bulb and the light fixture came off and that she reported it to the property manager who was scheduled to come out that day to repair it. The property manager fixed it on the same day it was discovered that the light fixture came off. 05/08/2023 Implemented
6400.18(a)(4)Staff #2 failed to report the abuse of Individual #1 and Individual #2 within 24 hours of becoming aware of the abuse. Staff #1 reported that Staff #2 was aware that Staff #1 was "finger flicking" Individual #1 and Individual #2's nipples. Staff #1 reported that Staff #2 "yelled" at Staff #1 for the "finger flicking" and advised Staff #2 that it was inappropriate and to stop doing it. Staff #2 denied being aware of the "finger flicking" and did not report it.The home shall report the following incidents, alleged incidents and suspected incidents through the Department's information management system or on a form specified by the Department within 24 hours of discovery by a staff person: Abuse, including abuse to a individual by another client. Staff # 2 was retrained on reporting suspected abuse within 24 hours so that an incident report can be entered timely. Independent Living LLC entered in an incident report after administrative employees became aware of the suspected abuse. A certified investigation was conducted as well. 05/03/2023 Implemented
6400.32(d)Individual #1 and Individual #2 were not treat with dignity and respect. On an unknown date and time, Staff #1, Staff #2 and Staff #3 were having a conversation in the kitchen of the home. Staff #3 is a Community Participation Supports worker for the agency and was considering extra shifts at another home. Staff #1 and Staff #2 were discussing the background of the individual who resides in the other home, within their conversation, it was reported that they were discussing the individual from the other home's masturbation habits and compared them to the masturbation habits of individual #1 and Individual #2. This conversation was overheard by Individual #2. Individual #1 denied hearing this conversation. Individual #1 and Individual #2's right to be treated with dignity and respect was violated through the discussion of intimate personal information in a location where the conversation was easily heard throughout the home and with a staff member who would not otherwise require access to the information to provide proper care for the individuals in the home. Individual #1 and Individual #2 were victims of Staff #1 "finger flicking" their nipples. Staff #1 admitted to "finger flicking" Individual #1 on his nipples. Individual #2 reported that Staff #1 "finger flicked" Individual #2's nipples on at least one occasion. Individual #2 reported feeling uncomfortable around Staff #1 as a result of the "finger flicking." Individual #1 denied ever being touched in any way by any staff, however Staff #1 admitted to specifically "finger flicking" Individual #1's nipples. It is unknown when the "finger flicking" took place as Individual #2 could not provide a time frame beyond somewhere between Christmas and the time of the inspection. Staff #1 could not provide an exact time frame, however reported knowing the individuals in the home prior to being employed as a family member worked for the agency and he met the individuals through the family member. Staff #1 admitted the "finger flicking" occurred with Individual #1 prior to his employment and continued until after Staff #2 "yelled" at Staff #1 for it. Staff #1 was unable to provide a time frame for when Staff #2 became aware of the "finger flicking." Staff #2 denied being aware of the "finger flicking" when asked and denied ever addressing this with any staff in the home. Individual #1 and Individual #2's right to be treated with dignity and respect was violated when Staff #1 "finger flicked" Individual #1 and Individual #2's nipples, causing them embarrassment and feeling uncomformtable.An individual shall be treated with dignity and respect.Staff # 3 voluntarily ended his employment with Independent Living LLC. Staff # 1 and staff # 2 met with Independent Living LLC's trainer and were retrained on Individual Rights with a focus on individual's dignity and respect. 05/03/2023 Implemented
6400.52(c)(4)Staff #1 did not receive annual training in recognizing and reporting incidents. Staff #1 last received training in recognizing and reporting incidents on 11/30/21.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents.Staff # 1 completed the Incident Management which includes recognizing and reporting incidents training on myodp.org on 5/9/23. 05/09/2023 Implemented
