Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00224035 Renewal 04/19/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106Documentation that an furnace inspection was completed annually was not provided.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. To ensure health and safety these inspections need to be completed annually. This inspection had been completed annually; however, we did not have the report available upon inspection. 05/01/2023 Implemented
6400.151(a)Staff 1 did not have a current physical exam on file completed every 2 years. The last documented physical exam was dated 3/24/2021. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. It is essential that all staff have a full physical exam completed and on file every 2 years. In this case, the staff in question had been on LOA during the time her physical expired. Had she got her physical exam prior to returning to her first shift back, we would have been in compliance, but she ended up working approximately 2 shifts prior to this being addressed. The physical has been completed and is attached. 05/01/2023 Implemented
6400.171There was leftover food in the refrigerator including pizza and some jello cups that were no wrapped or protected from contamination.Food shall be protected from contamination while being stored, prepared, transported and served. Food was disposed of immediately upon inspection to ensure the health and safety of all consumers. Food must be dated and stored appropriately to prevent contamination. 05/01/2023 Implemented
SIN-00203986 Renewal 04/21/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(b)In the back of the dryer there was a significant amount of lint (enough to fill the lint trap) and a sock. Floors, walls, ceilings and other surfaces shall be free of hazards.The lint was removed immediately. 05/04/2022 Implemented
SIN-00187190 Renewal 04/22/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(d)Potentially poisonous material, Clorox Bleach Tabs, were not kept separate from food located in the closet at time of inspection.Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.This error was noted during licensing and immediately addressed. In no circumstance should edible items be kept with cleaning products. In an abundance of caution to ensure the safety of every resident, a review of the contents of all closets/pantries throughout Merakey Bucks County was completed on 5/3/21. 05/03/2021 Implemented
SIN-00142668 Renewal 06/18/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The kitchen has the presence of grease on top of the exhaust fan and on adjoining cabinets.Clean and sanitary conditions shall be maintained in the home. n 6/21/18, House Manager, LaShawn Ford, entered a work order in our system to have all grease removed from the exhaust fan and adjoining cabinets by 7/1/18. The importance of this requirement was reviewed with staff and the need for clean and sanitary conditions to be maintained in the home is understood. LaShawn will monitor the home and continue to strive to meet this necessary requirement to assure the Individuals are receiving the highest quality of care. Implemented
SIN-00115293 Renewal 05/26/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment was completed in January 2017 and the license expired on 2/01/2017.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency's certificate of compliance, to measure and record compliance with this chapter. The agency will complete a self assessment of each home within 3-6 months prior to the expiration date of the agency's certificate of compliance. The assessment was completed on January 2017, 1 month before the license expired on 2/1/17. The provider will continue to strive to meet this necessary requirement. [Going forward, a Program Designee will monitor to ensure compliance with meeting the required deadline. JG 11/28/17]. 09/05/2017 Implemented
6400.46(d)Staff #1 did not complete 24 hours of training in the most recent complete training year.Program specialists and direct service workers who are employed for more than 40 hours per month shall have at least 24 hours of training relevant to human services annually. Staff did not complete 24 hours of training in the most recent complete training year. Program specialists and direct service workers who are employed for more than 40 hours per month shall have at least 24 hours of training relevant to human services annually. The provider will continue to strive to meet this necessary requirement. This lapse was due to the staff in question being on leave, however the hours should have been made up as soon as she returned to work. [Going forward, a Program Designee will monitor staff training hours periodically throughout the training year to ensure compliance with meeting the training requirement. JG 11/28/17]. 09/05/2017 Implemented
6400.62(a)Suave solid antiperspirant and Colgate toothpaste were found unlocked on the top of the dresser in Individual #1's bedroom.Poisonous materials shall be kept locked or made inaccessible to individuals.Suave solid antiperspirant and Colgate Toothpaste were found unlocked on the top of the dresser in the individual's bedroom. Poisonous materials need to be locked away or made inaccessible to individuals. Poisonous chemicals will be kept locked away or stored in an area inaccessible for the individuals immediately. A team meeting was held after this inspection to address this and allow the individual to be around these products if the individual is assessed to be safe around personal care products . 09/05/2017 Implemented
6400.71There were no emergency telephone numbers posted in the home.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. There were no emergency telephone numbers posted in the home. Telephone numbers for the nearest hospital, police department, fire department, ambulance, and poison control center were posted on or near the house phone with an outside line. 09/05/2017 Implemented
SIN-00069718 Renewal 10/06/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Staff # 1, date of hire was 12/22/13, did not have a Pennsylvania criminal history check until 1/8/14.An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire. Staff 1 did not receive a criminal history until 2 weeks after the date she started on site. This was an oversight on the providers part. All files were audited, and it was determined that Staff 1, was the only staff in Bucks county who ever received the criminal history after starting on site. Provider will ensure ongoing compliance in this area. 10/07/2014 Implemented
6400.64(a)The kitchen ceiling was splattered with grease.Clean and sanitary conditions shall be maintained in the home. The kitchen ceiling was re-painted to remove discoloration. 11/01/2014 Implemented
6400.67(a)The bathroom shower head and pipe were loose and separated from the wall.Floors, walls, ceilings and other surfaces shall be in good repair. The shower head was tightened in the bathroom to ensure compliance with regulation 6400.67(a) 11/01/2014 Implemented
6400.142(a)Individual # 1's dental examination was most recently completed on 5/2/15. The previous examination was completed on 11/14/12. An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. Individual 1 was missing a dental exam for 2013. 2014 was completed and reviewed during the licensing review in October, however there was no documentation excusing why Individual 1 did not have an appointment in 2013. At the time in 2013, individual 1 was not wearing dentures and had her gums checked by her PCP, however this was not documented and the individual should have been seen by the dentist. The provider will ensure all appropriate documentation be available and that annual dental appointments occur to include examining gums. 10/07/2014 Implemented
6400.213(1)(i)Individual # 1's file did not include information on religious affiliation, next of kin or identifying marks. Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph.Individual 1 was missing information from her face sheet. This was corrected and placed in the program book. 10/07/2014 Implemented
SIN-00161358 Renewal 08/13/2019 Compliant - Finalized
SIN-00095008 Renewal 02/02/2016 Compliant - Finalized
SIN-00043264 Renewal 10/10/2012 Compliant - Finalized