Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00249880 Renewal 09/03/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC 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
SIN-00230568 Renewal 10/02/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC 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
6400.104At 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
SIN-00213278 Initial review 10/17/2022 Compliant - Finalized