| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.67(a) | There were numerous scuff marks on the wall of Individual 2's bedroom near the individual's bed. A side table lamp in the front living room was missing its switch, which rendered it inoperable. | Floors, walls, ceilings and other surfaces shall be in good repair. | 1. The maintenance department repaired the wall on 7/15/2021. The Program Supervisor replaced the lamp on 7/21/2021 [Attachment #4]
2. The Program Coordinator will complete site inspections on all other programs by 9/11/2021 and document compliance with 55 PA Code Chapter 6400.67(a) on Modified Licensing Inspection Instrument Score Sheet. All areas of non-compliance will result in a maintenance request to be fixed [Attachment #5] |
09/16/2021
| Implemented |
| 6400.67(b) | Parts of the ceiling fan fixture in the rear living room were dangerously loose. When the pull chain to operate the fan's light was pulled, two pieces of metal making up the fan base separated, exposing wiring inside the of the fixture. The fan base remained in this state until staff on site pushed the two pieces of metal back together manually. Upon a second pull of the chain, the glass lightbulb cover came partially loose. The metal piece of the fan or the lightbulb cover may pose a hazard if the chain is pulled with sufficient force, as these parts of the fan fixture could come completely loose, fall, and cause injury. | Floors, walls, ceilings and other surfaces shall be free of hazards. | 1. The maintenance department replaced the ceiling fan on 7/2/2021. [Attachment #6]
2. The Program Coordinator will complete site inspections on all other programs by 9/11/2021 and document compliance with 55 PA Code Chapter 6400.67(b) on Modified Licensing Inspection Instrument Score Sheet. All areas of non-compliance will result in a maintenance request to be fixed [Attachment #5] |
09/16/2021
| Implemented |
| 6400.72(b) | A window in Individual 3's bedroom was inoperable. When opened, the window slammed shut quickly; it was incapable of remaining in the open position. | Screens, windows and doors shall be in good repair. | 1. The maintenance department repaired the window on 7/1/2021 [Attachment #7]
2. The Program Coordinator will complete site inspections on all other programs by 9/11/2021 and document compliance with 55 PA Code Chapter 6400.72(b) on Modified Licensing Inspection Instrument Score Sheet. All areas of non-compliance will result in a maintenance request to be fixed [Attachment #5]. |
09/16/2021
| Implemented |
| 6400.80(b) | The wood of the exterior window frames was soft, splintering, and flaking paint. | The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions. | 1. The Property Manager will obtain bids for window replacements by 10/31/2021. [Attachment #8]. We plan to have the project completed by 12/31/2021. Note: Contractors and materials are limited. We will make every effort for this occur by the deadline.
2. The Program Coordinator will complete site inspections on all other programs by 9/11/2021 and document compliance with 55 PA Code Chapter 6400.80(b) on Modified Licensing Inspection Instrument Score Sheet. All areas of non-compliance will result in a maintenance request to be fixed [Attachment #5] |
09/16/2021
| Implemented |