Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00225234 Renewal 06/21/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.145(1)Emergency medical plan identified for this home is not person specific. The Emergency Medical Plan states that staff will utilize the closest hospital to the home unless emergency personnel or a licensed physician indicates otherwise. This hospital or source of health care must be based on the preference of the individual or their substitute decision maker unless honoring the request puts the individual at risk of harm.The home shall have a written emergency medical plan listing the following: The hospital or source of health care that will be used in an emergency. Both Individuals Emergency Medical Plan were completed (see attachment #21) 07/06/2023 Implemented
SIN-00208739 Renewal 07/11/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)Individual # 1's bedroom closet sliding doors were not secured on the bottom. There were no tracks to hold the doors in place.Floors, walls, ceilings and other surfaces shall be in good repair. A maintenance work order was submitted on July 13th, 2022. Individual #1¿s closet were secured on July 14th, 2022. 07/28/2022 Implemented
6400.112(a)Repeat 08/03/21-A fire drill was held on 04/28/22 and it took 03 minutes 41 seconds to evacuate. Extended evacuation time is limited to 3 minutes 20 seconds. Another successful drill was not held in 04/28/22. An asleep drill held on 02/09/22 took 3 minutes 44 seconds to evacuate. A successful drill was not held in 02/22. An unannounced fire drill shall be held at least once a month. Merakey Allegheny Valley School recognizes that this citation cannot be corrected for this specific documentation. 07/28/2022 Implemented
6400.112(e)A asleep fire drill was held on 04/28/22 and it took 03 minutes 41 seconds to evacuate. Extended evacuation time is limited to 3 minutes 20 seconds. Another successful drill was not held in 04/28/22. An asleep drill held on 02/09/22 took 3 minutes 44 seconds to evacuate.A fire drill shall be held during sleeping hours at least every 6 months. Merakey Allegheny Valley School recognizes that this citation cannot be corrected for this specific documentation. 07/28/2022 Implemented
SIN-00161508 Renewal 10/01/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The outside lighted sconce located at the backdoor, facing the side entrance, is full of dead bugs. Also, the front porch outside light is in the same condition.Clean and sanitary conditions shall be maintained in the home. Merakey Allegheny Valley School acknowledges that the outside lights at was full of dead bugs. The Maintenance Department cleaned the lights (Attachment 3 and 4) on 10/8/2019. The House Manager will monitor the lights and will contact the Maintenance Department when the lights need cleaned to prevent a reoccurrence of the lights filling with dead bugs. Monthly checks will be completed by the Administrator to monitor compliance. 10/08/2019 Implemented
6400.72(b)The bottom, three feet of surface area on the hall-way fire door is damaged, containing excessive vertical long scratches, approximately three feet in length. These scratches appear to be from the individuals' wheelchairs. Screens, windows and doors shall be in good repair. Merakey Allegheny Valley School acknowledges that the hallway fire door at had vertical long scratches from the wheelchairs. The Facilities Manager sanded, primed, and painted the door ( Attachment 1 and 2) 0n 10/8/2019. To prevent a reoccurrence of this the House Manager will monitor the scratches inflicted by the wheelchairs and will contact our Maintenance Department to repair the damage before it becomes excessive. Monthly checks will be completed by the Administrator to monitor compliance. 10/08/2019 Implemented
SIN-00141583 Renewal 10/04/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106Furnace was inspected on 05/02/17 and not again until 05/24/18.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. Merakey Allegheny Valley School acknowledges that the furnace at 28 South Hills Drive Hershey should have been cleaned within 365 days. To prevent a reoccurrence of this event, a certified letter (Attachment #1, #2, #3) was sent to Hummelstown Fuel Oil Service who cleans the furnace for Merakey Allegheny Valley School. The letter clearly states the time frame needed between furnace cleanings. In addition, the Administrator conducted a training session with the Maintenance Supervisor on the proper scheduling for furnace cleanings (Attachment #4). The Maintenance Supervisor will follow up with the company to confirm all furnace cleanings fall in the correct time frame. The Maintenance Supervisor will validate with that the furnace cleanings are scheduled within the correct time frame with the Administrator. Documentation of the furnace cleaning will be kept in the House Fire Book when completed. 11/13/2018 Implemented
