Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00228719 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 bathroom located in the basement.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 #17] 2. All other 6500 homes were licensed during this inspection period by DHS. Provider only operates two Lifesharing Homes. 10/31/2023 Implemented
6500.76The shower knob was damaged and not operating properly.Furniture in individual bedrooms and life sharing areas shall be nonhazardous, clean and sturdy.1. A letter was sent to the Lifesharing Provider requesting the repairs be made by 10/31/2023. [Attachment #17] 2. All other 6500 homes were licensed during this inspection period by DHS. Provider only operates two Lifesharing Homes. 10/31/2023 Implemented
SIN-00165755 Renewal 10/15/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.68(b)Water measured at 124.9 Degrees Fahrenheit in the main hall way bathroom tub faucet. Individual assessment and Individual support plans note individual #1 needs assistance in regulating water temperature when bathing.Hot water temperatures in bathtubs and showers that are accessible to individuals may not exceed 120°F.1. The Program Specialist will notify the Lifesharing Provider to have the water temperature lowered below 120 degrees on 12/13/2019. See attachment #7. The photo will provide a showing the an acceptable water temperature by 12/19/2019. See Attachment #8. The Program Coordinator will train all Lifesharing providers on regulation 6500.68 (b) and how to implement by 12/19/2019. See Attachment #2. 2. The Program Coordinator will complete site inspections on all other programs by 1/15/2020 and document compliance with 55 PA Code Chapter 6500.68(b) on a Modified Self-Assessment Licensing Inspections Instrument. See Attachment #3. All areas of non-compliance will result in immediate corrective action and staff retraining. 3. In order to prevent reoccurrence, The Program Specialist will conduct site inspections for each licensed program once a month and monitor compliance. Results will be documented on the Lifesharing Monitoring Tool. See attachment #4. The Program Coordinator will conduct a quarterly site inspection to monitor compliance. Results will be documented on the Lifesharing Monitoring Tool. See attachment #4 and attachment #5 (schedule). All areas of non-compliance will result in a corrective action plan and retraining. 4. The Program Director trained staff responsible for the Plan of Correction and corresponding regulations on 12/13/2019. See Attachment #6. 01/15/2020 Implemented
6500.123(a)Individual #1 refused to take the prescribed medication Earwax Treatment DRO 6.5%, for the month of September. Agency failed attempts to train the individual about the need for health care treatment and did not documented in the individual's record.If an individual refuses routine medical or dental examination or treatment, the refusal and continued attempts to train the individual about the need for health care shall be documented in the individual's record.1. Nursing will complete a Nursing Desensitization Assessment by 1/15/2020. See Attachment #1. The team will then discuss program options with 7 business days of the completion of the assessment. The Program Coordinator will train all Lifesharing providers on regulation 6500.123 (a) and how to implement by 12/19/2019. See Attachment #2. 2. The Program Coordinator will complete site inspections (MAR Review) on all other programs by 1/15/2020 and document compliance with 55 PA Code Chapter 6500.123 (a) on a Modified Self-Assessment Licensing Inspections Instrument. See Attachment #3. All areas of non-compliance will result in immediate corrective action and staff retraining. 3. In order to prevent reoccurrence, The Program Specialist will conduct site inspections for each licensed program once a month and monitor compliance. Results will be documented on the Lifesharing Monitoring Tool. See attachment #4. The Program Coordinator will conduct a quarterly site inspection to monitor compliance. Results will be documented on the Lifesharing Monitoring Tool. See attachment #4 and attachment #5 (schedule). All areas of non-compliance will result in a corrective action plan and retraining. 4. The Program Director trained staff responsible for the Plan of Correction and corresponding regulations on 12/13/2019. See Attachment #6. 01/15/2020 Implemented
SIN-00097765 Renewal 04/11/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.67Two recessed ceiling lights in Individual #1's bedroom were missing covers.Floors, walls, ceilings and other surfaces shall be free of hazards.1. The recessed ceiling lights were replaced by the provider on 4/22/2016. 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/Coordinator on 55 PA Code Chapter 6500.67 on 8/18/2016. See attachment #2. The Program Specialist will submit a maintenance request whenever physical site non-compliance is recognized to the provider and copy the Program Coordinator. 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 maintenance request to the provider to be fixed with an expected completion date documented in the monthly review. 10/01/2016 Implemented
6500.102Two partially-filled gas cans were stored in the basement within ten feet of the furnace. Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.1. The gas cans were moved and stored away from the furnace in the presence of the inspector on 4/12/2016. 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 6500.102) on 8/18/2016. See attachment #2. The program specialist will address a corrective action whenever noncompliance on 55 PA Code Chapter 6500.102 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 Fire Safety. All areas of non-compliance will result in a plan of correction to immediately address non-compliance. 10/01/2016 Implemented
6500.108(a)There was no fire extinguisher located on the basement level of the home.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic.1. The Program Specialist placed a fire extinguisher with a minimum 2-A rating was placed in the basement on 4/12/2016. 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 6500.108(a) on 8/18/2016. See attachment #2. The Program Specialist will submit a maintenance request whenever non-compliance is recognized with code 55 PA Code Chapter 6500.108(a). 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 Fire Safety. All areas of non-compliance will result in a maintenance request to be fixed. 10/01/2016 Implemented
