| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(b) | There was no attestation of residency statement to determine if Staff #1 or staff #2 had lived within the Commonwealth for two years or more at the time of hire. | If 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.
| ¿ Importance of Regulation
o This regulation is critical to the safety of individuals. Ensure that criminals are not providing services or Acute is not exposing the individuals to potential threats.
¿ Regulation Violated
o If 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.
¿ Fix of Violation.
o A complete background check was conducted on 4/22/24 and 4/24/24. Both Police background and FBI for both staff person in question.
¿ Responsible Person
o Program Specialist is responsible to prevent future violations.
o Acute anticipated the resolution of this violation by 4/24/24.
o Violation was resolved on 4/24/24.
o Based on analysis of other individuals, there are no similar violation |
04/24/2024
| Implemented |
| 6400.67(b) | There was a pipe sticking out of the floor creating a tripping hazard. Also, the large hole for the sump pump does not have a door around it or screen to cover it for safety. | Floors, walls, ceilings and other surfaces shall be free of hazards. | ¿ Importance of Regulation
o This regulation is critical for maintaining a safe environment for individuals. Preventing injuries and protecting the individual from hazards.
¿ Regulation Violated
o Floors, walls, ceilings, and other surfaces shall be free of hazards.
¿ Fix of Violation.
o A flower plant and a stand was purchased and placed over metal sticking pipe to prevent tripping hazard.
¿ Responsible Person
o CEO is responsible to prevent future violations.
o Acute anticipated the resolution of this violation by 3/30/24
o Violation was resolved on 3/30/24
o Based on analysis of other individuals, there are no similar violations |
03/30/2024
| Implemented |
| 6400.76(a) | The dining table was unstable. Staff attempted to fix it during the inspection but were unable to prevent it from moving unsteadily from side to side. | Furniture and equipment shall be nonhazardous, clean and sturdy. | ¿ Importance of Regulation
o This regulation is critical for maintaining a safe and steady dining space for the individual.
¿ Regulation Violated
o Furniture and equipment shall be nonhazardous, clean and sturdy..
¿ Fix of Violation.
o The table in question was adjusted and all screws were fasten accordingly
¿ Responsible Person
o CEO is responsible to prevent future violations.
o Acute anticipated the resolution of this violation by 3/28/24
o Violation was resolved on 3/28/24
o Based on analysis of other individuals, there are no similar violations |
03/28/2024
| Implemented |
| 6400.82(f) | There was no hand soap or paper towels/hand towels available in the bathrooms. This was corrected at the time of inspection. | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | ¿ Importance of Regulation
o This regulation is critical for hygiene puroses. Ensure the individual is exercises safe and proper handwash after each bathroom usage.
¿ Regulation Violated
o Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle.
¿ Fix of Violation.
o Hand soap(soft) was immediately placed in the bathroom
¿ Responsible Person
o CEO is responsible to prevent future violations.
o Acute anticipated the resolution of this violation by 3/27/24
o Violation was resolved on 3/27/24
o Based on analysis of other individuals, there are no similar violations |
03/27/2024
| Implemented |