Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00228718 Renewal 06/27/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.65There is no mechanical ventilation or an operational window in the basement bathroom.Living areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.1. A letter was sent to the Lifesharing Provider requesting the repairs be made by 10/31/2023. [Attachment #16] 2. All other 6500 homes were licensed during this inspection period by DHS. Provider only operates two Lifesharing Homes. 09/30/2023 Implemented
6500.109(d)The written fire drill records do not include if the individual's encountered problems during the unscheduled fire drill.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the smoke detector was operative.1. The fire drill form was updated to include Problems encountered during the drill. Lifesharing Providers completed fired drills on the new form in July 2023. [Attachment #15]. 2. All other 6500 homes were licensed during this inspection period by DHS. Provider only operates two Lifesharing Homes. 10/31/2023 Implemented
SIN-00207655 Renewal 06/28/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.124Dental exam for individual #1 was cancelled 9/29/20 due to COVID. The dentist recommends appt within 6-9 month; no documentation that dental appt was attempted. Dental exam not completed until 9/28/21- with new dentist according to docsHealth services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided.1. As noted the follow up Dental Exam occurred 9/28/2021 that notes an annual follow up due 9/2022. [Attachment 8] 2. The Program Coordinator or Program Director will complete medical inspections on all other consumers by 7/15/2022 and document compliance with 55 PA Code Chapter 6400.124 on Modified Licensing Inspection Instrument Score Sheet. [Attachment #2] 3. In order to prevent reoccurrence, the Program Director retrained the Program Coordinators on 55 PA Code Chapter 6500.124 on 7/8/2022. [Attachment #3] 4. In order to prevent reoccurrence, The Lifesharing Program Specialist will conduct a medical audit for each licensed program quarterly and report non-compliant practices via email to the Director of Nursing who will develop a plan of correction. 5. The Program Director trained staff responsible for the Plan of Correction on 7/8/2022. See [Attachment #3] 07/15/2022 Implemented
SIN-00189932 Renewal 06/29/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.107(b)The smoke detector located in the common area living room did not sound at the time of inspection. Hardwired system did alert other alarms but the required smoke detector did not sound. The alarm that was located in a guest bedroom was not audible throughout.Smoke detectors shall be located in common areas or hallways.1. On 9/10/2021 the Program Coordinator placed a temporary smoke detector in the common area to meet the requirements of 6500.107(b). [Attachment 1] On 9/14/2021 the ICF Maintenance team replaced the interconnected smoke/carbon dioxide detectors throughout the home. [Attachment #1] 2. All other 6500 homes were licensed during this inspection period by DHS. No other homes were cited for noncompliance for 6500.107(b). 09/16/2021 Implemented
6500.32(h)Individual #2 did not have a lock on his bedroom door that lead to the common area. Individual's bedroom was also a throughway to the master bedroom. There was insufficient privacy for the individual in the private bedroom as any household member aside from the primary caregiver can enter without warning or notice.An individual has the right to privacy of person and possessions.1. On 9/10/2021 the Program Coordinator observed that Individual #2¿s bedroom had been moved to a private room that is not a passthrough to another bedroom/bathroom. [Attachment 1] 2. All other 6500 homes were licensed during this inspection period by DHS. No other homes were cited for noncompliance for 6500.32(h). 09/16/2021 Implemented
SIN-00140038 Renewal 08/08/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.71No emergency numbers were found at phone in the 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.1. The Program Specialist placed emergency phone numbers near the phone in the living room. See Attachment #11. 2. The Program Coordinator will complete site inspections on all other programs by 11/15/2018 and document compliance with 55 PA Code Chapter 6500.71 on the Licensing Inspection Instrument Score Sheet Section Physical Site. All areas of non-compliance will result in immediate corrective action and staff retraining. 3. In order to prevent reoccurrence, the Program Coordinator retrained the Program Specialist on 55 PA Code Chapter 6500.71 on 10/11/2018. See attachment # 12. The Program Specialist will conduct site inspections for each licensed program once a quarter and document that emergency numbers are located by every phone. This will be completed on the Agency Lifesharing Monitoring Form. See attachment #13. All areas of non-compliance will result in an immediate corrective action and staff retraining. The Program Director trained staff responsible for the Plan of Correction on 10/3/2018. See Attachment #9. 11/15/2018 Implemented
6500.137(a)Fungi nail-prescribed twice daily for individual #1. The med log shows administered once daily at 6pm.Prescription medications and insulin injections shall be administered according to the directions specified by a licensed physician, certified nurse practitioner or licensed physician's assistant.1. The Program Specialist contacted the pharmacy and the medication was delivered and received on 8/16/2018 with the correct label. See Attachment #14. 2. The Program Specialist will review all consumers medications and medication administration records by 11/15/2018 and document compliance with 55 PA Code Chapter 6500.137 (a) on the agency Lifesharing Monitoring form. 3. In order to prevent reoccurrence, the Program Coordinator retrained the Program Specialist on 55 PA Code Chapter 6500.137 (a) by 10/11/2018. See attachment # 12. The Program Specialist will conduct site inspections for each licensed program once a quarter and document that the medication labels were compared to the medication record. This will be completed on the Agency Lifesharing Monitoring Form. See attachment #13. All areas of non-compliance will result in an immediate corrective action and staff retraining. The Program Director trained staff responsible for the Plan of Correction on 10/3/2018. See Attachment #9. 11/15/2018 Implemented