6400.141(c)(14)Individual # 1's physical dated 1/12/18 did not include information pertinent to diagnosis and treatment in case of an emergency. It was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. Merakey Allegheny Valley School acknowledges the ¿Medical Information pertinent to diagnosis and Treatment in case of emergency¿ was not completed on the physical form. To prevent a reoccurrence of this event, the nurses will flag all necessary sections for the physicians to complete during an annual physical (Attachment #5, #6, #7). The Administrator conducted a training with the Nurses and the House Managers on the proper completion of the individual¿s annual physical form (Attachment #8). The House Manager will review the physical form prior to leaving the physician office to verify all sections were completed. The physical form will then be reviewed by the Nursing Department to verify all sections are completed prior to filing the physical form. Any open sections will be sent back to the physician for completion. The original physical form will be maintained in the individual¿s medical chart. 11/08/2018 Implemented
SIN-00085324 Renewal 10/14/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(a)Staff #2's physcial was on 6/20/13 and then again on 9/2/15. A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. AVS is unable to correct this violation. To assure there is no recurrence of this event, the Administrative Assistant met with the Administrator to complete a training on Physical and TB test notifications (Staff Attendance Sheet with training Attachment #9) The Administrative Assistant created a tracking sheet for all staff physical and TB test due dates starting in December 2015 (Tracking Form Attachment # 10). The physicals and TB tests that were due in December 2015 were completed (Physicals and TB Tests Attachment #11). This will be monitored by the Administer with monthly meeting with the Administrative Assistant. 12/21/2015 Implemented
6400.181(e)(13)(v)Individual #1's assessment did not include progress and growth over the last 365 calendar days and current level in socialization. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization. To assure there is no recurrence of this event, the Program Specialist will be retrained by the Social Services Supervisor regarding the progress and growth comments in the assessment (Staff Attendance Sheet Attachment #18). Completed assessments will be reviewed by the Social Service Supervisor for thoroughness and accuracy in progress and growth. If concerns arise during the review, the Program Specialist will be notified and appropriate revisions will be made to the document. The Program Specialist completed a revision to the progress and growth section of the assessment ( Progress and Growth Attachment #19). 12/21/2015 Implemented
6400.181(e)(13)(vi)Individual #1's assessment did not include progress and growth over the last 365 calendar days and current level in recreation. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation. To assure there is no recurrence of this event, the Program Specialist will be retrained by the Social Services Supervisor regarding the progress and growth comments in the assessment (Staff Attendance Sheet Attachment #18). Completed assessments will be reviewed by the Social Service Supervisor for thoroughness and accuracy in progress and growth. If concerns arise during the review, the Program Specialist will be notified and appropriate revisions will be made to the document. The Program Specialist completed a revision to the progress and growth section of the assessment (Attachment #19). 12/31/2015 Implemented
6400.181(e)(13)(vii)Individual #1's assessment did not include progress and growth over the last 365 calendar days and current level in financial independence. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Financial independence. To assure there is no recurrence of this event, the Program Specialist will be retrained by the Social Services Supervisor regarding the progress and growth comments in the assessment (Staff Attendance Sheet Attachment #18). Completed assessments will be reviewed by the Social Service Supervisor for thoroughness and accuracy in progress and growth. If concerns arise during the review, the Program Specialist will be notified and appropriate revisions will be made to the document. The Program Specialist completed a revision to the progress and growth section of the assessment (Attachment #19). 12/31/2015 Implemented
