Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00294619 Unannounced Monitoring 08/24/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.21(l)CARES of Central PA Inc., located in Lewistown, has a handbook that was last revised on January 18, 2024. In the Tobacco section of this handbook, it is specified: "any type of tobacco use will not be permitted by CARES of Central PA staff or VIP's during day program hours. We support a tobacco free environment and ask that all tobacco products be left at home. There are no exceptions to this policy." Individual #1 expressed a wish to use tobacco products, particularly vaping, while participating in the program. Individual #1 was denied the option to use tobacco products during their attendance at the day program and was prohibited from vaping in the community or utilizing their permitted alone time to vape independently, away from the program.An individual has the right to make choices and accept risks.The CARES of Central PA VIP Handbook was updated on 08/26/2026. It now reads: "Tobacco Any type of tobacco use will not be permitted by CARES of Central PA staff during day program hours. Tobacco use by CARES of Central PA VIPs during day program hours will be allowable in areas of the community that tobacco use is permitted. It is very important to CARES of Central PA that this smoking policy does not infringe on the rights of others including community members, staff members, or other VIPs -- thus any VIP who is smoking while at CARES of Central PA shall be a proximity away from their group that would mitigate secondhand smoke exposure while maintaining their staffing ratio. Tobacco use will not be allowable in CARES of Central PA rented, owned or leased property including day program buildings, vehicles, etc." This updated handbook was reviewed with Individual #1 at his emergency team meeting on 08/27/2026 at 9:30am. 08/28/2026 Implemented
SIN-00262530 Renewal 03/18/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(8)The physical form from 9/26/24 for Individual #1 does not identify the individual's physical limitations.The physical examination shall include: Physical limitations of the individual.On 03/21/2025, Compliance Officer reached out to Individual #1's doctor via phone and fax (Attachment #1) to request that they provide the physical limitations on the physical form from annual physical on 9/26/24 and return to CARES of Central PA via fax. As of 03/25/2025, this fax has not been received. Upon receipt, it will be placed in Individual #1's file. 03/25/2025 Implemented
2380.111(c)(10)The physical form from 9/26/24 for Individual #1 does not identify Information pertinent to diagnosis in case of emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.On 03/21/2025, Compliance Officer reached out to Individual #1's doctor via phone and fax (Attachment #1) to request that they identify information pertinent to Individual #1's diagnosis from annual physical on 9/26/24 and return to CARES of Central PA via fax. As of 03/25/2025, this fax has not been received. Upon receipt, it will be placed in Individual #1's file. 03/25/2025 Implemented
SIN-00241698 Renewal 03/25/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.58(a)At the time of the inspection, behind the men's toilets there was a large section where the paint was peeling off the wall. In the women's restroom, there was rust on the metal that holds the ceiling tiles together on the ceiling. There were also 5 ceiling tiles with water stains that need replaced. In the main program area near the back of the room there was a broken ceiling tile.Floors, walls, ceilings and other surfaces shall be in good repair.The sections of the men's restroom with peeling paint have been repainted (Attachments #1-3). The metal that holds the ceiling tiles together in the women's restroom has been replaced (Attachments #4-6). The identified ceiling tiles with stains/cracks have been replaced (Attachment #7). 03/28/2024 Implemented
2380.58(b)When opening the side exit door, there was a large rust colored piece of metal- approx. 24 inches round covering the sub pump. This piece of metal was not flush to the ground. This could be a tripping hazard when exiting or entering these doors.Floors, walls, ceilings and other surfaces shall be free of hazards.The sump pump cover was fixed so that it is now flush to the ground. Additionally, an industrial mat was purchased and placed over the drainage area outside the side exit door to cover the sump pump cover (Attachment #8). 03/28/2024 Implemented
2380.61During the walk-through the corded telephone and the cordless phone in the facility did not work. The screen indicated no line.The facility shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons.On 03/27/2024 Comcast installed a phone line, wifi, and a fax line at the day program site (Attachment #9). 03/28/2024 Implemented
2380.63(b)At the time of the walkthrough, the side exit door had 2 broken panes of glass.Screens, windows and doors shall be in good repair.The bottom most broken pane of glass was replaced (Attachment #11), and the upper most broken pane of glass was covered on both sides with thick tempered glass, and sealed with an all season waterproof caulking glue. The crack in the glass was also sealed with the glue prior to installing the tempered glass (Attachment #12). Both panes of glass that were fixed can be seen in Attachment #10. 03/28/2024 Implemented
SIN-00278570 Renewal 12/12/2025 Compliant - Finalized