Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00292317 Renewal 07/21/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Individual #1's assessment, completed on 12/28/2025, indicates poisons are to be locked. At 9:58AM on 7/22/2026, Woolite Insta Clean Oxy Pet Stain Remover, The Works Toilet Bowl Cleaner, Trueliving Foaming Carpet Cleaner were unlocked and accessible in the cabinet under the sink in the kitchen of the home.Poisonous materials shall be kept locked or made inaccessible to individuals. Regulations Cited: · 55 Pa. Code §6400.62(a) -- Poisonous materials shall be kept locked or made inaccessible to individuals. · 55 Pa. Code §6400.62(c) -- Poisonous materials shall be stored in their original, labeled containers. Immediate Corrective Action Immediately upon discovery, all poisonous and hazardous cleaning products within the home were inspected. · The plastic spray bottle containing the purple liquid labeled "Fabuloso" was removed from service and discarded. Cleaning products are no longer transferred into secondary containers unless the container is the manufacturer's original labeled bottle. · All hazardous cleaning products, including Clean Oxy Pet Stain Remover, The Works Toilet Bowl Cleaner, Foaming Carpet Cleaner, and any other poisonous materials, were immediately placed in the locked chemical storage cabinet. · The home was inspected to verify that all poisonous materials throughout the residence were both: o stored in their original manufacturer's labeled containers; and o secured in locked storage or otherwise inaccessible to individuals receiving services. Systemic Corrective Action All Residential Supervisors and Direct Support Professionals will receive retraining regarding: · Requirements of 55 Pa. Code §6400.62 regarding poisonous materials. · Safe storage of all hazardous substances. · Requirement that cleaning products remain in their original manufacturer-labeled containers. · Prohibition against transferring cleaning products into unlabeled or handwritten containers. · Routine environmental safety inspections and immediate correction of any deficiencies identified. 07/22/2026 Implemented
6400.104The provider agency did not provide written notification to the local fire department of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire.The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. 6400.104 -- Notification to the Fire Department Immediately following the licensing inspection, Armstrong Care, Inc. provided written notification to the local fire department that included: · The address of the licensed home. · A diagram identifying the layout of the home. · The exact location of bedrooms occupied by individuals requiring assistance with evacuation. · The location of smoke detectors and fire extinguishers. · The designated outdoor meeting location. · General information regarding evacuation assistance needs. This notification has been placed into the home's permanent records and will be updated whenever there is a change affecting evacuation assistance or the home's layout. 07/22/2026 Implemented
6400.113(a)Individual #1 was trained in fire safety on 7/9/2026. The training certificate states that the training only included a, "fire extinguisher operation class, utilizing a live fire conducted by JAWCO Fire, INC of Punxsutawney, PA." This training did not include site specific evacuation procedures, responsibilities during dire drills and the designated meeting place. 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. 6400.113(a) -- Fire Safety Training for Individuals Following the licensing inspection, Armstrong Care, Inc. reviewed the fire safety training provided to individuals. Although fire extinguisher instruction had been completed, the documentation did not verify that all components required by 55 Pa. Code §6400.113(a) had been included. The agency developed a revised fire safety training program that includes all required topics: · General fire safety · House-specific evacuation procedures · Individual responsibilities during fire drills · The designated meeting location for that residence · Smoking safety procedures, when applicable Each residential home will receive fire safety instruction specific to that home's layout and evacuation procedures. The training will be conducted in the individual's primary language or mode of communication, and written documentation will include the content presented and the individuals who attended. 07/22/2026 Implemented
6400.181(e)(13)(i)Individual #1's assessment, completed 12/28/25, did not include the progress or current level 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. Plan of Correction The Individual Assessment was revised to include a dedicated section documenting the individual's progress over the previous 365 calendar days and current level of functioning in the area of Health. The assessment for Individual #1 has been corrected to include this required information. All Program Specialists were retrained on the revised assessment format and the requirements of 55 Pa. Code §6400.181(e) to ensure all required assessment components are completed prior to finalization. 07/23/2026 Implemented
