| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.181(e)(1) | Documentation by an actual receipt or expense record of each purchase exceeding $15 shall be kept. Individual #1 annual assessment dated 7.1.24, reflects that staff assists with making purchases. The agency reports that she is independent and doesn't provide the agency with receipts. There is no expense record, and the individual is maintaining their own funds. The assessment does not accurately reflect the individual's functional level and needs surrounding financial management. | The assessment must include the following information: Functional strengths, needs and preferences of the individual. | Individual #1¿s assessment has been completed to include an accurate description of individual #1¿s functional strength needs and preferences surrounding financial management in accordance with 55 PA Code Chapter 6400.181(e)(1). |
05/26/2025
| Implemented |
| 6400.181(e)(3)(ii) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no progress or growth in communication. | The assessment must include the following information: The individual¿s current level of performance and progress in the following areas: Communication. | Individual #1¿s assessment has been completed to include individual #1¿s current level of performance in areas of communication in accordance with 55 PA Code Chapter 6400.181(e)(3)(ii). |
05/26/2025
| Implemented |
| 6400.181(e)(3)(iv) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no progress or growth in personal needs with or without assistance from others. | The assessment must include the following information: The individual¿s current level of performance and progress in the following areas: Personal needs with or without assistance from others. | Individual #1¿s assessment has been completed to include progress or growth in individual #1¿s personal needs with or without assistance from others in compliance with 55 PA Code Chapter 6400.181(e)(3)(iv). |
05/26/2025
| Implemented |
| 6400.181(e)(12) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no recommendations for specific areas of training, programming or services. | The assessment must include the following information: Recommendations for specific areas of training, programming and services. | Individual #1¿s assessment has been completed to include recommendations for specific areas of training, programming or services in compliance with 55 PA Code Chapter 6400.181(e)(12). |
05/26/2025
| Implemented |
| 6400.181(e)(13)(i) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no progress or growth in health. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Health.
| Individual #1¿s assessment has been completed to include individual #1¿s progress over the last 365 calendar days and current health level in compliance with 55 PA Code Chapter 6400.181(e)(13)(i). |
05/26/2025
| Implemented |
| 6400.181(e)(13)(iii) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no progress or growth in activities of residential living. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Activities of residential living. | The program specialist has updated individual #1¿s assessment to include the current progress made over the last 365 calendar days and current level in activities of residential living in compliance with 55 PA Code Chapter 6400.181(e)(13)(iii). |
05/26/2025
| Implemented |
| 6400.181(e)(13)(v) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no progress or growth in socialization. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization. | The program specialist has updated individual #1¿s assessment to include the current progress made in socialization over the last 365 calendar days and current social level activities in accordance with 55 PA Code Chapter 6400.181(e)(13)(v). |
05/26/2025
| Implemented |
| 6400.181(e)(13)(vi) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no progress or growth in recreation. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation. | The program specialist has updated individual #1¿s assessment to include the current progress made in socialization over the last 365 calendar days and current social level activities in accordance with 55 PA Code Chapter 6400.181(e)(13)(vi). |
05/26/2025
| Implemented |
| 6400.181(e)(13)(vii) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no progress or growth in financial independence. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence.
| The program specialist has updated individual #1¿s assessment to include the current progress made over the last 365 calendar days and current level in activities of residential living in accordance with 55 PA Code Chapter 6400.181(e)(13)(vii). |
05/26/2025
| Implemented |
| 6400.181(e)(13)(viii) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no progress or growth 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. | The program specialist has updated individual #1¿s assessment to include the current progress made over the last 365 calendar days and current level in activities of residential living in accordance with 55 PA Code Chapter 6400.181(e)(13)(viii). |
05/26/2025
| Implemented |
| 6400.181(e)(13)(ix) | Individual #1 had annual assessment dated 7.1.24. This assessment provided no progress or growth in community integration. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration. | The program specialist has updated individual #1¿s assessment to include the current progress made over the last 365 calendar days and current level in activities of residential living in accordance with 55 PA Code Chapter 6400.181(e)(13)(ix). |
05/26/2025
| Implemented |
| 6400.216(a) | Individual #1 records were out at the time of the inspection on a desk. Individual records shall be locked when unattended. | An individual's records shall be kept locked when unattended.
| The program specialist has updated individual #1¿s assessment to include the current progress made over the last 365 calendar days and current level in activities of residential living in accordance with 55 PA Code Chapter 6400.216(a). |
05/26/2025
| Implemented |