Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00222353 Renewal 04/04/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC 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
SIN-00111910 Unannounced Monitoring 04/05/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Individual #1's assessment, completed 12/8/16, indicates that s/he is not safe around poisonous materials. On 3/16/17, at approximately 11:30 PM, Individual #1 accessed a can of aerosol disinfectant spray, which was unlocked and accessible in the bathroom across from Individual #1's bedroom. Individual #1 sprayed his/her housemate, Individual #2, in the face with the disinfectant and then placed the can in the bedroom closet. Individual #2 was transported to the emergency room where Individual #2 was treated for chemical conjunctivitis. Individual #2 was prescribed Bacitracin polymyxin b sulfate ointment 500-10000unit/1 gram, apply to left eye daily at bedtime and instructed to follow up with ophthalmology. Individual #2 was seen by an ophthalmologist on 3/20/17 at which time the ointment prescribed by the emergency room was discontinued and was prescribed neomycin/polymyxin/dexamethasone ointment, apply to both eyes at bedtime for 10 days and artificial tears, 1 drop in both eyes four times a day.Poisonous materials shall be kept locked or made inaccessible to individuals.The disinfectant spray was immediately locked up by the staff upon finding it in Individual #1's closet. The staff have completed daily checks for 30 days to ensure all chemicals are being locked up. Weekly house checks are being completed by the program Specialist for 8 weeks to ensure compliance. Checks will be moved to monthly after that. Target date for monthly checks ¿ 6/30/17. Monthly checks are completed by the Safety committee members and are done at all group homes. These are reviewed by the Agency Safety Officer.Cider Mill employees were retrained by the Director of Program & Residential Services on the policy and regulation of all chemicals being secured on 3/16/17. There is a temporary increase in staffing from 11pm ¿ 12pm from 2 staff to 3 for better supervision since the target likes to stay up later than the others and has increased behaviors at this time. There is a staff member in the back area of the home where the bedrooms are during sleeping hours at all times while the target remains a resident of EHCA. He has voiced that he wants to move and the SC is working on referrals for him at this time. [Within 60 days of receipt of the plan of correction, upon hire and at least annually, the director of program an residential services shall educate all staff persons working in community homes on the agency's policies and procedures to ensure poisonous materials are kept locked or made inaccessible to individuals and to monitor for unlocked or accessible poisonous materials throughout the course of their daily duties. Documentation of trainings shall be kept. (AS 4/26/17)] 04/22/2017 Implemented
SIN-00203103 Renewal 04/05/2022 Compliant - Finalized
SIN-00165387 Renewal 10/31/2019 Compliant - Finalized
SIN-00104197 Renewal 11/29/2016 Compliant - Finalized
SIN-00054442 Renewal 09/17/2013 Compliant - Finalized