| Inspection ID | Reason for Inspection | Inspection Date | Inspection Status | |
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SIN-00269242
|
Renewal
|
07/08/2025
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.66 | There was no light outside of the sensory room egress. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Maintenance was immediately contacted upon discovery and an external light was installed outside of the sensory room egress 7/9/25. See attachment #4. |
07/28/2025
| Implemented |
|
|
|
SIN-00208742
|
Renewal
|
07/11/2022
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.141(a) | Individual #1 had his physical on 2/28/20 and 7/20/21. Regulation requires physical to be within 1 year of previous physical. | An individual shall have a physical examination within 12 months prior to admission and annually thereafter. | The Health Services Supervisor will train the Wavier Nurse on the requirements of how often a physical exam must be completed on every individual. This includes the definition for annually per regulation. ¿Annually¿ means within 365 days of the most recent medical evaluation. A 15-calendar day grace period is permitted; a medical examination completed within 380 days (365 days + 15 days = 380) of the last examination will be considered compliant. The Waiver Nurse will train each house manager on the annual requirement of a physical.
These trainings will be documented on a staff attendance sheet (SA) and will be completed by September 9, 2022. The completed trainings related to this deficiency will then be submitted to Staff Development Facilitator who will ensure all the above noted parties are trained. The Staff Development Facilitators signature and date of his review will be documented at the bottom of the above noted SA sheet with his signature serving as acknowledgement all staff were trained accordingly and the training was completed by September 9, 2022. |
09/09/2022
| Implemented |
|
|
|
SIN-00161511
|
Renewal
|
10/01/2019
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.216(a) | Individuals #1 and #2's personal, identifying information was found unlocked and unattended on the small, side table in the kitchen. The identifying information found included the individuals' lifetime medical histories, physicals, demographic information, and the individuals' support plans. | An individual's records shall be kept locked when unattended.
| Merakey Allegheny Valley School acknowledges that individual's personal information was found unlocked at.
The information was moved to the locked closet and Medication cabinet in the office of the group home. The House Manager acknowledged that all personal information was locked on 1-10-2020 (Attachment 17). The Administrator will monitor the home monthly for compliance. |
01/10/2020
| Implemented |
|
|
|
SIN-00102582
|
Renewal
|
10/24/2016
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.106 | Furnace was cleaned/inspected on 8/3/2015 and not again until 8/24/2016. | 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.
| Allegheny Valley School/NHS acknowledges that the furnace at 425 Wilshire Drive should have been cleaned within 365 days.
To prevent a reoccurrence of this event, a certified letter (Attachment 7, 2, and 3) was sent to G.F. Bowman who holds the preventive maintenance contract for Allegheny Valley School. The letter clearly states the time frame needed between furnace cleanings. 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. |
11/18/2016
| Implemented |
|
|
|
SIN-00085327
|
Renewal
|
10/14/2015
|
Compliant - Finalized
|
|
|
| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(b) | Lint was located in the lint trap of the dryer. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Team will complete checklist for home maintanence and have program specialist review with staff on a monthly basis. |
| Implemented |
|
|
|
SIN-00247311
|
Renewal
|
07/08/2024
|
Compliant - Finalized
|
|
|
SIN-00225237
|
Renewal
|
06/28/2023
|
Compliant - Finalized
|
|
|
SIN-00190985
|
Renewal
|
08/03/2021
|
Compliant - Finalized
|
|
|
SIN-00175333
|
Renewal
|
08/25/2020
|
Compliant - Finalized
|
|
|
SIN-00121502
|
Renewal
|
10/17/2017
|
Compliant - Finalized
|
|
|
SIN-00054872
|
Renewal
|
11/12/2013
|
Compliant - Finalized
|
|
|
SIN-00050863
|
Change in Location Capacity
|
06/24/2013
|
Compliant - Finalized
|
|