| Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
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SIN-00268486
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Renewal
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06/10/2025
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Compliant - Finalized
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.72(b) | The Kitchen window slam's shut when opened.
Screens, windows and doors shall be in good repair. | Screens, windows and doors shall be in good repair. | Maintenance Personnel was on site during the survey and observed that the track in the kitchen window needed to be replaced. The replacement part was ordered, received and installed on 6/11/2025 making the window fully functional. |
08/31/2025
| Implemented |
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|
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SIN-00205640
|
Renewal
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05/26/2022
|
Compliant - Finalized
|
|
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | One of the closet doors in the bedroom of Individual 4 was missing a doorknob/handle | Floors, walls, ceilings and other surfaces shall be in good repair. | On Thursday May 26, 2022 a maintenance request was submitted through our Worxhub computer maintenance system by the Residential Coordinator to install a new matching set closet door handle to Individual #4¿s closet. The work was completed 5/27/2022 (see attachments D & E). |
06/09/2022
| Implemented |
| 6400.111(f) | Fire extinguished positioned at the top of the stairs inside of basement door was last inspected in Feb 2021, greater than 1 year. | A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. | On May 26, 2022 the fire extinguisher at the top of the stairs inside the basement door was not inspector within the year (over 12 months). The Extinguisher was removed immediately and taken to one of our fire extinguisher inspection company to be re-inspected and retagged. This was completed on 5/26/2022 (please see attachment H). |
06/09/2022
| Implemented |
| 6400.52(c)(2) | Staff Member 1 did not complete training for the 2021 annual training year in prevention, detection and reporting or abuse, suspected abuse, and alleged abuse. | The annual training hours specified in subsections (a) and (b) 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. | Last training for Indivdual #1 on 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 was on 5/10/2022. |
07/31/2022
| Implemented |
|
|
|
SIN-00162726
|
Renewal
|
09/17/2019
|
Compliant - Finalized
|
|
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(b) | The self-assessment dated 10/10/18 left blank the sections on Staff Health, Medications, Nutrition and Assessment. | (b) The agency shall use the Department's licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance. | Going forward the Director of Operations and the Program Specialists will complete the self-assessments for each home including Stewart within 3 months of the programs license expiration date of 3/31/2019 and submit them to the Quality Management team. Completion date: 12/31/2019. The Quality Management Coordinator will review the completed assessments within 30 days of receipt and report any areas of non-compliance to the Director of Community Programs for remediation so the assessments are in compliance for the next annual inspection.
Parties responsible; Program Specialists, Director of Operations, Director of Community Programs, and Quality Management Team. |
12/31/2019
| Implemented |
|
|
|
SIN-00141717
|
Renewal
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08/21/2018
|
Compliant - Finalized
|
|
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| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | The drain in the hallway bathroom had chipped off. | Floors, walls, ceilings and other surfaces shall be in good repair. | On August 23, 2018 the maintenance team replaced the drain in the hallway bathroom that was chipped. The House Manager will perform a monthly Community Homes Audit that checks all home floors, walls, ceilings and other surfaces to ensure these areas are free of hazards. The audit is turned into the Residential Coordinator to ensure floors, walls, ceilings and other surfaces are free of hazards. If areas of non-compliance are observed, the House Manager will complete a maintenance request and will forward the request to the Department of Maintenance, Residential Coordinator and Director of Operations as over sight. Once remediation is complete, notification is sent to the responsibility parties. The Quality Assurance Audit team performs environmental checks bi-annually to ensure all floors, walls, ceilings and other surfaces are free of hazards. The audit is forwarded to the Community Living Arrangement Management team for review and remediation if necessary. Parties responsible; House Manager, Residential Coordinator, Director of Operations, Maintenance Department and Quality Assurance Team. |
08/24/2018
| Implemented |
| 6400.67(b) | There was rust around tub plug in the bathroom in the hallway. | Floors, walls, ceilings and other surfaces shall be free of hazards. | On August 23, 2018 the maintenance team replaced the drain in the hallway bathroom around the tub plug that was observed rusting. The House Manager will perform a monthly Community Homes Audit that checks all home floors, walls, ceilings and other surfaces to ensure these areas are free of hazards. The audit is turned into the Residential Coordinator to ensure floors, walls, ceilings and other surfaces are free of hazards. If areas of non-compliance are observed, the House Manager will complete a maintenance request and will forward the request to the Department of Maintenance, Residential Coordinator and Director of Operations as over sight. Once remediation is complete, notification is sent to the responsibility parties. The Quality Assurance Audit team performs environmental checks bi-annually to ensure all floors, walls, ceilings and other surfaces are free of hazards. The audit is forwarded to the Community Living Arrangement Management team for review and remediation if necessary. Parties responsible; House Manager, Residential Coordinator, Director of Operations, Maintenance Department and Quality Assurance Team. |
09/05/2018
| Implemented |
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SIN-00091923
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Renewal
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04/07/2016
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Compliant - Finalized
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SIN-00075324
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Renewal
|
03/30/2015
|
Compliant - Finalized
|
|
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SIN-00061589
|
Renewal
|
03/13/2014
|
Compliant - Finalized
|
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