Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00150471 Renewal 02/19/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.53(a)A bottle of ispropyl alcohol (rubbing alcohol) was found in a drawer in an unlocked file cabinet in the hallway outside the staff office.Poisonous materials shall be kept locked or made inaccessible to individuals, when not in use.Alcohol was used to clean the forehead thermometer used in program. Alcohol was disposed of immediately at licensing. All poisonous materials are now locked in the cleaning closet in Area 2 and extra first aid supplies are now locked in a cabinet in the program specialists' office. 02/20/2019 Implemented
2380.58(a)In program area 1, there was a large recliner with a torn seat. In program area 4, the TV armoire had a broken door. There was a broken latch on the third stall in the men's bathroom.Floors, walls, ceilings and other surfaces shall be in good repair.Old recliner was disposed of and a new recliner was purchased to replace it (Attachments #1-#3). Hinge on TV armoire was repaired the day after licensing (Attachments #4 & #5). A new lock was placed on the third stall by the maintenance personnel (Attachments #6-#8). A monthly safety inspection of the program will be conducted and requests for any necessary repairs will be made through work orders to maintenance. 03/28/2019 Implemented
SIN-00129214 Renewal 03/15/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.181(e)(13)(i)Individual #1's assessment did not address progress and current level in the last 365 days in the area of 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.An addendum to Individual #1's assessment was completed to address the area of health. (Attachment #1) The annual assessment was also changed to include space to document the current level and progress over the last 365 days for this area and will be used for all individuals as of 4/11/18. (Attachment#2) 04/11/2018 Implemented
2380.181(e)(13)(iii)Individual #1's assessment did not address progress and current level in the last 365 days in the area of personal adjustment.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Personal adjustment.An addendum to Individual #1's assessment was completed to address the area of personal adjustment. (Attachment #1) The annual assessment was also changed to include space to document the current level and progress over the last 365 days for this area and will be used for all individuals as of 4/11/18. (Attachment#2) 04/11/2018 Implemented
2380.181(e)(13)(iv)Individual #1's assessment did not address progress and current level in the last 365 days in the area of socialization.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization.An addendum to Individual #1's assessment was completed to address the area of socialization. (Attachment #1) The annual assessment was also changed to include space to document the current level and progress over the last 365 days for this area and will be used for all individuals as of 4/11/18. (Attachment#2) 04/11/2018 Implemented
2380.181(e)(13)(v)Individual #1's assessment did not address progress and current level in the last 365 days in the area of recreation.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation.An addendum to Individual #1's assessment was completed to address the area of recreation. (Attachment #1) The annual assessment was also changed to include space to document the current level and progress over the last 365 days for this area and will be used for all individuals as of 4/11/18. (Attachment#2) 04/11/2018 Implemented
2380.181(e)(13)(vi)Individual #1's assessment did not address progress and current level in the last 365 days in the area of community integration.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.An addendum to Individual #1's assessment was completed to address the area of community integration. (Attachment #1) The annual assessment was also changed to include space to document the current level and progress over the last 365 days for this area and will be used for all individuals as of 4/11/18. (Attachment#2) 04/11/2018 Implemented
SIN-00108239 Renewal 03/28/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(a)Individual #3 had a physical exam on 4/15/2015. She didn't have another physical exam until 5/11/2016, which exceeds the annual requirement.Each individual shall have a physical examination within 12 months prior to admission and annually thereafter.Individual #3 was en route to her physical examination on 4/13/16, however, had a toileting accident that interrupted the scheduled appointment. The next available appointment was 5/11/16, as per group home case note (Attachment #2). Program specialists send letters reminding individuals' families/caregivers of the due dates for physical examinations (Attachment #3). If the physical exam date goes beyond one year (and the 15 day grace period), the individual will not attend program until the exam is completed. 04/26/2017 Implemented
2380.111(c)(6)Individual #1 is diagnosed with Herpes and takes medication for it. His physical exams dated 5/21/2015 and 5/9/2016 does not state any precautions that should be taken to prevent the spread of Herpes to other individuals.The physical examination shall include: Specific precautions that shall be taken if the individual has a serious communicable disease as defined in 28 Pa. Code §  27.2 (relating to specific identified reportable diseases, infections and conditions) to the extent that confidentiality laws permit reporting, to prevent the spread of the disease to other individuals.A precaution statement was requested from Individual #1's physician and received on 4/21/17. (Attachment #4). 04/21/2017 Implemented
