| Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
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SIN-00288214
|
Renewal
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05/11/2026
|
Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(d)(2) | On 4/6/2026, Individual # 1 spent $7.33 at Walmart, but Walmart rounded up change by 3 cents, so the actual amount spent was $7.30. This caused the April ledger to be off an additional 3 cents. | (2) Disbursements made to or for the individual.
| The April 2026 Cash on Hand Ledger was updated to reflect the correct amount of money that was spent based on the rounded amounts on the receipts (Attachment 1). |
05/20/2026
| Implemented |
| 6400.22(e)(1) | Individual #1's financial record states that there was $21.24 spent on 3/28/2026 at Walmart, but the actual amount spent, per the receipt, was $21.10. This caused the ledger to be incorrect for the remainder of the month and an inaccurate starting amount for the following month of April 2026. The ledger's ending balance was $502.84 but it should have been $502.88. | If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: A separate record of financial resources, including the dates and amounts of deposits and withdrawals. | The March 2026 Cash on Hand Ledger was updated to reflect the correct amount of money that was spent based on the amounts on the receipts (Attachment 2). |
05/20/2026
| Implemented |
| 6400.144 | (Repeat 08.25) Individual #1 is prescribed Omeprazole 20mg @ 7 am and 8pm is to be taken with food. There is no documentation that the medication is being given with food. | Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.
| A Snack Tracking Form (Attachment 3) was created to track Individual 1's snack that he has each AM and PM with his medication that is required to be taken with food. |
05/20/2026
| Implemented |
|
|
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SIN-00270612
|
Renewal
|
08/04/2025
|
Compliant - Finalized
|
|
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.111(f) | The fire extinguisher inspection for 2024 was not available at the time of inspection therefore compliance with this regulation was unable to be confirmed. The tag on the fire extinguisher at the home does not contain the full date of inspection and only showed the fire extinguisher was inspected in April 2025. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | The tags on the fire extinguishers that are currently in Individual 1's home are current, serviced in April 2025 (Attachment 1). |
08/19/2025
| Implemented |
|
|
|
SIN-00249880
|
Renewal
|
09/03/2024
|
Compliant - Finalized
|
|
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.72(a) | At the time of the 09/03/24 inspection, the rear screen door on the second floor, exiting from the dining room, was damaged, with chipping of the wood on both sides. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | By the end of September 2024, the screen door is being replaced and the proposal for the work is attached (Attachment #3). |
09/30/2024
| Implemented |
| 6400.32(e) | Due to an incident that Individual #1 reported on 01/26/23 that was substantiated by an Adult Protective Services (APS) investigator on 02/13/23, Individual #1 reported that Individual #1 did not want a family member to be on the "safe phone list" anymore. However, that person is still on the contact list as an "emergency contact/unusual incidents" and there is no record of Individual #1 choosing to add the family member back to the "safe phone list". | An individual has the right to make choices and accept risks. | The Safe Phone List (which is a part of Individual 1's restrictive BSP (Attachment #4)) is a separate document from the Fact Sheet, which lists the Emergency Contacts for unusual incidents. The family member referenced is Individual 1's legal guardian and it is necessary for this person to remain an emergency contact. Additionally, Individual 1 does not choose who is on the Safe Phone List as it is part of the Restrictive BSP approved by the HRT. Per the legal guardian's court order (Attachment #5), Individual 1 is not able to make decisions for themselves and much of the restrictive BSP is based as such. The team references § 6100.181. Exercise of rights. (d) A court's written order that restricts an individual's rights shall be followed. And (e) A court-appointed legal guardian may exercise rights and make decisions on behalf of an individual in accordance with the conditions of guardianship as specified in the court order. In reference to Individual 1's restrictive plan. |
09/12/2024
| Implemented |
| 6400.34(a) | The Department issued regulatory rights, effective 02/03/2020, stating that individuals have additional rights they need to be informed of upon admission and annually. At the time of the 09/03/2024 annual inspection, Individual #1 was not informed of all of the individual rights as described in 6400.31 and 6400.32. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | The updated individual rights (Attachment #1) will be reviewed with all Residential (Lifesharing and Group Home) VIP's at their October 2024 monthly meetings. |
10/31/2024
| Implemented |
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SIN-00230568
|
Renewal
|
10/02/2023
|
Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.63(a) | At the time of inspection, the hot water temperature at the kitchen sink was 124.5 degrees Fahrenheit. | Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. | On 10/03/2023, CARES of Central PA CEO emailed a contractor requesting the installation of mixing valves at the home's kitchen sink, bathroom sink, and shower to limit the water temperature to 120°F. On 10/03/2023, the contractor replied indicating they would be in contact within a week to schedule the appointment for installation (Attachment #9). |
10/03/2023
| Implemented |
| 6400.104 | At the time of the inspection, there was no record of a letter to the local fire department. | 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.
| Please see (Attachment #7) for a copy of the letter to the local fire department, provided on 10/10/2023. |
10/10/2023
| Implemented |
| 6400.181(e)(13)(iii) | The 01/09/23 Initial Assessment does not include Individual #1's "Activities of Daily Living". This section is missing from the form. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Activities of residential living. | On 10/09/2023 Individual #1's annual assessment was updated to include their activities of residential living (Attachment #15). The updated assessment was sent to the team on 10/09/2023 (Attachment #14). |
10/09/2023
| Implemented |
| 6400.213(1)(i) | The record does not include Individual #1's hair color. | Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number. | On 10/05/2023, Individual #1's fact sheet was updated to include their hair color (Attachment #13). The updated fact sheet was sent to the team on 10/09/2023 (Attachment #14). |
10/09/2023
| Implemented |
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SIN-00213278
|
Initial review
|
10/17/2022
|
Compliant - Finalized
|
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