Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00226528 Renewal 07/11/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Individual #1 is not safe around poisonous cleaning products. They are to be locked in the home. At the time of the 7/12/23 inspection, there was a can of Lysol and a can of Febreze unlocked in the under-sink cupboard of the half bathroom by the front door of the home.Poisonous materials shall be kept locked or made inaccessible to individuals. All Program Supervisors and Program Specialists were retrained that poisonous materials must be locked, unless in use by staff, at all times unless an ISP and assessment states that each person residing in that home, can understand, identify, and utilize poisonous materials. All staff should be walking through the sites daily to ensure nothing is left out when not in use. 07/18/2023 Implemented
6400.67(b)At the time of the 7/12/23 inspection, there was a golf ball sized amount of lint in the dryer's lint screen. Floors, walls, ceilings and other surfaces shall be free of hazards.All Program Specialists and Residential Supervisors were retrained on the importance of lint traps being cleaned out after every use due to the safety of being a fire hazard, all chore charts must have a line that staff are checking this anytime they do laundry. After each use it is to be emptied. 07/18/2023 Implemented
6400.52(c)(3)No documentation was provided verifying staff #1, staff #4, and staff #5 completed training in individual rights.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights.Although Individual Rights and The Arc policy on Individual rights are reviewed the rights is completed during Abuse and Positive Approaches training. It will now be held separately going forward, to reflect only Individual Rights and The Arc policy is reviewed. This training will be done upon hire and at annual training yearly. HR and the training department will use the Relias training to complete this and will ensure proper documentation for each staff will that has completed this training will be completed. Arc Policy and Relias is attached to the POC. 07/26/2023 Implemented
6400.163(h)Individual #1 has a PRN prescription for Nyamyc. At the time of the 7/12/23 inspection, this PRN medication that was available in the home had expired in 6/2023.Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.Residential supervisors and Program Specialists were retrained on 7/18/23 on the importance that all medications both OTC and prescribed must be checked for expiration dates. The Nystatin was refilled on 7/12/2023 pictures are included to show the new labeled bottle and expiration date. 07/12/2023 Implemented
6400.167(a)(1)-- Individual #1 did not receive the following medications: · 4/10/23 -- Selsun Blue Shampoo · 6/3/23 -- 8pm dose of Dorzolamide-TimololMedication errors include the following: Failure to administer a medication.All Supervisors and Program Specialists were retrained on 7/18/23 to ensure while weekly medication counts are being conducted, it is important to ensure no medication and documentation errors occurred. These omissions or other med errors must be reported immediately and must meet the deadline requirements for reporting by ODP. The two medication errors that were founded during inspection were reported in EIM and staff were retrained on mediation errors per agency policy. Both staff were retrained and both reports were placed in EIM . 07/18/2023 Implemented
6400.167(c)The medication errors for Individual #1 documented in 6400.167a1 were not reported in the department's incident management system.A medication error shall be reported as an incident as specified in § 6400.18(b) (relating to incident report and investigation).All Supervisors and Program Specialists were retrained on 7/18/23 to ensure when medication errors occur that they are reported immediately and timely meeting the deadline requirements for reporting by ODP. The two medication errors that were founded during inspection were reported in EIM and staff were retrained on medication errors per agency policy. The Arc policy on Incident management and reporting categories and timeframes were reviewed. This will also be reviewed at annual Incident Management training. The two reports are added to the POC to show they were reported to EIM. 07/18/2023 Implemented
SIN-00193103 Renewal 09/13/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
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 residing in a 6400 licensed residential home and how they will be transferred, as well as reflect emergency situations. . 09/22/2021 Implemented
SIN-00178080 Renewal 10/14/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103The written evacuation plan doesn't include the means of transportation to be used in the event of an emergency or the emergency relocation for the Individuals residing in the home. The plan states that the home and individuals in the home could relocate to a list of 8 other residential group home facilities, "if capacity allows" but does not state which relocation site capacity allows for additional individuals. The written evacuation plan for the home does not include the location of where Individual #1 is to be transported for emergency relocation. The current, written plan states she is to be taken to The Arc of Center County agency office located on North Atherton St. However, Staff person #1 reported during the 10/14/2020 onsite inspection, that their old office location on North Atherton Street is no longer owned/leased by the agency effective 10/1/2020.There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. The relocation points were updated with the new office address on 10/27/2020. We had not had the new letter head for the new office at the time if inspection. The relocation policy was updated to reflect the program will use their designated program car and that if more vehicles are needed they will contact other programs to being more agency vehicles. The policy also reflects the individuals if they cannot go with their families will go to other programs if capacity allows at that time. If not we will take them to a hotel, with staffing, until they can return to their program. Completed: 10/27/2020 10/27/2020 Implemented
