| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.52(c)(2) | The training record shows that Staff 1 received this training on 06/15/2020 and 07/13/2021, exceeding 1 year between trainings on this topic, even allowing for the 15-day grace period. The training record does not reflect that this topic was covered through other trainings taken by the staff during the review period. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§ 10225.101-10225.5102). The child protective services law (23 Pa. C.S. §§ 6301-6386) the Adult Protective Services Act (35 P.S. §§ 10210.101 - 10210.704) and applicable protective services regulations. | Based on the licensing review of November 8-9, 2021, the CLA Director, on 11/10/21, retrained the Site Supervisors responsible for the completion of the training, as well as the Assistant Directors about the importance of ensuring that annual trainings stay within regulatory guidelines. Additionally, the training department was made aware of the need to be regulatory compliant as well. |
11/10/2021
| Implemented |
| 6400.52(c)(3) | The training record shows that Staff 1 received this training on 06/15/2020 and 07/13/2021, exceeding 1 year between trainings on this topic, even allowing for the 15-day grace period. The training record does not reflect that this topic was covered through other trainings taken by the staff during the review period. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights. | Based on the licensing review of November 8-9, 2021, the CLA Director, on 11/10/21, retrained the Site Supervisors responsible for the completion of the training, as well as the Assistant Directors about the importance of ensuring that annual trainings stay within regulatory guidelines. Additionally, the training department was made aware of the need to be regulatory compliant as well. |
11/10/2021
| Implemented |
| 6400.52(c)(4) | ." The training record shows that Staff 1 received this training on 06/15/2020 and 07/13/2021, exceeding 1 year between trainings on this topic, even allowing for the 15-day grace period. The training record does not reflect that this topic was covered through other trainings taken by the staff during the review period. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents. | Based on the licensing review of November 8-9, 2021, the CLA Director, on 11/10/21, retrained the Site Supervisors responsible for the training, as well as the Assistant Directors about the importance of ensuring that annual trainings stay within regulatory guidelines. Additionally, the training department was made aware of the need to be regulatory compliant as well. |
11/10/2021
| Implemented |