Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
2380.87(b) | Individual #7 is Deaf and can not hear the smoke detectors or fire alarms when they are activated in the event of a fire or emergency. The individual does not wear a personal body device to notify her to evacuate the building in the event of a fire or emergency. The fire alarms in the building are not interconnected therefore not activating the strobe lights in every part of the licensed space during a fire or emergency. Individual #7 could be in a room in the facility that does not activate the strobe light during an emergency. | If one or more individuals or staff persons are not able to hear the fire alarm system, the fire alarm system shall be equipped so that each person who is not able to hear the alarm shall be alerted in the event of a fire. | 87 (b)
Immediate: ODP's licensing lead retrained the Day Services Coordinator on 12/3/19 regarding the need for the duplicate fire system (accessed by the Gallery/Studio unit only) to be equipped so that each person who is not able to hear the alarm is alerted in the event of a fire on 12/3/19. The Associate Director of Facility and Services at Friendship Community was contacted regarding the need to assess the fire alarm system at the Studio.
Global Immediate: On 12/12/19 the Studio Manager updated the schedule to assign a Studio Instructor to assist any individuals who are deaf or have difficulty hearing with evacuating the facility in the event that the fire alarm is triggered. The Studio Manager remained as the designated member of the team responsible for providing immediate support to the hearing impaired individual currently in attendance on a part-time basis at the Studio throughout the time period of 12/3/19 when the deficiency was discovered and the updated schedule on 12/12/19. Friendship Community shall install an interconnected fire alarm system with strobe lights on or before 12/31/19, on the earliest date that the appropriate equipment can be installed.
Global Preventative: Following the interconnection of the strobe lights throughout the Heart Studio as required to ensure the safety of hearing impaired individuals, Studio Manager or designee shall monitor the strobes at the time of routine monthly fire alarm checks in each location to ensure they are in good working order, taking follow-up actions needed as applicable. Upon admission of individuals to the Studio at and at least annually thereafter, training on fire evacuation procedures for individuals and team members within the Studio shall occur to include the purpose of strobe lights connected to the alarm system, including appropriate evacuation responses when strobes are flashing. Additionally, if modifications should occur to the physical site of any Day Services location within Friendship Community, there shall be a review of the location of strobe lights in relation to the areas where hearing impaired individuals are being served to ensure that strobes are visible from all program locations. |
12/31/2019
| Implemented |
2380.111(a) | Individual #1 had a physical examination completed on 1/9/18 and not again until 1/29/19. She was in attendance during the time period where her physical examination lapsed. | Each individual shall have a physical examination within 12 months prior to admission and annually thereafter. | 111 (a)
Immediate: On 12/3/19 the ODP licensing lead trained the Day Services Coordinator at the Studio on the need for individuals attending the Studio to have a physical examination completed within 12 months of starting at the Studio and annually thereafter in accordance with PA Code Chapter 2380.111 (a).
Global Immediate: The Studio Manager and Program Specialist are conducting an audit of all individual physicals at the Studio to ensure that they have been completed within 12 months of admission and annually thereafter in accordance with PA Code Chapter 2380.111 (a). During the audit process the Studio Manager and Program Specialist will contact designated personal of any discrepancies that shall need corrected, as possible. The audit is to be completed on 1/10/2020.
Global Preventative: The Studio Manager in conjunction with the Program Specialist at the Studio will develop physical audit checklist to be used to review new physical examinations of individuals at the Studio and ensure that all information relevant to PA Code Chapter 2380.111 is present and up to date by 12/20/19. The Studio Manager and Program Specialist will then complete the physical audit checklist upon receiving updated physicals examinations from individuals attending the Heart Studio as well as individuals who are being admitted to the Studio to ensure that each physical examination contains up to date information. This is to be completed on an ongoing basis. Additionally, a policy shall be developed to address attendance interruption at the Studio at any time that an individual's physical exam exceeds the annual date that it is required (with a grace period included per regulations). This policy shall be developed by 1/10/2020 and disseminated by 1/31/19 to each individual and their primary caregiver, as well as included in each individual's admission packet to be reviewed upon admission. |
01/31/2020
| Implemented |
2380.111(c)(3) | Individual #5's 9/9/19 physical examination record did not include a list of his immunizations or documentation of his most recent Tetanus/Diphtheria as required. | The physical examination shall include: Immunizations as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. | 111 (c)(3)
Immediate: On 12/3/19 the Studio Manager contacted the residential provider of Individual to obtain a record of immunizations including their most recent TDap. Individual's residential provider emailed a copy of the PCP visit summary for individual's 2019 physical to the Studio Manager which included a record of current immunizations including a current TDap immunization. On 12/3/19 the Studio Manager filed individual's 2019 physical evaluation's PCP visit summary alongside their 2019 physical.
