| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.47(b)(1) | Staff #1, who is the Lifesharing Provider for Individual #1, left on an international trip on 08/09/2025, leaving the individual in the care of Staff #2, a household member. A household member is considered to be a volunteer and is subject to orientation requirements if they would work alone with the individual. Staff #2 worked alone with Individual #1 from 08/09/2025 to the date of inspection without receiving orientation training on the following topic(s): The application of person-centered practices, community integration, individual choice, and supporting individuals to develop and maintain relationships. | 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. | Orientation checklist will be created for any family members over the age of 18 that would be working alone with the individuals that reside at the Lifesharing residence. |
09/30/2025
| Implemented |
| 6500.47(b)(2) | Staff #1, who is the Lifesharing Provider for Individual #1, left on an international trip on 08/09/2025, leaving the individual in the care of Staff #2, a household member. A household member is considered to be a volunteer and is subject to orientation requirements if they would work alone with the individual. Staff #2 worked alone with Individual #1 from 08/09/2025 to the date of inspection without receiving orientation training on the following topic(s): 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. | 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. | Orientation checklist will be created for any family members over the age of 18 that would be working alone with the individuals that reside at the Lifesharing residence. |
09/30/2025
| Implemented |
| 6500.47(b)(3) | Staff #1, who is the Lifesharing Provider for Individual #1, left on an international trip on 08/09/2025, leaving the individual in the care of Staff #2, a household member. A household member is considered to be a volunteer and is subject to orientation requirements if they would work alone with the individual. Staff #2 worked alone with Individual #1 from 08/09/2025 to the date of inspection without receiving orientation training on the following topic(s): Individual Rights. | The orientation must encompass the following areas: Individual rights. | Orientation checklist will be created for any family members over the age of 18 that would be working alone with the individuals that reside at the Lifesharing residence. |
09/30/2025
| Implemented |
| 6500.47(b)(5) | Staff #1, who is the Lifesharing Provider for Individual #1, left on an international trip on 08/09/2025, leaving the individual in the care of Staff #2, a household member. A household member is considered to be a volunteer and is subject to orientation requirements if they would work alone with the individual. Staff #2 worked alone with Individual #1 from 08/09/2025 to the date of inspection without receiving orientation training on the following topic(s): Job-related skills and knowledge. | The orientation must encompass the following areas: Job-related knowledge and skills. | Orientation checklist will be created for any family members over the age of 18 that would be working alone with the individuals that reside at the Lifesharing residence. |
09/30/2025
| Implemented |
| 6500.48(b)(4) | Staff #1, who is the Lifesharing Provider for Individual #1, left on an international trip on 08/09/2025, leaving the individual in the care of Staff #2, a household member. A household member is considered to be a volunteer and is subject to orientation requirements if they would work alone with the individual. Staff #2 worked alone with Individual #1 from 08/09/2025 to the date of inspection without receiving orientation training on the following topic(s): Recognizing and reporting incidents. | The annual training hours specified in subsection (a) must encompass the following areas: Recognizing and reporting incidents. | Orientation checklist will be created for any family members over the age of 18 that would be working alone with the individuals that reside at the Lifesharing residence. |
09/30/2025
| Implemented |
| 6500.135(g) | Individual #1 takes psychotropic medications and has their medications managed by a psychiatrist. Documentation in the Individual Record showed that these psychotropic medication reviews occurred via phone call on 05/12/2025 and 08/07/2025; however, the forms documenting these medication reviews were missing the following information: the reason for prescribing the medication and the necessary dosage. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review by a licensed physician at least every 3 months to document the r reason for prescribing the medication, the need to continue the medication and the necessary dosage. | LSP will obtain any visit notes from the Doctor for any virtual meetings. HRC is going to strongly recommend that virtual visits only occur on an emergency basis. Request was submitted for the virtual meeting notes for the visits dated 5/12/25 and 8/7/25. Paperwork was received 8/30/25. |
08/30/2025
| Implemented |