Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00256035 Renewal 11/19/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.66At 11:07 AM on 11/20/24, there was no operable light outside the basement exterior door, which leads onto a recessed landing below three steps that climb up to the ground-level sidewalk. This recessed exit is also covered by a roof or awning, further preventing sufficient lighting from a nearby source.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes, that are used by individuals shall be lighted to assure safety and to avoid accidents.The Family Living Provider had an exterior light installed outside the basement exterior door which leads to a recessed landing below three steps that climb up to the ground level sidewalk. The Family Living Provider will ensure that this light and other lights within the home are operating to ensure the Individuals safety within the home. 12/01/2024 Implemented
6500.152(c)Individual #1's current Individual Support Plan, last updated on 10/22/24, was not developed to reflect their needs based on their current assessment completed on 2/20/24, in the following manner: Individual #1's Individual Support Plan explains they require 24-hour, complete supervision in the home and that they need periodic visual checks completed during awake hours, including when using the bathroom. Additionally, Individual #1 also needs complete supervision in the community that includes line-of-sight monitoring to prevent victimization and distractibility around traffic. However, Individual #1's current assessment states they can be left unsupervised in their bedroom and that they can perform a variety of activities independently when in the community.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.The Family Living Specialist will review Individual #1's annual assessment and ISP to determine if there are discrepancies between the two documents. The Family Living Specialist will call the Supports Coordinator and review the revisions needed so that accurate information is in the ISP. The Family Living Specialist will then email the Supports Coordinator the revisions that were discussed. The Family Living Specialist will file the email in the Individuals record in the ISP section. The Family Living Specialist will check in HCSIS periodically to see if the ISP is updated. Upon revisions being completed and the information is correct, the Family Living Specialist will copy the Individual #1's ISP and put a copy in the record at home and in the Office. 12/27/2024 Implemented
SIN-00146726 Renewal 12/06/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.23(d)Family Member #1 and Family Member #2 most recently had Pennsylvania criminal history record checks completed 1/30/14. Individual #1 began residing in the home on 11/13/18.Pennsylvania and FBI criminal history record checks shall have been completed no more than 1 year prior to an individual living or receiving respite care in the homeFamily Members # 1 and #2 had Pennsylvania criminal history checks completed on 12/6/18. Results were "has no criminal record in Pennsylvania" for both family members #1 and #2. The family living specialist will continue to monitor when family criminal history record checks are due when new individual moves into the home by way of creating a form for documentation of these dates. The current dates will be entered onto the form. If a new individual is placed in an existing home, the family living specialist will immediately refer to the dates on this form. If a new check needs to be completed for a provider and current family members, the family living specialist will complete this immediately via the PATCH website and document and initial this date on the new form. The program director will then review the form and dates and initial as well. This document will be received anytime a new individual or family member moves into the home. Supporting documentation attached. The program director will follow up on this and check to ensure that criminal record checks are completed in a timely fashion. All family living providers and family living specialists were trained on this regulation 12/20/18. Supporting documentation is attached. 12/06/2018 Implemented
6500.125(a)Family Member #1 and Family Member #2 most recently had physical examinations completed 3/10/14. Individual #1 began residing in the home on 11/13/18.Family members and persons living in the home shall have a physical examination within 12 months prior to the individual living in the home.Family Member #1 and #2 completed physicals on 12/10/18. The family living specialist will continue to monitor when family physicals are due when new individual moves into the home. The program director will follow up on this and check to ensure that physicals are completed in a timely fashion. All family living providers and family living specialists were trained on this regulation 12/19/18. Supporting documentation is attached. By creating a form for documentation of these dates, as soon as it is determined that a new individual will move into an existing family living home, the family living specialist will refer to this form to check dates of physicals and Tuberculin tests to determine whether new exams are necessary for the family living provider and all family members. The family living specialist will then notify the family if these tests need done. These tests will be completed immediately, and the family living specialist will document the new dates and initial. The program director will then review the new date and document as well. If new physicals and TB tests are needed, they will need to be completed immediately upon notification of the placement. Supporting documentation attached. 12/10/2018 Implemented
