Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00194576 Renewal 10/19/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.34(a)"Individual #1 was informed and explained individual rights on 1/4/21. The rights document did not include the following rights: 6400.31(c), individual may not be reprimanded, punished; 6400.31(d), court's written order shall be followed; 6400.31(e), court-appointed legal guardian may exercise rights and make decisions; 6400.31(f), court-appointed legal guardian shall be involved in decision-making; 6400.31(g), the right to designate persons to assist in decision-making; 6400.32(a), individual may not be discriminated against; 6400.32(b), the right speak freely; 6400.32(d), individual shall be treated with dignity and respect; 6400.32(e), the right to make choices and accept risks; 6400.32(f), the right to refuse to participate in activities and services; 6400.32(g),the right to control his own schedule and activities; 6400.32(h), right to privacy of person and possessions; 6400.32(i),the right of access to and security of the individual's possessions; 6400.32(j), the right to voice concerns about the services; 6400.32(n), the right to unrestricted and private access to telecommunications; 6400.32(p), the right to choose persons with whom to share a bedroom; 6400.32(q), the right to furnish and decorate the individual's bedroom and common areas of the home; 6400.32(r), the right to lock the individual's bedroom door; 6400.32(r)(1-5), relating to locking mechanisms; 6400.32(s), the right to have a key, access card, keypad code, mechanism for the entrance door to the home; 6400.32(s)(1-3) relating to locking mechanisms for home's entrance door; 6400.32(t), the right to access food at any time; 6400.32(u), the right to make health care decisions; 6400.32(v), the right may only be modified in accordance with § 6400.185The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.The individuals in the homes cited, and all homes at ACI have been read and given a copy of the corrected rights. Program Specialist reviews the rights with each individual and signs off on the rights. All other copies of ¿The Rights¿ have been removed from the computers in the residential homes. Following are the rights as read to all the individuals in the homes: THIS INDIVIDUAL RIGHTS STATEMENT IS INTENDED TO PROVIDE THE INDIVIDUAL AND THE FAMILY AN OUTLINE TO ENSURE THAT THE INDIVIDUAL RIGHTS AND RESPONSIBILITIES ARE RESTRICTED AND ENCOURAGED ¿ I will not be deprived of rights as provided under § 6400.32 (relating to rights of the individual). ¿ The home shall educate, assist and provide the accommodation necessary for me to make choices and understand my rights. ¿ I may not be reprimanded, punished or retaliated against for exercising my rights. ¿ A court¿s written order that restricts my rights shall be followed. ¿ A court-appointed legal guardian may exercise rights and make decisions on behalf of an me in accordance with the conditions of guardianship as specified in the court order. ¿ A court-appointed legal guardian, or who has a court order restricting my rights, shall be involved in decision-making in accordance with the court order. ¿ I have the right to designate persons to assist in decision-making and exercising rights on behalf of the me. ¿ I will not be discriminated against because of race, color, creed, disability, religious affiliation, ancestry, gender, gender identity, sexual orientation, national origin or age. ¿ I have the right to civil and legal rights afforded by law, including the right to vote, speak freely, practice the religion of my choice and practice no religion. ¿ I may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment. ¿ I shall be treated with dignity and respect. ¿ I have the right to make choices and accept risks. ¿ I have the right to refuse to participate in activities and services. ¿ I have the right to control my own schedule and activities. ¿ I have the right to privacy of person and possessions. ¿ I have the right of access to and security of my possessions. ¿ I have the right to voice concerns about the services I receive. ¿ I have the right to participate in the development and implementation of my individual plan. ¿ I have the right to receive scheduled and unscheduled visitors, and to communicate and meet privately with whom I choose, at any time. ¿ I have the right to unrestricted access to send and receive mail and other forms of communications, unopened and unread by others, including the right to share contact information with whom I choose. ¿ I have the right to unrestricted and private access to telecommunications. ¿ I have the right to manage and access my finances ¿ I have the right to choose persons with whom to share a bedroom. ¿ I have the right to furnish and decorate my bedroom and the common areas of my home in accordance with § 