Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00262395 Renewal 03/14/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The drip pans on the kitchen stove were very rusty.Clean and sanitary conditions shall be maintained in the home. On March 14, 2025, our maintenance team, under the supervision of the residential manager, resolved the issue by replacing the drip pans on the kitchen stove, which are now clean and sanitary. (Attachment#2) 03/14/2025 Implemented
6400.141(c)(1)Individual 1's annual physical exam did not state that a review of previous medical history was completed.The physical examination shall include: A review of previous medical history. On March 14, 2025, the Agency Nurse for Halia, along with the Chief Operating Officer (COO), addressed a concerning issue during Individual 1's annual physical exam. They noted that the Lifetime Medical History summary had been reviewed. (Attachment#3) 03/14/2025 Implemented
6400.141(c)(3)Individual 1's annual physical exam did not discuss immunizations.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. On March 14, 2025, the Agency Nurse for Halia, under the supervision of the Chief Operating Officer (COO), conducted Individual 1's annual physical examination and recorded the individual's immunizations on the physical form (Attachment #3). 03/14/2025 Implemented
6400.181(e)(7)Individual 1's annual assessment did not discuss the individual's ability to be around heat sources.The assessment must include the following information: The individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated. On March 14, 2025, Halia's Program Specialist, under the supervision of the COO, addressed the issue by revising the annual assessment to evaluate Individual 1's ability to be around heat sources (Attachment #5). 03/14/2025 Implemented
6400.165(g)Individual 1 takes psychiatric medications, and a medication review was done 08/13/24 and the next review was not done until 02/03/25.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.Individual 1 missed his scheduled psychiatric appointment due to a conflict with his work schedule. He chose to prioritize work over attending the appointment, which is why he has been rescheduled for a future date. 04/04/2025 Implemented
SIN-00261058 Unannounced Monitoring 12/20/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
20.34The staff did not have a key to the individual's bedroom. The door was locked making it inaccessible to the inspectors.The facility or agency shall provide to authorized agents of the Department full access to the facility or agency and its records during both announced and unannounced inspections. The facility or agency shall provide the opportunity for authorized agents of the Department to privately interview staff and clients.Halia, through the Residential Manager, has made the individual bedroom door keys available and ensured that staff have a copy of the bedroom door key. As of 12/21/2024, the individual bedroom door is now accessible for licensing inspection. 12/21/2024 Implemented
6400.62(c)The soap container in the bathroom has no label on it- it appears to have to been peeled off (front and back).Poisonous materials shall be stored in their original, labeled containers. Immediately after the licensing representative identified that the soap container in the bathroom had no label¿appearing to have been peeled off both the front and back¿the staff promptly removed the unlabeled soap container. This violation occurred due to staff oversight. Following this mistake, all staff members at Halia underwent a comprehensive review of the regulations on March 5, 2025, to prevent future violations. As part of these measures, all staff are now aware of the importance of keeping all poisonous materials stored in their original, labeled containers. 12/20/2024 Implemented
6400.65The bathroom has no form of ventilation.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. On December 23, 2025, Halia's management had its maintenance personnel complete the installation of a new operable vent in the bathroom, ensuring adequate ventilation in compliance with regulation 55 PA Code Chapter 6400.65. The issue of the inoperable vent has now been resolved. 12/23/2024 Implemented
6400.67(b)There was significant mold and mildew buildup in the shower stall. Floors, walls, ceilings and other surfaces shall be free of hazards.There was significant mold and mildew buildup in the shower stall. Additionally, the caulking around the bathtub¿extending from the tub to the wall and around the bathtub fixtures¿was in poor condition and required replacement or repair. On December 21, 2024, Halia's maintenance team addressed these issues by cleaning the mold and mildew and replacing the caulking in the shower stall. The caulking installation was scheduled for December 23, 2024. They also repaired and resealed the bathtub with a new caulk. 12/21/2024 Implemented
6400.111(e)The fire extinguisher was kept in the cabinet beneath the kitchen sink and would not be easily accessible in the event of a fire emergency. A fire extinguisher shall be accessible to staff persons and individuals. On December 20, 2024, our maintenance team relocated the fire extinguisher from under the kitchen sink and securely mounted it on the wall to ensure easy access for staff and individuals. This task was supervised by the CEO. 12/20/2024 Implemented
6400.216(a)The individual's record books were not locked. An individual's records shall be kept locked when unattended. Upon discovering that individual record books were not locked, Staff promptly retrieved the record book and secured it back in the closet. 12/20/2024 Implemented
SIN-00221566 Renewal 03/16/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.111(c)The fire extinguisher in the kitchen is a 1A rating, which does not meet the requirements. Kitchens require a minimum of 2A rating. A fire extinguisher with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a). Procurement of suitable fire extinguishers: We have replaced the existing fire extinguisher (1A) in the kitchen with a new one (2A) that meets the requirements of a minimum 2A rating as per 55 PA Code Chapter 6400.111(c). We got the required fire extinguisher from a certified vendor called UNI-Pro Inc. 03/10/2023 Implemented
6400.141(a)The provided documents for individual 1 did not include a current physical.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. On 04/12/2023, Individual 1 completed their scheduled annual physical examination, as indicated on the required annual physical examination form. All sections of the form were completed as required. 04/12/2023 Implemented
