Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00234111 Renewal 11/07/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.39(c)(2)Chief Executive Officer (CEO) #1 did not complete the following annual training topic during the annual training year, dated 1/1/22 through 12/31/22: 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.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.In-service documentation shows that Cindy Vogan CEO completed training in the Prevention, Detection and Reporting of Abuse, Suspected Abuse, and alleged Abuse in accordance with the Older Adult Protective Services Act and Adult Protective Services Act and applicable protective services regulations on March 10, 2023. This training is offered every year in March and at anytime on myodp.org. We have been unable to locate the documentation of the training for Cindy Vogan, CEO that would have been completed in March of 2022. 11/21/2023 Implemented
2380.39(c)(4)Chief Executive Officer (CEO) #1 did not complete the following annual training topic during the annual training year, dated 1/1/22 through 12/31/22: Recognizing and reporting incidents.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents.In-service documentation shows that Cindy Vogan CEO completed training on Recognizing and Reporting Incidents on March 10, 2023. This training is offered every year in March, and at anytime on myodp.org. We have been unable to locate the documentation of the training for Cindy Vogan, CEO that would have been completed in March of 2022. 11/22/2023 Implemented
SIN-00125758 Renewal 12/06/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(a)The two most recent physical examinations for Individual #1 were completed 6/14/16 and 7/7/17.Each individual shall have a physical examination within 12 months prior to admission and annually thereafter.For Individual #1 and all individuals, we will continue to send written reminders of due date for annual physical to families/caregivers 60 days prior to required date of completion. Written reminder will be amended to include the following statement, Please schedule necessary appointment and return Verification (page 2) of scheduled appointment within 10 days of receipt of this notice. Families will now have a form to record date/time of physical and return to verify that appointment has been scheduled. Program Director/Program Specialist will follow up with a phone call 30-40 days before physical is due if written verification has not been received. Assistance of SC will be requested if above listed efforts are unsuccessful. 12/15/2017 Implemented
2380.111(c)(5)The two most recent Tuberculin skin testings for Individual #1 were completed 6/12/15 and 7/7/17.The physical examination shall include: Tuberculin skin testing with negative results every 2 years; or, if the tuberculin skin test is positvie, an initial chest X-ray with results noted.For Individual 1 and all individuals on CPS roster, we will continue with the practice of sending written reminders of the need to have the Tuberculin skin testing completed by the required date. The content of written reminder has been amended to include the following statement: Please schedule necessary appointment and return Verification (Page 2) within 10 days of receipt of this notice. Attached to the written reminder is now a form for families/caregivers to record the date/time of scheduled appointment. This form is to be returned in order to verify the fact that the appointment has been scheduled. In the absence of a completed and returned form, Program Director/Program Specialist will place a follow up phone call to families 30-40 days prior to date Tuberculin skin testing is due to be completed. Should the steps listed fail to result in a scheduled appointment, we will solicit the assistance of assigned SC. 12/15/2017 Implemented
SIN-00215368 Renewal 11/22/2022 Compliant - Finalized
SIN-00197323 Renewal 12/10/2021 Compliant - Finalized
SIN-00165527 Renewal 11/08/2019 Compliant - Finalized
SIN-00145988 Renewal 11/30/2018 Compliant - Finalized
SIN-00108424 Renewal 12/16/2016 Compliant - Finalized
SIN-00086466 Renewal 11/13/2015 Compliant - Finalized
SIN-00083015 Initial review 08/20/2015 Compliant - Finalized