6500.125(c)(2)Family Member #1 and Family Member #2 most recently had Tuberculin skin testing by Mantoux method with negative results completed 3/12/14. Individual #1 began residing in the home on 11/13/18.The physical examination shall include: (2) Tuberculin skin testing by Mantoux method with negative results every 2 years for family members 1 year of age or older; or, if a 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 licensed practical nurse instead of a licensed physician.Family members #1 and #2 completed Tuberculin skin test by the Mantoux method. The tests were administered on 12/10/18. They were read for results on 12/12/18. Results for both were negative. The family living specialist will continue to monitor when family Tuberculin skin tests are due are due when new individual moves into the home by creating a form for documentation of these dates, as soon as it is determined that a new individual moves into an existing family living home, the family living specialist will refer to this form to check dates of physicals and Tuberculin tests to determine whether new exams are necessary for the family living provider and all family members. The family living specialist will then notify the family if these tests need done. These tests will be completed immediately, and the family living specialist will document the new dates and initial. The program director will then review the new date and document as well. If new physicals and TB tests are needed, they will need to be completed immediately upon notification of the placement. Supporting documentation attached. The program director will follow up on this and check to ensure that TB skin tests are completed in a timely fashion. All family living providers and family living specialists were trained on this regulation 12/19/18. Supporting documentation is attached. 12/10/2018 Implemented
SIN-00106020 Renewal 01/03/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.108(a)The fire extinguisher in the attic had a 1-A rating.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic.Fire extinguisher corrected on site in the presence of licensing representative. Fire extinguisher company visited the home to check all extinguishers on 1/16/17. Annual inspections to continue. Family living provider and family living specialist trained on this regulation and all 6500 regulations by the program director as well as training on the Laurel House policies. Ongoing annual training to be given by the program director. Extinguishers also to be checked as part of the monthly fire drill. Supporting documentation attached. 01/21/2017 Implemented
SIN-00087958 Renewal 01/05/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.141There were pieces of ham on a small plate that was uncovered in the refrigerator in the kitchen of the home.Food shall be protected from contamination while being stored and prepared.Family Living Specialist and Family Living Provider trained on safe food handling practices and review of regulation 6500.141. Food in refrigerator to be checked on a monthly basis during visits by the Family Living Specialist. Supporting documentation attached. Family Living Specialist to be responsible for reporting to the Program Director all results from the monthly visit. Program Director will be responsible to see that there are no more violations with this regulation. 01/16/2016 Implemented
SIN-00074134 Renewal 01/07/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.107(a)The home did not have a smoke detector in the attic. A home shall have a minimum of one operable automatic smoke detector provided on each floor, including the basement and attic.Smoke detector installed 1/8/2015. Training given to family living provider on this regulation. Fire drill form attached showing that smoke detectors will be checked on a monthly basis. Family living specialist will check this as well. Training given to family living provider and family living specialist. 01/08/2015 Implemented
6500.108(a)The home did not have a fire extinguisher in the attic.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic.Fire extinguisher installed on 1/8/2015. Training given on regulation. Copy of fire drill attached showing that all extinguishers will be checked on a monthly basis. Family living specialist will also be responsible for checking this as well. Training given to family living provider and family living specialist. 01/08/2015 Implemented
6500.151(e)(2)Individual #1's assessment, dated 2/12/14, did not include the interests of the individual.The assessment must include the following information: The likes, dislikes and interest of the individual.The likes, dislikes, and interests of individuals #1 and #2 were completed on the assessment. Family living specialist approved the changes. Family living specialist will review the assessment annually to see that all information is completed and current. The program director will then also review the assessment. Training given to family living provider and family living specialist. 02/14/2015 Implemented
6500.182(c)(1)(vi)Individual #1's photograph was dated April, 2005.Each individual's record must include the following information: Personal information, including: A current, dated photograph.Current photo taken and dated. All photographs to be retaken within a 5-year period. The family living specialist will supervise that the time frame has been met and the program director will also see that the family living specialist has checked to see that photos are current. Training given to family living provider and family living specialist. . 02/14/2015 Implemented
SIN-00216662 Renewal 12/22/2022 Compliant - Finalized
SIN-00184431 Renewal 03/09/2021 Compliant - Finalized
SIN-00167060 Renewal 12/04/2019 Compliant - Finalized
SIN-00066418 Initial review 08/01/2014 Compliant - Finalized