6400.181(e)(13)(viii)Individual #1's assessment, completed 12/28/25, did not include the progress or current level 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. Plan of Correction The Individual Assessment was revised to include both a comprehensive assessment of the individual's ability to manage personal property and a required narrative documenting the individual's progress over the previous 365 calendar days and current level of functioning in this area. Individual #1's assessment has been updated accordingly. Program Specialists received instruction on documenting both current abilities and measurable progress. The Individual Assessment was revised to include a dedicated section documenting the individual's progress over the previous 365 calendar days and current level of functioning in the area of Health. The assessment for Individual #1 has been corrected to include this required information. All Program Specialists were retrained on the revised assessment format and the requirements of 55 Pa. Code §6400.181(e) to ensure all required assessment components are completed prior to finalization. The Individual Assessment was revised to include a mandatory section evaluating the individual's ability to self-administer medications. The revised section documents the individual's level of independence, need for prompting or assistance, any changes since the previous assessment, and a narrative describing the individual's medication management abilities and required staff supports. Individual #1's assessment has been updated to include this information. Program Specialists were instructed that this section may not be left blank. Armstrong Care, Inc. developed and implemented a comprehensive Lifetime Medical section that is incorporated directly into the Individual Assessment. The Lifetime Medical History now documents historical and current medical information including diagnoses, physician information, developmental history, past medical history, body systems review, immunizations, medications, current diagnoses, and ongoing medical updates. Individual #1's assessment has been updated to include the required lifetime medical history rather than referencing information maintained elsewhere. Program Specialists received training on completing this section in its entirety 07/24/2026 Implemented
SIN-00270818 Renewal 07/29/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(3)Individual #1, date of admission 2/14/2025, had a Tetanus and Diphtheria immunization completed 8/15/2014 and not again since.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. At the time of the 6400 inspections, it was noted that an individual had a tetanus immunization that was past due. Correction Completed: ¿ The individual received the tetanus immunization on the same day it was identified as overdue. ¿ Documentation of the updated immunization was added to the individual's medical record. ¿ The individual's primary care provider was informed and verified the immunization schedule. 07/31/2025 Implemented
6400.216(a)On 7/30/2025 at approximately 10:22am, a binder containing personal identifying information to include Individual #1's, Individual #2's, and Individual #3's diagnoses and names was unlocked and accessible on top of the cabinet in the kitchen. An individual's records shall be kept locked when unattended. On 7/30/2025 at approximately 10:22 a.m., a binder containing personal identifying information, including three individuals¿ diagnoses and names, was found unlocked and accessible on top of a kitchen cabinet. Immediate Corrective Action Taken: ¿ The binder was immediately removed from the kitchen and placed in the locked file cabinet designated for individual records. ¿ Staff present at the time were reminded verbally of the requirement to keep all individual records secured and inaccessible to unauthorized persons at all times. Responsible Person: Program Specialist / Site Supervisor Completion Date: 7/30/2025 07/31/2025 Implemented
SIN-00194580 Renewal 10/19/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.34(a)"Individual #1 was informed and explained individual rights on 1/4/21. The rights document did not include the following rights: 6400.31(c), individual may not be reprimanded, punished; 6400.31(d), court's written order shall be followed; 6400.31(e), court-appointed legal guardian may exercise rights and make decisions; 6400.31(f), court-appointed legal guardian shall be involved in decision-making; 6400.31(g), the right to designate persons to assist in decision-making; 6400.32(a), individual may not be discriminated against; 6400.32(b), the right speak freely; 6400.32(d), individual shall be treated with dignity and respect; 6400.32(e), the right to make choices and accept risks; 6400.32(f), the right to refuse to participate in activities and services; 6400.32(g),the right to control his own schedule and activities; 6400.32(h), right to privacy of person and possessions; 6400.32(i),the right of access to and security of the individual's possessions; 6400.32(j), the right to voice concerns about the services; 6400.32(n), the right to unrestricted and private access to telecommunications; 6400.32(p), the right to choose