Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00225586 Renewal 06/05/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(c)A home that is not connected to a public water system shall have a coliform water test by a Department of Environmental Resources' certified laboratory stating that the water is safe for drinking purposes at least every 3 months. Written certification of the water test shall be kept. The coliform water test was completed on 9/15/22, and then not again until 1/3/23. There was This exceeds the requirement.A home that is not connected to a public water system shall have a coliform water test by a Department of Environmental Resources¿ certified laboratory stating that the water is safe for drinking purposes at least every 3 months. Written certification of the water test shall be kept.Contracted provider for water testing. Changed ownership causing a delay in quarterly testing. Contracted provider was contacted to review requirements, and scheduling to ensure compliance with this regulation. The homes 2nd quarter water testing completed on 4/14/2023. 07/30/2023 Implemented
6400.151(c)(3)A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. Staff #1's physical examination dated 12/10/21 did not record or document of they were free of communicable disease. The section on the examination was left blank. The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. The employee contacted their PCP and the physical form has been updated to include the statement that the employee is free from communicable disease. 07/03/2023 Implemented
SIN-00176622 Renewal 09/15/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)There is a staff office in the basement. Some of the ceiling tiles were torn in spots and appeared to be coming apart where revealing insulation.Floors, walls, ceilings and other surfaces shall be in good repair. Ceiling tiles were aged and in need of replacement. A work order was entered on 9/16/2020 to replace the ceiling tiles. The Monthly QA and Coordinator Quarterly audit forms have been revised to include this area of concern and will be retrained to the Program Managers and Program Coordinators by 10/30/20. Responsible party: Program Manager 10/30/2020 Implemented
SIN-00114013 Renewal 05/09/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(c)Coliform testing was done on 3/29/16, 6/23/16, 9/19/16, 1/11/17, and 3/17/17. The time frame between 9/19/16-1/11/17 exceeds the 3 month requirement.A home that is not connected to a public water system shall have a coliform water test by a Department of Environmental Resources¿ certified laboratory stating that the water is safe for drinking purposes at least every 3 months. Written certification of the water test shall be kept.To ensure compliance with 6400.68(c) homes not connected to a public water system have been set up to receive re-occurring appointments with Utility Management Services, INC. These appointments have been scheduled to occur at a minimum of every 3 months. Utility Management Services, Inc. will collect and analyze samples of water utilizing procedures as prescribed under the PA Safe Water Drinking Water ACT as it relates to detection of coliform bacteria in drinking water. The following location have been set up to receive re- occurring appointments: 21 Joni Drive Moscow Pa, 767 State Route 307 Spring Brook TWP Pa, 78 Keystone Road Clifton Township Pa, 44 Keystone Road Clifton Township Pa, 132 Main Street Gouldsboro Pa, 178 Main Street Gouldsboro Pa, 1197 Main Street Gouldsboro Pa, 28 Matthews Road Spring Brook Township and 119 Homestead Drive Moscow Pa. Results of each collection and analysis will be sent to and maintained by KCR Maintenance Department. 01/09/2017 Implemented
6400.141(a)Individual #1 had a physical exam on 1/27/2016. She did not have another physical exam until 3/8/2017, which exceeds the annual requirement.An individual shall have a physical examination within 12 months prior to admission and annually thereafter. Physical examinations will be reviewed monthly during each program¿s Clinical/Health Team Meeting. The current physical examination date along with the physical exam due date will be identified within the clinical / health team meeting minutes. During the meeting the team will review the physical examination due date to ensure the appointment has been scheduled in advance and will occur according to regulation. The program manager and or designee will be responsible for ensuring the appointment is scheduled and completed on time annually. All program managers, program coordinators, case managers, and area nurses have been made aware of the above process. The clinical / health team meeting note has been amended to reflect both the current date and due date for each consumers physical examination. 06/30/2017 Implemented
SIN-00058839 Renewal 01/23/2014 Compliant - Finalized
SIN-00045016 Renewal 01/24/2013 Compliant - Finalized