Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00086931 Renewal 11/20/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.164(b)The medication log for Individual #1 did not have the name of the person who administered Divalproex SOD ER, 250 mg on 9-20-15, at 4:00 PM. The information specified in subsection (a) shall be logged immediately after each individual's dose of medication. The procedures for documenting administration of medication were reviewed with each trained staff person at the Peach Street home on 12/10/2015 and 12/11/2015. All trained staff will continue to be observed twice a year passing medications and will have 4 MAR reviews completed. MAR's will also be spot checked by the agency nurse and/or the program specialist once a month. [All staff trained in medication administration at all community homes will be trained in the procedures for documenting administration of medications within the next 3 months of receiving this Inspection summary. Documentation of trainings will be kept. If during monthly monitorings of all individuals' medication logs, omissions of names of person administering medications is observed, monitoring of medication logs will increase to at least 2 times per month for at least 3 months of no medication documentation omissions. Documentation of monthly medication log monitorings will be kept and reviewed by the CEO to ensure completion and accuracy.(AS 12/22/15)] 12/19/2015 Implemented
SIN-00068589 Renewal 12/17/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Staff person #1, date of hire 10/27/14, did not have the criminal history record check requested until 11/20/14. 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. A Human Resources Director will be hired to ensure that all staff records are completed as required by all Federal and State regulations. Hiring will occur by 3/30/15. [Within 30 days upon receipt of correction, the CEO or designee will audit all staff persons records to ensure a criminal history check has been completed per regulatory and OAPSA requirements. (CHG 1/30/15)] 01/22/2015 Implemented
6400.112(c)The fire drill records do not include problems encountered for the drills January through December, 2014.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 drill form was revised to include a problems encountered column. Staff were trained in the revision the week of 1/19/15. The form and staff training record was emailed on 1/22/15. 01/22/2015 Implemented
SIN-00235708 Renewal 11/14/2023 Compliant - Finalized
SIN-00198299 Renewal 01/04/2022 Compliant - Finalized
SIN-00183431 Renewal 02/18/2021 Compliant - Finalized
SIN-00164985 Renewal 10/22/2019 Compliant - Finalized
SIN-00144591 Renewal 10/30/2018 Compliant - Finalized
SIN-00104086 Renewal 11/22/2016 Compliant - Finalized
SIN-00056393 Renewal 11/12/2013 Compliant - Finalized