Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00239391 Renewal 02/20/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.32(r)(1)Individual #1's bedroom door lock is a "privacy lock". This type of lock can be opened with a tool or device that is not specific to the door or lock, such as, a screwdriver or coin. These types of locks do not provide the level of privacy and security of person and possessions as expected by this regulation.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.Doorknob was replaced with an acceptable doorknob with a working key lock. Completed work order submitted. 02/20/2024 Implemented
SIN-00219218 Renewal 02/21/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(4)Individual #2 had an annual physical on 8/10/22. The vision and hearing sections on the physical were not checked to indicate that the screening had been completed as required. Individual #2 had an annual physical completed on 7/28/21. The vision and hearing sections on the physical were not checked to indicate that the screening had been completed as required. No additional documentation was available to indicate that the screenings had been completed by other professionals. Annual screening of both vision and hearing is required. The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician.Areas of The Arc of NEPA's physical examination forms that are frequently missed by provider and Physician were highlighted and font was made bigger. Physical form was also updated to include area for Arc staff to initial and Program specialist to initial following the physical to ensure all areas are completed. Updated physical form attached. 03/13/2023 Implemented
SIN-00202563 Renewal 03/28/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.73The stairway leading from the basement to a bilco-door exit to the outside had more than two steps and there was no handrail.An interior stairway exceeding two steps that is accessible to individuals, ramp and outside steps exceeding two steps, shall have a well-secured handrail.A repair order request was submitted to the maintenance department on 3/30/22. A railing was installed same day and signed off by maintenance personal JR. Supporting document attached. 03/30/2022 Implemented
SIN-00129604 Renewal 02/22/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.70There is no landline in the home.A home shall have an operable telephone that is easily accessible.Land line phone was installed in the home. All home will have land line phones. 02/28/2018 Implemented
SIN-00108253 Renewal 03/07/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.67The steps leading down to the basement were wobbly and swayed side-to-side.Floors, walls, ceilings and other surfaces shall be free of hazards.Steps to basement were repaired on March 14, 2017. Physical site will be evaluated regularly. 03/14/2017 Implemented
6500.121(c)(6)Individual #2 had a TB test on 9/11/2014. He didn't have another TB test until 11/2/2016, which 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.Medical information will be reviewed at each monthly visit by the Program Specialist. Family Living Providers will be retained on requirements for Tuberculin Skin testing. 04/20/2017 Implemented
6500.133(c)Individual #2 is prescribed Prozac (10mg QD) for Stressors/Anxiety by his PCP. At the time of inspection, 3 month medication reviews were not being completed.If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage.Individual went to doctors on March 15, 2017 to have meds reviewed. Lifesharing provider was retrained on the regulation pertaining to medication reviews. Program Specialist will review all medical appointments at each monthly visit. 03/15/2017 Implemented
SIN-00184416 Renewal 03/09/2021 Compliant - Finalized
SIN-00169147 Renewal 01/14/2020 Compliant - Finalized
SIN-00147552 Renewal 01/30/2019 Compliant - Finalized
SIN-00088209 Renewal 02/09/2016 Compliant - Finalized