Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00270368 Renewal 07/17/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(b)Staff #1 did not complete an FBI clearance within 5 days of date of hire. These staff indicated residing outside of Pennsylvania within the last two yearsIf a prospective employe who will have direct contact with individuals resides outside this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the person's date of hire. On July 30, 2025, Lifetime Management conducted an in-service training session for the Office Manager/Administrator, who is responsible for overseeing our hiring procedures. During this training, we updated our hiring policy to ensure that Lifetime Skills complies with the requirement to conduct FBI background checks within five days of the hire date. The background check must be completed within five working days following the date of hire. 07/30/2024 Implemented
6400.67(a)The are areas in the home that need repair: -The knob on the cabinet in the bathroom is broken/missing. -The toilet paper holder in the bathroom is broken. -The leather sofa is tattered/ripped in several areas.Floors, walls, ceilings and other surfaces shall be in good repair. On July 19, 2025, our maintenance staff, under the supervision of the executive director, completed repairs in all areas identified as needing attention. The repairs included fixing the broken towel holder in the bathroom. 07/19/2025 Implemented
6400.166(a)(13)Individual #1's MAR: There were several instances in which the MAR was not initialed upon the delivery of several medications: -Divalproex 500MG was not initialed as given for the 7/16/25 evening dosage. -Lithium Carbonate 300MG was not initialed as given for all three dosages on 7/16/25 and for the morning dosage on 7/17/25. -Metformin 1000MG was not initialed as given for the 7/16/25 evening dosage. -Trazadone 100MG was not initialed as given for the 7/16/25 dosage. -Sertraline 50MG was not initialed as given for the 7/17/25 morning dosageA medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name and initials of the person administering the medication.Individual #1's Medication Administration Record (MAR) was incomplete during the administration of medications. Lifetime Skills conducted retraining for the staff in question on proper documentation procedures through its MAR training program. The documentation error was corrected by staff in questioned. 07/18/2025 Implemented
SIN-00248025 Renewal 07/15/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(c)The handsoap in the bathroom was in an unlabeled container.Poisonous materials shall be stored in their original, labeled containers. On July 16, 2024, the program specialist and staff members took proactive steps to ensure the safety and well-being of all residents by removing all unlabeled hand soap from the bathrooms and replacing it with properly labeled and maintained soap in its original containers. 07/16/2024 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, 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
6400.81(k)(6)There was no Mirror in Bedroom of individual 1In bedrooms, each individual shall have the following: A mirror. On July 20, 2024, under the supervision of the executive director, the program supervisor acquired a mirror for the second individual's bedroom and conducted a thorough site check to ensure compliance with 6400.81(k)(6). 07/28/2024 Implemented
6400.112(c)5/9/2024 fire drill record does not indicate AM or PM. The 7/9/2024 drill start time (top of form) lists 4 o'clock; exact time of evacuation (middle of form) lists 6 o'clock (with a 2 min evacuation time), and also does not indicate AM or PM.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. On July 19, 2024, the supervisor of the lifetime skills program made updates to all fire drill forms. A new section was added to document the annual sleep drill, specifying whether it occurred in the morning (AM) or evening (PM). Going forward, fire drills will be conducted monthly, and staff conducting the drills will accurately record whether they took place in the AM or PM. 07/28/2024 Implemented
6400.166(b)No initials for any medications given on 7/14/24 - 7/15/24 for individual 1.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.On July 25, 2024, all DSPs were trained in properly documenting and initialing the MAR according to the Medical Administration policy. The Program Supervisor ensured that all staff were fully trained. 07/28/2024 Implemented