Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00247058 Renewal 06/25/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.207(5)(III)On 6/26/2024 at 11:30 AM, Individual #1's bed contained dual side bed rails that restrict the movement or function of Individual #1's body.A mechanical restraint, defined as a device that restricts the movement or function of an individual or portion of an individual's body. A mechanical restraint includes a geriatric chair, a bedrail that restricts the movement or function of the individual, handcuffs, anklets, wristlets, camisole, helmet with fasteners, muffs and mitts with fasteners, restraint vest, waist strap, head strap, restraint board, restraining sheet, chest restraint and other similar devices. A mechanical restraint does not include the use of a seat belt during movement or transportation. A mechanical restraint does not include a device prescribed by a health care practitioner for the following use or event: Protection from injury during a seizure or other medical condition, if the individual can easily remove the device or if the device is removed by a staff person immediately upon the request or indication by the individual, and if the individual plan includes periodic relief of the device to allow freedom of movement.Lakeshore will transition from the use of bed rails to alternative adaptive equipment to be used in beds to ensure consumer's health and safety 09/01/2024 Implemented
SIN-00075548 Renewal 03/05/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
Article X.1007Lakeshore Community Services is required to maintain criminal history checks and hiring policies for the hiring, retention and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P. S. 10225.101-10225.5102) and its regulations (Pa. Code Ch. 15). Staff Person #1, hired 8-11-14 did not resided in Pennsylvania for 2 years prior to hire does not have an FBI criminal background check through the Pennsylvania Department of Aging. Staff #2, hired on 7-14-14, did not resided in Pennsylvania for 2 years prior to hire does not have an FBI criminal background check through the Pennsylvania Department of Aging. When, after investigation, the department is satisfied that the applicant or applicants for a license are responsible persons, that the place to be used as a facility is suitable for the purpose, is appropriately equipped and that the applicant or applicants and the place to be used as a facility meet all the requirements of this act and of the applicable statutes, ordinances and regulations, it shall issue a license and shall keep a record thereof and of the application.The Human Resources Specialist reviewed the requirements on the Office of Aging website and reviewed the requirements for Lakeshore Community Services. The employee (Staff #1) was notified. The employee was registered to have their fingerprints taken for the FBI clearance and the location of the facility to have the process completed. The agency has reviewed all current employees that would have been required to have the FBI clearance through the Office of Aging. The impacted employees have been contacted, provided appropriate documentation, and has a deadline of April 9th, 2015 to have the process completed. Going forward the Human Resources Specialist is requesting FBI clearances through the Office of Aging and following the appropriate procedure. 03/27/2015 Implemented
SIN-00191880 Renewal 08/24/2021 Compliant - Finalized
SIN-00133720 Renewal 04/24/2018 Compliant - Finalized