6400.33 (relating to negotiation of choices). ¿ I have the right to lock my bedroom door. o Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to me to permit me to lock and unlock the door. o Access to my bedroom shall be provided only in a life-safety emergency or with the express permission by me for each incidence of access. o Assistive technology shall be provided as needed to allow me to lock and unlock the door without assistance. o The locking mechanism shall allow easy and immediate access by me and staff person in the event of an emergency. o Direct service workers who provide services to me shall have the key or entry device to lock and unlock the door. ¿ I have the right to have a key, access card, keypad code or other entry mechanism to lock and unlock an entrance door of the home. o Assistive technology shall be provided as needed to allow me to lock and unlock the door without assistance. o The locking mechanism shall allow easy and immediate access by me and staff person in the event of an emergency. o Direct service workers who provide services to me shall have the key or entry device to lock and unlock the door. ¿ I have the right to access food at any time. ¿ I have the right to make health care decisions. ¿ My rights may only be modified in accordance with § 6400.185 (relating to content of the individual plan) to the extent necessary to mitigate a significant health and safety risk to the individual or others. I CERTIFY THAT I HAVE READ OR HAD THE ABOVE STATEMENTS READ TO ME 11/22/2021 Implemented
SIN-00136713 Renewal 06/14/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The written fire drill records for January, February, March, April and May 2018 did not include the date of the fire drill.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. The fire drills were fixed on site. On 06/22/2018 all house Supervisors were Trained on Conducting and documenting Fire drills. They will review staff documentation on the fire drill log monthly. Following the regulations. ¿ An unannounced fire drill shall be held at least once a month. ¿ Fire drills shall be held during normal staffing conditions and not when additional staff persons are present. ¿ A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. ¿ Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employee of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. ¿ A fire drill shall be held during sleeping hours at least every 6 months. ¿ Alternate exit routes shall be used during fire drills. ¿ Fire drills shall be held on different days of the week and at different times of the day and night. ¿ Individuals shall evacuate to a designated meeting place outside the building or within the fire safe area during each fire drill. ¿ A fire alarm or smoke detector shall be set off during each fire drill. ¿ Documenting the fire drill on the fire log must be legible. If you make an error put ONE line through the error that you can see the mistake. Do not scribble through the error. Make sure that you can read all the documentation. ¿ Include the date, time, amount of time it took for evacuation, the exit route, problems encountered and whether the fire alarms or smoke detector was operative. [Within 30 days of receipt of the plan of correction, all staff persons responsible for conducting and documenting fire drills shall be educated the requirements of fire drills as per 6400.112(a)-(I) and the aforementioned trainings. Documentation of trainings shall be kept. (AS 6/27/18)] 06/22/2018 Implemented
SIN-00097844 Renewal 07/14/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment for the home was completed 4-12-16. The Certificate of Compliance has an expiration date of 6-9-16.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. Armstrong Care, Inc. will in-service all Program Specialists and all Supervisors on making sure a self-assessment of each home serving eight or fewer individuals is completed within 3 to 6 months prior to the expiration date of the Armstrong Care, Inc.`s certificate of compliance. This in-service was completed by July 29, 2016. Also, Armstrong Care, Inc. will remind all Program Specialists and Supervisors to begin completing the self-assessment from February 1st of each year and to be completed and turned in no later than February 28, of each year. This process will be monitored by the Program Specialist Manager and the Program Director in order to prevent similar deficiencies from reoccurring in the future. [Documentation of reviews shall be kept. (AS 9/20/16)] 08/08/2016 Implemented