6400.113(a)Individual #2 and #1 received training in the fire safety requirements specified in 6400.113(a) on 12/19/18 and not again until 9/3/20, outside the annual time frame requirement. An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually 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 and smoking safety procedures if individuals smoke at the home. The Chief Programming Officer will now be in charge of monitoring annual fire safety training instead of the training department. Every August the CPO will administer the training materials to the Program Specialist and Residential Supervisors to train the individuals in their assigned location. They will then hand them into the CPO and this part of the LII will be monitored by the CPO and signed off of the LII going forward. In the past the training department completed this with staff annual training and then reported to the Program Specialist that it was completed and in compliance. The CPO will oversee the program fire books; this will include individual trainings. Completed: 10/26/2020 10/26/2020 Implemented
SIN-00160879 Renewal 09/17/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(11)Individual #1's physical dated 1/21/19 did not include information regarding health maintenance needs, and the need for bloodwork or other testing, and the recommended intervals. This area was blank on the physical.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. On 9/25/2019, all Program Specialists and Program Supervisors were retrained on physicals and completion of every section of the physical. It was explained that every number on the physical is a regulation and all were reviewed. The monthly Medical and ISP tracking form was updated to ensure supervisors and Program Specialists are checking the physical monthly and signing of that there are no blanks on this physical form. Also this will be reviewed twice a year by an LII internal audit team. The two physicals were fixed and are included in the POC, as well as a recent physical to reflect that this correction has been made. 09/27/2019 Implemented
SIN-00119265 Renewal 10/03/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment for this home was not completed 3 to 6 months prior to the expiration date of the agency's certificate of compliance. The certificate of compliance expiration date was 6/15/17 and the self-assessment was completed on 4/14/17.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. All Program Specialist were retrained on this regulation, 15a. All self-assessments will be completed bi-annually. The Self -assessment will be done every September and every February-March 15 of every year going forward. Program Specialists are responsible for being the lead of the self-assessment and for the team assigned to the program. The Program Specialist is responsible that the dates are met. The Program Specialist will then be turn the self-assessemenr into Amy Bennett, Chief Programming Officer, for a final check and to ensure remediation of any citations are completed in a timely manner. 10/11/2017 Implemented
SIN-00099955 Renewal 08/22/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.33(e)The ARC of Centre County used a video and sound monitor in his/her bedroom to observe Individual #1's seizure activity violating Individual #1's right to privacy. An individual has the right to privacy in bedrooms, bathrooms and during personal care. The video camera monitor was discontinued until the waiver process can be put into place to have it approved, due to the individual having severe seizures both quiet and vocal. This individual needs injection medications and this was only in use while he was sleeping in bed and not during hygiene times. At this time the Program Specialist has updated the person¿s needs for supervision and are discontinuing the monitor all together. The house is currently staffed for first and second shift to have three staff on for the three individuals and during the overnight we have two awake staff. Attached it the discontinued monitor and the updated Needs for Supervision that was sent to the SC today. The nurses in the home and his physician feel they can still affectively and attentively react if he were to have a seizure because there can always be someone in close proximity. 10/06/2016 Implemented
6400.62(a)There were approximately 13 gallons of paint thinner stored in an unlocked cabinet in the basement. Poisonous materials shall be kept locked or made inaccessible to individuals. The supervisors and Program Specialist were retrained to ensure that all poisonous materials are always locked when not in use and are properly stored. This will be monitored monthly on the structural survey form. The Program Specialist will second check these monthly. 10/04/2016 Implemented
6400.67(a)The back porch gate was off it's hinges. Floors, walls, ceilings and other surfaces shall be in good repair. The gate was removed from the fence. A structural survey will be completed monthly by the supervisor to ensure all surfaces are in good repair. The program specialist will second check these monthly. 10/04/2016 Implemented
