| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.66 | There was no light in either attic area room. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| Program Director directed staff to purchase two floor lamps in both rooms to provide adequate lighting. (Attachment # 1) Picture provided with adequate lighting in attic rooms. |
12/06/2022
| Implemented |
| 6400.67(a) | The kitchen sink faucet spicket was loose and unattached to the fixture.
The closet doors on all bedrooms on the second level did not properly or easily close.
The second level hall bathroom vanity sink was worn and peeling around the drawers.
The middle chair in the living room was peeling and torn at the arm.
The third level had unused items and discarded mattresses in storage the other third floor room had debris, discarded furniture and window frames. | Floors, walls, ceilings and other surfaces shall be in good repair. | Program Director sent request to Ops reporting area of non compliance needing repair. Kitchen Sink faucet spicket was repaired. (Attachment #3) : Program Director sent request to OPS reporting area of non compliance needing repair. Closet doors were repaired and now open and close properly. (Attachment#4) |
01/05/2023
| Implemented |
| 6400.72(b) | Windows in individual in individual's #1 bedroom did not have screen and the plexiglass repair is cracked the door on the right on the third level room did not have a doorknob. | Screens, windows and doors shall be in good repair. | Program Director sent email to OPS listing areas of non compliance. Screen purchased and replaced in window. (Attachment #8) Plexiglass was purchased and replaced stationary part of window was purchased and replaced.. Ops replaced the doorknob on third level room. (Attachment# 9) |
01/09/2023
| Implemented |
| 6400.101 | The third level doors were bolted with no latch lock which would prevent immediate escape if locked. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| Program Director sent email to OPS listing areas of non compliance. Ops removed existing latch from the door, filled holes and painted door frame. (Attachment# 10) |
01/12/2023
| Implemented |
| 6400.152(a) | Staff number 1's 2/24/2022 physical exam did not indicate if the staff was free from communicable diseases. | If a staff person or volunteer has a serious communicable disease as defined in 28 Pa. Code § 27.2 (relating to specific identified reportable diseases, infections and conditions) or a medical problem which might interfere with the health, safety or well-being of the individuals, written authorization from a licensed physician is required for the person to be present at the home. | : Physical reviewed. The communicable diseases box was checked appropriately. (Attachment# 11) Current physical which states Individual is free of Communicable Diseases. |
12/09/2022
| Implemented |
| 6400.32(r) | The bedroom doors on the second floor did not have the ability to be locked. Individual plans or program assessments did not address the modification of rights. In addition, individual #1 had a shared adjoined bedroom door with another individual that did not have the ability to be locked in privacy. | An individual has the right to lock the individual's bedroom door. | Program Director sent email to OPS listing areas of non compliance. Door locks were installed on each bedroom door. (Attachment# 12) The adjoined door with another individual is locked (from both sides) and there are signs posted on each side that say Do Not Enter. (Attachment# 13) |
02/02/2023
| Implemented |