persons with whom to share a bedroom; 6400.32(q), the right to furnish and decorate the individual's bedroom and common areas of the home; 6400.32(r), the right to lock the individual's bedroom door; 6400.32(r)(1-5), relating to locking mechanisms; 6400.32(s), the right to have a key, access card, keypad code, mechanism for the entrance door to the home; 6400.32(s)(1-3) relating to locking mechanisms for home's entrance door; 6400.32(t), the right to access food at any time; 6400.32(u), the right to make health care decisions; 6400.32(v), the right may only be modified in accordance with § 6400.185The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.The individuals in the homes cited, and all homes at ACI have been read and given a copy of the corrected rights. Program Specialist reviews the rights with each individual and signs off on the rights. All other copies of ¿The Rights¿ have been removed from the computers in the residential homes. Following are the rights as read to all the individuals in the homes: THIS INDIVIDUAL RIGHTS STATEMENT IS INTENDED TO PROVIDE THE INDIVIDUAL AND THE FAMILY AN OUTLINE TO ENSURE THAT THE INDIVIDUAL RIGHTS AND RESPONSIBILITIES ARE RESTRICTED AND ENCOURAGED ¿ I will not be deprived of rights as provided under § 6400.32 (relating to rights of the individual). ¿ The home shall educate, assist and provide the accommodation necessary for me to make choices and understand my rights. ¿ I may not be reprimanded, punished or retaliated against for exercising my rights. ¿ A court¿s written order that restricts my rights shall be followed. ¿ A court-appointed legal guardian may exercise rights and make decisions on behalf of an me in accordance with the conditions of guardianship as specified in the court order. ¿ A court-appointed legal guardian, or who has a court order restricting my rights, shall be involved in decision-making in accordance with the court order. ¿ I have the right to designate persons to assist in decision-making and exercising rights on behalf of the me. ¿ I will not be discriminated against because of race, color, creed, disability, religious affiliation, ancestry, gender, gender identity, sexual orientation, national origin or age. ¿ I have the right to civil and legal rights afforded by law, including the right to vote, speak freely, practice the religion of my choice and practice no religion. ¿ I may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment. ¿ I shall be treated with dignity and respect. ¿ I have the right to make choices and accept risks. ¿ I have the right to refuse to participate in activities and services. ¿ I have the right to control my own schedule and activities. ¿ I have the right to privacy of person and possessions. ¿ I have the right of access to and security of my possessions. ¿ I have the right to voice concerns about the services I receive. ¿ I have the right to participate in the development and implementation of my individual plan. ¿ I have the right to receive scheduled and unscheduled visitors, and to communicate and meet privately with whom I choose, at any time. ¿ I have the right to unrestricted access to send and receive mail and other forms of communications, unopened and unread by others, including the right to share contact information with whom I choose. ¿ I have the right to unrestricted and private access to telecommunications. ¿ I have the right to manage and access my finances ¿ I have the right to choose persons with whom to share a bedroom. ¿ I have the right to furnish and decorate my bedroom and the common areas of my home in accordance with § 6400.33 (relating to negotiation of choices). ¿ I have the right to lock my bedroom door. o Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to me to permit me to lock and unlock the door. o Access to my bedroom shall be provided only in a life-safety emergency or with the express permission by me for each incidence of access. o Assistive technology shall be provided as needed to allow me to lock and unlock the door without assistance. o The locking mechanism shall allow easy and immediate access by me and staff person in the event of an emergency. o Direct service workers who provide services to me shall have the key or entry device to lock and unlock the door. ¿ I have the right to have a key, access card, keypad code or other entry mechanism to lock and unlock an entrance door of the home. o Assistive technology shall be provided as needed to allow me to lock and unlock the door without assistance. o The locking mechanism shall allow easy and immediate access by me and staff person in the event of an emergency. o Direct service workers who provide services to me shall have the key or entry device to lock and unlock the door. ¿ I have the right to access food at any time. ¿ I have the right to make health care decisions. ¿ My rights may only be modified in accordance with § 6400.185 (relating to content of the individual plan) to the extent necessary to mitigate a significant health and safety risk to the individual or others. I CERTIFY THAT I HAVE READ OR HAD THE ABOVE STATEMENTS READ TO ME 11/22/2021 Implemented
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