Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.62(a) | EZ Soap foam hand soap found in dispenser wall unit in shared bathroom-call poison control-removed during inspection. | Poisonous materials shall be kept locked or made inaccessible to individuals. | 1. This area of non-compliance was corrected in the presence of licensing staff during the inspection.
2. The Program Coordinator or Program Director will complete site inspections on all other programs by 9/30/2023 and document compliance with 55 PA Code Chapter 6400.62(a) on Modified Licensing Inspection Instrument Score Sheet. All areas of non-compliance will result in a maintenance request to be fixed [Attachment #2] |
09/30/2023
| Implemented |
6400.64(a) | Exterior of home in need of power wash/painting. | Clean and sanitary conditions shall be maintained in the home. | 1. The maintenance department power washed the home on 7/20/2023. [Attachment #4]
2. The Program Coordinator or Program Director will complete site inspections on all other programs by 9/30/2023 and document compliance with 55 PA Code Chapter 6400.64(a) on the Modified Licensing Inspection Instrument Score Sheet. All areas of non-compliance will result in a maintenance request to be fixed [Attachment #2] |
09/30/2023
| Implemented |
6400.65 | No window/operable mechanical ventilation in hall bathroom | Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation.
| 1. The maintenance department replaced the hall bathroom exhaust fan on 6/28/2023. [Attachment #6]
2. The Program Coordinator or Program Director will complete site inspections on all other programs by 9/30/2023 and document compliance with 55 PA Code Chapter 6400.65 on Modified Licensing Inspection Instrument Score Sheet. All areas of non-compliance will result in a maintenance request to be fixed [Attachment #2] |
09/30/2023
| Implemented |
6400.82(f) | No toilet paper in bathroom-replaced during inspection | Each bathroom and toilet area that is used shall have a sink, wall mirror, soap, toilet paper, individual clean paper or cloth towels and trash receptacle. | 1. Toilet paper was placed in the bathroom on 6/28/2023 and observed by licensing staff.
2. The Program Coordinator or Program Director will complete site inspections on all other programs by 9/30/2023 and document compliance with 55 PA Code Chapter 6400.82(f) 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 6400.82(f) on 9/5/2023. [Attachment #1] |
09/30/2023
| Implemented |