Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00207192 Renewal 07/06/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.104(4)Individual #1's record did not include documentation on medical information pertinent to diagnosis and treatment in case of emergency.Emergency medical information for a client shall be readily accessible. Emergency medical information for a client shall include the following: Medical information pertinent to diagnosis and treatment in case of emergency.Consumer's physical was not completed on HRC form and did not include the following line - "Medical information pertinent to diagnosis and treatment in case of an emergency". This line is on the HRC physical form and will be added to the Face Sheet as well so if omitted from the physical (if not HRC form) it will still be included with the consumers medical information documented in the consumer file 08/01/2022 Implemented
SIN-00189185 Renewal 07/06/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.85(a)-2On the 6/21/21 fire drill the hypothetical location of fire was left blank on the form.A written record shall be kept of the date, hypothetical location of fire and the amount of time it took for evacuation.POC 2390 85(a) 2 All items on the documentation form used for the monthly fire drill/safety check will be recorded by individual conducting the fire drill/safety check. Once completed the form will be provided to a second individual for review and verification of accurate information regarding date, hypothetical location of the fire and evacuation time. Once reviewed the signature of reviewer will be required in the space provided on last page of form. 07/07/2021 Implemented
SIN-00158475 Renewal 07/30/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.22(d)The Board of HRC didn't meet quarterly. A Board meeting was last held on 4/18/2019. The next meeting is not scheduled until 8/29/2019.The governing body shall meet at least quarterly.55 PA Code Chapter 2390.22(d) - Due to meeting schedule for Full Board and Committee Meetings, Quarterly Board Reports will be e-mailed to each Board Member quarterly for approval (i.e.: July, August, September - emailed for October approval, October, November December emailed for January approval January, February, March emailed for April approval, April, May, June emailed for July approval.) 07/15/2019 Implemented
SIN-00116046 Renewal 07/27/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.151(a)Individual #1 was admitted to program on 9/26/2016. She didn't have an initial assessment until 2/3/2017, which exceeds the 60 day requirement.Each client shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the facility and an updated assessment annually thereafter.55 PA Code Chapter 2390.151(a) - Program Specialist will insure that all consumers have an initial assessment within 1 year prior to or 60 calendar days after admission to the facility, All assessments will be updated annually thereafter. The Program Specialist was re-trained on the requirements of this regulation. 07/28/2017 Implemented
SIN-00225139 Renewal 07/25/2023 Compliant - Finalized
SIN-00134442 Renewal 06/29/2018 Compliant - Finalized
SIN-00095655 Renewal 07/19/2016 Compliant - Finalized
SIN-00061641 Renewal 05/06/2014 Compliant - Finalized