Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00120659 Renewal 11/07/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.103Repeat 10/5/16: The emergency evacuation procedures for Individual #1 did not include individual and staff responsibilities. There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. As a result of this citation an audit of all homes written evacuation procedure plan was completed and any evacuation procedure plan that did not include the responsibilities of the individuals and staff was updated to include this information. Attached you will find the new written evacuation procedure plan for the Chronister Farm Road home. See Attachment # 14 Program Managers were trained on this requirement. See attachment #2. Supervisors will be trained on this requirement on 12/13/17. see attachment #3. 12/13/2017 Implemented
6400.112(a)Repeat 10/5/16: There were no fire drills conducted in the months of August and May of 2017. An unannounced fire drill shall be held at least once a month. As a result of this citation, Penn-Mar has evaluated and made changes to the process. Fire drills will now be submitted to the Operations Support Specialist, whom we feel has the skills to monitor and ensure that fire drills are completed for every home each month and that the form is completed in its entirety. In addition, Program Managers have completed an audit of drills for November 2017, which have been completed for each home. Program Managers have been re-trained on this regulation. See attachment # 2 Residential Supervisors will be trained re-trained on this regulation at the Residential Supervisor meeting on 12/13/17. See Attachment # 3 12/13/2017 Implemented
SIN-00070890 Renewal 07/28/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.144Individual #1 is to complete swallowing exercises as ordered by the physician on a daily basis; however staff is not offering this or encouraging Individual #1 to do this every day. Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. A goal plan has been developed for this individual to better track how often exercises are occurring and being offered. Corresponding monthly progress reports are also being completed based on the data documented from the goal. See attachment B. All Residential Supervisors and Program Managers received additional training regarding this matter/regulation on August 13, 2014 See attachment A 08/22/2014 Implemented
SIN-00220304 Renewal 03/14/2023 Compliant - Finalized
SIN-00177808 Renewal 05/07/2021 Compliant - Finalized
SIN-00181120 Renewal 01/04/2021 Compliant - Finalized
SIN-00070773 Initial review 10/30/2014 Compliant - Finalized