Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00189538 Unannounced Monitoring 07/01/2021 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)There is water that pours into the basement by hose from an unknown source that collects along the wall, passing along the wall through two rooms, under the stairs and collects and sits stagnant at the opposite corner of the basement. These conditions are unsanitary and can cause mold.Clean and sanitary conditions shall be maintained in the home. Cracks were sealed in the concrete on the perimeter of the property om 7.12.21 This did not remedy the issue. MARIANI & RICHARDS, INC. will come out on 8.11 to give an estimate on what needs to be done to correct the problem and at that time we will be given a date and time for completion. 09/30/2021 Implemented
6400.166(a)(4)Individual #1's June 2021 Medication Administration Record states, "Omega-3-Acid Cap 1GM. The medication label states "Lovaza Cap 1GM." Individual #1's June 2021 Medication Administration Record and the medication label do not provide an alternative or generic name for this medication.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of medication.The house manager contacted PDC pharmacy to inform them of the need to have all descriptions indicating the generic and/or alternative name as well as the brand name. The house supervisor will ensure that all specific names are listed for the administration of medication by reaching out to the pharmacy to have it included on the medication label as well as on the Medication Administration Record (MAR). Staff will be retrained on reviewing the medication to ensure all appropriate names are listed on the MAR as it is on the label. The house manager will check weekly to ensure that compliance is maintained. 07/07/2021 Implemented
6400.166(a)(11)Individual #1's July 2021 Medication Administration Record does not include the diagnosis or purpose for Vitamin D3 1000-IU, take one tablet my mouth daily.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.The house supervisor will contact the pharmacy to update the medications to include the reason for prescribing the medication (diagnosis) n the Medication Administration Record (MAR). The MARs will then be updated. 08/05/2021 Implemented
6400.207(4)(I)Individual #1 is prescribed Clonazepam Tab 0.5MG, take one tablet by mouth three times a day as needed for anxiety/agitation. The symptoms of the specific condition are not defined or listed for the administration of the medication. Individual #1 was administered clonazepam Tab 0.5MG on July 1, 2021 at 7:56AM for "aggression."A chemical restraint, defined as use of a drug for the specific and exclusive purpose of controlling acute or episodic aggressive behavior. A chemical restraint does not include a drug ordered by a health care practitioner or dentist for the following use or event: Treatment of the symptoms of a specific mental, emotional or behavioral condition.The house manager will ensure that the specific condition is defined or listed for the administration of medication by reaching out to the prescriber to get the specific condition listed and then including it on the medication label. Staff will be retrained on correct medication documentation by the house manager to ensure that correct documentation is being followed and the detailed reason for administering the medication is included on the MAR in the notes for the administration. The house manager will check weekly to ensure that compliance is maintained. 08/05/2021 Not Implemented
SIN-00186858 Renewal 04/27/2021 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)The two windows, which are able to be opened, located in Individual #1 bedroom do not have screens.Windows, including windows in doors, shall be securely screened when windows or doors are open. Plan of Correction for: 55 PA Code Chapter 6400.72(a) Window Screens How it was corrected: On April 28, 2021 AHH CEO had the AHH Maintenance Team provide the measurements and then ordered window screens for the individual¿s room. On June 11, 2021 or if received prior to the AHH Maintenance team will install the window screens. When it was corrected: April 28, 2021 ordered and to be installed no later than June 30, 2021 Who made the correction: A Helping Home, LLC CEO and AHH Maintenance What specific change will be made: The AHH CEO ordered window screens and the AHH Maintenance team will install once delivered. Who will make the change: AHH CEO and AHH Maintenance 06/30/2021 Not Implemented
6400.110(e)The home has three stories, a basement, first floor and second floor. The smoke detector on the second floor of the home is not interconnected and audible throughout the home.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. Plan of Correction for: 55 PA 6400.110 (e) Smoke Detectors and Fire Alarms How was it Corrected: A Helping Home, LLC will input an interconnected fire alarm system that is audible throughout the home. When it was corrected: On May 8, 2021 Who made the corrections: AHH CEO purchased the interconnected fire alarm system to ensure the necessary compliance from Home Depot (see attached receipt). What Specific Change will be made: The fire alarm system was purchased and installed to have it interconnect to ensure safety in the home. Who will make the change: A Helping Home, LLC management; CEO, , Associate Director and AHH Maintenance 05/08/2021 Implemented
6400.141(c)(3)Individual #1's most recent tetanus immunization was on 8/31/2005.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. Plan of Correction for: 55 PA 6400.141(c)(3) Immunizations How was it Corrected: The AD will ensure that all newly admitted individuals would have their immunizations completed and up-to-date prior to admittance. If there is a religious exemption associated with the vaccination the AD will ensure the proper documentation is present. When it was corrected: On May 5, 2021 Who made the corrections: The AD What Specific Change will be made: The AD will ensure that A Helping Home, LLC will have appropriate medical documentation for all individuals prior to admission. Who will make the change: The AD will make the changes. 05/05/2021 Not Implemented
6400.163(h)Ziprasidone 60mg, take 1 capsule by mouth twice a day for mood disorder, prescribed to Individual #1 was discontinued on 4/20/2021. The medication remained in Individual #1's medication storage area.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.Plan of Correction for: 55 PA 6400.163(h) Storage of medications How it was corrected: On April 28, 2021 at 11am AD and Office Manager disposed of the discontinued medication. Both signed the medication disposal form documenting the disposal. (see attached) When it was corrected: April 28, 2021 at 11am Who made the correction: AHH Management; AD and Office Manager What specific change will be made: DCS Staff will be trained to empty the medication storage box each time medication is administered and compare the label to log of each to ensure that there are no discontinued medications remaining in the medication storage box. DCS Staff will initial off of the Daily Job Responsibilities Log after completing the task. (see attached example) Who will make the change: A Helping Home, LLC Management: AD and House Supervisor 05/15/2021 Not Implemented
SIN-00198074 Renewal 12/16/2021 Compliant - Finalized
SIN-00196061 Unannounced Monitoring 10/29/2021 Compliant - Finalized