Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00283491 Renewal 02/18/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.61(a)On 2/19/2025 at 10:38am, it was observed that the home has not made accommodations to ensure the safety and reasonable accessibility for entrance to and exit from the home based upon the needs of Individual #1, Individual #2, and Individual #3. The front door of the home was observed as the only accessible entrance and egress as the individuals residing in this home are unable to ascend or descend steps. The right side/kitchen door led to the rear deck that could only be exited via a staircase that descended to the back yard. The rear/basement egress could only be accessed via the interior staircase that descended from the kitchen. Individual #1's support plan, last updated 2/17/2026, states "[Individual #1] uses a walker in [their] home and for longer distances uses a wheelchair." Individual #2's support plan, last updated 2/4/2026, states "[Individual #2] has a very unsteady gait and is prone to falling. For this reason [Individual #2] utilizes a wheelchair for ambulation." Individual #3's support plan, last updated 10/8/2025, states "[Individual #3] is diagnosed with having grand mal seizures···[Individual #3] utilizes the following adaptations: staff hand to hand assistance when walking outdoors to protect from injury due to seizure disorder···[Individual #3] needs the aide of the wheelchair ramp at [their] family's home to get in and out of the house." Documentation from the monthly fire drills occurring between 2/20/2025 and 1/31/2025 indicated that the exit routes were not alternated as the front door was utilized as the exit route for all drills. In the event of an emergency evacuation, Individual #1, Individual #2, and Individual #3 would only be able to evacuate through the front door as accommodations have not been made to the other egresses to make them accessible based on the individuals' needs.A home serving individuals with a physical disability, blindness, a visual impairment, deafness or a hearing impairment shall have accommodations to ensure the safety and reasonable accessibility for entrance to, movement within and exit from the home based upon each individual's needs. The team met and discussed options for the individuals who live in 419 Wyndhurst drive home to move to another location, which is accessible from more than one exit. The team will start the process of moving all individuals to a new location within Verland CLA in accordance with chapter 6100.304 by May 05/04/2026. This process will be monitored by the Executive Director of CLA Programs to ensure smooth transition. 03/04/2026 Implemented
6400.112(a)An unannounced fire drill was not conducted at this residence during the months of May 2025 and January 2026. An unannounced fire drill shall be held at least once a month. All Front-Line Supervisors, Program Specialists, and Regional Directors will receive in-service training on the requirements for monthly unannounced fire drills, including documentation and timely completion, as outlined in Chapter 6400.112(a). This in-service will be completed by 4-1-26 and will be documented in each employee's training record. In addition, ongoing monitoring will be conducted by Regional Directors through monthly audits using the I Care Manager system to verify fire drills that are unannounced, completed, documented, and accounted for monthly as required. This process will be monitored quarterly by the Resident Services Director to ensure implementation and compliance to prevent similar future deficiencies from reoccurring 03/04/2026 Implemented
6400.216(a)On 2/19/2026 at 10:50am, records including, but not limited to, the following were observed unlocked and accessible on the kitchen counter: Individual #1's February 2026 service notes; Individual #2's February 2026 service notes, support plan last updated 8/30/2021, individual information page, and February 2026 sleep records; Individual #3's February 2026 service notes, support plan last updated 10/27/2021, and February 2026 hygiene goal documentation; and Individual #4's support plan last updated 10/27/2021. The unlocked records included personal identifying information to include the individuals' names, address, dates of birth, social security numbers, and master client index numbers. An individual's records shall be kept locked when unattended. The facility took immediate action in installing a lock on a cabinet to ensure all individuals records are protected and stored properly. All individual records are now secured. In addition, all Front-Line Supervisors, Program Specialists, and DSPs will be retrained on 55 PA Code Chapter 6400.216(a) and on making sure as soon as they are done using the individuals record, they immediately put them away and store and lock them properly. This training will be completed by 04/01/2026. Furthermore, this process will be reinforced by front-line each time they are in the houses to ensure implementation and compliance and prevent similar future deficiencies from recurring. 03/04/2026 Implemented
SIN-00183335 Renewal 02/16/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The furnace has not been inspected and cleaned annually by a professional furnace cleaning company.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. The facility has hired an outside company, Climatech, Inc / ATECH Mechanical, to inspect and clean all the furnaces in the 13 homes. The technician from the Climatech Company is schedule to start the furnace inspections on Friday, 02/26/2021 and will be done by Friday, 03/05/2021. In addition, we will inspect the rest of all verland homes by the end of March, 2021. Also, all program specialists, Residential Managers, and Maintenance staff will be in-service on making sure that all furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company and written documentation of the inspections must be kept. This in-service will be completed by 03/15/2021. This process will be monitored by program Specialist Manager to ensure furnaces in all homes are inspected and cleaned by the end of March, 2021, and this process will be repeated every December of each future year to ensure compliance and prevent future similar deficiency from reoccurring.[The furnace inspection for the home was completed 2/26/2021 by a professional furnace cleaning company and staff training was received by the department on 3/9/2021. Documentation of all trainings and furnace cleanings shall be kept. (DPOC by RM, HSLS on 3/9/2021)] 02/25/2021 Implemented
SIN-00124327 Renewal 10/31/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)The first aid kit did not contain a tweezers. 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. All program Coordinators will be in-serviced on making sure that all homes must have a First Aid kit, and each First Aid Kit must contain the following items: Antiseptic, An assortment of adhesive bandages, sterile gauze pads, Thermometer, Tweezers, Tape, Scissors and syrup of Ipecac, First aid Manual. This in-service will be completed by November 27, 2017. In addition to this in-service, Program Coordinators will monitor the contents of the first aid kit monthly and ensure all items are present by using a monitoring tracking form. This process will be monitored by the Program coordinator Manager monthly to ensure monitoring is done in order to prevent reoccurrence of future similar deficiencies. [Within 60 days of receipt of plan of correction, a designated staff persons shall educate all staff persons working in community homes as to the items required in first aid kits and the restocking procedures. (AS 11/28/17)] 11/21/2017 Implemented
SIN-00070562 Renewal 10/08/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(f)The front/main entrance was used during all the fire drills conducted between 9-23-13 and 8-4-14.Alternate exit routes shall be used during fire drills. The facility will ensure that all locations of fire and exit used will be alternated monthly. All program Coordinators were in-serviced on the following: When doing fire drills, Program Coordinators will document the date, time, amount of time it took to evacuate, exit route used, meeting place, problems encountered, and whether the fire alarm or smoke detector was operative on the fire drill record. This in-service was completed October 10, 2014. Program coordinator Manager will monitor every fire drill monthly in order to prevent reoccurrence of this deficiency in the future. 11/08/2014 Implemented
SIN-00222888 Renewal 04/04/2023 Compliant - Finalized