SIN-00216436 Unannounced Monitoring 12/09/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(b)The exterior of the home had multiple areas of concern. The sensor light attached to the tree in the driveway was cracked and wires were exposed to various weather conditions. This light was wired to an electrical outlet in the yard to which the wires ran through a PVC pipe. It was unclear if these wires were live or disconnected. Another area of concern was to the right of the home's front door. There was a wooden fence with two electrical sockets attached which were rusted and in extreme disrepair. The bottom socket was partially open with wires being exposed. The electrical boxes appeared to have been duct taped together, but the duct tape had worn away over time. Lastly the right side of the home had various wires laying on the ground and hanging from the side of the home. It was unable to be determined which wires were live and which wires were disconnected. There had been wires that were exposed, there were wires that were covered with black electrical tape, there were wires running along the snow-covered ground, there were wires hanging from the home. All the above-mentioned wires were entangled amongst each other. This constitutes not only an electrical and fire hazard but possible tripping hazard as well. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.The sensor light was made inoperable before the home opened in 2019 due to a potential safety hazard. The maintenance team removed the sensor light from the tree it was attached to. They also removed the electrical outlet, the wires, and the PVC pipe that the wires ran through that were attached to the sensor light. The wires were disconnected in 2019 when the sensor light was originally made inoperable. The two inoperable electrical sockets and boxes that were attached to the wooden fence were also removed. The wires that were laying on the ground were also removed by the maintenance team, except for a green wire that the cable company assessed at the home and said is a ground wire that is necessary for service and is not a safety or fire hazard. The cable company also cut the wire that was hanging from the telephone pole and attached it to the house because it is not live and not necessary for service. It is hanging from the telephone pole and attached to the side of the house, but since the cable company cut it, it is not live. The Program Supervisor is contacting our electric utility company to see whether they would remove the wire that the cable company cut that is attached from a telephone pole to the side of the house. 12/21/2022 Implemented
SIN-00206349 Renewal 06/07/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(c)Water testing was completed on 6/2/21 and 11/30/21. The three-month time frame and 15-day grace period between tests was exceeded. Water testing everything three months is necessary for compliance.A home that is not connected to a public water system shall have a coliform water test by a Department of Environmental Resources¿ certified laboratory stating that the water is safe for drinking purposes at least every 3 months. Written certification of the water test shall be kept.The Program Supervisor was retrained on the regulation that states that the coliform water test needs to be completed every 3 months. The next water test will be completed by the Program Supervisor before the end of July since the last water test was done in early May. 07/05/2022 Implemented
SIN-00198658 Unannounced Monitoring 12/14/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.22(c)Individual #1 was issued a debit card through the Department of Labor and Industry for Pandemic Unemployment Relief in August 2020. This card was issued fraudulently, as Individual #1 did not file the unemployment claim. A fraud claim was made through the Department of Investigations through the PA Department of Treasury on August 20, 2020. Individual #1 was directed through the fraud claim to destroy the card. Individual #1 did not destroy the card, the card was placed with individual's possessions when the individual moved into Independent Living, LLC on 12/14/20. At the time of intake, the individual requested that the CEO place the card in the financial section of the individual's personal record. The card was stapled to the documents that it arrived in the mail with and placed in the individual's binder. The individual received a text message on 1/12/21 at 4:31AM indicating that the card had been used at a McDonald's in Wyoming, Pennsylvania for the amount of $19.39. Documentation from the card issuer indicated that the purchase posted to the account on 1/12/21 at 2:30AM. Daily individual records from 1/11/21 and 1/12/21 did not indicated that the Individual had any community activities to McDonald's on 1/11/21 or 1/12/21. Individual #1 never requested to have possession of the debit card after the card was placed in the individual file on 12/14/20 until the individual receive the text message about the use of the card on 1/12/21. Individual's funds were utilized fraudulently.Individual funds and property shall be used for the individual's benefit. An incident report was submitted by Independent Living LLC in October 2021 regarding the use of individual #1¿s unemployment debit card and a certified investigation was completed. On 1/20/22, Independent Living LLC sent a check to the Department of Labor Office of Unemployment Compensation to reimburse the $19.39 that was found to have been used. 01/20/2022 Implemented
