Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00282987 Renewal 02/17/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.143(a)Individual #1's 08/14/25 Physical Examination does not include a gynecological or breast examination 141c7. The form states "declined/deferred" without a description of the attempts to train the Individual in the need for the procedure.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record. The program supervisor ensured that the appointment for gynecological and breast exam was made, the individual is on the cancellation list. A HCQU referral was made to educate the individual on this type of an appointment to ensure education and health awareness is completed. Going forward all supervisors and program specialists were retrained on the importance of ensuring all areas of the physical are completed, that individuals receive education if certain procedures or appointments are deferred, as well as desensitization plans in place when warranted for refuses or trauma. 02/23/2026 Implemented
6400.144(Repeat violation from 05/12/25) Individual #1 had a "necrotic tooth" discovered during a dental examination on 6/17/25; a referral was made on that date to an oral surgeon, however, no removal has been completed or scheduled as of 02/19/26.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. Due to the complications of getting into oral surgeons in a timely manner, the plan of correction includes a UBO (Unusual Behavioral Observation report), regular doctor and dentist visits to ensure person is free from infection or if they are in need of antibiotics and appointment is scheduled and they are on the cancellation list to get in sooner if possible. The UBO is completed every awake shift and ensures that staff are ensuring the individual is remaining healthy. Individual #1 has an appointment scheduled for 3/9/26. 02/23/2026 Implemented
6400.181(e)(3)(ii)The 01/29/26 Annual Assessment does not include a review of "acquisition of functional skill". The assessment must include the following information: The individual¿s current level of performance and progress in the following areas: Communication. The assessment was updated to reflect the communication section of the Functioning Skills section. The PS was retrained on the template of the assessment and the checklists to ensure all sections are accounted for and meeting the standard of the regulation. The addendum was sent to the team, reviewed with the individual and staff were trained. 02/24/2026 Implemented
6400.181(e)(7)The 01/29/26 Annual Assessment does not clearly state if Individual #1 can sense and move away quickly from heat sources.The assessment must include the following information: The individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated. The assessment was updated to reflect the individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F. The addendum was sent to the team, reviewed with the individual and staff were trained. 02/24/2026 Implemented
6400.181(e)(12)Individual #1 01/29/26 Annual Assessment does not include a review of "Programming" or "Services", these sections reference the needs of another Individual.The assessment must include the following information: Recommendations for specific areas of training, programming and services. The assessment was updated to reflect individuals training, programming and services. Individual has started CPS services and this now is reflected in their abilities of programming services. All staff were retrained on the addendum. 02/24/2026 Implemented
6400.212(a)Individual #1's 01/29/26 Annual Assessment includes information for a different Individual. A separate record shall be kept for each individual. The assessment was updated and the other individuals information was extracted from the assessment. The PS was retrained on the importance of not using others folks assessments as a template and always using the empty template submitted in the corrective action piece. 02/24/2026 Implemented
6400.166(b)Staff did not document on Individual #1's MAR that they received their 8pm meds on 2/8/26.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.All staff were retained to go back through the Point Click Care system to ensure their med pass is documented. If there is a glitch in the system it can then be addressed in real time to prevent documentation errors going forward. If the computer is having issues a paper MAR can be competed. All materials are submitted to show no further issues on documentation. 02/24/2026 Implemented
6400.181(f)(Repeat violation from 05/12/25) Individual #1 Annual Assessment was sent to the Individual Support Plan (ISP) team on 02/04/26, not more than 30 days prior to the scheduled ISP meeting on 02/25/26.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.The PS, updated their tracking form and ensured all dates are updated and correct future compliance. They were retrained on the importance of keeping these documentation as part of their responsibility for overseeing the assessment and compliance. 02/24/2026 Implemented
SIN-00226535 Renewal 07/11/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(1)Individual #1's most recent assessment completed on 5/17/23, does not include their preferences. The assessment must include the following information: Functional strengths, needs and preferences of the individual. Individual #1's assessment was updated to reflect their preferences and all staff that work with them were retrained on this section of the assessment prior to working with Individual #1. All of The Arc Program Specialists were re-trained that there needs to be an addendum for preferences if they do not have it already in the assessment. 07/18/2023 Implemented
6400.181(e)(7)Individual #1's most recent assessment completed 5/17/23 does not specify whether Individual #1 can both sense and move away quickly from heat sources.The assessment must include the following information: The individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated. Individual #1's assessment was updated to reflect their ability to sense, move away from, and the level at which they can utilize heat sources, and if any assistance by staff is needed. All staff that work with Individual #1 were retrained on this section of the assessment prior to working with them. All of The Arc Program Specialists were re-trained on how to be more detailed in this section of the assessment and to ensure these areas are reflected. 07/18/2023 Implemented
6400.214(a)At the time of the physical site inspection, the current assessments were not available at the home.Record information required in § 6400.213(1) (relating to content of records) shall be kept at the home.All residential Supervisors and Program Specialists were retrained on the importance to ensure the assessment is placed in all books staff need to have access prior to effective date upon admission and annually thereafter. It is the PS's job duty to ensure this is implemented. 07/18/2023 Implemented
SIN-00193109 Renewal 09/13/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66The lighting outside of the downstairs front door was not operable at the time of inspection on 9/14/21.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. The house supervisor immediately switched the light bulb. the Supervisors is expected to walk through their programs daily to have a visual check of all property. A Safety Review Form is to be completed for anything that needs fixed or repaired that can not immediately rectified so appropriate maintenance is brought in. to ensure all repairs are timely completed. 09/22/2021 Implemented
6400.141(c)(4)Individual #1's vision was screened on 1/10/20 and not again until 3/2/21; which is outside of the annual time frame.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. The Supervisor will ensure this is adequately documented what the recommendation is for these tests and ensure they are completed in the timeframe suggested they will also track this by the monthly tracking form. 09/22/2021 Implemented
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
6400.165(g)Individual #1 had their quarterly psychiatric medication review on 8/25/20 and not again until 2/8/21.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.The program supervisor ensured the monthly appointment documentation is updated and adequately tracked. if appointment is rescheduled or cancelled the appropriate documentation will be kept in the medical file for correspondence and what the steps are to be taken to achieve the appointment. 09/22/2021 Implemented
6400.166(a)(2)Individual #1 September 2021 Medication Administration Record does not include the prescribing physicians' names.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name of the prescriber.Supervisors and Program Specialists will ensure that the MARS have all required information. All MARs were immediately updated with the prescribing physician. 10/01/2021 Implemented
6400.166(a)(11)Individual #1 September 2021 Medication Administration Record (MAR) does not include the diagnosis or purpose for each medication listed on the MAR.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.Supervisors and Program Specialists will ensure that the MARS have all required information. All MARs were immediately updated with the diagnosis of the medications. 10/01/2021 Implemented
SIN-00265287 Renewal 05/12/2025 Compliant - Finalized
SIN-00207863 Renewal 07/19/2022 Compliant - Finalized