Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00248021 Renewal 07/15/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)The Water Temperature in the home was 130.8. Hot water temperatures in bathtubs and showers may not exceed 120°F. On July 24, 2024, the Executive Director of Lifetime Skills, in collaboration with the maintenance department of the apartment complex, made the necessary adjustments to the water temperature in both the bathtub and kitchen areas, setting it to a compliant level of 120°F. Staff will continue to assist individuals in regulating the water temperature as needed. 07/28/2024 Implemented
6400.77(b)There was No Thermometer in the first aid kit. 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. On July 24, 2024, in response to the violation of 55 PA Code Chapter 6400.77(b) regarding the missing thermometer in the first aid kit, the Executive Director of Lifetime Skills took the following actions: a new thermometer was purchased for the first aid kit to ensure compliance with the regulation. 07/28/2024 Implemented
SIN-00228193 Renewal 07/27/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)Self-assessments are not completed on updated assessment formThe 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. Self-assessments are not completed on updated assessment form. Lifetime Skills, represented by its Residential Manager and Program Specialist, downloaded and completed the updated self-assessment forms for all sites. 08/02/2023 Implemented
6400.21(a)Staff 1 was rehired in 04/24/2023. The only application on file is completed April 8, 2022 and criminal history form was just requested July 6, 2023 Staff 2 was hired on 6/25/23 and criminal history was not completed until 7/10/2023 Staff 3 was hired on 1/5/23 and criminal history was not completed until 1/11/2023 Staff 4 was hired on 8/11/2022 (per application) and criminal history was not completed until 12/8/2022.An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire. On August 11, 2023, we conducted an in-service training session for the Officer Manager/Administrator, who is responsible for overseeing our hiring procedures. As part of this training, we updated our hiring policy to ensure that Lifetime Skills adheres to the requirement of conducting State Police Pennsylvania criminal background checks for all staff members who will have direct contact with individuals. This background check must be completed within 5 working days after the date of hire. 08/11/2023 Implemented
6400.63(a)Hot water in the kitchen sink was measured at 128.6 degrees; in the bathroom sink, 128.8 degrees.Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. On August 5, 2023, the Executive Director of Lifetime Skills, in collaboration with the maintenance department, made necessary adjustments to the water temperature in both the bathtub and kitchen areas to ensure compliance with regulatory standards, setting it at a permissible level of 120 degrees. Furthermore, the Director, site manager, and maintenance personnel will conduct comprehensive checks on the water temperature at all residential sites to ensure full compliance with ODP regulations. 08/05/2023 Implemented
6400.68(b)Hot water in the tub was measured at 130.1 degrees. Hot water temperatures in bathtubs and showers may not exceed 120°F. On August 5, 2023, the Executive Director of Lifetime Skills, in collaboration with the maintenance department, made necessary adjustments to the water temperature in both the bathtub and kitchen areas to ensure compliance with regulatory standards, setting it at a permissible level of 120 degrees. Furthermore, the Director, site manager, and maintenance personnel will conduct comprehensive checks on the water temperature at all residential sites to ensure full compliance with ODP regulations. 08/05/2023 Implemented
6400.151(c)(2)Staff 5's physical did not have a Tuberculin test. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. Staff #5 completed on 07/19/2023 the chest Xray 2 views and submitted it to lifetime skills. 07/19/2023 Implemented
6400.24Lifetime Skills Home Healthcare Services LLC is required to meet all requirements of Article X of the Public Welfare Code and of the applicable statutes, ordinances and regulations (62 P.S. § 1007) including criminal history checks and hiring policies for the hiring, retention and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P.S. § 10225.101 -- 10225.5102) and its regulations (6 Pa. Code Ch. 15). Unable to determine if Staff 1 has been a resident for the past two years. Date of entry in permanent resident card is 7.02.21. there is no indication of more than 2 years of residency and no FBI clearance was completed.The home shall comply with applicable Federal and State statutes and regulations and local ordinances.Lifetime Skills ensured that staff #1 scheduled an appointment to complete an FBI Fingerprint. 08/11/2023 Implemented
6400.51(a)(1)Cannot determine is training hours are being met as there is no date provided on the training log for Staff 5 8.5 hours of training provided for calendar year October-September 2022 for staff 7.Prior to working alone with individuals, and within 30 days after hire, the following shall complete the orientation as described in subsection (b): Management, program, administrative and fiscal staff persons.8/15/2023, Lifetime Skills has made updates to its training sign-in sheets and certificate/training documents. These modifications include the inclusion of actual training hours, presenter names, training dates, course topics, and participant names. Consequently, Lifetime Skills has brought its staff records into compliance with 55 PA Code Chapter 6400.51(a)(1). Attachment #9 08/15/2023 Implemented
SIN-00212015 Renewal 07/18/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Poisonous materials (cleaning material) were not kept locked, chemicals were in the bathroom cabinet under sink.Poisonous materials shall be kept locked or made inaccessible to individuals. LSHS has poisonous materials, chemicals (cleaning materials) kept locked in a safe place that the individual has no access to. Only staff personnel and their supervisors have access to such supplies in the event of cleaning at the individual's home. 10/27/2022 Implemented
