| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2380.33(b)(18) | All individuals attending Allegheny Valley's Tremont Day Program require ICF/MR residential care. Individuals attending the program have active seizure disorders, contagious diseases, and significant medical needs. Staff members were not been trained in seizures or follow up precautions for seizures. Individuals did not have seizure protocols. There was no documentation that staff members were trained on the medical needs of the individuals. There was no documentation that staff members were trained in behavior plans and social, emotional, environmental needs plans. | The program specialist shall be responsible for the following: Coordinating the training of direct service workers in the content of health and safety needs relevant to each individual. | This citation should only reference regulatory requirement as it relates to our day program facility. Therefore, on 6-12-18 all program staff have been trained on of the individuals whom were selected as a part of the on-site inspection with seizure diagnoses. Everyone has a personalized seizure plan that address their needs as it relates to what staff need to know to support them. Going forward audits are being conducted to ensure that everyone diagnosed with a seizure disorder has an individualized plan which will be updated annually within their lifetime medical histories. Program Specialist will complete these audits by 8/30/18 and train direct service workers by 9/30/18. Going forward Program Specialists will coordinate the training of direct service workers in the content of health and safety needs relevant to everyone assigned to their caseload to include seizure disorders. This training will be conducted annually. See attachment #s S1-S11 |
06/12/2018
| Implemented |
| 2380.36(a) | REPEATED VIOLATION - 3/11/16. Staff #5 was hired on 12/11/17 and did not receive orientation training relevant to her job duties, daily operation of the facility, or policies of the agency. Staff #6 was hired on 5/15/17 and did not receive training relevant to his job duties or daily operation of the facility. | The facility shall provide orientation for staff persons relevant to their responsibilities, the daily operation of the facility and policies and procedures of the facility before working with individuals or in their appointed positions. | Management will review the daily operations of the facility with all new hires. Going forward the first day staff is assigned to the facility he/she will be trained on the daily operations of the facility by Program Management. This training will be conducted with all new hires and annually thereafter. Program Management was trained on this process on 6/12/18 Please refer to attachment: P1 &P2. |
06/12/2018
| Implemented |
| 2380.36(c) | Staff #1 is the director of the facility and only had 17.75 hours of training. Staff #2 is a program specialist of the facility and only had 17.75 hours of training. Staff #3 is a direct service worker and had 1 hour of training. Staff #4 is a direct service worker and had 7 hours of training. | Program specialists and direct service workers who are employed for more than 40 hours per month shall have at least 24 hours of training relevant to human services annually. | Going forward staff will receive at least 3 hours of training relevant to human services monthly. The Associate Executive Director will perform an audit on the training records 9 months into training year to ensure that all staff have 24 hours of training. Any staff person who falls below 24 hours will be given additional training by the 11 month of training year to ensure compliance. This will be an annual training. See attachment #Q1. |
07/30/2018
| Implemented |
| 2380.36(e) | Staff #2 received fire safety training on 7/29/16 and not again until 9/25/17. Staff #3 had fire safety training on 9/25/17. There was no documentation of a 2016 training. Staff #5 and #6 received a fire safety quiz upon hire. The fire safety training did not include the requirements specified per regulation. | Program specialists and direct service workers shall be trained before working with individuals in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the facility, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered. | Program Management and Program Specialist were all trained on 6/12/18 on fire safety, evacuation procedures, responsibilities during fire drills, designated meeting place, use of fire extinguishers etc. Going forward Program Specialists and direct service workers shall be trained before working with individuals in general fire safety, evacuation procedures, responsibilities during fire drill, the designated meeting place outside the building or within the fire safe area in the event of an actual fire. This will be reinstructed annually. See attachment #s : R1 to R19 |
06/12/2018
| Implemented |
| 2380.55(a) | The black filing cabinet in Area 3 had a dried, tan substance splashed over it. The restroom in Area 5 contained used, latex gloves laying on the floor and sink. At least one individual in the program had a contagious disease. The carpet throughout the facility was very stained. | Clean and sanitary conditions shall be maintained in the facility. | The Inspector did not mention any individual with contagious disease during the on-site inspector nor did they mention the individual within the Plan of Correction. Therefore, it appears to be some discrepancy within this citation by the author of this document. However, the black filing cabinet in Area 3 was removed on 6/9/18. A new cabinet has been ordered to replace the mentioned cabinet on 5/11/18. See attachment #¿s N2- 11.
Regarding the restroom in area 5, staff were trained on 5/18/18 through 5/21/18 on the new changing and restroom checklist. They will be check these areas three times a day to ensure that there aren¿t any used latex gloves laying on the floor/ sink areas and that the space is clean. Going forward staff will complete a Changing Room Checklist and submit results to program management daily. See attachment #O1-O2.
