| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(b) | Staff #2 was hired on 11/06/23 and did not have an FBI record check until 12/13/23 | If a prospective employe who will have direct contact with individuals resides outside this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the person's date of hire.
| On day 1 all new hires that require FBI checks will be scheduled when staff report to HR. It is set up that BARC receives the results directly. |
11/01/2024
| Implemented |
| 6400.68(b) | The water temperature in the bathroom was 127.7 degrees | Hot water temperatures in bathtubs and showers may not exceed 120°F. | Mixing Valve installed on all faucets and the shower on 10/10/24. New Thermometers ordered for all homes and maintenance staff. |
10/10/2024
| Implemented |
| 6400.111(f) | There was a fire extinguisher hung in the hallway that was last inspected in January 2023 which is greater than 1 year ago. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | Extinguisher replaced with a new on one 10/10/24. All fire extinguishers are services annually in January. |
10/10/2024
| Implemented |