6400.181(e)(14)For individual 1, the assessment and the ISP both report that he loves to swim. This statement does not indicate his functional ability to swim.The assessment must include the following information:The individual's progress over the last 365 calendar days and current level in the following areas: The individual's knowledge of water safety and ability to swim. Conduct Assessment: The program specialist will assess the Individual who receives services to evaluate their knowledge of water safety and ability to swim. The assessment will be conducted annually and include information on the Individual's ISP. Further, the necessary correction was made to indicate the individual correct assessment regarding water safety and his ability to swim. 03/12/2023 Implemented
6400.181(f)For individual 1, the provided documents do not include the most recent ISP meeting invitation and meeting sign-in sheet.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Provide Missing Documents: To prevent a repeat of this violation, the program specialist has obtained and secured the ISP meeting invitation letter and ISP sign-in sheet for Individual 1, and the Individual (1) file will include the most recent ISP meeting invitation and meeting sign-in sheet, as required by the regulation. 03/12/2023 Implemented
SIN-00203138 Renewal 03/14/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(d)Onions and dish detergent were found stored together beneath the kitchen sink.Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.On 03/18/2022, HALIA's Residential Manager and Administrator/Trainer in-serviced all employees on staff on how to store away food items and separate them from chemical substances. Moreover, when we discovered non-compliance on the inspection day, the COO removed the food items from under the kitchen. 03/18/2022 Implemented
6400.65The bathroom does not have an operational mechanical vent.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. The bathroom does not have an active mechanical vent. Halia COO and maintenance department assessed the mechanical vent and completed a vent repair on 8/8/2022. 08/08/2022 Implemented
6400.66The property's vacant bedroom did not have a light. Also, the door leading out to the apartment's porch has no light above it.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Regarding 6400.66, on 6/27/2022, HALIA's COO instructed our maintenance team to install additional lights at the front patio exit and vacant bedroom to assure safety and avoid accidents. As instructed, our maintenance team installed lights at the front patio exit and vacant bedroom on 6/27/2022. 06/27/2022 Implemented
6400.67(a)The blinds in the vacant bedroom are partially broken, with several inches of several slats broken away about halfway up the blinds on the left side. Also, the tray beneath the oven cannot be opened; it is jammed shutFloors, walls, ceilings and other surfaces shall be in good repair. The blinds in the vacant bedroom are partially broken, with several inches of several slats broken away about halfway up the blinds on the left side. On 6/27/2022, The COO and HALIA's maintenance man purchased new blinds and replaced the broken ones in the vacant bedroom. 06/27/2022 Implemented
6400.76(c)The dresser in Individual #1's bedroom is missing a knob on its top left drawer.Furniture shall be comfortable and home-like. Individual# at G11 violated chapter (6400.76(c), having a missing knob on the dresser. On 3/18/2022, Halia management, through the Administrator, purchased a knob and installed it on the dresser in Individual#1 bedroom. 03/18/2022 Implemented
6400.81(k)(6)The property's vacant bedroom did not have a mirror.In bedrooms, each individual shall have the following: A mirror. Chapter (6400.81(k)(6) has no mirror in the vacant bedroom. On 3/18/2021, Halia management, through the COO, purchased a dresser with a mirror and placed it in the vacant bedroom. 03/18/2022 Implemented
SIN-00184604 Renewal 02/23/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.51(b)(4)Staff #1 new hire orientation training did not include recognizing and reporting incidents.The orientation must encompass the following areas: recognizing and reporting incidents.(6400.51(b)(4): Staff #1 did not receive the training in Recognize and Report Incidents on the new hire orientation training. On 3/16/2021, our (Training Coordinator/HR Manager) conducted training on the topic (Recognizing, Reporting, and Investigating Incidents) for all newly hired. Consequently, Staff#1 attended and received this training in correction to this violation. 03/16/2021 Implemented
SIN-00155967 Renewal 05/14/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)Individual #1's bedroom blinds were broken.Floors, walls, ceilings and other surfaces shall be in good repair. 27. As of 5/16/19, our maintenance person replaced the broken blinds located in the rec-room. In the future, the Residential manager (responsible for supervising the homes) will complete work orders to initial repairs and replacement of broken or missing furniture to prevent any future re-occurrences. Attachment#16 07/04/2019 Implemented
6400.68(b)The Water temperature in bathroom tub and sink measured at approximately 127.5 degrees Fahrenheit Hot water temperatures in bathtubs and showers may not exceed 120°F. 26. At present, all water temperatures in all homes were adjusted as of 5/17/2019 and are now in compliance with the 6400 regs. Halia's residential manager will continue to conduct weekly checks of water temperature in all homes to ensure that the temperature remains below 120 Fahrenheit. This process is on-going to prevent future violations. 07/04/2019 Implemented
6400.71The Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not on or by the telephone. The numbers were in the kitchen area and telephone was located in the living area, not line of site from base of phoneTelephone 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. On 5/17/19, the AA (responsible for updating phone numbers) updated emergency phone numbers and posted them in the home need the telephone set. COO/PS will conduct bi-annual self-inspection of all sites to avoid occurrence in this non-compliance area. 07/04/2019 Implemented
6400.142(g)The Dental hygiene plan for individual #1 has not been updated annually since 10/27/2017.A dental hygiene plan shall be rewritten at least annually. 24. On 5/17/19, the COO, (responsible for updating dental plans) updated Individual#1 dental plan. Moving forward, COO/PS will conduct bi-annual self-inspection of all individuals program and medical books to prevent the occurrence of this non-compliance area. Attachment#15 07/04/2019 Implemented