Environmental Services is responsible for implementing a 90- day Improvement Plan to ensure cleanliness of carpet on 6/8/18. This plan was reviewed with Program Director on 6/8/18 and began implementation on the evening of 6/8/18. Program Director will meet with Environmental Service Department quarterly to discuss the progress being made on the cleanliness of the carpet. Please see attachment # O3. |
06/08/2018
| Implemented |
| 2380.58(a) | The walls in Area 4 were scuffed with black marks and had holes in the drywall. The cabinet was dented and a dried, brown substance was splashed on it. The black filing cabinet in Area 5 had a dented bottom drawer. The left, tan cabinet had a broken handle. | Floors, walls, ceilings and other surfaces shall be in good repair. | The walls in the Area 4 mentioned in citation have were repaired on 5/9/18. The cabinet mentioned in citation was clean and substance removed on 5/9/18. New cabinets were ordered on 5/11/18 to replace above mention cabinet and is currently in the process of being delivered. See attachment #¿s N1-12. Going forward Program Management will conduct Area Inspections weekly and document findings on an audit sheet weekly to tracking compliance. The audit sheets will be reviewed by Program Director weekly to address any areas of non-compliance. Program Director will submit all repair request to Maintenance Department for corrections. The maintenance department will have up to 8 weeks to correct any issue. |
05/09/2018
| Implemented |
| 2380.59(a) | The men's restroom, women's restroom, kitchen area, and side changing room of the main program area on the main level did not have hot water. The staff restrooms on the main level did not have hot water. | The facility shall have hot and cold running water under pressure in bathrooms and kitchen areas. | A new hot water heater was purchased on 5/22/18 and installed on 5/24/18. The Program management was trained on 6-11-18 regarding the importance of having hot water accessible in the facility. Going forward, water temperatures will be done daily throughout the facility and recorded on a log. If it appears to be a problem regarding hot water; the maintenance department will be notified and a work order submitted in Skyline. Maintenance department will have up to 8 weeks for to correct the problem. See attachments # L1- L3 |
06/11/2018
| Implemented |
| 2380.83(a) | The emergency evacuation plan did not include the means of transportation to the emergency shelter. | There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation, an emergency shelter location and an evacuation diagram specifying directions for egress in the event of an emergency. | Emergency Action Plan was updated to state the following: Staff will use their assigned residential vehicle to transport individual to emergency relocation site. See attachment # K1 |
06/11/2018
| Implemented |
| 2380.91(a) | Individual #1 was admitted to the program on 8/9/17. She was not trained on fire safety until 10/2/17.
Individual #7 was admitted to the program on 4/24/17. He was not trained on fire safety until 5/23/17.
Individual #9 was admitted to the program on 5/8/17. He was not trained on fire safety until 5/12/17.
Individual #5 and Individual #6 received fire safety training on 9/25/17 and 10/5/17, respectively. There was no training for 2016. | An individual shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general firesafety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, and smoking safety procedures if individuals smoke at the facility. | Program management were trained on 6-11-18 in ensuring that all new admissions are instructed in general fire safety, evacuation procedures, responsibilities during fire drills, and the designated meeting place outside the building or within the fire safe area. Please see attachment: J1. |
06/11/2018
| Implemented |
| 2380.111(b) | Individual #7's physical exam was not dated by the physician. | The physical examination documentation shall be signed and dated by a licensed physician, certified nurse practitioner or certified physician's assistant. | Program Specialists were trained on 6-11-18 regarding how to review individual physicals 30 days prior to annual meeting to ensure compliance to 2380 regulations. Audits will be conducted on a quarterly schedule. Any physical found not to be compliant, Program Specialists will notify the Medical department and team members of discovery to develop a plan to corrected area on non-compliance. This will be an annual training. See attachment # I(1) & I (2). |
06/11/2018
| Implemented |
| 2380.111(c)(5) | Individual #5's tuberculin testing was completed on 2/24/15 nd not again until 9/21/17. | The physical examination shall include: Tuberculin skin testing with negative results every 2 years; or, if the tuberculin skin test is positvie, an initial chest X-ray with results noted. | Program Specialists were trained on 6-11-18 regarding how to review individual physicals 30 days prior to annual meeting to ensure compliance to 2380 regulations. Audits will be conducted on a quarterly schedule. Any physical found not to be compliant, Program Specialists will notify the Medical department and team members of discovery to develop a plan to corrected area on non-compliance. This will be an annual training. See attachment # I(1) & I (2). |
06/11/2018
| Implemented |
| 2380.113(a) | REPEATED VIOLATION - 3/11/16. Staff #1 received a physical exam on 7/11/12 and not again until 9/25/17. Staff #4 received a physical exam on 4/15/15 and not again until 2/22/18. | 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 persons, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | Staff physicals will be reviewed by Program Management to ensure compliance to 2380 regulations. Audits will be conducted on a quarterly schedule; any staff found to be non-compliant will be notified and given 5 days after discovery to rectify areas of non-compliance. During this time the staff will be removed from program until compliant. be an annual training. See attachment #H1-H2 |
06/11/2018