Global Immediate: The Studio Manager and Program Specialist shall conduct an audit of all individual physical evaluations to ensure that they include record of current immunizations as recommended by the United States Public Health Service, Centers for Disease Control and are consistent with information listed in the individual's ISP in accordance with PA Code Chapter 2380.111 (c)(3). During the audit process the Studio Manager and Program Specialist will contact designated personal of any discrepancies that shall need corrected. The audit shall be completed by 1/10/2020.
Global Preventative: The Studio Manager in conjunction with the Program Specialist will develop physical evaluation audit checklist to be used to review new physical examinations of individuals at the Studio and ensure that all information relevant to PA Code Chapter 2380.111 is present and up to date by 1/10/20. The Studio Manager and Program Specialist will then complete the physical audit checklist upon receiving updated physicals examinations from individuals attending the Studio as well as individuals who are being admitted to the Studio to ensure that each physical examination contains up to date information relevant; this is to be completed on an ongoing basis. |
01/10/2020
| Implemented |
2380.111(c)(5) | Individual #5's 9/9/19 physical examination record did not include the date the individual's Tuberculin (TB) skin test was read. The physical form documented the TB was completed on 9/3/19. However, according to physician's records obtained during the 12/3/19 inspection, the individual's TB test was administered on 9/3/19 and he was to return on 9/6/19 to have the test read by a medical professional.
Individual #3's date of admission to the facility was 4/10/19 but she did not obtain a Tuberculin skin test with negative results until 11/1/19. The individual's 3/8/19 did not contain information that she received a Tuberculin skin test. An attached laboratory form confirmed that she did not receive said skin test until 11/1/19 with negative results. | The physical examination shall include: Tuberculin skin testing with negative results every 2 years; or, if the tuberculin skin test is positvie, an initial chest X-ray with results noted. | 111 (c)(5)
Immediate: ODP Licensing lead retrained Studio Manager on the need to ensure individuals have completed a tuberculin skin test with negative result at least every 2 years in accordance with PA Code Chapter 2380.111 (c)(5). The Studio Manager contacted the residential provider of individual on 12/9/19 in order to obtain a record of when the tuberculin skin test placed on 9/3/19 was read. The Day Services Coordinator followed up on 12/12/19 with the residential provider of individual regarding the date for when the tuberculin skin test placed on 9/3/19 was read and information placed in the individual's file.
Global Immediate: The Studio Manager and Program Specialist shall conduct an audit of all individual physicals at the Studio to ensure that they include a record of a tuberculin skins test with a negative result within the past 2 years and are consistent with information listed in the individual's Individual Support Plan in accordance with PA Code Chapter 2380.111 (c)(5). During the audit process the Studio Manager and Program Specialist will contact designated personal of any discrepancies that shall need corrected. The audit is to be completed on 1/10/2020.
Global Preventative: The Studio Manager in conjunction with the Program Specialist at the Studio will develop physical audit checklist to be used to review new physical examinations of individuals at the Studio and ensure that all information relevant to PA Code Chapter 2380.111 is present and up to date by 1/10/2020. The Studio Manager and Program Specialist will then complete the physical audit checklist upon receiving updated physicals examinations from individuals attending the Studio as well as individuals who are being admitted to the Studio to ensure that each physical examination contains up to date information. This is to be completed on an ongoing basis. |
01/10/2020
| Implemented |
2380.111(c)(7) | Individual #5's 9/9/19 physical examination record did not their health maintenance needs. This section was left blank on the physical form. | The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals. | 111 (c)(7)
Immediate: On 12/3/19 the Studio manager contacted the residential provider of Individual to obtain a current record of health maintenance needs for the individual. Individual's residential provider emailed a copy of the PCP visit summary for individual's 2019 physical which occurred on 9/3/19 to the Studio Manager which included a record of health maintenance needs under the section titled recommended care. The PCP visit summary for individual's 2019 physical was filed in their individual record alongside their 2019 physical.
Global Immediate: The Studio Manager and Program Specialist shall conduct an audit of all individual physicals at the Studio to ensure that they include a current record of health maintenance needs for each individual and are consistent with what is listed in the individual's ISP in accordance with PA Code Chapter 2380.111 (c)(7). During the audit process the Studio Manager and Program Specialist will contact designated personal of any discrepancies that shall need corrected. During the audit process the Studio Manager and Program Specialist will contact designated personal of any discrepancies that shall need corrected. The audit is to be completed on 1/10/2020.