6400.46(h)The Direct Service Worker #1, date of hire 11-2-15 began working in the home with individuals on 11-8-15 was trained in first aid techniques on 12/20/15.Program specialists and direct service workers and at least one person in a vehicle while individuals are being transported by the home, shall be trained before working with individuals in first aid techniques. Direct Service Worker #1 was trained at hiring 11/2/2015 before working with individuals in first aid techniques on a training video as per the regulation 6400.46(h) Program specialists and direct service workers and at least one-person in a vehicle while individuals are being transported by the home, shall be trained before working with individuals in first aid techniques. Direct Service Worker #1 received training by a certified trainer on 12/20/2015 as per the regulation 6400.00.46(i) Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardiopulmonary resuscitation. A new Staff Training Documentation checklist was implemented by Human Resources adding the items First Aid/CPR via the Training Video which is done prior to working with the individuals and then the Certification in CPR, First Aid and Heimlich Maneuver by a certified trainer. Human Resources Director will re-check all employee files to ensure that all required paperwork and documentation is completed on all new hires for Armstrong Care, Inc. 08/08/2016 Implemented
6400.141(c)(9)The physical examination dated 2-10-16 for Individual #1, date of birth 5/7/70 did not include a prostate examination.The physical examination shall include: A prostate examination for men 40 years of age or older. Individual #1 physical dated 2/10/2016 was blank beside the box for prostate exam. On the day of inspection individual #1¿s physician faxed a not that for individual #1 a digital rectal exam is not indicated until the age of 50. The physical was fixed on site. ACI¿s plan of correction is for Supervisors and Program Specialist to follow the physical training that was given on July 25, 2016, which included in depth the reason for no blanks on the intake physical and all annual physicals. Each area of the physical must follow the regulation as specified in Pa Regulation 6400.141. ¿ A review of previous medical history. ¿ A general physical examination. ¿ Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. ¿ Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. ¿ Immunizations and screening tests for individuals 17 years of age or younger, as recommended by the Standards of Child Health Care of the American Academy of Pediatrics, Post Office Box 1034, Evanston, Illinois 60204. ¿ Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. ¿ A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. ¿ A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older. A prostate examination for men 40 years of age or older. ¿ Specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. ¿ An assessment of the individual¿s health maintenance needs, medication regimen and the need for blood work at recommended intervals. ¿ Physical limitations of the individual. ¿ Allergies or contraindicated medications. ¿ Medical information pertinent to diagnosis and treatment in case of an emergency. ¿ Special instructions for the individual¿s diet.[Prior to entering in to the individuals' records, the residential supervisor(s) and program specialist(s) shall review the individuals' current physical examination documentation to ensure the physical examination is completed, sign and dated by the physician, certified nurse practitioner or licensed physician's assistant and there are no require areas left blank. At least quarterly, the program director shall review a 25% sample of physical examination to ensure the physician, certified nurse practitioner or licensed physician's assistant completed, signed and dated as required. (AS 8/18/16)] 08/08/2016 Implemented
6400.213(1)(i)The record for Individual #1 did not include a current, dated photograph.Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph.A current, dated photograph. No date photo was in individual #1¿S record. All other individual records were internally inspected by Management on July 18, 2016 and all were found compliant. Corrective action is to have the checklist for the individual record for every supervisor to update upon admission and annually thereafter. Training for the Face Sheet was held at the same time as the Intake to ACI training on July 22, 2016. [Individual #1's record was updated with a current, date photograph on 7/18/16. Program Specialist shall review completed checklists to ensure completion by the supervisor(s) and the all individuals' records include required information. Documentation of reviews shall be kept.(AS 8/18/16)] 08/08/2016 Implemented
SIN-00060881 Renewal 07/07/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.80(b)The outside door frame of the front door has numerous areas of peeling paint. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.The door frame has been scraped and repainted. Picture will be emailed. 07/21/2014 Implemented
SIN-00118220 Renewal 07/17/2017 Compliant - Finalized
SIN-00077875 Renewal 07/01/2015 Compliant - Finalized