Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00144645 Renewal 10/16/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)There was a large stain on the carpet in the living room.Clean and sanitary conditions shall be maintained in the home. 1. The provider will ensure that all physical aspects of the home are in good repair by completing the residential facility inspection on a biannual basis in June and December as well as routine checks of the site by all staff and completion of the provider self-inspection as outlined in regulation. Needed repairs are to be reported through the internal online maintenance reporting system, Manager Plus or if of an urgent nature a verbal report shall be made immediately. Additionally cleaning issues are expected to be reported by staff immediately so that remediation can occur and the facility remain in good condition. Staff are expected to see it, report it. 2. Immediate notification of deficiency was made to Karen Roberts, Maintenance. Carpet cleaning company was contacted with cleaning occurring during the last week in October. 3. To prevent reoccurrence of this issue the Operations Director/Program Specialist shall utilize the state issued self-inspection form as outlined in regulations noting any deficiencies as well as the bi-annual internal facility inspection report. Deficiencies noted will be recorded and submitted for installation or repair to the maintenance department. Any issues noted to be a potential hazard shall be reported and rectified immediately. 4. Operations Directors/Program Specialists shall complete the stated forms, with monitoring and approval provided by the Regional Director, the forms shall be completed as outlined reviewed by the Operations Director/Regional Director. Any instances of noncompliance shall be logged into the Manager Plus system used by agency maintenance personnel or in instances of a potential hazard notification shall be made via telephone with resolution (either situation made safe or repaired) expected immediately. 10/31/2018 Implemented
6400.73(a)The stairs leading to the lower level have two steps plus the landing, and there is no handrail. Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. 1. The provider will ensure that all physical aspects of the home are in good repair by completing the residential facility inspection on a biannual basis in June and December as well as routine checks of the site by all staff and completion of the provider self-inspection as outlined in regulation. Needed repairs are to be reported through the internal online maintenance reporting system, Manager Plus or if of an urgent nature a verbal report shall be made immediately. 2. Immediate notification of deficiency was made to Karen Roberts, Maintenance. Maintenance on site during the week of 10/21/18 to determine what corrective action was needed. Full repair was completed on 11/01/18. 3. To prevent reoccurrence of this issue the Operations Director/Program Specialist shall utilize the state issued self-inspection form as outlined in regulations noting any deficiencies as well as the bi-annual internal facility inspection report. Deficiencies noted will be recorded and submitted for installation or repair to the maintenance department. Any issues noted to be a potential hazard shall be reported and rectified immediately. 4. Operations Directors/Program Specialists shall complete the stated forms, with monitoring and approval provided by the Regional Director, the forms shall be completed as outlined reviewed by the Operations Director/Regional Director. Any instances of noncompliance shall be logged into the Manager Plus system used by agency maintenance personnel or in instances of a potential hazard notification shall be made via telephone with resolution (either situation made safe or repaired) expected immediately. 11/01/2018 Implemented
6400.80(b)The outside, concrete sidewalk leading to the front door of the home was broken and crumbling, causing a potential tripping hazard. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.55 PA Code Chapter 6400.80(b) The outside, concrete sidewalk leading to the front door of the home was broken and crumbling, causing a potential tripping hazard. 1. The provider will ensure that all physical aspects of the home are in good repair by completing the residential facility inspection on a biannual basis in June and December as well as routine checks of the site by all staff and completion of the provider self-inspection as outlined in regulation. Needed repairs are to be reported through the internal online maintenance reporting system, Manager Plus or if of an urgent nature a verbal report shall be made immediately. 2. Immediate notification of deficiency was made to Karen Roberts, Maintenance. Maintenance on site to determine that a complete replacement was needed. Full repair was completed by outside contractor on 12/19/18. 3. To prevent reoccurrence of this issue the Operations Director shall utilize the state issued self-inspection form as outlined in regulations noting any deficiencies as well as the bi-annual internal facility inspection report. Deficiencies noted will be recorded and submitted for installation or repair to the maintenance department. Any issues noted to be a potential hazard shall be reported and rectified immediately. 4. Operations Directors/Program Specialists shall complete the stated forms, with monitoring and approval provided by the Regional Director, the forms shall be completed as outlined reviewed by the Operations Director/Regional Director. Any instances of noncompliance shall be logged into the Manager Plus system used by agency maintenance personnel or in instances of a potential hazard notification shall be made via telephone with resolution (either situation made safe or repaired) expected immediately. 12/19/2018 Implemented
