Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.68(b) | On 4/5/23 at 10:48AM, the hot water temperature measured 129.9 degrees Fahrenheit at the bathtub in the bathroom adjacent to the shared bedroom of Individual #1 and Individual #2. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | On 4/4/23, the Maintenance Worker tested the hot water temperature immediately after the site visit with their thermometer. The water temperature was below 120 degrees. No adjustments were made to the hot water tank settings, as the hot water tank was set to 115 degrees. The Maintenance Worker determined the thermometer in the home was not calibrated. On 4/13/23, the Director of Quality, Compliance, and Education ordered the Extech brand thermometers were ordered for each home. |
04/12/2023
| Implemented |
6400.52(c)(2) | Direct Service Worker #1's annual training for training year, from July 1, 2021 to June 30, 2022, did not encompass prevention, detection and reporting of abuse, suspected abuse, and alleged abuse. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§ 10225.101-10225.5102). The child protective services law (23 Pa. C.S. §§ 6301-6386) the Adult Protective Services Act (35 P.S. §§ 10210.101 - 10210.704) and applicable protective services regulations. | On 4/12/23, the Vice President of Residential Services retrained all Program Specialists on regulation 6400.52(c)(2) relating to annual training for the prevention, detection, and reporting of abuse, suspected abuse, and alleged abuse for DSPs and the monitoring of DSPs completed training reports before the end of the training year to ensure the completion of required training and minimum training hour requirements. |
04/12/2023
| Implemented |
6400.52(c)(4) | Direct Service Worker #1's annual training for training year, from July 1, 2021 to June 30, 2022, did not encompass recognizing and reporting incidents. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents. | On 4/12/23, the Vice President of Residential Services retrained all Program Specialists on regulation 6400.52(c)(4) relating to annual training for recognizing and reporting incidents for DSPs and the monitoring of DSPs training reports before the end of the training year to ensure the completion of required training and minimum training hour requirements. |
04/12/2023
| Implemented |
6400.52(c)(5) | Direct Service Worker #2's annual training for training year, from July 1, 2021 to June 30, 2022, did not encompass the safe and appropriate use of behavior supports if the person works directly with an individual. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The safe and appropriate use of behavior supports if the person works directly with an individual. | On 4/12/23, the Vice President of Residential Services retrained all Program Specialists on regulation 6400.52(c)(5) relating to annual training for behavior support for DSPs and the monitoring of DSPs training reports before the end of the training year to ensure the completion of required trainings and minimum training hour requirements. |
04/12/2023
| Implemented |