Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00256616 Renewal 11/06/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.59(a)The faucet on the sink to the left side in the women's bathroom had minimal pressure causing only a small dripping stream of water to run out.The facility shall have hot and cold running water under pressure in bathrooms and kitchen areas.The Faucet on the left in the lady's bathroom has been repaired. Water pressure has been restored to optimal levels. Restoration completed. 01/16/2025 Implemented
2380.111(c)(10)The physical completed on 4/4/24 for individual #3 is missing medical information pertinent to diagnosis and treatment in case of emergency. The area on the form designated for this information was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.The missing medical information for member #3 has been updated and filed. All information pertinent to treatment and diagnosis has been updated by the center's nurse.. 11/07/2024 Implemented
2380.181(a)Individual #1 was admitted on 10/24/22 and his initial assessment was completed on 11/28/22. The next assessment should have been completed annually to show 365 days of progress by 11/2023 and there is no assessment for November 2023. The next assessment was not completed until 9/20/24.Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the facility and an updated assessment annually thereafter.The members annual assessment was completed for November 2024; this insures that member #1 annual assessment is back on schedule. 11/07/2024 Implemented
2380.21(l)The provider did not hold conversations with Individual#1 relating to their preferred community participation and activities as required by ODP Announcement 24-061.An individual has the right to make choices and accept risks.The Program Specialist had a conversation with member #1 on community participation per ODP Announcement 24-061. 11/07/2024 Implemented
2380.21(l)The provider did not hold conversations with Individual #3 relating to their preferred community participation and activities as required by ODP Announcement 24-061.An individual has the right to make choices and accept risks.The Program Specialist had a conversation with member #1 on community participation per ODP Announcement 24-061. 11/07/2024 Implemented
2380.21(l)The provider did not hold conversations with Individual #2 relating to their preferred community participation and activities as required by ODP Announcement 24-061.An individual has the right to make choices and accept risks.The Program Specialist had a conversation with member #2 on community participation per ODP Announcement 24-061 and documented in the progress note. 11/07/2024 Implemented
2380.21(u)The individual rights form completed for individual #3 admission to the facility on 4/12/24 was signed by the individual's mother, who wrote "guardian" on the form. However, the mother has durable health care power of attorney and is not a court appointed legal guardian. Other paperwork in the record shows that the individual can sign their name. Because the mother signed the form, there is no way to establish that the individual rights were reviewed with the individual themselves upon admission to the programThe facility shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the facility and annually thereafter.Individual #3 along with mother and Center Director has reviewed individual rights form. Individual has revised form with her signature. Moving forward mom will only sign forms designated with her limited health care power of attorney. 11/08/2024 Implemented
SIN-00235017 Renewal 11/03/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.55(a)The men's room near the kitchen has grime and dirt build-up on several surfaces throughout the bathroom -- on the floor, under the sink, in corners, etc. There was fecal matter on the toilet seat in the last stall.Clean and sanitary conditions shall be maintained in the facility.Anago cleaning company is scheduled to complete a machine scrub of the bathrooms in the center. The Toilets were cleaned immediately. after we were notified of the condition. 11/03/2023 Implemented
2380.89(a)There was no documentation showing that a fire drill was conducted in the month of May 2023.An unannounced fire drill shall be held at least once a month.Center Director or designee will complete monthly fire drills to ensure the safety of the staff and members. 11/30/2023 Implemented
2380.91(a)The following individuals did not have a current documented fire safety training on file. Individual #1 Individual #2 Individual #3 Individual #4An individual shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general firesafety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, and smoking safety procedures if individuals smoke at the facility.Fire Safety Assessments were completed in a timely manner for all members. The nurse documentation accounts for this information on a quarterly basis. Attached documents confirms that Fire safety was completed for all Individuals at the time of enrollment. This is found on the initial nursing assessment 11/17/2023 Implemented
2380.111(a)The most recent annual physical examination for individual #4 is greater than 1 year and 15 days old.Each individual shall have a physical examination within 12 months prior to admission and annually thereafter.Phone call made to provider agency to provide an updated copy of the most recent Physical. Copy of physical was provided. Individual completed physical 10/5/2023 11/06/2023 Implemented
2380.181(a)There was no current annual assessment on file for the following individuals: Individual #1 Individual #2 The following individuals had annual assessments which were both written on 11/2/23, however there was no previous annual assessments to determine the timeliness of these assessments. Individual #3 Individual #4Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the facility and an updated assessment annually thereafter.Individual 1 admission date was 10/16/2023, Individual 1 has 60 calendar days after admission to the facility to have an assessment completed. Assessment was completed on 11/17/2023 Individual 2 Assessment was completed on 11/13/2023 Individual 3 Assessment was completed on 11/7/2023. 11/2/23 assessment will be used as the initial assessment. Individual 4 Assessment was completed on 11/13/2023. 11/2/23 assessment will be used as the initial assessment 11/17/2023 Implemented
