Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00207651 Renewal 06/28/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66Individual's #1 light fixture in the ceiling fan was not operational. There is a side table lamp in this room, however the ceiling light is the primary light source in this room that is needed to illuminate the entire room. This area of non-compliance was corrected prior to the exit conference.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. 1. This area of non-compliance was corrected before the exit conference. The maintenance department reattached kick plate on 6/28/2022. [Attachment #4] 2. The Program Coordinator or Program Director will complete site inspections on all other programs by 7/15/2022 and document compliance with 55 PA Code Chapter 6400.66 on Modified Licensing Inspection Instrument Score Sheet. All areas of non-compliance will result in a maintenance request to be fixed [Attachment #2] 3. In order to prevent reoccurrence, the Program Director retrained the Program Coordinators on 55 PA Code Chapter 6400.66 on 7/8/2022. [Attachment #3] 4. The Program Coordinator/Property Manager will conduct site inspections for each licensed program once a quarter. All areas of non-compliance will result in a maintenance request to be corrected through the agency¿s electronic email submission. 5. The Program Director trained staff responsible for the Plan of Correction on 7/8/2022. See [Attachment #3] 07/15/2022 Implemented
SIN-00140076 Renewal 08/08/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)Grease was discovered on top of the kitchen fan hood.Clean and sanitary conditions shall be maintained in the home. 1. The Program Supervisor cleaned the top of the microwave on 8/10/2018. See attachment #7. 2. The Program Coordinator will complete site inspections on all other programs by 11/15/2018 and document compliance with 55 PA Code Chapter 6400.64 (a) 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 Supervisors on 55 PA Code Chapter 6400.64 (a) on 10/11/2018. See attachment # .2. The Program Supervisor will retrain staff whenever physical site non-compliance is recognized. The Program Supervisor will retrain staff whenever physical site non-compliance is recognized. The Program Coordinator/Property Manager will conduct site inspections for each licensed program once a quarter. All areas of non-compliance will result in a maintenance/supervisor request to be corrected through the agency electronic submission. All areas of non-compliance will result in a 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
6400.181(f)There was no evidence that the assessment for Individual # 1 dated 10/17/17 was sent to the ISP team 30 days before the scheduled meeting on 12/15/18.(f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP). 1. Previous non-compliant practices of cannot be corrected. 2. The Program Specialist Supervisor will review all individuals' assessments to note compliance with assessment distribution by 11/15/2018. All assessments lacking documentation that the assessment was provided will result in an assessment being provided to the SC that includes documentation of distribution. 3. In order to prevent reoccurrence, the Program Specialist Supervisor will train all Program Specialist on how to properly implement 55 PA Code Chapter 6400.181 (f) by 10/11/2018/2016. See Attachment # 8. 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. The Program Director trained staff responsible for the Plan of Correction on 10/3/2018. See Attachment #9. 11/15/2018 Implemented
SIN-00074573 Renewal 01/27/2015 Compliant - Finalized
SIN-00058165 Renewal 01/06/2014 Compliant - Finalized