Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
SIN-00271332
|
Unannounced Monitoring
|
08/04/2025
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.34(a) | Individual Rights was signed 11/11/2023 and not again until 11/22/2024 for Individual #1. There is no grace period for Individual Rights.
Individual #1 was not informed of Rights relating to regulations 31a-31g as they are not listed on the Individual Rights signed 11/22/2024. | The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter. | The Individual Rights form was signed by both the individual and their parent/guardian on 8/19/25. The re-signed Individual Rights form and Checklist for Individual #1 have been submitted. To ensure consistency across all residents, Individual #1 will re-sign the Individual Rights form during the November packet cycle, along with all other individuals. Attachment #1. |
08/19/2025
| Implemented |
|
|
SIN-00227713
|
Unannounced Monitoring
|
07/11/2023
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.15(a) | There is no self-assessment completed for home located at 10 Ardmore Circle New Cumberland, PA 17070 (Discussion: Although this home is temporarily closed, it remains a licensed home therefore a self-assessment should be completed) | The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter.
| A self-assessment was completed on 7/19/23 (Attachment 7) The portions of the Self-Assessment that relate to individuals living in the home, as it has been vacant since 4/5/22, those areas are N/A. Renovations are about to commence on the home, making it an aging in place, ADA approved home. |
07/19/2023
| Implemented |
|
|
SIN-00203147
|
Unannounced Monitoring
|
04/04/2022
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.66 | Front door egress did not have functioning lights at the time of the inspection.
Dining room side door egress did not have functioning lights at the time of the inspection. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| The lights as stated above will be fixed by 4/15/2022. |
04/08/2022
| Implemented |
|
|
SIN-00188882
|
Renewal
|
06/22/2021
|
Compliant - Finalized
|
|
|
Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.67(a) | There was water leaking from the hot water heater which caused a puddle on the floor. | Floors, walls, ceilings and other surfaces shall be in good repair. | Upon finding the puddle during site licensing on 6/24/21, Property Manager contacted Bob Means Plumbing who dispatched a technician the same day. After investigation, the technician found that the expansion tank was water logged, causing the leak. The existing expansion tank was replaced with installation of a new expansion tank. Prior to departure, the technician tested the tank and it was no longer leaking. |
07/01/2021
| Implemented |
|
|
SIN-00247593
|
Renewal
|
07/16/2024
|
Compliant - Finalized
|
|
SIN-00212258
|
Unannounced Monitoring
|
09/30/2022
|
Compliant - Finalized
|
|
SIN-00208204
|
Unannounced Monitoring
|
07/18/2022
|
Compliant - Finalized
|
|
SIN-00107735
|
Renewal
|
04/04/2017
|
Compliant - Finalized
|
|
SIN-00059423
|
Renewal
|
01/15/2014
|
Compliant - Finalized
|
|