Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00125172 Renewal 01/17/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(e)(13)(iii)Individual #1's assessment dated 6/24/17 did not have progress and growth for residential living.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Activities of residential living. This section of the Assessment was updated (I) for BM on 1.30.18 by her Program Specialist. All other assessments were checked by the Program Specialists by 2.9.18. Issues were found with 12 other assessments and corrections were made by 2.19.18 A training was provided to Program Specialists at the QARM meeting on 1.25.18 (B). Attachment (J) is an assessment done post licensing/training. 02/19/2018 Implemented
6400.181(e)(13)(iv)Individual #1's assessment dated 6/24/17 did not have progress and growth in personal adjustment.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Personal adjustment. This section of the Assessment was updated (I) for BM on 1.30.18 by her Program Specialist. All other assessments were checked by the Program Specialists by 2.9.18. Issues were found with 14 other assessments and corrections were made by 2.19.18 A training was provided to Program Specialists at the QARM meeting on 1.25.18 (B). Attachment (J) is an assessment done post licensing/training. 02/19/2018 Implemented
6400.181(e)(13)(v)Individual #1's assessment dated 6/24/17 did not have progress and growth for socialization.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Socialization. This section of the Assessment was updated (I) for BM on 1.30.18 by her Program Specialist. All other assessments were checked by the Program Specialists by 2.9.18. Issues were found with 26 other assessments and corrections were made by 2.19.18 A training was provided to Program Specialists at the QARM meeting on 1.25.18 (B). Attachment (J) is an assessment done post licensing/training. 02/19/2018 Implemented
6400.181(e)(13)(vi)Individual #1's assessment dated 6/24/17 did not have progress and growth for recreation.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Recreation. This section of the Assessment was updated (I) for Individual #1 on 1.30.18 by her Program Specialist. All other assessments were checked by the Program Specialists by 2.9.18. Issues were found with 10 other assessments and corrections were made by 2.19.18 A training was provided to Program Specialists at the QARM meeting on 1.25.18 (B). Attachment (J) is an assessment done post licensing/training. 02/19/2018 Implemented
6400.181(e)(13)(ix)Individual #1's assessment dated 6/24/17 did not have progress and growth for community-integration.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration.This section of the Assessment was updated (I) for Individual #1 on 1.30.18 by her Program Specialist. All other assessments were checked by the Program Specialists by 2.9.18. Issues were found with 10 other assessments and corrections were made by 2.19.18 A training was provided to Program Specialists at the QARM meeting on 1.25.18 (B). Attachment (J) is an assessment done post licensing/training. 02/19/2018 Implemented
6400.186(a)Individual #1's ISP reviews dated 11/14/17, 7/25/17, 4/25/17, and 1/25/17 were completed late.The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. Attachment (A) is a list of Individual #1's revised quarterly schedule done by her Program Specialist. All other Specialists checked for similar issues by 2.5.18. Issues were found with 18 other schedules and corrections were made by 2.9.18 A training was provided by the Executive Director to Program Specialists at the QARM meeting on 1.25.18 (B). Attachment (C) is a quarterly done post licensing/training showing it was completed within the correct timeframes. 02/09/2018 Implemented
6400.186(d)Individual #1's ISP reviews dated 11/14/17, 7/25/17, and 4/25/17 were not sent to all team members.The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting. Program Specialist resent Individual #1 ISP to all parties who were missed on 1.26.18(D). All other Specialists checked for similar issues by 2.5.18. Issues were found with 14 other ISPs and corrections were made by 2.9.18. A training was provided to Program Specialists by the Executive Director at the QARM meeting on 1.25.18 (B). Attachment (E) is a distribution letter done post licensing/training. 02/09/2018 Implemented
6400.186(e)Individual #1's record did not contain an option to decline. The program specialist shall notify the plan team members of the option to decline the ISP review documentation. Attachment (F) is Individual #1 corrected declination done by the Program Specialist. All other Specialists checked for similar issues by 2.5.18. Issues were found with 9 other declinations and corrections were made by 2.9.18. Attachment( G) is the procedure and documents developed by the Director that will be used going forward to complete the declination process. Attachment (H) is an example of one done on with the new process post licensing. 02/09/2018 Implemented
SIN-00073864 Renewal 09/09/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)Outside Individual #1's bedroom top of door needs painted. Floors, walls, ceilings and other surfaces shall be in good repair. Repairs were completed by landlord by 10.9.14 (please see attachment E). All other homes physical sites were checked during the quarterly site visits by office program staff during the Sept/Oct/November 11/30/2014 Implemented
6400.67(b)Individual #2 bathroom radiator has very sharp edges on the right side. Floors, walls, ceilings and other surfaces shall be free of hazards.Repairs were completed by landlord by 10.9.14 (please see attachment F). All other homes physical sites were checked during the quarterly site visits by office program staff during the Sept/Oct/November 11/30/2014 Implemented
6400.76(a)Dryer vent outside Penn State room need to be cleaned out. Furniture and equipment shall be nonhazardous, clean and sturdy. RDS maintenance person cleaned the dryer vent on 9.16.14 (see attachment C). This task was added to the chore list of all sites as of October 2014. Attachment D is a sample of the chore list at one home which includes this task. All homes checked inside and outside traps the week of 9/15/14 and continue to check them weekly per the chore chart. 10/01/2014 Implemented
6400.101Door inside Individual #3 bedroom closet leads up to the attic. Items were blocking the entrance to attic. Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. All items were cleared from steps by house staff as seen in attachment G taken on 2.6.15. All other sites were checked to be sure egresses were unobstructed during quartely visits done by office staff during September/October/November. 02/06/2015 Implemented
6400.110(a)In Individual #3 bedroom closet leads up to an attic. There was no smoke detector on this floor (attic). A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. A smoke detector was installed on 9/17/14 by Security Service Company (see attachment A). A fire extinguisher was also mounted by RDS maintenance person on 9/16/14 (See attachment B). All other sites were checked by site supervisors during the week of 9/15/14 and all other attics and required areas had dectors. RDS does have checks in place to ensure all required areas have detectors but this area was not understood to be considered an attic previously so now provider understands this moving forward. 09/19/2014 Implemented
SIN-00241537 Renewal 03/26/2024 Compliant - Finalized
SIN-00201264 Renewal 03/15/2022 Compliant - Finalized
SIN-00185982 Renewal 03/16/2021 Compliant - Finalized