| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.23(d) | Family Living Provider #1, date of hire 8/22/2025, had a PA Criminal History Clearance completed 6/21/2024. Individual #1 moved into the home on 8/22/2025, the adult relative of Family Living Provider #1 had a PA Criminal History Clearance completed on 6/21/2024. The criminal history check was completed more than 1 year prior to Individual #1's move in date. | 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 home. | Community Living & Learning completed new criminal background checks on the Family Living provider and adult relative on 6/4/2026. |
06/04/2026
| Implemented |
| 6500.65 | At 10:20AM at 6/3/3026, the mechanical ventilation fan was inoperable in the bathroom on the first floor of the home. There was no window in the bathroom. | Living areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. | The electrical fault was repaired on 6/13/2026 and the fan is operable. |
06/13/2026
| Implemented |
| 6500.67 | At 10:18AM at 6/3/2026, a wicker basket and clothing items were stored in the ensuite bathroom directly in front of the door of Individual #1's bedroom posing a tripping hazard. | Floors, walls, ceilings and other surfaces shall be free of hazards. | The provider removed the items from in front of the bathroom door on 6/3/2026, allowing unobstructed access to the bathroom. |
06/03/2026
| Implemented |
| 6500.183 | On 6/3/2026, at 10:32AM, the most recent copy of Individual #1's physical examination was not present in the home. | Copies of the most current record information required in § 6500.182(c)(1)-(14) (relating to individual records) shall be kept in the family living home. | Program specialist sent a copy of the most recent physical to the Lifesharing provider on 6/4/2026.. |
06/04/2026
| Implemented |
| 6500.125(c)(2) | Individual #1 moved into the home on 8/22/2025. Family Living Provider #1's two minor children, both over the age of one year old, have not completed Tuberculin skin testing by Mantoux method with negative results. | 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. | Lifesharing provider's children are scheduled for TB testing on 7/14/2026. This is the earliest appointment that was available for their PCP. |
06/30/2026
| Implemented |
| 6500.32(r)(1) | At 10:16AM on 6/3/2026, there was a pinhole locking mechanism on the door leading to Individual #1's bedroom. There is no unique mechanism to allow Individual #1 to independently lock and unlock the door. | An individual has the right to lock the individual's bedroom door. Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door. | Doorknob to the individual's bedroom was replaced with a knob that doesn't have a lock. The individual did not request a lock for her bedroom door. |
06/30/2026
| Implemented |
| 6500.45(a) | Individual #1 moved into the home on 8/22/2025. Family Living Provider #1 completed training in first aid and Heimlich techniques on 11/6/2025. | The primary caregiver shall be trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid and Heimlich techniques prior to an individual living in the home and annually thereafter. | The Lifesharing provider did have CPR/1st Aid training through the American Red Cross on 1/11/24 with a copy of the certificate sent to the Human Services Licensing Supervisor on 6/4/2026, thus complying with the regulation. |
06/04/2026
| Implemented |
| 6500.47(a) | Family Living Provider #1, completed orientation training on 12/1/2025. These trainings were completed via self-read materials with no training source. These trainings were; Person-centered practices, dated 9/2/2025; Abuse, dated 9/1/2025; Individual rights, dated 9/4/2025; and Recognizing and reporting incidents, dated 9/2/2025. | Prior to an individual living in the home, the primary caregiver and the life sharing specialist shall complete the orientation as described in subsection (b). | All future trainings will be completed on the Relias online platform, thus eliminating the outdated self-taught/read material and allowing program specialists to better track due dates. |
06/04/2026
| Implemented |
| 6500.47(b)(1) | Individual #1 began living in the home on 8/22/2025. Family Living Provider #1, date of hire 8/22/2025, completed orientation training in Person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships on 9/2/2025. | The orientation must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | All future trainings will be completed on the Relias online platform, thus eliminating the outdated self-taught/read material and allowing program specialists to better track due dates. |
06/04/2026
| Implemented |
| 6500.47(b)(2) | Individual #1 began living in the home on 8/22/2025. Family Living Provider #1, date of hire 8/22/2025, completed orientation training on abuse on 9/1/2025. | The orientation must encompass the following areas: the prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§ 10225.101 - 10225.5102), the Child Protective Services Law (23 Pa.C.S. §§ 6301 - 6386), the Adult Protective Services Act (35 P.S. §§ 10210.101 - 10210.704) and applicable protective services regulations. | All future trainings will be completed on the Relias online platform, thus eliminating the outdated self-taught/read material and allowing program specialists to better track due dates. |
06/04/2026
| Implemented |
| 6500.47(b)(3) | Individual #1 began living in the home on 8/22/2025. Family Living Provider #1, date of hire 8/22/2025, completed orientation training on individual rights on 9/4/2025. | The orientation must encompass the following areas: Individual rights. | All future trainings will be completed on the Relias online platform, thus eliminating the outdated self-taught/read material and allowing program specialists to better track due dates. |
06/04/2026
| Implemented |
| 6500.47(b)(4) | Individual #1 began living in the home on 8/22/2025. Family Living Provider #1, date of hire 8/22/2025, completed orientation training on recognizing and reporting incidents on 9/2/2025. | The orientation must encompass the following areas: Recognizing and reporting incidents. | All future trainings will be completed on the Relias online platform, thus eliminating the outdated self-taught/read material and allowing program specialists to better track due dates. |
06/04/2026
| Implemented |
| 6500.47(b)(5) | Individual #1 began living in the home on 8/22/2025. Family Living Provider #1, date of hire 8/22/2025, completed orientation training on job related knowledge and skills including but not limited to Individual #1's service plan and assessment on 12/1/2025. | The orientation must encompass the following areas: Job-related knowledge and skills. | All future trainings will be completed on the Relias online platform, thus eliminating the outdated self-taught/read material and allowing program specialists to better track due dates. |
06/04/2026
| Implemented |
| 6500.133(d) | At 10:27AM at 6/3/2026, Individual #1's medications were stored in a safe in the corner of the dining room. The keys were tied to the front of the safe rendering the medication accessible. | Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked. | The medication key was immediately removed from the safe by the Lifesharing provider on 6/3/2026. |
06/03/2026
| Implemented |
| 6500.139(a) | Individual #1 moved into the home on 8/22/2025. Family Living Provider #1 completed the Modified Medication Administration course on 9/4/2025. | A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6500.132 (relating to medication administration). | All future trainings will be completed on the Relias online platform, thus eliminating the outdated self-taught/read material and allowing program specialists to better track due dates. |
06/04/2026
| Implemented |
| 6500.84 | On 6/3/26, at 10:11AM, there was a firearm and ammunition inside a locked closet on the first floor of the home. The firearm was inside a locked safe with boxes of ammunition on top of the safe. The boxes of ammunition were not stored in a separate locked box. | Firearms shall be kept unloaded in a locked cabinet. Ammunition shall be kept in a locked cabinet that is separate from firearms. | The firearm safe was removed from the locked closet and placed in the Lifesharing Provider's bedroom. The ammunition remains in the locked closet in the upstairs hallway. |
06/04/2026
| Implemented |