6400.70The home did not have a telephone with a outside line.A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons. LSHS CEO purchased and placed in every home a phone for the individuals and staff uses. In addition, LSHS assigned a cell phone in each home to implement community participation and serve as a backup/emergency. 10/26/2022 Implemented
6400.77(b)The first aid kit did not contain a thermometer. 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. LSHS CEO purchased new first aid kits and put a first aid kit in each home. Further, overnight staff will check to ensure that all the required items are in each first aid kit. Also, staff will check the kit during the monthly fire drill. 10/26/2022 Implemented
6400.112(a)an unannounced fire drill was not held at least once a month. An unannounced fire drill shall be held at least once a month. The LSHS program manager has trained lead staff to implement an unannounced fire drill at least once a month. 10/26/2022 Implemented
6400.112(d)All fire drills extended past 2.5 minutes must be documented and re-tested to ensure consumers can safely evacuate.4/30/22, 5/30/22,6/29/22-3 mins long-no new drills taken Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. LSHS program manager and staff have received in-service training for implementing fire drills correctly to comply with 6400.112(d) regulation. 10/26/2022 Implemented
6400.113(a)Fire safety training for individual #1 is dated 5/30/22, which is two weeks after the date of admission. The fire safety training is to be completed at the time of admission and annually thereafter. An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. LSHS program manager completes Fire safety training for individual #1. The program manager will further ensure that fire safety training will be completed at admission and annually. 10/26/2022 Implemented
6400.141(a)The most recent physical is dated 7/14/22, which is two months after the individual #1 DOA (5/16/22). The physical before this most recent is dated 3/18/21. A physical must be dated 12 months prior to admission, then annually thereafter.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Moving forward, LSHS will ensure to comply with the regulations that any individual admitted to the LSHS program will have a physical that must be dated 12 months before admission, then annually. 10/26/2022 Implemented
6400.141(c)(6)There is no TB test for individual #1 on physical form dated 7/14/22.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Individual #1 has a schedule appointment to complete TB test, LSHS will pay out of pocket should there be any issue with the individual insurance. 10/26/2022 Implemented
6400.141(c)(9)There is no prostate exam for individual #1 on physical form dated 7/14/22.The physical examination shall include: A prostate examination for men 40 years of age or older. LSHS plans to correct this violation by ensuring that individuals#1 complete his prostate exam in the age of 40 years. 10/26/2022 Implemented
6400.144Ind. #1 is a diabetic and is to have his blood tested utilizing the diabetic meter daily at 8am. The last time he was tested was 7/10/2022. Staff is logging the MAR as completed.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. LSHS plans to train all staff utilizing certified diabetes training. Following the training, staff will know how to log data on the MAR accurately. The program manager is responsible for carryout out this task. 10/26/2022 Implemented
6400.144Medication POLYRTH LGYC POWDER for Ind. #1 is not being administered as prescribed. Staff is signing MAR as administered and individual stated he is not taking the medication based on the taste.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. LSHS plans to train all staff utilizing certified Meds Administration trainers. The training will teach staff how to document med administration accurately. The program manager is responsible and will supervise staff in the implementation of meds administration. 10/26/2022 Implemented
6400.181(e)(10)There is no lifetime medical history in the file for individual #1.The assessment must include the following information: A lifetime medical history. LSHS program specialist received in-service training regarding implementing all individuals' lifetime medical history and ensuring that the PC file and secure lifetime medical history in all individuals' medical files. 10/26/2022 Implemented
6400.217There are no written consents in the file for individual #1. (This is required for the release of information, including photographs)Written consent of the individual, or the individual's parent or guardian if the individual is 17 years of age or younger or legally incompetent, is required for the release of information, including photographs, to persons not otherwise authorized to receive it. The LSHS program specialist received in-service training regarding implementing and ensuring that all written consents, such as the release of information, are secure in all individuals' files. 10/26/2022 Implemented
6400.34(b)There is no signed copy of rights for individual #1.The home shall keep a copy of the statement signed by the individual, or the individual's court-appointed legal guardian, acknowledging receipt of the information on individual rights.The LSHS program specialist received in-service training regarding implementing and ensuring that all contents, such as a copy of the rights of the individuals, are secure in all individuals' files. 10/26/2022 Implemented
6400.52(b)(1)CEO: did not have the required 12 hours of training.The following shall complete 12 hours of training each year: Management, program, administrative and fiscal staff persons.LSHS CEO has completed 12 hours of training to fulfill 6400.52(b)(1) regulations. 10/26/2022 Implemented
6400.186The assessment states that poisons are to be locked, however the ISP states that poisons can remain unlocked. The information needs to be consistent.The home shall implement the individual plan, including revisions.LSHS program specialist will coordinate with the individual support coordinator to ensure to have consistency in the ISP and the individual program. 10/26/2022 Implemented