2380.36(b)Agency documentation does not indicate a fire safety expert has provided staff fire safety trainings. Staff Member #1 has provided new hire fire safety trainings, but their record does not indicate they received training from a fire safety expert.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a).Center Director completed fire safety training for all active employees. Staff member #1 has received fire safety training from the Regional Director who also received fire safety training from the Fire Safety CD available in all centers. 11/28/2023 Implemented
2380.37(a)Staff Member #1's orientation record does not track the completion of various core trainings, including fire safety, client rights, abuse prevention and detection, and incident reporting.Records or orientation and training, including the training source, content, dates, length of training, copies of certificates received and persons attending, shall be kept.Regional Director signed and updated the new orientation record. The Center Director signed the documentation record agreeing that these trainings occurred. 11/03/2023 Implemented
SIN-00217033 Renewal 11/07/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.56Bathroom #2 did not have an operable window or mechanical ventilation (the fan was not working).Program areas, dining areas, kitchens, bathrooms and first aid rooms shall be ventilated by operable windows or mechanical ventilation such as fans or air conditioning.It was decided to replace both fans in bathroom #2 and bathroom #1. Center Director bought two bathroom ventilation fans. Center Director hired a handy man to replace ventilation fans. Handyman replaced both ventilation fans on 1/20/2023. Center Director confirmed both fans were working. 01/20/2023 Implemented
2380.62The telephone located in the main work area did not have emergency numbers on or by the telephone at the time of inspection.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted on or by each telephone in the facility with an outside line.Center Director placed emergency telephone number list next to all phones needing the list while the inspector was in the building on 11/7/2022. 11/07/2022 Implemented
2380.36(a)The Program Specialist #1 and Staff #2 were not trained in fire safety by a fire safety expert.Program specialists and direct service workers shall be trained before working with individuals in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the facility, the use of fire extinguishers, smoke detectors and fire alarms, and notification o the local fire department as soon as possible after a fire is discovered.Center Director was given a link to an approved online fire safety training that was presented by a fire safety expert. All current staff will be trained through this link the week of 1/23/2023 which will suffice as the annual training. for 2023. 01/24/2023 Implemented
2380.36(c)Staff personal #2 CPR and First Aid training certification expired 09/30/2021.There shall be at least 1 staff person for every 18 individuals, with a minimum of 2 staff persons present at the facility at all times who have been trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation within the past year. If a staff person has formal certification from a hospital or other recognized health care organization that is valid for more than 1 year, the training is acceptable for the length of time on the certification.Center Director scheduled a CPR/First Aid training session for all employees on 12/2/2022 All full time and part time staff in need of CPR and First Aid Training and were present on 12/2/2022, attended the training and received CPR and First Aid certification. Proof of certification is on file in each employee's file. There were 6 employees trained including the center director, program specialist, and 4 program assistants. 12/02/2022 Implemented
SIN-00158832 Renewal 07/02/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.20(b)All the new hires did not have a signed statement if the lived in Pennsylvania for the past consecutive 2 years, and no FBI criminal history record check's were found.If a prospective employee who will have direct contact with individuals resides outside of 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.During the time of licensing Staff #2 was the most recent employee with a hire date of 4/18/2018 and was a resident of Pennsylvania for the past two consecutive years as shown on her Pennsylvania Issued Identification Card. (Attachment 19) Moving forward, Center Director will ensure all new hires have a statement of proof of Pennsylvania residency for at least the last two years consecutively. If the new hire has not been a resident of Pennsylvania for at least the last two years consecutively, an FBI criminal history record check will be conducted on that individual prior to his/her date of hire. 08/09/2019 Implemented
2380.67(a)The Kitchen cabinet was broken and in need of repair.Furniture and equipment shall be nonhazardous, clean and sturdy.The Kitchen Cabinet was repaired at time of the inspection. Please see attachment #7 and attachment #8. Staff was reminded to notify Center Director or Activity Manager immediately if they notice any furniture or equipment is not sturdy, not clean or potentially hazardous. Moving forward, Center Director or Activities Manager will conduct weekly facility checks to ensure compliance in this area. 07/02/2019 Implemented
2380.91(a)Individual #1's record did not have fire safety training.An individual shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general firesafety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, and smoking safety procedures if individuals smoke at the facility.Individual # 1 participated in fire safety training on 8/7/2019 outlining general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fie safe area in the event of an actual fire; member is a non-smoker. Moving forward, Center Director or Nurse Manager will ensure fire safety training is conducted and properly documented upon admission and at the required periodic intervals. 08/07/2019 Implemented
