Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00219624 Renewal 02/21/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(8)Individual #1 did not have a mammogram completed every year. Individual #1 had mammogram completed on 12/27/21. Individual #1's next mammogram was not completed until 2/7/23. The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older.Training was completed with Lifesharing Coordinator on 3/2/23 and Lifesharing Providers on 3/6/23 regarding 55 PA Code Chapter 6500.121 (c)(8) and with ensuring that all appointments are completed by the guidelines of the medical providers and state regulations. Attachment #2,3, 14, 15 04/03/2023 Implemented
SIN-00200605 Renewal 03/23/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(6)Individual #4 had a had a Tuberculin skin testing by Mantoux method with negative results on 12/20/21 and their previous Mantoux with negative results was on 11/22/19. 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.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)(8)Individual #4 is 63 years old and had a mammogram on 12/27/21 and their previous one occurred on 11/7/20. This exceeds the requirement. The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older.Training completed with lifesharing coordinator and lifesharing providers on 5/2/22 on mammogram requirements per 55 PA Code Chapter 6500.121(c)(8). Attachment #1 05/02/2022 Implemented
6500.122(a)Individual #4 had a dental exam with a cleaning on 11/13/20 and not again until 2/14/22. Individual #4 had a dental form dated 5/14/21 in their record, but it was not signed by a dentist and the examination sections of the form were left blank. This exceeds the requirement.An individual 17 years of age or younger, shall have a dental examination performed by a licensed dentist semiannually. Each individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually.Lifesharing coordinator received verbal confirmation from dental office that Individual #4 was seen at the office on 5/14/21. Documentation for 5/14/21 appointment is going to be received by 5/10/22. Attachment #16 & #16a. Training completed with lifesharing coordinator and lifesharing providers on 5/2/22 on dental requirements and health services requirements per 55 PA Code Chapter 6500.122 (a) and 55 PA Code Chapter 6500.124. Attachment #1 05/10/2022 Implemented
6500.151(e)(3)(iv)Individual #4's assessment dated 5/24/21 did not address their Personal needs with or without assistance from others as this section was left blank.The assessment must include the following information:The individual's current level of performance and progress in the areas: Personal needs with or without assistance from others.Individual #4's assessment was updated on 4/29/2022 to include personal needs information. Next assessment is due by 5/24/22 . Attachment #17. Lifesharing coordinator received training on 4/11/22 on completion of residential indiviudal annual assessments. Attachment #9a 04/29/2022 Implemented
6500.151(e)(13)(vii)Individual #4's assessment dated 5/24/21 did not address financial independence as this section was left blank. 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.Individual #4's assessment was updated on 4/29/2022 to include financial independence information. Next assessment is due by 5/24/22 . Attachment #17 Lifesharing coordinator received training on 4/11/22 on completion of residential indiviudal annual assessments. Attachment #9a 04/29/2022 Implemented
6500.124Individual #4 had a dental exam with a cleaning on 11/13/20 and not again until 2/14/22. The 11/13/20 dental record form noted to have visits 2 times a year and Individual #4 had no documentation of any dental visits in 2021 as the dental form dated 5/14/21 in their record was not signed by a dentist and the examination sections of the form were left blank. Dental Services were not being provided as prescribed for individual #4 by the agency.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.Lifesharing coordinator received verbal confirmation from dental office that Individual #4 was seen at the office on 5/14/21. Documentation for 5/14/21 appointment is going to be received by 5/10/22. Attachment #16 & #16a. Training completed with lifesharing coordinator and lifesharing providers on 5/2/22 on dental requirements and health services requirements per 55 PA Code Chapter 6500.122 (a) and 55 PA Code Chapter 6500.124. Attachment #1 05/10/2022 Implemented
6500.151(f)There was no documentation that Individual #4's assessment dated 5/24/21 was provided to their plan team members.The life sharing specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Individual #4's assessment was updated on 4/29/2022 and a copy of assessment with corrections was sent to team members. Attachment #17a Next assessment due by 5/24/22. Lifesharing coordinator received training on 4/11/22 on completion of residential indiviudal annual assessments. Attachment #9a 04/29/2022 Implemented
SIN-00183520 Renewal 03/23/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.24(c)Individual #1 financial records submitted contained multiple entries of meals for "Brent and Provider." Each entry was the purchase of a meal for Individual #1 and Staff #1or "Provider" that Individual #1 paid for both meals. Receipts show a total of 39 transactions spanning a six-month period: an average of 6.5 meals per month. Individual funds shall be used for the individual's benefit. Suave Body wash was purchased on 2/24/21 in the amount of $2.94. Equate lotion was purchased on 1/10/21 in the amount of $6.96. The purchase of standard toiletries is included in room and board paid and is to be furnished by the Provider.An individual's funds and property shall be used for the individual's benefit.The Provider initiated a misuse of funds (8827528) incident and investigated this matter. Individual 1 will be reimbursed $990.98. Training has been completed on 4/5/21 for all Lifesharing Providers regarding appropriate use of individual funds. See attached training documentation. See attached (internal) request for reimbursement 05/31/2021 Implemented
