Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00234302 Renewal 11/07/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.165(g)Individual #1's three-month psychiatric medication reviews were completed on 5/12/2023 and again on 9/5/2023.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.During the in-house monthly meetings at every house in the agency, there will be a retraining for all staff to include direction from the CEO ¿that staff will not cancel any doctor appointments without consulting their immediate Supervisor first¿ and on 55 PA Code Chapter 6400.165(g) whereas a sign off sheet will be used to show completion. Director of Compliance will gather updated dates and times of all individuals in the agency who attend three-month (90) day psychiatric medication reviews and monitor them quarterly. DOC will also create a QM plan for the agency regarding the 55 PA Code Chapter 6400.165(g) to track compliance with appointments. 06/30/2024 Implemented
SIN-00122870 Renewal 10/11/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)The hot water temperature at the bathtub in the bathroom on the second floor of the home measured 123.4°F at 9:55 AM. Hot water temperatures in bathtubs and showers may not exceed 120°F. 1. New hot water log sheets for each home have been developed. This was completed 10/23/17. 2. In-service was held with all management staff on 10/24/17 by Deborah L. Price, CEO. 3. EXTECH Thermometers were ordered for each home on 10/16/17 and received on 10/20/17. All residential supervisors received thermometers on 10/24/17. 4. All Staff to be educated on 10/27/17 at a Mandatory Agency Meeting on the hot water temperature deficiency and POC taken. 5. Residential Program Directors will monthly do a Quality Improvement Review and report findings to the CEO. [On 10/12/17 at 3:00PM, the supervisor adjusted the hot water temperature, at 4:00PM, the supervisor measured the hot water temperature and the temperature measured 118.4°F. The hot water temperature was measured at all homes by the supervisor, temperatures measured did not exceed 120°F. Immediately, the CEO shall develop and implement procedures for staff persons responsible for measuring hot water temperatures to follow if the hot water temperature at bathtubs and showers in the community homes exceeds 120°F. CEO or designee shall train staff on the procedures. Documentation of trainings shall be kept. Immediately and continuing at least monthly, the CEO or designee shall measure the hot water temperatures at all bathtubs and showers in all community homes. Documentation of the checks shall be kept and reviewed by the CEO at least quarterly for 1 year. (AS 11/2/17)] 10/27/2017 Implemented
SIN-00083937 Renewal 09/15/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71The telephone number of the nearest ambulance was not on or by the telephones in the hallway, office and living room.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. All telephones located in the residential homes will have new phone numbers applied with telephone numbers of the nearest hospital, police department, ambulance service and fire department. Poison control center phone number will also be listed on the phones. Residential Supervisors will replace old stickers with new numbers by October 12, 2015. Residential Directors will validate that each home has been completed and report back to the CEO. Residential Directors will notify all staff of the above change by an education event. 10/10/2015 Implemented
SIN-00197630 Renewal 12/14/2021 Compliant - Finalized
SIN-00181607 Renewal 01/19/2021 Compliant - Finalized
SIN-00141893 Renewal 09/18/2018 Compliant - Finalized
SIN-00142439 Renewal 09/18/2018 Compliant - Finalized
SIN-00060228 Renewal 09/17/2014 Compliant - Finalized