| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.73(a) | At 11:40AM, the railing, along the outside steps in the rear of the home, was loose and moved back and forth when in use. At 11:54AM on 7/22/2025, there was no railing on the seven, concrete stairs between the exit door and the Bilco doors in the basement of the home. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | 55 Pa. Code §6400.73(a)
Plan of Correction
Immediately upon identification of the deficiencies during the licensing inspection, Armstrong Care, Inc. corrected both handrail deficiencies. Maintenance staff secured and repaired the loose handrail located along the exterior rear steps, restoring it to a safe and stable condition. In addition, a handrail was installed on the concrete stairs located between the basement exit door and the Bilko doors, bringing the stairway into compliance with regulatory requirements.
To ensure similar deficiencies did not exist elsewhere, maintenance completed an inspection of all Armstrong Care residential homes to identify any exterior or interior stairways requiring handrails. Any missing or loose handrails identified during these inspections were installed or repaired immediately |
07/24/2026
| Implemented |
| 6400.101 | At 11:54AM on 7/22/2026, there was a slide locking mechanism on the inside of the door leading to the exit in the basement of the home posing an obstructed egress. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| Regulation: 55 Pa. Code §6400.101
Immediately following the licensing inspection, the slide locking mechanisms identified on basement exit doors and storage room doors were removed from the cited homes and replaced with magnetic catch latches that do not obstruct egress and are compliant with the requirements of 55 Pa. Code §6400.101.
To ensure the deficiency was not present elsewhere within the agency, the Maintenance Department conducted an agency-wide review of all licensed residential homes. Any remaining slide locking mechanisms identified on interior doors were removed and replaced with compliant magnetic catch latches.
Maintenance staff were re-educated regarding the requirements of 55 Pa. Code §6400.101, emphasizing that locking devices may not obstruct stairways, halls, doorways, passageways, or exits from rooms or the building.
In addition, Armstrong Care, Inc. has revised its maintenance standards to require that all future residential homes utilize only approved door hardware that complies with egress requirements
|
07/22/2026
| Implemented |
| 6400.104 | The agency did not provide written notification to the local fire department 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 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.
| 6400.104 -- Notification to the Fire Department
Immediately following the licensing inspection, Armstrong Care, Inc. provided written notification to the local fire department that included:
· The address of the licensed home.
· A diagram identifying the layout of the home.
· The exact location of bedrooms occupied by individuals requiring assistance with evacuation.
· The location of smoke detectors and fire extinguishers.
· The designated outdoor meeting location.
· General information regarding evacuation assistance needs.
This notification has been placed into the home's permanent records and will be updated whenever there is a change affecting evacuation assistance or the home's layout.
|
07/22/2026
| Implemented |