6400.104REPEATED VIOLATION-05/04/15 The 05/23/16 fire notification letter indicated that Individual #2 required verbal assistance to evacuate in the event of an emergency. The 04/18/16 and 05/23/16 fire drill logs indicated Individual #2 required physical assistance to evacuate. The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. An updated letter was provided to the local fire department to inform them of updated needs for evacuation on September 25, 2016. A fire drill was completed in September. and the policy for self-preservation was also updated. All Super visors and Program Specialists were retrained on this and this will recompleted monthly. The program specialists will second check these and if needs for evacuation have changed will notify the Chief Programming Officer so proper notification to the fire company can be made. 09/30/2016 Implemented
6400.216(a)Individual #1's 2007 records were unlocked in the basement. An individual's records shall be kept locked when unattended. The supervisors and all PS were retrained on ensuring that all records are kept locked when not in use. 10/04/2016 Implemented
SIN-00079655 Renewal 05/04/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(14)The 8/13/14 physical exam for Individual #1 did not contain medical information pertinent in case of an emergency. Oxygen is required to be worn 24x7 per ISP. The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. The Supervisor is responsible for ensuring all medical information is contained on the annual physical. This was corrected on 5/4/2015. Individual #1 annual physical that is due yearly in August is also being submitted to show it is corrected on the most recent physical. Physicals will also ne checked by Program Specialists to ensure all medical information pertaining to emergencies is on the physical. 05/04/2015 Implemented
6400.151(c)(2)Staff person #1's TB test was administered out of the 2 year time frame- 8/31/12- 3/6/15. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. These non-compliances were found during our self-audit in February of 2015. Since then, we have implemented the following: Shifted job duties: The HR employee now responsible for tracking physicals and TBs has direct access to our current electronic database (prior to this, the person responsible for tracking did not have direct access to the database because of IT difficulties). This employee has also added reminders to her google calendar to look at physical/TB dates and send out notices to employees 3-4 months before they are due. The employee also keeps a paper list on her desk where she documents correspondence she has had with staff regarding their appointments, etc. HR members complete filing at least twice per month and now also audit the paper physicals/TBs each time for a double-check. 03/01/2015 Implemented
6400.181(e)(13)(ii)The 9/8/14 annual assessment for Individual #1 did not contain progress in the area of Communication. It was exactly the same as 2013.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Motor and communication skills. Program Specialists were retrained on 9/28/2015 to ensure that yearly assessments are updated to include progress over the past year for Motor and Communication Skills. They will ensure that new things the individual was able to accomplish, work on, and successes are added and updated yearly to reflect progress for that year. 09/28/2015 Implemented
6400.181(e)(13)(iii)The 9/8/14 annual assessment for Individual #1 did not contain progress in the area of activities of residential living. It was exactly the same as 2013.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Activities of residential living. Program Specialists were retrained on 9/28/2015 to ensure that yearly assessments are updated to include progress over the past year for Activities of Residential Living. They will ensure that new things the individual was able to accomplish, work on, and successes are added and updated yearly to reflect progress for that year. 09/28/2015 Implemented
6400.181(e)(13)(iv)The 9/8/14 annual assessment for Individual #1 did not contain progress in the area of personal adjustment. It was exactly the same as 2013.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. Program Specialists were retrained on 9/28/2015 to ensure that yearly assessments are updated to include progress over the past year for Personal Adjustment. They will ensure that new things the individual was able to accomplish, work on, and successes are added and updated yearly to reflect progress for that year. 09/28/2015 Implemented
6400.181(e)(13)(vi)The 9/8/14 annual assessment for Individual #1 did not contain progress in the area of Recreation. It was exactly the same as 2013.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. Program Specialists were retrained on 9/28/2015 to ensure that yearly assessments are updated to include progress over the past year for Recreation. They will ensure that new things the individual was able to accomplish, work on, and successes are added and updated yearly to reflect progress for that year. 09/28/2015 Implemented
6400.186(c)(2)The following ISP reviews for Individual #1 4/6/15, 1/12/15, 10/10/14 and 7/7/14 was not reviewing the outcomes of Artistic and social expression in their entirely. There was no community activities listed for these ISP reviews. The ISP review must include the following: A review of each section of the ISP specific to the residential home licensed under this chapter. All Supervisors and Program Specialists were retrained on June 1, 2015, to ensure all information from the monthly is transferred to the quarterly to show outcomes and community activities in their entirety. Both Program Supervisors and Program specialists are responsible to ensure this is completed during quarterly reviews. A quarterly for individual #1 will be submitted to show this was been remedied and a training form that all supervisors and Program Specialists have been retrained, 06/01/2015 Implemented
SIN-00254189 Unannounced Monitoring 09/24/2024 Compliant - Finalized
SIN-00141573 Renewal 10/04/2018 Compliant - Finalized
SIN-00062658 Renewal 05/05/2014 Compliant - Finalized
SIN-00048048 Renewal 04/09/2013 Compliant - Finalized