Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00227827 Renewal 07/17/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(a)During the inspection the first aid kit was difficult to locate and had pieces in different places. It was not until after the inspection was completed that all contents were located, but they were not stored in one place together. A home shall have a first aid kit. The First Aid Kit was located and all required regulatory items were placed into it on 7/17/23. The Kit was placed back into the locked medication area and is accessible to all who administer medications. 07/17/2023 Implemented
SIN-00143854 Renewal 10/18/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.162(a)There was no label on individual #3's medication, Polyeth Glycol Powder.The original container for prescription medications shall be labeled with a pharmaceutical label that includes the individual's name, the name of the medication, the date the prescription was issued, the prescribed dose and the name of the prescribing physician. The OTC med in question was purchased at Costco by Individuals parents to save money; it was since ordered from the pharmacy so that it had a pharmacy label. All other meds in the home that are OTC but ordered by the doctor were checked and if a label was missing the med was reordered from the pharmacy to comply with 55 PA Code Chapter 6400.162(a) The Nursing team and managers will be trained on 55 PA Code Chapter 6400.162(a). 01/11/2019 Implemented
SIN-00084867 Renewal 12/07/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Staff #1, a former employee, was re-hired on 10/14/14. Criminal History check was not completed within five working days of the hire date.An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire. Process developed for hiring will ensure that all pre-employment requirements have been met before the person can start training. A random sample of documents is attached and employee #1 had a criminal history check completed also attached 10/27/2016 Implemented
6400.21(b)Staff #1, a former employee, was re-hired on 10/14/14. A FBI criminal history record check was not completed within five working days of the hire dateIf a prospective employe who will have direct contact with individuals resides outside this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the person's date of hire. Staff #1 did not reside out of state and did not have an FBI criminal history check done. 10/27/2016 Implemented
6400.21(c)Staff #1, a former employee, was re-hired on 10/14/14. A FBI criminal history record check was last completed on 6/26/13The Pennsylvania and FBI criminal history record checks shall have been completed no more than 1 year prior to the person¿s date of hire. Staff #1 did not reside out of state and did not have an FBI criminal history check done. 10/27/2016 Implemented
6400.151(c)(2)Staff #2 was hired on 12/23/13 and does not have a current TB test on file. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. Process developed for hiring will ensure that all pre-employment requirements have been met before the person can start training. A random sample of documents is attached. 10/27/2016 Implemented
Article X.1007Article x Peaceful Living is required to meet all requirements of Article X of the Public Welfare Code and of the applicable statutes, ordinances and regulations (62 P.S. § 1007) including criminal history checks and hiring policies for the hiring, retention and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P.S. § 10225.101 ¿ 10225.5102) and its regulations (6 Pa. Code Ch. 15). Staff #1 was rehired on 10/14/14. No criminal history check was completed within five working days of the hire date. When, after investigation, the department is satisfied that the applicant or applicants for a license are responsible persons, that the place to be used as a facility is suitable for the purpose, is appropriately equipped and that the applicant or applicants and the place to be used as a facility meet all the requirements of this act and of the applicable statutes, ordinances and regulations, it shall issue a license and shall keep a record thereof and of the application.plans of correction are developed and implemented, substantiating documentation has been forwarded as well. 10/27/2016 Implemented
SIN-00093326 Renewal 12/07/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
20.21(a)Staff #1, a former employee, was re-hired on 10/14/14. Criminal History check was not completed within five working days of the hire date.The legal entity responsible for a facility or agency subject to approval under Article IX of the Public Welfare Code (62 P. S. § § 901¿922) shall submit an application for a certificate of compliance prior to the inspection and issuance of a certificate of compliance by the Department.The criminal History check was done for said employee and going forward the hiring process was revised to ensure that all requirements are met prior to the employees start date. 05/06/2016 Implemented
20.21(b)Staff #1, a former employee, was re-hired on 10/14/14. A FBI criminal history record check was not completed within five working days of the hire date.The legal entity responsible for a facility or agency subject to licensure under Article X of the Public Welfare Code (62 P. S. § § 1001¿1080) shall submit an application for a certificate of compliance prior to commencing operation of the facility or agency and may not commence operation until notified that a certificate of compliance will be issued.The employee identified did not reside outside of PA. However the HR director has revised the hiring process to ensure that all requirements are met prior to the employee's start date. 09/16/2016 Implemented
6400.151(c)(2)Staff #2 was hired on 12/23/13 and does not have a current TB test on file. The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. Moving forward the HR director is responsible for informing staff 1 month in advance of their physical being due. Anyone who does not have their physical done prior to the biannual date is subject to disciplinary action and can not work with the individuals until the physical is complete. 09/16/2016 Implemented
SIN-00066728 Renewal 09/29/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)A self-assessment was not completed for this home.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. a self assessment was cleaned and submitted to wszott@pa.gov 10/31/2014 Implemented
6400.64(a)The bathrom tub showerheads had orange and mildew staining on its surface.Clean and sanitary conditions shall be maintained in the home. the shower heads were cleaned. 09/29/2014 Implemented
6400.67(b)The outside deck had uneven surface boards creating a tripping hazard. Floors, walls, ceilings and other surfaces shall be free of hazards.maintenance department was able to repair to remove potential tripping hazard 10/15/2014 Implemented
6400.112(e)The night time fire drills were conducted on 6/7/14 and 9/10/13.A fire drill shall be held during sleeping hours at least every 6 months. Fire drills are documented on the overnight shift (11p-9a) on the following dates; 9/10/13-5:30am; 12/5/13 - 7:15am; 3/10/14-11:30pm 6/7/14 - 2:30am. 09/29/2014 Implemented
SIN-00040127 Renewal 09/11/2012 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.168(a)Documentation of one staff training on the medication administration score sheet was not available for review(a) In a home serving eight or fewer individuals, a staff person who has completed and passed the Department's Medications Administration Course is permitted to administer oral, topical and eye and ear drop prescription medications. The Program Specialist will sign off on the medication practicum that was without a signature during inspection. Ongoing medication practicums will be reviewed by the Residential Director and signed with the program specialist. A master schedule will be created to indicate when staff are due for their annual recertification. 10/05/2012 Implemented
SIN-00168541 Renewal 12/30/2019 Compliant - Finalized
SIN-00116106 Renewal 04/11/2017 Compliant - Finalized
SIN-00053247 Renewal 09/23/2013 Compliant - Finalized
SIN-00039804 Renewal 09/11/2012 Compliant - Finalized