6400.181(e)(13)(viii)Individual #1's assessment did not include progress and growth over the last 365 calendar days and current level in managing personal property. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Managing personal property. To assure there is no recurrence of this event, the Program Specialist will be retrained by the Social Services Supervisor regarding the progress and growth comments in the assessment (Staff Attendance Sheet Attachment #18). Completed assessments will be reviewed by the Social Service Supervisor for thoroughness and accuracy in progress and growth. If concerns arise during the review, the Program Specialist will be notified and appropriate revisions will be made to the document. The Program Specialist completed a revision to the progress and growth section of the assessment (Attachment #19). 12/31/2015 Implemented
6400.181(e)(13)(ix)Individual #1's assessment did not include progress and growth over the last 365 calendar days and current level in community-integration. The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration.To assure there is no recurrence of this event, the Program Specialist will be retrained by the Social Services Supervisor regarding the progress and growth comments in the assessment (Staff Attendance Sheet Attachment #18). Completed assessments will be reviewed by the Social Service Supervisor for thoroughness and accuracy in progress and growth. If concerns arise during the review, the Program Specialist will be notified and appropriate revisions will be made to the document. The Program Specialist completed a revision to the progress and growth section of the assessment (Attachment #19). 12/31/2015 Implemented
6400.186(c)(2)Individual #1's ISP reviews did not review the fall reduction plan and on 7/3/15, 1/30/15, and 11/21/14 did not review the dental hygiene plan. The ISP review must include the following: A review of each section of the ISP specific to the residential home licensed under this chapter. To assure there is no recurrence of this event, the Program Specialist will be retrained by the Social Services Supervisor regarding review of all parts of the ISP. This included the importance of reviewing all aspects of the individual¿s ISP and commenting in the 3 month review (Staff Attendance Sheet Attachment # 20). 3 month reviews will be reviewed by the Social Services Supervisor starting on 12/3/2015 through 3/3/2016. If concerns arise during the review, the Program Specialist will be notified by the Social Services Supervisor and the concerns will be addressed. 03/03/2016 Implemented
6400.187Individual #1's ISP meeting was held on 8/28/15 and no approval letter was sent as of the date of the renewal. A copy of the ISP, including the signature sheet, shall be provided to plan team members within 30 calendar days after the ISP, annual update and ISP revision meetings. AVS is unable to correct this violation. To assure there is no recurrence of this event, the Program Specialist; who does not act as the plan lead, will be trained by the Social Service Supervisor to document all attempts made to the plan lead; the Supports Coordinator, to obtain a copy of the ISP within 30 days of the ISP planning meeting (Staff Attendance Sheet with training Attachment # 22). This will include the ISP, annual updates, and revision meetings. 10/19/2015 Implemented
SIN-00068691 Renewal 10/14/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)The water temperature was 134F when tested, which exceeded the 120F. Hot water temperatures in bathtubs and showers may not exceed 120°F. Allegheny Valley School, Central Region 6400 Group Homes, makes its best effort to operate in full compliance with Federal and State Law. Nothing included in this Plan of Correction is an admission otherwise. Central Region 6400 Group Homes has submitted this Plan of Correction in order to comply with its regulatory obligation and does not waive any objections to the merits or form of any allegations contained herein. Please note that Central Region 6400 Group Homes may contest the merits and/or form of any deficiency or finding alleged below and take reasonable steps to appeal them. Maintenance was notified immediately of the elevated water temperature. House Managers reviewed the ¿Water Temperature Procedure¿ on November 11, 2014. Please see attachment #10 and #11. The current procedure will remain in place indefinitely. Water temperatures that remain elevated after a 2nd check in a half an hour will be reported immediately to maintenance and the Administrator. In addition the House staff were trained on calibration of the water thermometers. This training was completed on 02/16/2015. Please see attachment #12, #13, and #14. House Managers will monitor their respective homes for issues with the water temperatures and notify the Administrator of continued issues. No issues were identified in the group homes since the inspection. 02/16/2015 Implemented
SIN-00269239 Renewal 07/08/2025 Compliant - Finalized
SIN-00247308 Renewal 07/08/2024 Compliant - Finalized
SIN-00216969 Unannounced Monitoring 01/04/2023 Compliant - Finalized
SIN-00175330 Renewal 08/25/2020 Compliant - Finalized
SIN-00121499 Renewal 10/17/2017 Compliant - Finalized
SIN-00054869 Renewal 11/12/2013 Compliant - Finalized