6400.67(a)The baseboard heater in Individual #1's bathroom is not in good repair. The heat was turned off and the dial for the heater was broken and laying on the floor. It was unable to be reattached to the heater. The drain in the bathtub in Individual #1's bathroom is not in good repair. The drain was broken, preventing the tub from holding water. The door on the closet in the laundry room is not in good repair. The door, a bi-fold door was off of the track and leaning against the wall. The light in the main bathroom of the home was not in good repair. The light fixture above the mirror was missing a light bulb.Floors, walls, ceilings and other surfaces shall be in good repair. The thermostat for Individual # 1¿s baseboard heater in his bathroom was repaired on 1/10/22 and is now functioning properly. The drain in Individual # 1¿s bathtub was repaired on 1/18/22 and is holding water properly. The bi-fold door¿s track for the laundry room was also repaired. The door for the laundry room is installed on the track and functioning correctly as of 1/10/22. The lightbulb that was burnt out was replaced on 1/10/22 and is now working properly. 01/18/2022 Implemented
6400.32(i)Individual #1 requested to have access to the individual's medications on 10/17/21. Individual #1 is self-medicating and requested the medications to fill the individual's weekly medication dispenser. Individual #1 was denied access to the medications. The individual initially agreed to wait until a later time in the day to access the medications when the Program Supervisor was present at the home. The individual later changed the individual's mind and again requested the medications. Access to the medications was not provided to the individual, violating the right of the individual to have access to the individual's possessions.An individual has the right of access to and security of the individual's possessions.Individual # 1 self-medicates. He now stores all his medication in his locked bedroom so that he can have access to them whenever he chooses to. 01/31/2022 Implemented
SIN-00189360 Renewal 06/29/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)Multiple open areas in the floor were noted around a tank located in the first closet of the laundry area. Day light and rocks/ground were visible from the openings. Additionally, the closet door was not in proper working order and difficult to open. The drain, and tub surrounding the drain, in the hallway bathroom was covered with a rust like substance.Floors, walls, ceilings and other surfaces shall be in good repair. The floor near the tank located in the first closet of the laundry area was repaired on 7/12/21. The closet door was repaired as well to make it easier to open. The bathtub was replaced in the hallway bathroom with a new bathtub as well on 7/12/21. 07/12/2021 Implemented
6400.67(b)Wires capped with wire nuts were within reach of individuals, exposed and poking through the drywall near the ceiling in the bedroom hallway of the home. Exposed wires present a potential hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.The exposed wires were patched over and covered by the Property Manager on 7/12/21. 07/12/2021 Implemented
6400.80(a)The kitchen exit of the home was noted to be used during fire drills. The path and patio area necessary to reach the designated meeting place for fire drills through this exit were obstructed by an overgrowth of tall weeds and grass as well as items laying about the patio area causing tripping hazards during evacuation Outside walkways shall be free from ice, snow, obstructions and other hazards. Items that were laying around the patio were removed, and the overgrown grass and tall weeds were maintained and cut on 7/5/21. The Program Supervisor monitored the maintenance of the yard on 7/5/21 as well. 07/05/2021 Implemented
6400.141(c)(14)The medical information pertinent to diagnosis and treatment section of the physical dated 1/4/21 for individual #1 was blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. On 7/15/21, Individual # 1's physician filled out the missing information pertinent to diagnosis and treatment in case of an emergency. 07/15/2021 Implemented
6400.165(g)A medication review conducted for Individual #1 on 1/19/21 did not contain the reason for prescribing the medication, list the medications and dosages or the need to continue the medications. A medication review conducted on 3/10/21 did not contain the reason for prescribing the medication or list the medication and dosages as required.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.These appointments were conducted over the phone due to the pandemic and communication with physician forms were completed in lieu of the Quarterly Medication Review forms. The Program Supervisor dropped off our Quarterly Medication Review forms at Individual #1's psychiatrist office on 7/16/21 to have them complete the form so that they can add the reason for prescribing the medications, the medications and dosages, or the need to continue the medications. 07/16/2021 Implemented
SIN-00216545 Unannounced Monitoring 12/02/2022 Compliant - Finalized
SIN-00211528 Unannounced Monitoring 09/16/2022 Compliant - Finalized