Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00120526 Renewal 09/13/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)The contents of the first aid kit appeared to be dirty. There were stains on items inside the first aid kit.Clean and sanitary conditions shall be maintained in the home. The first aid kit was replaced. Program Coordinators were retrained regarding the maintenance of the first aid kits in their homes. 09/29/2017 Implemented
6400.112(a)There were no documentations to show that fire drills were conducted in the months of January, February, March, April, May, and June of the year 2017. An unannounced fire drill shall be held at least once a month. One individual lives in this home. He is currently in hospice care in the home and has been since December, 2016. This individual's medical condition was so compromised that the team, in consultation with the individual's hospice care team, believed that moving him, even for fire drills, might speed his death. The staff at the home continued to simulate drills, sounding the alarm and reviewing the steps they would take in the event of a fire, but not moving the individual. Staffing was increased to 2:1 and the increased stimulation seemed to engage the individual and while he was still very medically compromised it was decided that it would be safe to run drills and they were restarted. In the future, the agency will request a waiver if unable to comply with a regulation. 09/15/2017 Implemented
SIN-00045650 Renewal 02/20/2013 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.11Staff #1 was hired 6/4/12 and Criminal History Record check was completed 6/5/12.The requirements specified in Chapter 20 (relating to licensure or approval of facilities and agencies) shall be met.Criminal history record checks must be submitted by the date of hire to insure the safety of the individuals we support. The Salvation Army utilizes a 3rd party service to conduct the background check as we do a nation-wide check in addition to the PA State Police. While we submitted the request to the third party service on the date of hire, it was not received by the state police until the following day. We have been assured by the 3rd party service that if we submit the background check by noon, it will be received by the state police that same day. The HR assistant and Quality Assurance Director will insure the request is submitted by noon and will follow up with a phone call to the third party service to verify. If it can not be verified that the state police will receive the request on or by the date of hire the HR Assistant or Q.A. Director will utilize the PATCH system to submit the request directly to the state police. New employees' requests were successfully submitted to the state police by the 3rd party service on March 11, 2013 03/11/2013 Implemented
6400.112(f)Alternate exits were not used during monthly fire drills. The front exit door was used for fourteen months from 12/11 to 2/13.(f) Alternate exit routes shall be used during fire drills. The importance of using alternate exits to insure the safety of the individuals supported was reviewed with Program Coordinators on March 21, 2013. They will review the fire drill with their staff at the next monthly staff meeting. All drills will now be conducted, reviewed by the Program Coordinator and brought to the office by the 20th of the month. They will be additionally reviewed by the Program Director or her designee and Quality Assurance staff to insure completeness in the future. The March fire drill used an alternate exit. 03/21/2013 Implemented
SIN-00060841 Renewal 01/28/2014 Compliant - Finalized