| Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
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SIN-00265284
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Renewal
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05/12/2025
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.66 | At the time of the inspection, there was no light located outside of the sliding glass doors leading to the back of the home on the left side of the building. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| This light was placed immediately on 5/13/25 by maintenance directly above the door. Attached picture and receipt. |
05/13/2025
| Implemented |
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|
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SIN-00207860
|
Renewal
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07/19/2022
|
Compliant - Finalized
|
|
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(6) | The provider's doctor visit/health release form dated 7/28/21 indicates a Registered Nurse (RN) (name unlisted) checked Individual #1's left arm and stated that the TB test was "negative". The RN did not sign and date the form. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. | The individual had a physical on 7/27/22, which a tb was administered. It was checked on 7/29/22. The updated physical form reflects these dates and a signature of the appropriate medical personnel that checked the Tb. |
07/29/2022
| Implemented |
| 6400.181(e)(13)(vii) | Individual #1's Annual Assessment 3/11/22 does not address the Individuals ability to be financially independent. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence.
| The individuals ISP and Assessment was updated to reflect his ability to manage his own money. Staff will continue to encourage receipts and tracking them as much as possible. All staff in the home were re-trained on the updates on 7/24/22. |
07/24/2022
| Implemented |
|
|
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SIN-00193106
|
Renewal
|
09/13/2021
|
Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.145(1) | The Emergency Medical Plan developed for The Arc of Centre County is the same for all households. There is only one emergency medical plan developed. The Emergency Medical Plan is to be individual specific and is to identify the individual's hospital of preference. | The home shall have a written emergency medical plan listing the following: The hospital or source of health care that will be used in an emergency. | This policy was updated to reflect preference of hospital for each individual resigning in a 6400 licensed residential home and how they will be transferred, as well as reflect emergency situations. |
09/22/2021
| Implemented |
|
|
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SIN-00119269
|
Renewal
|
10/03/2017
|
Compliant - Finalized
|
|
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(a) | This home's self inspection was not completed 3 to 6 months prior to the expiration date of the agency's ceritifcate of compliance. The certificate of compliance expired on 6/15/17 and the self-assessment was not completed until 3/17/17. | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| All Program Specialist were retrained on this regulation, 15a. All self-assessments will be completed bi-annually. The Self -assessment will be done every September and every February-March 15 of every year going forward. Program Specialists are responsible for being the lead of the self-assessment and for the team assigned to the program. The Program Specialist is responsible that the dates are met. The Program Specialist will then be turn the self-assessemenr into Amy Bennett, Chief Programming Officer, for a final check and to ensure remediation of any citations are completed in a timely manner. |
10/11/2017
| Implemented |
| 6400.68(c) | The coliform water test was completed on 12/7/16 and not again until 4/3/17. | A home that is not connected to a public water system shall have a coliform water test by a Department of Environmental Resources¿ certified laboratory stating that the water is safe for drinking purposes at least every 3 months. Written certification of the water test shall be kept. | This was founded on the assessment completed on March 17, 2017 and plan of correction was noted from meeting minutes, included with documents being sent. But this was again reviewed that the house supervisor is responsible for submitting the coliform testing quarterly. They will monitor this on the monthly structural survey they complete monthly. The structural survey is then submitted to the Program Specialist for review monthly to ensure this testing is completed quarterly. |
10/11/2017
| Implemented |
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|
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SIN-00099959
|
Renewal
|
08/22/2016
|
Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | Dawn dish soap, glass cleaner, Tilex and Scrubbing Bubbles were unlocked under the kitchen sink. | Poisonous materials shall be kept locked or made inaccessible to individuals. | All staff, Program Specialists, and Supervisors were retrained on ensuring all poisonous materials are locked at all times. A new lock was purchased for the cabinet to ensure it is properly locked and does not come open. This will be monitored by the supervisor monthly on the structural survey, included on POC and second checked monthly by Program Specialist. |
10/01/2016
| Implemented |
| 6400.62(c) | There was a clear bottle with approximately 18 fl oz. of purple liquid unlocked under the kitchen sink. Staff indicated it was Fabuloso cleaning solution. | Poisonous materials shall be stored in their original, labeled containers. | All staff, Program Specialists, and Supervisors were retrained on ensuring all poisonous materials are in their original labeled container. A new lock was purchased for the cabinet to ensure it is properly stored at all times. This will be monitored by the supervisor monthly on the structural survey, included on POC and second checked monthly by Program Specialist. |
10/01/2016
| Implemented |
| 6400.112(c) | The 02/17/16 fire drill log did not indicate if all alarms were operative. All smoke detectors are not being tested monthly according to staff interviews. | 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. | All Supervisors were retrained on checking the alarm systems and to ensure they are working properly. This will be done monthly during fire drills and completing the monthly structural survey. Program Specialists will then check to ensure these things are completed correctly monthly. A Fire drill was completed in late September to verify this was completed and a monthly structural survey in early October will be included in POC. |
10/03/2016
| Implemented |
| 6400.112(h) | The 08/03/15 fire drill log indicated not all individuals in the home met at the meeting place. | Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill. | All Supervisors were retrained on ensuring during a fire drill that all individuals evacuate to the designated meeting place. This will be done monthly during fire drills. Program Specialists will then check to ensure these things are completed correctly monthly. A fire drill was completed in September to verify this was done properly. |
10/03/2016
| Implemented |
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SIN-00062661
|
Renewal
|
05/05/2014
|
Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(c)(13) | Individual #1's physical examination did not include Naispon causing a rash, however his ISP did include this information. | The physical examination shall include: Allergies or contraindicated medications. | Physical was updated on 5/6/2013 to include the current allergies. To prevent further incidents to ensure the physical forms are always updated Med tracking sheet has been updated to include a note stating allergies from recent appointments must be added to physical. |
05/21/2014
| Implemented |
| 6400.181(e)(13)(ix) | Individual #1's assessment did not include information pertaining to his progress in integrating into his community. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration. | All Program Specialists were retrained to ensure Community Integration was placed in addendum and ensure upcoming annual assessments include this section. |
05/13/2014
| Implemented |
| 6400.186(a) | Individual #1's ISP reviews did not include specific progress he was making on his outcomes or his community activities. His ISP reviews only said to refer to monthly reviews for progress. | The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. | All Program Specialist were retrained on ensuring that all quarterlies include further information in regards to progress or lack there of for outcomes. |
05/13/2014
| Implemented |
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SIN-00160883
|
Renewal
|
09/17/2019
|
Compliant - Finalized
|
|
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SIN-00141577
|
Renewal
|
10/04/2018
|
Compliant - Finalized
|
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