2380.111(c)(3)The physical exam dated 4/19/19 for individual #1 did not include immunizations.The physical examination shall include: Immunizations as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333.Individual #1 has an appointment scheduled for 10/17/2019 to complete documentation of their immunizations. This is the soonest appointment they were able to obtain.Moving forward, Center Director or Nurse Manager will ensure all physical exams include immunizations and it is on the correct form. Please see attachment #5. 10/17/2019 Implemented
2380.111(c)(4)The physical examination dated 4/19/19 for individual #1 did not include vision and hearing screenings.The physical examination shall include: Vision and hearing screening, as recommended by the physician.Individual #1 has an appointment scheduled for 10/17/2019 to complete documentation of their vision and hearing screenings. This is the soonest appointment they were able to obtain. Moving forward, Center Director or Nurse Manager will ensure all physical exams include vision and hearing screenings and it is on the correct form. Please see attachment #5. (This form is blank as we have not had a new admission since the inspection so we do not have a completed form to submit yet 10/17/2019 Implemented
2380.111(c)(6)individual #2's physical exam dated 6/13/19 did not include if the individual was free of a serious communicable disease it was left blank.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.Individual #2 began residing in New York with his family, and was no longer a Member here to be able to update their documentation. Moving forward, Center Director or Nurse Manager will ensure all physical exams include that the individual is free of a serious communicable disease. Please see attachment #5. (This form is blank as we have not had a new admission since the inspection so we do not have a completed form to submit yet 07/17/2019 Implemented
2380.111(c)(7)The physical exam for individual #1 dated 4/19/19 did not include an assessment of the individuals health maintenance needs.The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals.Individual #1 has an appointment scheduled for 10/17/2019 to complete documentation of their immunizations. This is the soonest appointment they were able to obtain. Moving forward, Center Director or Nurse Manager will ensure all physical exams include an assessment of the individuals health maintenance needs . Please see attachment #5. (This form is blank as we have not had a new admission since the inspection so we do not have a completed form to submit yet) 10/17/2019 Implemented
2380.111(c)(10)The physical exam for individual #2 did not include medical information pertinent to diagnosis in case of an emergency, it was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.Individual #2 began residing in New York with his family, and was no longer a Member here to be able to update their documentation. Moving forward, Center Director or Nurse Manager will ensure all physical exams include medical information pertinent to diagnosis and treatment in case of an emergency and it is on the correct form. Please see attachment #5. (This form is blank as we have not had a new admission since the inspection so we do not have a completed form to submit yet 07/17/2019 Implemented
2380.36(b)Staff members#1 and #2 did not have record of receiving annual fire safety training by a fire safety expert.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a).Center Director scheduled Fire Safety Training with a Certified Fire Protection Specialist on 9/20/2019 for staff at Active Day Northeast where they were instructed in smoke detector maintenance, duties during a fire drill, and the use of portable fire extinguishers (attachments 14-18). 09/20/2019 Implemented
2380.36(c)Staff members #1 and #2 did not have record of receiving training in CPR/First Aid, and Heimlich techniques within the past year.There shall be at least 1 staff person for every 18 individuals, with a minimum of 2 staff persons present at the facility at all times who have been trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation within the past year. If a staff person has formal certification from a hospital or other recognized health care organization that is valid for more than 1 year, the training is acceptable for the length of time on the certification.We respectfully request for this violation to be withdrawn as staff members #1 and #2 had CPR/First Aid and Heimlich Technique training completed. It is current and was provided to the inspector during the inspection process. Please see attachment #3 and attachment #4. Moving forward, the Center Director will ensure all new employees either have or receive CPR/First Aid and Heimlich Technique training in a timely fashion and the records are readily available. 07/02/2019 Implemented
2380.39(a)(3)Staff member #1 record did not have 24 hours of annual training.The following shall complete 24 hours of training related to job skills and knowledge each year: Positions required by this chapter.There is documentation that trainings were conducted and the staff in question confirmed they attended these trainings, however the training documentation failed to note the length of time of each training. Moving forward, the Center Director will not only ensure the 24 hours of training is conducted for each employee, but will note the length of time as well as all of the other required elements for each training on the training sign-in sheet. Please see attachment #2. 07/02/2019 Implemented
2380.181(f)The assessment for individual #1 was not provided to the plan team 30 calendar days prior to the individual plan meeting.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to the individual plan meeting.On 6/29/2019 the Program Specialist forwarded all updated assessments to the Plan Team via email (attachments 1-13). Moving forward, Center Director will ensure the Program Specialist will provide the individual's assessment to the plan team 30 days prior to the individual's meeting by monitoring the individual's assessment meeting dates to ensure compliance 06/29/2019 Implemented
SIN-00130755 Initial review 03/01/2018 Compliant - Finalized