Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00276636 Renewal 10/08/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(b)There was a broken/inoperable closet door found in individual #1room. Screens, windows and doors shall be in good repair. A work order ticket was placed on 10/9/2025 for Individual #1 closet door and maintenance came out to repair door on 10/9/2025. 10/09/2025 Implemented
6400.110(a)All homes must have fire alarms operating on each floor. Two of the three floors did not have working fire alarms. Provided documentation verified that work orders were issued on 6/2/25 and 10/1/25. Matters regarding fire safety should be given the highest priority and should have been rectified within the reported timeframe. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. Smoke detectors will be installed on all floors, including basement and attic. 12/01/2025 Implemented
6400.141(c)(4)The Vision/hearing screening was not checked for individual #2The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. Individual #1 Vision and Hearing screening occurred on 11/10/2025. 11/10/2025 Implemented
6400.142(a)Dental appt. on 05/08/23 recommended a 6-month follow-up. It was recommended that 2 teeth be removed. This should have been completed by 11/23. As of this date individual #2 has not seen a dentist. individual #2 has a scheduled appointment for 10/10/25.An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. Individual 2 has a dental exam follow completed on 10/10/2025. 10/10/2025 Implemented
6400.151(a)-Staff #1 (DOH: 6/7/99): 1333 Brighton St Phila PA 19111 --The last physical completed on 2/8/24; there was no previous physical available. -Staff #2 (DOH: 9/6/22): 11609 Proctor Rd Phila PA 19111 --The last provided physical was completed on 8/2022; there was no physical completed in 2024 -Staff #3: (DOH: 8/30/21): 4985 Pennway Ave Phila PA --The available physical was completed on 7/28/25; there was no previous physical available. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. All onboarding staff will have their physicals completed on their first day of work at the assigned site. The Credentialing Department will send reminder notifications to staff prior to their physical expiration date. Staff who do not update their physical documentation by the expiration date will be removed from the schedule until the updated physical is received, in accordance with COMHAR's Credentialing Policy and Procedures. 01/01/2026 Implemented
SIN-00131753 Renewal 12/06/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(c)(4)Staff #1's annual physical exam dated 3/1/17 did not indicate whether or not the staff was free from medical problem which might interfere with the health of the Individuals served by the agency.The physical examination shall include: Information of medical problems which might interfere with the health of the individuals.The missing response to the question on Staff #1¿s physical examination form addressing medical problems that might interfere with the health of the Individuals served by the agency was completed. To assure HIPAA compliance protected health information the process for monitoring staff physical examinations is being moved from the CLA program to COMHAR¿s Human Resources Department. For new staff, the process will start with submitting completed physical to the Recruitment Coordinator. The Senior Generalist and /or Recruitment Coordinator receiving the completed staff physical will do document check for appropriate completion of all licensing required items. The HR Credentialing Coordinator will serve as back up to this process when volume exceeds the capacity of the Generalist and Recruitment Coordinator. Ongoing annual staff physicals will be checked for completeness by the Senior Generalist and /or HR Coordinator and filed by the Credentialing Coordinator. 04/23/2018 Implemented
SIN-00044551 Renewal 01/22/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.185(b)Individual #1 did not receive supports to increase social skill and getting to know neighbors as written in the ISP completed 4/26/12.(b) The ISP shall be implemented as written. The program specialist will implement all consumers¿ residential goals as written. Specific to this individual, a goal was written for him to greet his neighbors while in his community. Additional training was provided to all COMHAR ID program specialists around this licensing requirement. Periodic chart audits will be conducted by Assistant Residential Directors to assure compliance. 02/19/2013 Implemented
SIN-00234729 Renewal 11/15/2023 Compliant - Finalized
SIN-00152465 Renewal 03/06/2019 Compliant - Finalized
SIN-00057030 Renewal 12/09/2013 Compliant - Finalized