Global Preventative: The Studio Manager in conjunction with the Program Specialist will develop physical audit checklist to be used to review new physical examinations of individuals at the Studio and ensure that all information relevant to PA Code Chapter 2380.111 is present and up to date by 1/10/2020. The Studio Manager and Program Specialist will then complete the physical audit checklist upon receiving updated physicals examinations from individuals attending the Studio as well as individuals who are being admitted to the Studio to ensure that each physical examination contains up to date information. This is to be completed on an ongoing basis. |
01/10/2020
| Implemented |
2380.111(c)(9) | Individual #5's 9/9/19 physical examination record did not include their complete list of allergies, only an allergy to Bactrim. According to his 9/4/18 physical examination record from his physician, and additional physician's physical documentation from 9/3/19 obtained during the 12/3/19 inspection, the individual has allergies to Bactrim, Sulfamethoxazole and Trimethoprim.
Individual #4's 2/18/19 physical examination record states, "no known allergies." His current, 5/9/19 assessment and identification sheet in his record all state no known allergies. According to his Individual Support Plan (ISP), he is prescribed two daily medications for allergies. | The physical examination shall include: Allergies or contraindicated medication. | 111 (c)(9)
Immediate: On 12/3/19 the Studio manager contacted the residential provider of Individuals to obtain a current record of allergies for the individuals. Individual's residential providers provided Studio Manager appropriate documentation of allergies, which was placed in each Individual's record alongside their 2019 physical exams. The Program Specialist at the Studio then emailed Individual #5's Supports Coordinator on 12/12/19 to request that the individual's ISP be updated to reflect the allergies listed on their 2019 physical examination after visit summary.
Global Immediate: The Studio Manager and Program Specialist shall conduct an audit of all individual physicals at the Studio to ensure that they include a current list of allergies for each individual and are consistent with information listed in the individual's ISP in accordance with PA Code Chapter 2380.111 (c)(9). During the audit process the Studio Manager and Program Specialist will contact designated personal of any discrepancies that shall need corrected. The audit is to be completed on 1/10/2020.
Global Preventative: The Studio Manager in conjunction with the Program Specialist at the Studio will develop physical audit checklist to be used to review new physical examinations of individuals at the Studio and ensure that all information is present and up to date by 1/10/2020. The Studio Manager and Program Specialist will then complete the physical audit checklist upon receiving updated physicals examinations from individuals attending the Studio as well as individuals who are being admitted to the Studio to ensure that each physical examination contains up to date information. This is to be completed on an ongoing basis. |
01/10/2020
| Implemented |
2380.171(b)(1) | Individual #5's record does not contain the name of the person to contact in the event of an emergency. His record only states the emergency contact is the on-call person at the individual's residential provider agency. | Emergency information for each individual shall include: The name, address, telephone number and relationship of a designated person to be contacted in case of an emergency. | 171 (b)(1)
Immediate: On 12/3/19 ODP licensing lead retrained the Studio manager on the requirement that the emergency contact listed for individuals at the Studio must be a specific person and not a service provider in accordance with PA Code Chapter 2380.171 (b)(1). The Studio Manager contacted Individual's residential provider on 12/3/19 to obtain updated information regarding the individual's emergency contact and updated the individual's face sheet immediately.
Global Immediate: The Day Services Coordinator directed the Studio Manager at the Studio to conduct an audit of the emergency contact information of all individuals at the Studio to be completed on 1/10/2020. The Studio Manager and Program Specialist shall make updates to emergency contact information to ensure they are in compliance with PA Code Chapter 2380.171 (b)(1) by 1/10/2020.
Global Preventative: The Studio Manager shall coordinate an annual review of face sheets for individuals attending the Studio to ensure that the name, address and telephone number of the emergency contacts for individuals at the Studio are readily available in accordance with PA Code Chapter 2380.171 (b)(1). The face sheets for individuals who are newly admitted into program shall be reviewed and approved by the Studio Manager to ensure the name, address and telephone number of the emergency contact for the individual is readily available at the Studio, prior to entering the face sheet into the individual's record, in accordance with PA Code Chapter 2380.171 (b)(1). |
01/10/2020
| Implemented |
2380.171(b)(3) | Individual #5's record does not contain the name of the person to contact for consent for emergency treatment in the event of an emergency. His record only states the emergency contact is the on-call person at the individual's residential provider agency. | Emergency information for each individual shall include: The name, address and telephone number of the person able to give consent for emergency medical treatment, if applicable. | 171 (b)(3)
Immediate: On 12/3/19 ODP licensing lead retrained the Studio manager on the requirement that the person appointed to give consent for emergency medical treatment listed for individuals at the Studio must be a specific person and not a service provider in accordance with PA Code Chapter 2380.171 (b)(3). The Studio Manager contacted Individual's residential provider on 12/3/19 to obtain updated information regarding the person appointed to give consent for emergency medical treatment for this individual and updated the individual's face sheet immediately.
