Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00224452 Renewal 05/16/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.152(a)OSI was made aware of Individual #1 moving from 2411 Jack Rd. Chambersburg 6500 home to a temporary 6500 respite home at 2320 Somerset Road Chambersburg, Pa within the Family Care Services 6500 provider, August 8th, 2022, to January 12th, 2023. Individual #1 later informed OSI that a move from companies took place from Family Care Services to KHS Residential Services, with a new FLP provider at 861 Stouffer Ave. Chambersburg on January 13th of 2023. Which was confirmed via email on: January 3rd, 2023. During the first Quarterly review, held on March 14th, 2023, covering dates 12/20/22 to 3/13/23, there was no information included in the review notifying the SC that this change in FLP providers needed to be updated in individual #1's ISP. There was also no email notifications or documentation demonstrating OSI requesting this information be put in the newest updated ISP; most currently dated 3/17/2023.The program specialist shall coordinate the development of the individual plan, including revisions with the client and the individual plan team.All Program Specialists and supervisory program staff have been retrained on 55 PA Code Chapter 2390.152(a). 05/22/2023 Implemented
SIN-00200692 Renewal 03/01/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.14(b)The annual letter indicating that the Fire Safety Occupancy permit has not been withdrawn for the facility was sent on 1/4/21 and then not again until 2/17/22.After initial issuance of the fire safety occupancy permit by the Department of Labor and Industry, the provider shall verify, annually in writing, that the permit for the facility has not been withdrawn.An recurring reminder has been set on the Executive Director's Outlook calendar to complete an annual Fire Safety Occupancy letter by January 4 annually. The Executive Director (Michelle Lane) will complete the letter each year by January 4 or within one year of the previous year's letter. 03/04/2022 Implemented
2390.87Staff #2 has not received annual Fire Safety training since 10/29/2020.Staff, and clients as appropriate, shall be instructed upon initial admission or initial employment and reinstructed annually in general fire safety and in the use of fire extinguishers. A written record of the training shall be kept.Staff #2 (Gabby Snider) will document annual Fire Safety training on the cumulative training sheet for each fiscal year. 03/04/2022 Implemented
2390.124(1)Individual #2's record contents do not include birthplace.Each client's record must include the following information: The name, sex, admission date, birthdate and place, Social Security number and dates of entry, transfer and discharge.Birthplace has been added to Individual #2's record. 03/01/2022 Implemented
SIN-00160790 Renewal 10/03/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.151(e)(5)Individual #1's assessment dated 9/24/19 doesn't assess his ability to self-medicate while at the vocational facility. The assessment must include the following information: The client's ability to self-administer medications.OSI's policy with regard to medication administration is stated in OSI's Client Handbook as follows: "You are permitted to take medication on your own. For example, if you have a headache you may bring Aspirin or Tylenol to work and take as needed. Bring only enough medication for one day. No medication will be given to you by any staff member. If you need any medication during program hours that you do not have with you, you should speak to your Program Specialist. You may be advised to go home for specific help if you are unable to take medication on your own or have forgotten it." (pgs. 12 & 13) OSI's plan to correct the violation on 151(e)(5) is to add the following statement to Individual #1's assessment as an amendment and to include this statement in each individual's assessment going forward: "While in OSI¿s 2390 program, individuals are expected to comply with medication administration as per agency policy outlined in OSI's Client Handbook.¿ 10/22/2019 Implemented
SIN-00124934 Renewal 11/17/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2390.152(d)(4)Individual #1's record did not contain documentation that an ISP meeting invitation was sent to plan team members at least 30 calendar days prior to the ISP meeting.The plan lead shall develop, update and revise the ISP according to the following: An invitation shall be sent to plan team members at least 30 calendar days prior to an ISP meeting.Program Specialists will use the Plan Lead Checklist when they are the Plan Lead developing and reviewing ISPs. The checklist will include the ISP meeting invitation was sent to plan team members at least 30 day prior to the ISP meeting. Attachment #2 This plan of correction will be ongoing. Training was held 12-13-17 Attachment #3 01/02/2018 Implemented
2390.152(d)(5)Individual #1's record did not contain documentation regarding the ISP being sent to plan team members.The plan lead shall develop, update and revise the ISP according to the following: Copies of the ISP, including annual updates and revisions under §  2390.156 (relating to ISP review and revision), shall be provided as required under §  2390.157 (relating to copies).Program Specialists will use the Plan Lead Checklist when they are the Plan Lead developing and reviewing ISPs. The checklist will include the ISP being sent to the team members. Attachment #2 This plan of correction will be ongoing. Training 12-13-17 attachment #3 01/02/2018 Implemented
2390.153(3)Individual #1's ISP outcome did not include a method of evaluation to determine progress toward expected outcome.The ISP, including annual updates and revisions under §  2390.156 (relating to ISP review and revision) must include the following: Current status in relation to an outcome and method of evaluation used to determine progress toward that expected outcome.Rehab Manager will take the ODP Outcome Development course by January 31, 2017 Program Specialists will use the Outcome Development Check List attachment #1 This will be ongoing Training 12-13-17 attachment #3 01/31/2018 Implemented
SIN-00182863 Renewal 02/04/2021 Compliant - Finalized
SIN-00142746 Renewal 10/05/2018 Compliant - Finalized
SIN-00104008 Initial review 11/28/2016 Compliant - Finalized