6400.81(k)(6)Individual #1 did not have a mirror in his bedroom.In bedrooms, each individual shall have the following: A mirror. 1. The provider will ensure that all physical aspects of the home are in good repair by completing the residential facility inspection on a biannual basis in June and December as well as routine checks of the site by all staff and completion of the provider self-inspection as outlined in regulation. Needed repairs are to be reported through the internal online maintenance reporting system, Manager Plus or if of an urgent nature a verbal report shall be made immediately. 2. Immediate notification of deficiency was made to Karen Roberts, Maintenance. Maintenance on site the following week to install the mirror that was in the home. Full installation was completed by 10/23/2018. 3. To prevent reoccurrence of this issue the Site Supervisor/Program Specialist shall utilize the state issued self-inspection form as outlined in regulations noting any deficiencies as well as the bi-annual internal facility inspection report. Deficiencies noted will be recorded and submitted for installation or repair to the maintenance department. Any issues noted to be a potential hazard shall be reported and rectified immediately. 4. Operations Directors/Program Specialists shall complete the stated forms, with monitoring and approval provided by the Regional Director, the forms shall be completed as outlined and reviewed by the Operations Director/Regional Director. Any instances of noncompliance shall be logged into the Manager Plus system used by agency maintenance personnel or in instances of a potential hazard notification shall be made via telephone with resolution (either situation made safe or repaired) expected immediately. 10/23/2018 Implemented
SIN-00126101 Renewal 11/28/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.82(f)Hand soap was not accessible in the bathroom due to it being locked up.Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. 55 PA Code Chapter 6400.82(f) Description: Hand soap was not accessible in the bathroom due to it being locked up. Plan of Correction: 1. The provider will ensure hand soap is present, accessible and unlocked in all site bathrooms at all times. 2. Upon discovery of this issue during the licensing visit on 11/29/2017, the Program Specialist immediately took bottles of Soft Soap brand hand soap from locked cabinets in the bathrooms, making them readily available to consumers. The Program Specialist immediately explained the allowance (and requirement) of this to the Site Supervisor. 3. To prevent recurrence of this issue, the Site Supervisor will ensure hand soap is present and accessible to all consumers in all bathrooms on a daily basis via physical site check. 4. The Site Supervisor is responsible for implementation of this POC. The assigned Program Specialist is responsible for ensuring compliance specific to 6400.82(f) Each bathroom and toilet area that is used shall have¿soap and will verify compliance of such during weekly site monitoring visits via physical site check. Any further issue of non-compliance during the monitoring process will be remedied immediately through retraining and/or progressive disciplinary action steps. 11/29/2017 Implemented
6400.167(b)Individual #8 is prescribed Phenergan 25mg TID PRN for nausea on 8/24/2017. It was listed on his November MAR sheets. Staff interviews showed that they were not aware of whether it was discontinued or an active PRN for him. Staff were unaware if the medication should have been administered. Prescription medications and injections shall be administered according to the directions specified by a licensed physician, certified nurse practitioner or licensed physician's assistant.55 PA Code Chapter 6400.167(b) Description: Individual #8 is prescribed Phenergan 25mg TID PRN for nausea on 8/24/2017. It was listed on his November MAR sheets. Staff interviews showed that they were not aware of whether it was discontinued or an active PRN for him. Staff were unaware if the medication should have been administered. Plan of Correction: 1. The provider will ensure prescription medications and injections are administered according to the directions specified by a licensed physician, certified nurse practitioner or licensed physician¿s assistant. 2. Upon discovery of the PRN confusion, on 11/29/2017, the Residential Program Coordinator contacted the pharmacy for clarification. The medication was discontinued in the MAR by a provider nursing staff in error (without PCP approval) but the medication was not removed from the locked medication box as the site¿s supervisor believed it should remain onsite until a PCP note was in hand; Medication was added back to the MAR and made available to the consumer as a PRN until such time the PCP finally did discontinue it (December 2017). 3. To prevent recurrence of this issue, the Site Supervisor will review medication on hand and MAR sheets on a daily basis for completeness and correctness to ensure compliance. The assigned Program Specialist will work collaboratively with the Site Supervisor to maintain communication with agency nursing staff, physicians, and the pharmacy while also ensuring clarification is obtained as needed when questions arise. 4. The assigned Program Specialist is responsible for ensuring compliance specific to 6400.167(b) Administration of prescription medications and injections. The Residential Program Coordinator will oversee implementation of this POC and ensure ongoing compliance via review of consumer MAR¿s and medications on hand during site monthly monitoring visits. Any further issue of non-compliance during the review process will be remedied immediately through retraining and/or progressive disciplinary action steps. 11/29/2017 Implemented
6400.181(f)Individual #8's ISP meeting was held on 3/20/2017. His Assessment was completed & given to his team on 3/9/2017.(f) The program specialist shall provide the assessment to the SC, 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). 55 PA Code Chapter 6400.181(f) Description: Individual #8's ISP meeting was held on 3/20/2017. His Assessment was completed & given to his team on 3/9/2017. Plan of Correction: 1. The provider will ensure consumer assessments are sent to team members at least 30 calendar days prior to ISP meetings. 2. Immediately following the licensing visit exit interview on 11/30/2017, the provider¿s Residential Program Coordinator communicated with her three Program Specialists via issue of a MEMO (all PS¿s reviewed and signed) to communicate the importance of timely assessment completion and dissemination to the appropriate team members to best prepare for the development, annual update, and revision of consumer ISP¿s. 3. To prevent future recurrence of this issue, assigned Program Specialists will schedule assessments as appointment reminders in Outlook to ensure timeframes are maintained. 4. The assigned Program Specialist is responsible for ensuring compliance specific to 6400.181(f) The program specialist shall provide the assessment to the SC, 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. The Residential Program Coordinator will oversee implementation of this POC and ensure ongoing compliance via monthly review of consumer records in addition to a routine review of Outlook meetings scheduled via shared calendar viewing. Any further issue of non-compliance during the review process will be remedied immediately through retraining and/or progressive disciplinary action steps. 11/30/2017 Implemented
SIN-00230456 Renewal 11/01/2023 Compliant - Finalized