2380.186(a)Individual #3 had ISP reviews on 2/2/17, 11/30/16, 8/4/16, 5/6/16, and 2/2/16. The timeframe between 8/4-11/30/16 exceeds the 3 month requirement.The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the facility licensed under this chapter with the individual every 3 months or more frequently if the individual¿s needs change which impact the services as specified in the current ISP.A tracking sheet was developed and is in use by program specialists to ensure that the 3 month meeting requirement is met. (Attachment #1) 04/26/2017 Implemented
SIN-00089402 Renewal 03/08/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.20(d)Staff 1 has a date of hire of 8/13/2015. Staff 1 had a criminal history requested on 8/7/2015 that states that it is Under Review. The agency did not obtain additional information from the PA state Police as to why staff 1's record is under review. Criminal History Record Checks are not final if the record is Under Review.A copy of the final reports received from the State Police, and the FBI, if applicable, shall be kept.Final Criminal History Record Check indicating no criminal record was received by HR on 8/17/15 but was not in Staff 1's file. A copy of the results will be emailed to licensing representative. (Attachment 6). 03/10/2016 Implemented
2380.111(c)(4) Individual 2's physical dated 7/9/2015 did not include a vision screening. The physical examination shall include: Vision and hearing screening, as recommended by the physician.A checklist was developed to track physicals and ensure that all sections are completed. Individual 2's physical was returned to her physician to have all necessary areas completed. (Attachments 5A-5D) 04/18/2016 Implemented
2380.111(c)(8)Individual 1's physical dated 5/14/15 was blank in the physical limitations section. The physical examination shall include: Physical limitations of the individual.Individual 1's physical was returned to his physician with a letter requesting what information must be completed. We are currently awaiting a FAX from the doctor. A checklist was developed to track physicals and ensure that all sections are completed. (Attachments 5A & 5B) 04/29/2016 Implemented
2380.124(b)Individual 3 was administered the following 2 medications on 3/8/2016 but they were not logged on individual 3's medication log: Misoprostol 200 mcg., 1 tablet by mouth 4 times a day; and Lamotrigine 200 mg take 1 tablet by mouth 3 times daily. On the back of both blister packs was "LY on 3/8/16 @11:25am" to indicate that the pills were given by staff person 2.The information specified in subsection (a) shall be logged immediately after each individual¿s dose of medication.Staff person responsible received remediation training on 3/11/16 and 3/14/16. (Attachment 4A & 4B). 03/14/2016 Implemented
2380.173(1)(ii)Individual 1's record did not include his height, hair color, or eye color. Individual 4's record did not provide information on identifying marks. Each individual's record must include the following information: Personal information including: The race, height, weight, color of hair, color of eyes and identifying marks.As of April 2016, all new admissions will have a formal admission meetings held with the team prior to their start date to ensure that all paperwork is filled out completely. Completed forms for individuals 1 and 4 will be emailed to licensing representative. (Attachments 2A & 2B) 04/01/2016 Implemented
2380.173(1)(iv) Individuals 1 and 4 record does not include his religious affiliation. Each individual¿s record must include the following information: Personal information including: Religious affiliation.As of April 2016, all new admissions will have a formal admission meetings held with the team prior to their start date to ensure that all paperwork is filled out completely. Completed forms for individuals 1 and 4 will be emailed to licensing representative. (Attachments 2A & 2B) 04/01/2016 Implemented
2380.188(b) Community opportunities are not being provided to all of the individuals in the program. Individual 1 has not been provided community outings since his date of admission on 10/14/2015 (5 months). Individual 2 has not been provided community outings since her date of admission on 7/21/15 (8 months). Individual 5 has not been provided community outings by the agency since 9/8/2014. The facility shall provide opportunities and support to the individual for participation in community life, including work opportunities.Individual 1 attends day program three days per week. He was on an outing to Berkshire Mall on 1/7/16 which is documented in progress notes. Program Specialist/Site Supervisor is now scheduling rotating outings weekly for all individuals who attend program. Individual 1 was also on an outing to Cabela's and Hamburg Park on 3/31/16 and is scheduled for another outing on 4/22/16. Outings are tracked on a monthly calendar, weekly and monthly progress notes, and quarterly reviews. Documentation will be emailed to licensing representative. (Attachments 1A & 1B) 04/21/2016 Implemented
SIN-00072391 Renewal 01/22/2015 Compliant - Finalized