Global Immediate: The Day Services Coordinator directed the Studio Manager at the Studio to conduct an audit of the person appointed to give consent for emergency medical treatment on the face sheets of all individuals at the Studio to be completed on 1/10/2020. The Studio Manager and Program Specialist shall make updates to the person appointed to give consent for emergency medical treatment on the face sheets of individuals at the Studio to ensure they are in compliance with PA Code Chapter 2380.171 (b)(3) by 12/17/19.
Global Preventative: The Studio Manager shall coordinate an annual review of face sheets for participants attending the Studio to ensure that the name, address and telephone number of the person able to give consent for emergency medical treatment is readily available at the Studio in accordance with PA Code Chapter 2380.171 (b)(3). The face sheets for individuals who are newly admitted into program shall be reviewed and approved by the Studio Manager to ensure the name, address and telephone number of the person able to give consent for emergency medical treatment is readily available at the Studio, prior to entering the face sheet into the individual's record, in accordance with PA Code Chapter 2380.171 (b)(3). |
01/10/2020
| Implemented |
2380.125(c) | Individual #6's prescribed Amphetamine 10mg that is to be administered at 12 noon, was omitted on 11/12/19 due to the medication not being available at the day program and the individual was in attendance. | A prescription medication shall be administered as prescribed. | 125 (c)
Immediate: On 12/3/19 ODP licensing lead trained the Studio Manager on the need to ensure medications are available to individuals during times of medication administration, and the need to maintain records of medication omissions in accordance with PA Code Chapter 2380.125 (c). The Studio Manager reviewed the medication supply for individuals who receive medication at the Studio to ensure an adequate supply was available on 12/3/19.
Global Immediate: On a weekly basis the Studio Manager shall review the medication supply for individuals who receive medication at the Studio to ensure an adequate supply is available for three months while a tracking system is being developed.
Global Preventative: The Studio Manager will develop and implement a tracking system by 2/17/2020 to contact identified personal when medications supplies are to be checked and ordered for individuals attending the Studio to ensure that medications are available at the Studio in accordance with PA Code Chapter 2380.125 (c). |
02/17/2020
| Implemented |
2380.125(f) | Individual #5 is prescribed psychotropic medications for his psychiatric diagnoses of Depression, Undifferentiated Schizophrenia, and Obsessive Compulsive Disorder (OCD). The individual's plans in his record does not contain a protocol to address the social, emotional and environmental needs of the individual, for the medication they are prescribed to treat symptoms of their diagnosed psychiatric illness. The individual's plan in their record, last updated 12/27/18, states that the individual has a plan to follow for said symptoms and diagnoses but does not state that the plan is utilized for the day program facility.
Individual #3 is prescribed psychotropic medication for psychiatric diagnosis of Anxiety. Her ISP did not include a protocol to address the social, emotional and environmental needs of the individual, for the medication they are prescribed to treat symptoms of their diagnosed psychiatric illness. | If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a written protocol as part of the individual plan to address the social, emotional and environmental needs of the individual related to the symptoms of the psychiatric illness. | 125 (f)
Immediate: The Day Services Coordinator contacted the Supports Coordinator for individual to request that their SEEN Plan being used at the Studio be included in his ISP on 12/3/19. The Supports Coordinator responded on 12/3/19 to report that she would update the ISP to include the SEEN Plan linked to the Studio for Individual. An updated ISP was printed from HCSIS was printed and placed in his individual plan on 12/3/19.
Global Immediate: The Program Specialist at the Studio shall conduct an audit of individual records to ensure that SEEN Plans linked to the Heart Studio are included in the individual's ISP in accordance with PA Code Chapter 2380.125 (f). The Program Specialist will also conduct an audit of individual records to ensure that the most current ISP is included in their records. Audits shall be completed by 1/10/2020.
Global Preventative: The Program Specialist shall conduct a documented biannual review of individual records to ensure that the most up to date Individual Support Plan is included, and to ensure that SEEN Plans linked to the Studio are included in the individual's Individual Support Plan in accordance with PA Code Chapter 2380.125(f). |
01/10/2020
| Implemented |