SIN-00074595 Renewal 01/28/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.68(b)The hot water temperature in the shower was 123.5 degrees Fahrenheit on 01/29/2015.Hot water temperatures in bathtubs and showers that are accessible to individuals may not exceed 120°F.The hot water temperature was lowered to below 120°F on 2/19/15. (see highlighted section of Attachment ¿E¿) A new hot water heater was installed on 3/12/15, and temperature set to below 120°F. (see Attachment ¿D¿) Lifesharing specialist will verify the water temperature in bathtubs and showers do not exceed 120°F at monthly monitoring. If the water temperatures exceed 120°F the Lifesharing specialist will lower the temperature. On-going follow up will be documented on the monthly note completed by the Lifesharing specialist. (see highlighted section of Attachment ¿B¿) 02/19/2015 Implemented
6500.108(a)There was no fire extinguisher in the attic.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic.An operable fire extinguisher with a minimum 2-A rating was placed in the attic on 2/19/15 (see highlighted section of Attachment ¿E¿) Lifesharing specialist will verify that the fire extinguishers have a minimum 2-A rating and are located on each floor including basement and attic at monthly monitoring. If the extinguishers are not with a minimum 2-A rating or are not located on each floor including the attic and basement, the specialist will replace the extinguisher. On-going follow up will be documented on the monthly note completed by the Lifesharing specialist. (see highlighted section of Attachment ¿B¿) 02/19/2015 Implemented
6500.121(c)(9)Individual #1's physical examinatin dated 05/05/2014 did not include a prostate examination The physical examination shall include: A prostate examination for men 40 years of age or older.A prostate exam will be performed annually for men over aged 40. The Lifesharing Specialist will assist the provider in monitoring, scheduling and completing the prostate exam for Individual #1. This individual has a prostate exam scheduled to be completed on 3/23/2015 at 4:45pm. In order to prevent reoccurrence, the Clinical Specialist will complete quarterly audits, beginning in April of 2015, to review compliance with the regulations. The results of the audit will be reviewed by the Residential Director who will monitor the process. The Lifesharing Specialist will be responsible for facilitating any medical or dental appointment that is in danger of being missed. 03/23/2015 Implemented
6500.125(c)(1)Staff # 1's physical examination dated 05/13/2014 did not include a general physical examination. Staff # 1's physical examination dated 05/13/2014 did not include a signed statement regarding being free of communicable diseases Staff # 1's physical exam dated 05/13/2014 did not include information regarding any medical problems which might interfere with the health of the individuals.The physical examination shall include: (1) A general physical examination.(2.) Tuberculin skin testing by Mantoux method with negative results every 2 years for family members 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest X-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or licensed practical nurse instead of a licensed physician. (3.)A signed statement that the person is free of communicable diseases or specific precautions to be taken if the person has a communicable disease. (4.)Information of medical problems which might interfere with the health of the individuals.Staff # 1's physical exam was resubmitted to the PCP to be completed to include: a general physical examination, a signed statement regarding being free of communicable diseases, information regarding any medical problems which might interfere with the health of the individuals. Documentation of the updated examination will be available for review on or before 4/20/2015 On- going audit of provider physicals will be completed by the Program Coordinator to ensure that the physical exam includes a general physical examination, a signed statement regarding being free of communicable diseases, and information regarding any medical problems which might interfere with the health of the individuals. Audits of all staff records will be conducted, exams will be completed if the records show that the exam is missing (1) A general physical examination.(2.) Tuberculin skin testing by Mantoux method with negative results every 2 years for family members 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest X-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or licensed practical nurse instead of a licensed physician. (3.)A signed statement that the person is free of communicable diseases or specific precautions to be taken if the person has a communicable disease. (4.) Information of medical problems which might interfere with the health of the individuals. 04/20/2015 Implemented
6500.137(a)The Medication Administration Record for January, 2015, listed an ear drop solution to be administered at bedtime for Individual # 1 but the medication was not available in the individual's medication box.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.The prescription medications were obtained and delivered to the site on 2/2/15 by the Lifesharing Specialist. Lifesharing Specialist will check the prescription medications at the monthly monitoring. The Lifesharing Specialist will document their review of medications on the Monthly Note (see highlighted section of Attachment ¿B¿) If the Lifesharing specialist finds medications are not available in the home but are prescribed, the specialist will immediately re-order or re-fill the prescription so that the medications are available in the individual¿s medication box. The Lifesharing Specialist will document retraining of the provider on the importance of careful and consistent monitoring and reordering of prescribed medications. (see Attachment ¿C¿) 02/15/2015 Implemented
6500.182(c)(1)(ii)Individual #1's record did not include identifying marks. Each individual's record must include the following information: Personal information, including: The race, height, weight, color of hair, color of eyes and identifying marks.Each individual's record will include personal information including race, height, weight, color of hair, color of eyes and identifying marks. Individual #1's record was revised on 3/11/2015 to include an entry under identifying marks. (see Attachment ¿A¿) In order to prevent reoccurrence, the Clinical Specialist will complete quarterly audits, beginning in April of 2015, to review compliance with the regulations. The audits will also review thorough completion of all forms and documentation. The results of the audit will be reviewed by the Residential Director who will monitor the process. The Lifesharing Specialist will be responsible for facilitating completion of any missing documentation in the individual¿s record. 03/11/2015 Implemented
SIN-00207656 Renewal 06/28/2022 Compliant - Finalized
SIN-00189933 Renewal 06/29/2021 Compliant - Finalized
SIN-00140041 Renewal 08/08/2018 Compliant - Finalized
SIN-00119005 Renewal 07/19/2017 Compliant - Finalized