Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00272001 Renewal 08/14/2025 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.72(b)At 2:38 PM on 8/14/25, the exterior swing door of the attached garage could only be opened from the outside, but not from the inside of the garage, because its doorknob was broken. At 2:43 PM, the door to Life Sharing Provider #1's office was missing a doorknob. At 2:45 PM, located underneath the doorknob assembly of Individual #1's bedroom door, there was a circular hole, measuring two inches in diameter, bored completely through the door's structure.Screens, windows and doors shall be in good repair.New doorknob was delivered from Amazon directly to 209 Crescent pines Dr Verona Pa 15147. Life share specialist visited the home on 9/11/25 and maintenance was completed including instillation of new doorknob as well as patch to 2-inch hole in bedroom door. Doorknob key was placed outside of door accessible in the event of an emergency. 09/12/2025 Implemented
6500.151(e)(12)Individual #1's current assessment, completed on 7/2/25, did not contain any recommendations addressing specific areas of training, programming, and services, as this assessment's only recommendation stated, "[Individual #1] is not usually able to recognize when [they] are having an asthma attack and requires prompting to use [their] inhaler."The assessment must include the following information: Recommendations for specific areas of training, programming and services.9/9/25 program supervisor communicated with service coordinator regarding community supervision section of the assessment. Confirmation of changes to the individuals ISP were completed by the SC on 9/9/25. 09/12/2025 Implemented
6500.32(r)(1)At 2:45 PM on 8/14/25, Individual #1's bedroom door was equipped with a privacy lock having a turn latch on the interior and a thumbnail, straight-edge access point on the exterior. This locking assembly does not provide Individual #1 with a unique mechanism in which to lock and unlock 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.On Friday 9/5/25 Program supervisor ordered 2 new doorknobs for Crescent Pines. The package was sent directly to 209 Crescent Pines Dr Verona Pa 15147. Life sharing specialist visited the home on 9/11/25 and maintenance was completed. 09/12/2025 Implemented
6500.32(r)(4)At 2:45 PM on 8/14/25, Individual #1's bedroom door was equipped with a privacy lock having a turn latch on the interior and a thumbnail, straight-edge access point on the exterior. This bedroom door lock mechanism does not allow easy and immediate access by the individual and staff persons in the event of an emergency.An individual has the right to lock the individual's bedroom door. The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency.On Friday 9/5/25 Program supervisor ordered 2 new doorknobs for Crescent Pines. The package was sent directly to 209 Crescent pines Dr Verona Pa 15147. Life share Specialist visited the home on 9/11/25 and maintenance was completed. Key for the lock will be hung outside of the door for easy and immediate access by the individual and staff persons in the event of an emergency. 09/12/2025 Implemented
6500.136(b)At 3:00 PM on 8/14/25, the staff signature key on the back of Individual #1's August 2025 Medication Administration Record was blank; and therefore, did not identify the initials of Life Sharing Provider #1 who had administered the medications.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.Life share specialist completed re-education with provider on 9/11/25 regarding the medication administration process. Completion documented by program supervisor and was placed in providers training file. 09/12/2025 Implemented
6500.152(c)Individual #1's Service Plan, last updated 7/28/25, contained the following discrepancies between their current assessment, completed on 7/2/25, in the following health and safety skill domains: regarding non-insulated heat sources exceeding 120 degrees Fahrenheit, Individual #1's Service Plan, last updated 7/28/25, explained that besides hot water temperatures, "[Individual #1] must be supervised with all other heat sources." In contrast, Individual #1's assessment, completed on 7/2/25, indicates that, "Yes", Individual #1 can both sense and quickly move away from dangerous heat sources; regarding supervision in the home, Individual #1's Service Plan, last updated 7/28/25, informed that Individual #1 requires 24-hour general supervision of a responsible adult due to a visual impairment, and that "[Individual #1] does not need to be within eyesight or earshot." However, Individual #1 assessment completed on 7/2/25, indicated that Individual #1 requires a 1:1 staffing ratio in the home and that "Yes, [Individual #1] requires an average amount of staff supervision."; and regarding supervision in the community, Individual #1's Service Plan, last updated 7/28/25, explained that Individual #1 requires 24-hour general supervision of a responsible adult due to a visual impairment and that "[Individual #1] cannot independently navigate traffic and needs supervision, as [their] eyesight is poor." In contrast, Individual #1's assessment, completed on 7/2/25, stated that they require a 1:1 staffing ratio in the community and "Yes, [they] [are] able to carefully able to walk in the community."; and that, "Yes, [Individual #1] requires an average amount of staff supervision,"; and that they are able to use the public restroom independently.The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment.On 9/8/25 Program Supervisor communicated with individual #1¿s supports coordinator the revisions needed to correct discrepancies between ISP and assessment. Moving forward, life share staff will review individual ISP¿s monthly, to ensure that all necessary changes have been made by the individuals service coordinator. 09/12/2025 Implemented
SIN-00216933 Renewal 01/04/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.17(a)The self-assessment completed 5/10/2022 was not complete. The following regulation numbers were left blank: 21a4-22c2, 108d-110d, 125c3-126b, 131e4, 141-144, 165c8-179, and158a-158d.If an agency is the legal entity for the home, the agency shall complete a Self-Assessment of Homes the agency is licensed to operate within 3 to 6 months prior to the expiration date of the agency's certificate of compliance, to measure and record compliance with this chapter.Mon Yough supervisor will review self-assessment completed by life share specialist to determined it is completed in its entirety prior to filing. Life Share Specialist reviewed the self-assessment and has documentation of completion. 01/10/2023 Implemented
6500.133(d)The first aid kit, which is kept unlocked and accessible in the home, contained over-the counter Non-Aspirin Acetaminophen medication and Individual #1 is assessed to be unable to self-administer medications.Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.0n 1/5/2023, Supervisor purchased lock box for medication. Once the lock box is received, Life Share Specialist will take the lock box to provider and assist them with transferring any and all medication found in the home into the lock box. 01/18/2023 Implemented
6500.136(a)(13)Individual #1's January 2023 medication administration did not include the initials of the person who administered the following medications: Montelukast Tab 10mg on 1/01/2023 at 5:00pm, Cetirizine Tab 10mg on 1/03/2023 at 5:00pm, and Lisinopril Tab 10mg on 1/01/2023 and 1/04/2023 at 8:00am.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Name and initials of the person administering the medication.Supervisor provided information to the provider on 1/5/2023 regarding the requirements to initial all medication administration. Supervisor will provide re-education to provider regarding the medication regulatory requirements and will have the provider sign off on the education received. 01/18/2023 Implemented
SIN-00255725 Renewal 11/19/2024 Compliant - Finalized
SIN-00236336 Renewal 12/18/2023 Compliant - Finalized
SIN-00199298 Renewal 02/03/2022 Compliant - Finalized
SIN-00185762 Renewal 03/02/2021 Compliant - Finalized