| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 2380.181(e)(12) | Individual #1's assessment completed 2/14/2022 did not include recommendations for specific areas of training, vocational programming and competitive community-integrated employment. this section was left blank. | The assessment must include the following information: Recommendations for specific areas of training, vocational programming and competitive community-integrated employment. | Immediately correct Individual #1 assessment from 2/14/22 to include recommendations for specific areas of training, vocational programming and competitive community-integrated employment on 5/18/22.
Train Program Specialist on 2380 ISP required paperwork and regulated documents on 5/17/22.
Audit of all AAC individuals binders to be completed by another Program Specialist/Supervisor to ensure all assessments, ISP required paperwork, and regulated documents are in compliance by 6/27/22.
Audit reports to be given to VP of Programs and Compliance for review and to ensure any findings are corrected immediately. |
05/18/2022
| Implemented |
| 2380.39(c)(1) | Direct Service Worker #1 had annual training in the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships on 1/17/2022, this was completed self-reading the material. Direct Service Worker #2 had annual training in the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships on 1/19/2022, this was completed self-reading the material. Program Specialist #3 had annual training in the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships on 3/03/2022, this was completed self-reading the material. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | Direct Service Worker #1, #2, , PS #3 will complete training on the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. They will complete this required training by 6/30/22 via my ODP webcast and obtain their certification from ODP. |
06/30/2022
| Implemented |
| 2380.39(c)(2) | Direct Service Worker #1 had annual training in the prevention, detection and reporting of abuse, suspected abuse and alleged abuse on 4/14/2022, this was completed self-reading the material. Direct Service Worker #2 had annual training in the prevention, detection and reporting of abuse, suspected abuse and alleged abuse on 4/11/2022, this was completed self-reading the material. Program Specialist #3 had annual training in the prevention, detection and reporting of abuse, suspected abuse and alleged abuse on 4/13/2022, this was completed self-reading the material. | 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. | Direct Service Worker #1, #2, , PS #3 will complete training on the prevention, detection and reporting of abuse, suspected abuse and alleged abuse. They will complete this required training by 6/30/22 via my ODP webcast and obtain their certification from ODP. |
06/30/2022
| Implemented |
| 2380.39(c)(3) | Direct Service Worker #1 had annual training in individual rights on 4/14/2022, this was completed self-reading the material. Direct Service Worker #2 had annual training in individual rights on 4/11/2022, this was completed self-reading the material. Program Specialist #3 had annual training in individual rights on 2/14/2022, this was completed self-reading the material. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights. | Direct Service Worker #1, #2, PS #3 will complete training on individual rights They will complete this required training by 6/30/22 via my ODP webcast and obtain their certification from ODP. |
06/30/2022
| Implemented |
| 2380.39(c)(4) | Direct Service Worker #1 had annual training in recognizing and reporting incidents on 3/08/2022, this was completed self-reading the material. Direct Service Worker #2 had annual training in recognizing and reporting incidents on 3/09/2022, this was completed self-reading the material. | The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents. | Direct Service Worker #1, and #2, will complete training on recognizing and reporting incidents. They will complete this required training by 6/30/22 via my ODP webcast and obtain their certification from ODP. |
06/30/2022
| Implemented |