Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00222356 Renewal 04/04/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.63(a)On 4/5/23 at 9:07AM, the hot water temperature measured 128 degrees Fahrenheit at the sink in the kitchen of the home.Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. 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 digital setting 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
6400.68(b)On 4/5/23 at 9:14AM, the hot water temperature measured 130 degrees Fahrenheit at the bathtub in the bathroom along the hallway in the home. 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
SIN-00125262 Renewal 11/28/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66On 11/29/17, the outside light located at the back of the home was inoperable.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Program Specialist submitted a maintenance ticket 11/29/17. Maintenance replaced the bulb 11/29/17. Program Directors will review with all Program Specialists at the next Program Specialist meeting the importance of submitting maintenance tickets and instruct them to have CHCs (house managers) review with all DSPs. [Within 60 days of receipt of the plan of correction, a designated staff person shall educate all staff persons working in the community homes to monitor that rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes are lighted to assure safety and to avoid accidents and the agencies procedures for replacement or repairs of lighting and to monitor throughout the course of their daily duties. At least quarterly, a designated staff person shall complete an onsite check of all community homes to ensure rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes are lighted to assure safety and to avoid accidents. Documentation of onsite monitoring shall be kept. (AS 12/8/17)] 12/31/2017 Implemented
6400.113(a)Individual #1, admission date 9/18/17, received initial fire safety training on 9/19/17. An individual, including an individual 17 years of age or younger, shall be instructed in the individual's primary language or mode of communication, upon initial admission and reinstructed annually in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire and smoking safety procedures if individuals smoke at the home. Program Director will review with Program Specialist that fire safety training must be completed upon initial admission. Program Specialist will ensure training is complete and have individual sign documentation stating that they have successfully completed fire safety training upon admission. Program Directors will review with all Program Specialists that the fire safety training must be complete upon admission at the next Program Specialist meeting on 12/14/17. The next 4 admissions will be monitored by the Admissions Coordinator to ensure the fire safety training is being completed upon admission. 12/14/2017 Implemented
SIN-00072507 Renewal 12/02/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103The emergency evacuation procedures do not include the means of transportation.There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. The Quality Assurance Director revised the Emergency Evacuation Plan on 12/24/14 to include that the means of transportation will be by Agency and Staff vehicles and that the emergency shelter location are the Avalon Hotel on 16 West 10th Street, Erie, PA 16501, client family member's, or staff member's homes. The revised Emergency Evacuation Plan will be distributed to all group homes by january 1, 2015. 12/29/2014 Implemented
6400.106The furnace has not been inspected and cleaned for several years by a professional furnace cleaning company or trained staff person.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. The Maintenance Manager will schedule the furnace cleaning and inspection with a professional cleaning company by January 16, 2015. The Maintenance Manager will schedule the cleaning and inspections to be done by a professional cleaning company annually. The Program Specialist will receive a copy of the cleaning and inspection reports to ensure they were done by the professionally cleaning company annually. 12/29/2014 Implemented
SIN-00183222 Renewal 02/09/2021 Compliant - Finalized
SIN-00055364 Initial review 10/21/2013 Compliant - Finalized