6500.123(a)Individual #1 has a documented history of refusals of dental care. The refusals are addressed in a Desensitization Plan dated 2/19/21. Dental exams and cleaning are recommended to occur at three-month intervals in the Dental Hygiene Plan completed by the Dentist on 9/24/20 and 12/20/19. A refusal with education was documented on 2/5/20. A successful cleaning was completed on 9/24/20. One cancelation by Dentist due to COVID was noted on 3/30/20. No other documentation of attempts to schedule or complete exams between 3/30/20-9/24/20 were found. No documentation of continued attempts to train Individual #1 about the need for health care were located in Individual #1's record provided for the timeframe of 2/5/20-9/24/20 or after. A successful exam with cleaning was completed on 3/11/21.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record.Desensitization plans will be completed for ongoing refusals at least annually and documented in the assessment and ISP. Individual #1 Desensitization Plan is updated to reflect Individual #1 specific needs and documented monthly by the LifeSharing Provider. See attached updated Desensitization Plan. See attached Monthly Documentation form 04/30/2021 Implemented
6500.151(e)(9)Individual #1 had a new feeding plan put into place with doctor's order of a "Chopped" diet as of 10/22/20. The Limitations, Restrictions or Special Diet section of the physical for Individual #1 dated 10/22/20 was marked with an "X" in the box and noted "See attached feeding plan." This is a change from the physical dated 10/18/19 which indicated a "reg diet" in the Limitations, Restrictions or Special Diet section. Additional notation on the feeding plan includes "Posture during meals upright and must remain upright for 30 minutes after eating, drinking or receiving medications." The assessment for Individual #1 was completed on 12/28/20. There are no notations to reflect the change in diet in the functional/medical limitations section of the Assessment.The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations.The Assessment for Individual # 1 has been updated and dated 4/16/21 by the Program Specialists to reflect the change in diet and medical limitation. See Attached updated Assessment. 05/31/2021 Implemented
6500.124A "chopped" diet was prescribed for Individual #1 at his annual physical on 10/22/20. Documentation provided does not support that the diet is being followed as prescribed. The assessment for Individual #1 dated 12/28/20 does not note the change in diet or reflect that a change in the functional status/medical limitations of Individual #1 occurred. Receipts submitted indicate that no changes were made to food items purchased after the change in diet occurred.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.LifeSharing Provider received immediate verbal retraining on 3/26/2021 regarding update in diet restrictions. Individual #1 Assessment was updated on 4/16/2021. On 4/5/2021, all LifeSharing Providers received training to assure that Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged. See attached Training Record 05/31/2021 Implemented
6500.34(a)Individual rights were reviewed on 1/19/21. The rights reviewed did not encompass all items as outlined in 6500.32. The following rights were not reviewed: An individual has the right to civil and legal rights afforded by law, An individual has the right to make choices and accept risks, An individual has the right to refuse to participate in activities and services, An individual has the right to control the individual's own schedule and activities, An individual has the right to choose persons with whom to share a bedroom, An individual has the right to furnish and decorate the individual's bedroom in accordance with § 6500.33 (relating to negotiation of choices), An individual has the right to access food at any time and an individual has the right to make health care decisions. Additionally, Individual rights signed by Individual #1 does include that locked bedrooms and locked areas for personal possessions are provided, however, the right does not include: (1) 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. (2) Access to an individual's bedroom shall be provided only in a life safety emergency or with the express permission of the individual for each incidence of access. (3) Assistive technology shall be provided as needed to allow the individual to lock and unlock the door without assistance. (4) The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency. (5) The primary caregiver shall have the key or entry device to lock and unlock the door. Full review is required to satisfy regulation.Individual rights and the process to report a rights violation shall be explained to the individual, and persons designated by the individual prior to moving into the home and annually thereafter.Threshold will review and update the Rights Statement and Policy regarding individuals¿ rights by 4/23/2021. See attached signed Rights Policy Statement 06/15/2021 Implemented
6500.135(g)Individual medical records provided included record of three-month medication reviews that occurred on 2/17/20, 5/27/20 and 3/18/21. No medication reviews were conducted between 5/27/20 and 3/18/21 which spans a ten-month period. The regulated time between reviews was exceeded.If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review by a licensed physician at least every 3 months to document the r reason for prescribing the medication, the need to continue the medication and the necessary dosage.Future appointments will be scheduled at the at the time of existing appointments and placed on scheduling calendar. 05/31/2021 Implemented
6500.151(f)Individual #1's assessment presented for review was dated 12/28/20. Annual review meeting date of the Individual Support Plan (ISP) meeting was entered in the ISP as 1/12/2021. A timeframe of 15 calendar days. This does not allow the assessment to have been provided to plan team members within at least 30 calendar days prior to the ISP review meeting.The life sharing specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.Going forward, all assessments will be sent via email to the team no less than 30 days prior to the Annual ISP. 04/30/2021 Implemented
SIN-00169132 Renewal 12/04/2019 Compliant - Finalized