SIN-00097762 Renewal 04/11/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.62(d)Finish Jet Dry and Windex cleaning supplies, which indicated on product labels to contact poison control if ingested, were found stored with potatoes under the kitchen sink. Tide laundry detergent, Clorox bleach and Spectracide Wasp and Hornet Killer pesticide spray, which indicated to contact poison control if ingested, were found stored with cereal and pasta in the laundry room area of the home.Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.1. The chemicals were removed on 4/12/2016. A cabinet was installed to store all poisonous substances on 5/24/2016. See attachment #5. 2. All other sites were reviewed during the annual 6500 inspection on 4/11/16 and 4/12/2016. 3. In order to prevent reoccurrence, the Program Director retrained the Program Specialist on 55 PA Code Chapter 6500.62(d) on 8/18/2016. See attachment #2. The Program Specialist will remove any poisonous materials that are not stored separate from food, food preparation surfaces and dining surfaces whenever physical site non-compliance is recognized. The Program Coordinator/Property manager will conduct site inspections for each licensed program once a quarter and document the results using the Licensing Inspection Instrument Score Sheet section Physical Site. All areas of non-compliance will result in a plan of correction and retraining. 10/01/2016 Implemented
6500.103There was no documentation that the gas or electric furnace filter was changed.Furnaces shall be cleaned at least annually. Written documentation of the cleaning shall be kept.1. The last heater inspection was completed 5/9/2016 and 9/4/2015. See attachment #4. This was not present during the inspection. 2. All other sites were reviewed during the inspection on 4/11/16 and 4/12/2016. 3. In order to prevent reoccurrence, the Program Director, retrained the Property Manager and Program Specialist/Coordinator on implementation of 55 PA Code Chapter 6500.103 on 8/18/2016. See attachment #2. A spreadsheet will be used by the Property Manager to track heater inspection dates to ensure compliance. See attachment #6. The Program Director will monitor compliance during quarterly 1:1 meetings with the Property Manager. 10/01/2016 Implemented
6500.121(c)(14)Individual # 1's physical examination dated 10/26/2015 did not document medical information pertinent to diagnosis and treatment in case of an emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.1. The Primary Physician completed the Annual Physical section titled "information pertinent to diagnosis and treatment in case of an emergency" and was received by the agency on 5/13/2016 with the required section completed. See attachment #3 2. The Program Nurse will review all individuals' current physical exam forms by 10/1/2016. All non-compliant areas will be sent to the Primary Care Physician(s) by the Program Nurse via fax recommending the areas are addressed. 3. In order to prevent reoccurrence, the Program Director, retrained the Program Nurse and Program Specialist on implementation of 55 PA Code Chapter 6500.121(c)(15) on 8/18/2016. See attachment #2. The Program Specialist will conduct a quarterly audit using the Licensing Inspection Instrument Score Sheet section Individual Health to track future compliance. The Program Specialist Supervisor will track and monitor the audit results. 10/01/2016 Implemented
6500.121(c)(15)Individual #1's physical examination dated 10/26/2015 did not document special instructions for the individual's diet. The physical examination shall include: Special instructions for the individual's diet.1. The Primary Physician completed the Annual Physical section titled "recommended diet and special instructions" and was received by the agency on 5/13/2016 with the required section completed. See attachment #3 2. The Program Nurse will review all individuals' current physical exam forms by 10/1/2016. All non-compliant areas will be sent to the Primary Care Physician(s) by the Program Nurse via fax recommending the areas are addressed. 3. In order to prevent reoccurrence, the Program Director, retrained the Program Nurse and Program Specialist on implementation of 55 PA Code Chapter 6500.121(c)(15) on 8/18/2016. See attachment #2. The Program Specialist will conduct a quarterly audit using the Licensing Inspection Instrument Score Sheet section Individual Health to track future compliance. The Program Specialist Supervisor will track and monitor the audit results. 10/01/2016 Implemented
6500.156(b)Individual #1's three month ISP review documentation covering the period of 08/20/2015-11/20/2015 was not signed by the family living specialist.The family living specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP.1. Individual #1's ISP review documentation covering the period of 08/20/2015-11/20/2015 was signed on 12/16/2015. See attachment #1. 2. The program specialist will review all individuals' latest quarterly review by 10/1/2016 and document compliance on 55 PA Code Chapter 6500.156(b). If noncompliance is noted the Program Specialist will be retrained on 55 PA Code Chapter 6500.156(b) by the Program Specialist Supervisor. 3. In order to prevent reoccurrence, the Program Director retrained the Program Specialist on implementation of 55 PA Code Chapter 6500.156(b) on 8/18/2016. See attachment #2. The Program Specialist will conduct a quarterly audit using the Licensing Inspection Instrument Score Sheet section Plan Review and Plan Revision to track future compliance. The Program Specialist Supervisor will track and monitor the audit results. 10/01/2016 Implemented
SIN-00165754 Renewal 10/15/2019 Compliant - Finalized
SIN-00119002 Renewal 07/19/2017 Compliant - Finalized
SIN-00074586 Renewal 01/28/2015 Compliant - Finalized
SIN-00058363 Renewal 01/06/2014 Compliant - Finalized