| Implemented |
| 2380.113(c)(2) | Staff #1 had tuberculin testing completed on 7/11/12 and not again until 9/14/17. Staff #4 had tuberculin testing completed on 4/17/15 and not again until 2/22/18. Staff #6 was hired on 5/15/17 and did not receive tuberculin testing to date. | The physical examination shall include: Tuberculin skin testing with negative results every 2 years; or, if the tuberculin skin test is positive, an initial chest X-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, certified nurse practitioner or certified physician's assistant. | Staff physicals will be reviewed by Program Management to ensure compliance to 2380 regulations. Audits will be conducted on a quarterly schedule; any staff found to be non-compliant will be notified and given 5 days after discovery to rectify areas of non-compliance. During this time the staff will be removed from program until compliant. be an annual training. See attachment #H1-H2 |
06/11/2018
| Implemented |
| 2380.113(c)(3) | Staff #6's 5/5/17 physical exam did not include his communicable disease status. | The physical examination shall include: A signed statement that the person is free of serious communicable diseases as defined in 28 Pa. Code § 27.2 (relating to specific identified reportable diseases, infections and conditions) to the extent that confidentiality laws permit reporting, or that the person has a serious communicable disease as defined in § 27.2 to the extent that confidentiality laws permit reporting, but is able to work in the facility if specific precautions are taken that will prevent spread of disease to individuals. | Staff physicals will be reviewed by Program Management to ensure compliance to 2380 regulations. Audits will be conducted on a quarterly schedule; any staff found to be non-compliant will be notified and given 5 days after discovery to rectify areas of non-compliance. During this time the staff will be removed from program until compliant. be an annual training. See attachment #H1-H2 |
06/11/2018
| Implemented |
| 2380.115(1) | The facility did not have an emergency medical plan. | The facility shall have a written emergency medical plan listing the following: The hospital or source of health care that will be used in an emergency. | The Program Staff was trained on 6-11-18 the Updated Emergency Action Plan. Going forward the emergency medical plan will be an annual training for all program staff. See attachment #¿s G1- G3. |
06/11/2018
| Implemented |
| 2380.173(1)(i) | Social security numbers were not included in the records for all individuals. | Each individual's record must include the following information: Personal information including: The name, sex, admission date, birthdate and social security number. | The Program Specialists was trained on 6-11-18 to add the last four digits of the individual¿s social security number for the individuals assigned to their caseload to the General Information Sheet. See attachment # F1 and B1-B12. Going forward information will be reviewed and updated annually by Program Specialist during annual chart audits. |
06/11/2018
| Implemented |
| 2380.173(1)(ii) | REPEATED VIOLATION - 3/11/16. Individual #7's and Individual #11's record did not include identifying marks. | Each individual's record must include the following information: Personal information including: The race, height, weight, color of hair, color of eyes and identifying marks. | The Program Specialists was trained on 6-11-18 to include identifying marks for the individuals assigned to their caseloads to the General Information Sheet. See attachment # F1 and B1 ¿ B12. Going forward information will be reviewed and updated annually by the Program Specialist during annual audits. |
06/11/2018
| Implemented |
| 2380.176(a) | Individual records were stored unlocked on bookshelves and filing cabinets throughout the facility. | Individual records shall be kept locked when they are unattended. | All Program Specialist were trained on HIPPA and the importance of keeping all individual records locked when unattended on 6-11-18. All program records were relocated to areas with locked cabinets. New cabinets with locks have been order on 6-11-18 to be placed in the program area to be used to secure individual¿s documentation. Please see attachments: See attachment D1- D2. See attachment E1- E2. |
06/11/2018
| Implemented |
| 2380.177 | REPEATED VIOLATION - 3/11/16. Consents to release information were not completed for any individual in the program. | Written consent of the individual, or the individual's parent or guardian if the individual is incompetent, is required for the release of information, including photographs, to persons not otherwise authorized to receive it. | A consent to release information has been completed and sent out to all the individuals that was selected during inspection. Going forward a consent to release information will be completed for everyone by 8/30/18 and completed annually. Program Specialist during annually chart audits will ensure that consent is present, signed and filed in program chart. Please see attachments: C1- C12. |
06/11/2018
| Implemented |
| 2380.181(e)(1) | Functional strengths, needs, and preferences were not contained in any of the eleven assessments reviewed. | The assessment must include the following information: Functional strengths, needs and preferences of the individual. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include functional strengths, needs, and preferences of the individuals. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments: A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(2) | REPEATED VIOLATION - 3/11/16. Individual #2's 10/11/17 assessment did not include her dislikes. | The assessment must include the following information: The likes, dislikes and interests of the individual, including vocational and employment interests. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include likes, dislikes, and interests of individual to include vocational and employment interests. