| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.62(a) | The ½ bathroom had Purell and Dial hand soaps both instruct to contact poison control. | Poisonous materials shall be kept locked or made inaccessible to individuals. | 1. 6400.62(b) - Poisonous materials may be kept unlocked if all individuals living in the home are able to safely use or avoid poisonous materials. Documentation of each individual¿s ability to safely use or avoid poisonous materials shall be in each individual¿s assessment. All of the Assessments of the consumers in this home indicate they can safely use or avoid poisonous materials. [Attachment #12) |
09/30/2023
| Implemented |
| 6400.64(a) | Exterior of home needs to be power washed to remove debris. | Clean and sanitary conditions shall be maintained in the home. | 1. The maintenance department power washed the home on 7/20/2023. [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 6400.64(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 |
| 6400.67(a) | Exit door at ramp needs painting. | Floors, walls, ceilings and other surfaces shall be in good repair. | 1. The maintenance painted and repaired the ramp on 8/31/2023. [Attachment #8]
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 6400.67(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 |
| 6400.73(a) | Railing at ramp is not secure to foundation needs to be secured. | Each ramp, and interior stairway and outside steps exceeding two steps shall have a well-secured handrail. | 1. The maintenance painted and repaired the ramp on 8/31/2023. [Attachment #8]
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 6400.73(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 |