| Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
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SIN-00285193
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Unannounced Monitoring
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03/17/2026
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | The bedroom and kitchen door have a buildup of dirt; the oven and microwave need cleaning. | Clean and sanitary conditions shall be maintained in the home. | The bedroom and kitchen doors, oven, and microwave were thoroughly cleaned on 3/17/26. The home was inspected to ensure all areas met cleanliness standards. |
03/17/2026
| Implemented |
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SIN-00266377
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Renewal
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05/15/2025
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.76(a) | The dresser in the rear right bedroom was missing several knobs or handles rendering the drawers difficult to open | Furniture and equipment shall be nonhazardous, clean and sturdy. | Knobs were added to dresser by maintenance technician on May 27, 2025 (attachment #11) |
05/16/2025
| Implemented |
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SIN-00224309
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Renewal
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05/09/2023
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.81(k)(2) | There are items of clothing and other belongings throughout individua#1l's bedroom. Access to the bedroom was limited, due to the large amount of clothing, totes, and boxes in the bedroom. The current state of the individual's bedroom creates a potential health and safety hazard. The staff stated they are in the process of purging the individual clothing and books. | In bedrooms, each individual shall have the following: A clean, comfortable mattress and solid foundation. | "Associate Director schedule to visit individual#1 on 5/15/23 and supported him in organizing his bedroom. Associate director and Individual #1 organized clothing and other items to make more space and increase access. Individual#1 was willing to receive support from the associate director in cleaning and allowed for assistance to organize and reduce the amount of totes and boxes. Individual#1 agreed that they were willing to receive support 2 times per week from staff to organize and clean the room. ""Support"" was explained as verbal reminders and physical assistance. accompanying photos labeled
6400.81k-quincy1
6400.81k-quincy2
6400.81k-quincy3
6400.81k-quincy4
6400.81k-quincy5" |
06/30/2023
| Implemented |
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SIN-00166426
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Renewal
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09/10/2019
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(a) | Individual #1's bedroom had unsanitary conditions such as soiled bedding, food particles under the bed, wrappers and other debris all over the room. | Clean and sanitary conditions shall be maintained in the home. | Team met with Individual #1on 10/18/19 and he agreed to clean his room with assistance. Storage tubs were purchased and staff assisted Individual #1 in organizing his room. (Attachment #26) Staff will encourage Individual #1 to clean his room on a weekly basis. |
11/19/2019
| Implemented |
| 6400.111(f) | The Fire Extinguisher located in the attic has not been inspected annually, last inspected 01/2017. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | Fire extinguisher was replaced on 9/12/19. (Attachment #27)
A bi-monthly site inspection process and form will be developed and occur. Going forward, when a facility related issue is determined by the site inspection completed by the Regional Director and the Facilities Director or their designee, staff will complete a Facility Repair work ticket. The Facility Director will provide an estimated repair date based on the severity of the needed repair and ensure repairs are completed within at least 1 month unless noted why the time frame needs to be extended. |
02/01/2020
| Implemented |
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SIN-00075965
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Renewal
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02/25/2015
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| Article X.1007 | The provider is required to meet all requirements of Article X of the Public Welfare Code and of the applicable statutes, ordinances and regulations (62 P.S. § 1007) including 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 (6 Pa. Code Ch. 15). Staff #2's, date of hire 9/8/14, criminal history check was completed on 9/15/14. | 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 person responsible in the past for insuring the timely processing of criminal record checks has been separated from Delta. A replacement has been identified and will be fully trained in the requirements of criminal record checking on their first day on the job.The Associate Director will audit of the new employees hired in the past 12 months to ensure that all of the Criminal History checks have been completed in accordance with the OAPSA and will develop a new hire checklist to ensure that the Criminal History checks are completed prior to hire.
Remaining HR staff have been trained/re-trained in the requirements of processing criminal record checks on March 2, 2015
Fern Granoff, Associate Director of HR, will be responsible to check the processing of criminal record checks prior to the new employee starting.
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03/02/2015
| Implemented |
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SIN-00047518
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Renewal
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03/27/2013
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.112(f) | On 3/7/12 and 4/4/12 and 6/14/12 and 7/11/12 and 9/13/12, 10/8/12, 11/13/12, 12/13/12, 1/3/13, 2/4/13 and 3/12/13 the front door was used for monthly fire drills. | (f) Alternate exit routes shall be used during fire drills.
| We have revised fire drills forms to note alternate exits used. Staff training held on 4/5/2013. PD will monitor monthly use of alternate exits. |
04/22/2013
| Implemented |
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SIN-00140942
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Renewal
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08/15/2018
|
Compliant - Finalized
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