Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00268486 Renewal 06/10/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC 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
SIN-00205640 Renewal 05/26/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)One of the closet doors in the bedroom of Individual 4 was missing a doorknob/handleFloors, 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
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC 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 08/21/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC 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
SIN-00091923 Renewal 04/07/2016 Compliant - Finalized
SIN-00075324 Renewal 03/30/2015 Compliant - Finalized
SIN-00061589 Renewal 03/13/2014 Compliant - Finalized