Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.121(a) | Individual #3 had a physical exam on 9/9/20 and their most recent physical exam was completed on 10/13/21. This exceeds the annual requirement. | An individual shall have a physical examination within 12 months prior to living in the home and annually thereafter. | Individual #3 is scheduled for a physical on 10/14/22; however staff is scheduling her for a physical to be done at Patient First by 6/1/22. Training completed with lifesharing coordinator and lifesharing providers on 5/2/22 on physical date requirements reviewed 55 PA Code Chapter 6500.121(a) requirements. Individual #3 is scheduled for annual physical on 10/14/22. Attachment #1 |
06/01/2022
| Implemented |
6500.121(c)(1) | Individual #3's physical exam dated 10/13/21 did not document a review of their previous medical history as this section of the form was left blank. | The physical examination shall include: (1.) A review of previous medical history. | Individual #3 is scheduled for a physical on 10/14/22; however staff is scheduling her for a physical to be done at Patient First by 6/1/22. Training completed with lifesharing coordinator and lifesharing providers on 5/2/22 on physical date requirements reviewed 55 PA Code Chapter 6500.121(c)(1) requirements. Attachment #1 |
06/01/2022
| Implemented |
6500.121(c)(4) | Individual #3's physical exam dated 10/13/21 did not document Vision and hearing screening as both of these sections on the form were left blank. | The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. | Individual #3 is scheduled for a physical on 10/14/22; however staff is scheduling her for a physical to be done at Patient First by 6/1/2. Training completed with lifesharing coordinator and lifesharing providers on 5/2/22 on physical 55 PA Code Chapter 6500.121(c)(4) requirements. Attachment #1 |
06/01/2022
| Implemented |
6500.121(c)(6) | Individual #3's had a Tuberculin skin testing by Mantoux method with negative results on 3/23/22 and their previous Mantoux with negative results was on 12/5/19. This exceeds the requirement. | Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest x-ray with results noted. | Individual #3 is scheduled for a physical on 10/14/22; however staff is scheduling her for a physical to be done at Patient First by 6/1/22. Training completed with lifesharing coordinator and lifesharing providers on 5/2/22 on TB testing documentation 55 PA Code Chapter 6500.121(c)(6) requirements. Attachment #1 |
05/02/2022
| Implemented |
6500.121(c)(10) | Individual #3's physical exam dated 10/13/21 did not document the specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals as this section of the form was left blank. | The physical examination shall include: Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. | Individual #3 is scheduled for a physical on 10/14/22; however staff is scheduling her for a physical to be done at Patient First by 6/1/22. Training completed with lifesharing coordinator on 5/2/2022 on the physical documentation requirements and reviewed 55 PA Code Chapter 6500.121(c)(10) requirements. Attachment #1 |
06/01/2022
| Implemented |
6500.121(c)(11) | Individual #3's physical exam dated 10/13/21 did not document their health maintenance needs, medication regimen and the need for blood work at recommended intervals as this section of the form was left blank. | 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. | Individual #3 is scheduled for a physical on 10/14/22; however staff is scheduling her for a physical to be done at Patient First by 6/1/22. Training completed with lifesharing coordinator and lifesharing providers on 5/2/2022 on the physical documentation requirements and reviewed 55 PA Code Chapter 6500.121(c)(11) requirements. Attachment #1 |
06/01/2022
| Implemented |
6500.121(c)(12) | Individual #3's physical exam dated 10/13/21 did not document the physical limitation of the individual as this section of the form was left blank. | The physical examination shall include: Physical limitations of the individual. | Individual #3 is scheduled for a physical on 10/14/22; however staff is scheduling her for a physical to be done at Patient First by 6/1/22. Training completed with lifesharing coordinator on 5/2/2022 on the physical documentation requirements and reviewed 55 PA Code Chapter 6500.121(c)(12) requirements. Attachment #1 |
06/01/2022
| Implemented |
6500.121(c)(14) | Individual #3's physical exam dated 10/13/21 did not document their medical information pertinent to diagnosis and treatment in case of an emergency as this section of the form was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | Individual #3 is scheduled for a physical on 10/14/22; however staff is scheduling her for a physical to be done at Patient First by 6/1/22. Training completed with lifesharing coordinator and lifesharing providers on 5/2/2022 on the physical documentation requirements and reviewed 55 PA Code Chapter 6500.121(c)(14) requirements. Attachment #1 |
06/01/2022
| Implemented |
6500.121(c)(15) | Individual #3's physical exam dated 10/13/21 did not document Special instructions for the individual's diet as this section of the form was left blank. | The physical examination shall include: Special instructions for the individual's diet. | Individual #3 is scheduled for a physical on 10/14/22; however staff is scheduling her for a physical to be done at Patient First by 6/1/22. Training completed with lifesharing coordinator and lifesharing providers on 5/2/2022 on the physical documentation requirements inlcuding individualized feeding plan and reviewed 55 PA Code Chapter 6500.121(c)(15) requirements. Attachment #1 |
06/01/2022
| Implemented |
6500.32(r)(1) | Individual has the right to lock the individual's bedroom door. Individual #3 did not have a lock on their bedroom door. | An individual has the right to lock the individual's bedroom door. Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door. | Individual #3 no longer resides in the home and transitioned to a CLA on 4/11/22. A bedroom door lock was installed on 4/12/2022. A key has been provided to the individual currently living in the home with the lifesharing provider who has a backup key. Attachment #4 |
04/12/2022
| Implemented |
6500.48(b)(2) | Staff #3 and Staff #4 did not receive annual training on the prevention, detection and reporting of abuse, suspected abuse and alleged abuse during the 7/1/20-6/30/21 training year. | The annual training hours specified in subsection (a) 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. | Staff #3 has since completed the following training 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: Abuse: Detection, Reporting, and Prevention of Abuse, Suspected Abuse and Alleged Abuse training on 5/2/2022. Attachment #5. p Staff #4 has since completed the following training 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: Abuse: Detection, Reporting, and Prevention of Abuse, Suspected Abuse and Alleged Abuse on 8/27/21. Attachment #6 |
05/31/2022
| Implemented |
6500.139(a) | Certificate dated 8/14/15 for "Giving Medications at Home" was presented as the current medication training for Staff #3. The "Giving Medications at Home" training does not satisfy current regulations. | A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6500.132 (relating to medication administration). | Staff #3 has since completed Modified Medication Administration Training Course on 3/24/22. Attachment #8 Training |
05/16/2022
| Implemented |
6500.151(a) | Individual #3's assessment that was dated as 5/25/21 and updated 7/24/21 included all identical information in the sections from their 7/22/20 assessment. This included recommendations for services where it stated "assist Kathy" which is not Individual #3's name that was an error in the assessment dated 7/22/20 and the assessment dated as 5/25/21 and updated 7/24/21. | Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the home. | Individual #3's assessment was updated on 3/23/22. Individual #3 transitioned to a CLA on 4/11/22 and another assessment will be completed within 60 days by CLA program specialist. Attachment #9. Lifesharing coordinator received training on 4/11/22 on completion of residential individual annual assessment. Attachment #9a |
06/11/2022
| Implemented |