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(4) | Individual #1's 9/7/17 assessment did not include her supervision needs at the program or in the community. | The assessment must include the following information: The individual¿s need for supervision. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include individual¿s need for supervision. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(5) | Individual #3's 2/22/18 assessment, Individual #4's 4/17/18 assessment, and Individual #8's 5/8/17 assessment did not include the ability to self administer medications. | The assessment must include the following information: The individual's ability to self-administer medications. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include the individual¿s ability to self-administer medications. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments: A1-2 &B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(9) | Individual #1's 9/7/17 assessment did not include documentation of disability. This section was not completed. Individual #2's 10/11/17 assessment did not include functional and medical limitations. | The assessment must include the following information: Documentation of the individual's disability, including functional and medical limitations. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include the individual¿s disability, including functional and medical limitations. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(10) | Individual #1's 9/7/17 assessment, Individual #4's 4/17/18 assessment, Individual #10's 1/24/18 assessment, and Individual #11's 5/9/17 assessment did not include a lifetime medical history. | The assessment must include the following information: A lifetime medical history. | The Program Specialists were trained on 6-11-18 regarding how to complete the assessment comprehensively ensuring it follows 2380 regulations to include individual¿s life time medical histories. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments: M1 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(13)(i) | REPEATED VIOLATION - 3/11/16. Individual #1's 9/7/17 assessment, Individual #3's 2/22/18 assessment, Individual #4's 4/17/18 assessment, Individual #5's 11/10/17 assessment, Individual #6's 7/13/17 assessment, and Individual #10's 1/24/18 assessment did not include current health level or progress over the past year in health. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Health. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include the individual¿s disability, including functional and medical limitations. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(13)(ii) | Individual #2's 10/11/17 assessment, Individual #3's 2/22/18 assessment, and Individual #6's 7/13/17 assessment did not include current level or progress over the year in motor and communication skills. | The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Motor and communication skills. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include the individual¿s disability, including functional and medical limitations. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(13)(iii) | Individual #2's 10/11/17 assessment, Individual #3's 2/22/18 assessment, Individual #5's 11/10/17 assessment, Individual #6's 7/13/17 assessment, and Individual #10's 1/24/18 assessment did not include progress over the past year in personal adjustment. | The assessment must include the following information: The individual¿s progress over the last 365 calendar days and current level in the following areas: Personal adjustment. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include the individual¿s disability, including functional and medical limitations. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(13)(iv) | Individual #2's 10/11/17 assessment, Individual #3's 2/22/18 assessment, and Individual #4's 4/17/18 assessment did not include current socialization skills or progress made over the past year. | 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. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include the individual¿s disability, including functional and medical limitations. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(13)(v) | Individual #2's 10/11/17 assessment, Individual #3's 2/22/18 assessment, and Individual #8's 5/8/17 assessment, and Individual #10's 1/24/18 assessment did not include current recreation skills or progress made over the past year. | 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. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include the individual¿s disability, including functional and medical limitations. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(e)(13)(vi) | Individual #2's 10/11/17 assessment, Individual #3's 2/22/18 assessment, and Individual #4's 4/17/18 assessment did not include current level of community integration or progress made over the year. | 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. | The Program Specialists was trained on how to complete the assessment comprehensively ensuring it is in compliance with 2380 regulations to include the individual¿s disability, including functional and medical limitations. Program Specialists was given a copy of 2380 regulations and this training will occur annually. Program Specialists will audit assessments quarterly to ensure compliance. See attachments A1-2 & B1-B12. |
06/11/2018
| Implemented |
| 2380.181(f) | All individual assessments reviewed were not sent to plan team members. | The program specialist shall provide the assessment to the SC or plan lead, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP). | The Program Specialists were trained on how important it is to have all team members involved in the development of outcomes/ goals and the updating of the annual assessment. Therefore, all the individuals selected during inspection have had their assessments sent out to their team members via email or certified mail. Going the Program Specialist will send out assessments to the team members 90 days before the annual due date via email or certified mail. See attachment: B1-B12. |
06/11/2018
| Implemented |