Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00257270 Renewal 12/12/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)3 of the windows in the home did not have screens in installed or otherwise available. Work order 12/12/24 provided on 12/13/24 only specified for the bathroom window.Windows, including windows in doors, shall be securely screened when windows or doors are open. A new work order was submitted on 1/14/25 by the SPA addressing all 3 windows on one work order. 01/31/2025 Implemented
6400.106Current and last Furnace Inspections were 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. Inspections were completed for this home. Inspection documentation for 2023/2024 for this home will be submitted for review 12/13/2024 Implemented
SIN-00198378 Renewal 12/15/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66There was no lighting located outside the basement exit, the bulb was blown out.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Light bulb has been replaced. 12/31/2021 Implemented
6400.67(b)Lint build-up the size of a tennis ball was located in the dryer at time of inspection, which could cause a fire hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.Lint was removed immediately. Staff have been educated and reminded to empty lint tray after every use of the dryer. 12/31/2021 Implemented
6400.77(b)The First Aid Kit did not contain: Thermometer, antiseptic and tape. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Thermometers were removed from first aid kits to complete covid temperature screenings for employee and visitors. A separate thermometer was purchased for the first aid kit. First aid tape and antiseptic was also purchased. A section of Bancroft's monthly health and safety checklist the items that the first aid kit shall contain. 02/11/2022 Implemented
6400.112(a)A fire drill was not completed in 9/2021 for 2777 Highland Ave. An unannounced fire drill shall be held at least once a month. August was a new admission. We do not have a September drill documented. Drills were run in September with this individual; however, they were unsuccessful. Going forward, the staff team will document attempted drills. If a drill is unsuccessful, the program manager and program director will be notified, and the drill will be run again. 02/10/2022 Implemented
6400.112(e)No sleep drills took place at this residence over the course of 6 months.A fire drill shall be held during sleeping hours at least every 6 months. Program leadership reviewed this finding with the program manager team. In turn the program manager reviewed fire drill documentation with their staff team. Regulation 6400.112(e) was reviewed with the staff team. 02/11/2022 Implemented
SIN-00180928 Renewal 12/21/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.24Bancroft is required to meet all requirements of Article X of the Public Welfare Code and of the applicable statutes, ordinances and regulations (62 P.S. § 1007) including criminal history checks and hiring policies for the hiring, retention and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P.S. § 10225.101 -- 10225.5102) and its regulations (6 Pa. Code Ch. 15). Staff persons 2 (missing results) , staff person 3, staff person 4, staff person 5.The home shall comply with applicable Federal and State statutes and regulations and local ordinances.Staff 2 was completed. The state result was 12/16/20 and federal was 10/15/20.Staff 3 and Staff 4 were not completed due to a previous vendor that we used. Bancroft has since taken this process in house in October 2019 and federal prints are being scheduled as necessary at the completion of their residency form at the time of hire, as indicated by person 2 who was completed in October 2020.Staff 5 was an internal transfer (so her hire date will not be within the timeframe of completion) and her prints were completed in PA on 12/16/2020, once the error was realized. Going forward, Bancroft has created a compliance check for all staff who are transferring programs as well as states to ensure all compliance features for that program are met. 01/01/2021 Implemented
SIN-00095187 Renewal 12/22/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(a)There was no documentation of a fire drill for the months of 9/15, 8/15 and 3/15. An unannounced fire drill shall be held at least once a month. A performance improvement committee made up of management and direct care staff was created and reviewed the fire drill process. A new fire drill form was created that made it easier for staff to document. A staff training was done with all team members on 6/3/16 to review fire drill process of date, time, exit route, meeting place, and any problems that occurred during the drill. The Program Specialist/Manager will ensure a unannounced fire drill is held at least once a month. See attachment #1 #2 06/03/2016 Implemented
6400.112(c)The fire drill on 11/20/15 did not document the exit route used. The fire drill on 5/9/15 did not document the time of the drill. A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. A new fire drill form was created that made it easier for staff to document. A staff training was done with all team members on 6/3/16 to review fire drill process of date, time, exit route, meeting place, and any problems that occurred during the drill. The program specialist/manager will ensuer that a written fire drill recoe is kept iwth the date, tiem, the amount of time it took for evacuation, the exit route used, problems encounterd an whether the fire alarm or smoke detector was operative. See attachment #1 #2 06/03/2016 Implemented
SIN-00109592 Renewal 02/09/2017 Compliant - Finalized