Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00247480 Renewal 07/01/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.182(c)Individual #1's ISP, last updated 6/26/2024, indicates Individual #1 is prescribed Trazadone 100mg; Take 1 & ½ tablets via G-tube at bedtime for a diagnosis of depression. The current medication order completed 10/9/2023 indicates the Trazodone is prescribed as a sleep aid.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.The ISP correction request was submitted to the SC on 7/1/24 indicating the error regarding the medical reason for the Trazadone prescription. We will submit the supporting dicumentation via email, along with a letter from the prescribing physican stating the Trazadone being used as a sleep aid and finally a copy of the Medication Administration record with the correct diagnosis. 07/17/2024 Implemented
SIN-00191597 Renewal 08/18/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.52(c)(2)Chief Executive Officers annual training hours from January 1 to December 31, 2020 did not include 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 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.The Chief Executive Officers Training Plan in our electronic Relias System has been updated to include: "Abuse and Neglect", Grievance Procedures and Client Rights" and "Incident Reporting" 08/31/2021 Implemented
6400.52(c)(3)Chief Executive Officer's annual training hours from January 1 to December 31, 2021 did not encompass individual rights.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights.The Chief Executive Officers Training Plan in our electronic Relias System has been updated to include: "Abuse and Neglect", Grievance Procedures and Client Rights" and "Incident Reporting" 08/31/2021 Implemented
6400.52(c)(4)Chief Executive Officer's annual training hours for January 1 to December 31, 2020 did not encompass recognizing and reporting incidents.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents.The Chief Executive Officers Training Plan in our electronic Relias System has been updated to include: "Abuse and Neglect", Grievance Procedures and Client Rights" and "Incident Reporting" 08/31/2021 Implemented