| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(b) | There were roaches in the kitchen dishwasher when it was opened. | There may not be evidence of infestation of insects or rodents in the home. | On December 21, 2024, the agency's maintenance personnel sprayed and cleaned the kitchen dishwasher to address and eliminate any signs of roaches, effectively removing evidence of insect or rodent infestation in the kitchen. |
03/07/2025
| Implemented |
| 6400.64(f) | There were several trash receptacles outside on the right side of the home that were uncovered and not upright and a couple of them had trash inside. Agency staff stated that the receptacles are not theirs and must have been put there by neighbors, as their trash receptacles are in the backyard. There were two covered trash receptacles in the backyard of the home. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | On December 20, 2024, staff removed the uncovered trash bins from the backyard of the home. |
12/20/2024
| Implemented |
| 6400.67(a) | The front part of the bottom step of the home is peeling away causing a potential tripping hazard. | Floors, walls, ceilings and other surfaces shall be in good repair. | The front edge of the bottom step of the home was peeling, creating a potential tripping hazard. Floors, walls, ceilings, and other surfaces must be maintained in good repair. The agency's maintenance personnel, under the supervision of the COO, repaired the peeling step on December 27, 2024. |
12/27/2024
| Implemented |
| 6400.68(b) | The first-floor bathroom water temperature was 127°F and the second-floor bathroom water temperature was 130.6°F. A plumbing repair was made for the water temperature by the provider after the inspection with supporting documentation provided. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | On December 30, 2024, the COO of Halia, along with the maintenance team at the site, adjusted the water temperature in bathtubs and kitchen areas to the compliant standard of 120°F. Staff will remain available to assist residents in managing water temperature as needed. |
12/30/2024
| Implemented |
| 6400.72(a) | The second-floor bathroom window did not have a screen in it and the window was open. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | The second-floor bathroom window was missing a screen, and the window was left open. On December 21, 2024, the Agency Maintenance personnel, under the supervision of the COO, procured and installed a new window screen for the second-floor bathroom. |
12/21/2024
| Implemented |
| 6400.76(a) | The second-floor toilet tank had no lid. | Furniture and equipment shall be nonhazardous, clean and sturdy. | On December 23, 2024, our maintenance personnel, supervised by the COO, replaced the lid on the toilet tank located on the second floor. |
12/23/2024
| Implemented |
| 6400.77(b) | The first aid kit did not have scissors. | A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. | The first aid kit was missing scissors. Under the supervision of the Residential Manager, the lead staff reviewed and purchased all necessary items, including scissors, and placed them in the first aid kit on December 21, 2024. |
12/21/2024
| Implemented |
| 6400.85(b) | There was an aboveground swimming pool under 4 feet tall that had standing water accumulated in it. The pool was disposed of by the provider when it was brought to their attention by the licensing representative. | An aboveground swimming pool that is under 4 feet in height shall be made inaccessible to individuals when the pool is not in use. | On the day of the inspection, 12/20/2024, having been noticed of here of the aboveground swimming pool under 4 feet tall that had standing water accumulated in it. the staff immediately removed the standing water and the pool thus making inaccessible to the individual. |
12/20/2024
| Implemented |
| 6400.110(e) | The home has a basement, first and second floor and the smoke detectors were not interconnected, although they were independently operable on each floor. | If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. | Halia's COO acquired a system of interconnected smoke detectors and oversaw their installation. As a result, the smoke detectors are now fully integrated, despite being installed separately on each floor of the home. |
01/05/2025
| Implemented |
| 6400.112(c) | The fire drill forms do not indicate if there were any problems encountered during the drill; however, they do have a section where comments could be added. | 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. | The fire drill forms do not specify whether any issues were encountered during the drill in the section designated for comments. A fire drill was conducted on February 27, 2025, by the lead staff, and the comment section on the form was completed as required. |
02/27/2025
| Implemented |
| 6400.163(h) | Tylenol was located in individual #5's medication box, but not on the MAR. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | 12/20/2024, The Agency's Nurse has corrected the error by removing Tylenol from Individual #5¿s medication box. Halia's Nurse will continue to review medications to ensure they comply with the prescriber's instructions, which aligns with 55 PA Code Chapter 6400.163(h). The medication in question has now been removed. |
12/20/2024
| Implemented |