Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6500.17(a) | The self-assessment was not completed in within 3-6 months prior to the expiration date of the agency's certificate of compliance. The self-assessment was not completed until October 2022. The assessment was not completed in its entirety and there was not a full date of completion, the date listed October as the date of completion. (Repeat Violation 11/9/21) | If an agency is the legal entity for the home, the agency shall complete a Self-Assessment of Homes the agency is licensed to operate 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. | The previous Compliance Manager was responsible for completing the self-assessments and failed to do so. The Director of Quality and Compliance was hired on 8/1/22 to take over the duties of the Compliance Manager, and effective 9/8/22 the Compliance Manager is no longer in her position. |
01/30/2022
| Implemented |
6500.45(a) | Life sharing provider #1 is not trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid, and Heimlich techniques prior to an individual living in the home and annually thereafter. | The primary caregiver shall be trained by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid and Heimlich techniques prior to an individual living in the home and annually thereafter. | The previous LS Specialist was not ensuring that the LS Provider was attending and completing the required trainings. Additionally, this LS provider has been non-compliant and unresponsive when members of the Dayspring management team attempt to reach them for needs, such as signing up for trainings. Due to the LS Providers recent health decline, Dayspring has been in the process of switching the provider to the LS Provider¿s roommate. This change has not yet taken place because we are waiting for the new LS Provider to complete the required trainings. The prospective new LS Provider is currently working on the required trainings.
Aside from training issues, the Dayspring management team has identified several concerns with this LS Provider recently. Due to these concerns, Dayspring has made the decision to give a 45-day notice to this provider. The Supports Coordinator is aware of this decision, Dayspring¿s CEO and Director of Operations are meeting with the Supports Coordinator on 11/28/22 to discuss Dayspring¿s concerns and the decision to terminate this LS Provider. The LS Provider will be issued the 45-day notice by 12/1/22 |
12/01/2022
| Implemented |
6500.45(b) | Life sharing Provider (LSP) #1 is not trained and certified by an individual certified as a trainer by a hospital or other recognized health care organization in cardiopulmonary resuscitation, if indicated by the medical needs of the individual. (Repeat Violation 11/9/21) | The primary caregiver shall be trained and certified by an individual certified as a trainer by a hospital or other recognized health care organization, in cardiopulmonary resuscitation, if indicated by the medical needs of the individual, prior to the individual living in the home and annually thereafter. | The previous LS Specialist was not ensuring that the LS Provider was attending and completing the required trainings. Additionally, this LS provider has been non-compliant and unresponsive when members of the Dayspring management team attempt to reach them for needs, such as signing up for trainings. Due to the LS Providers recent health decline, Dayspring has been in the process of switching the provider to the LS Provider¿s roommate. This change has not yet taken place because we are waiting for the new LS Provider to complete the required trainings. The prospective new LS Provider is currently working on the required trainings.
Aside from training issues, the Dayspring management team has identified several concerns with this LS Provider recently. Due to these concerns, Dayspring has made the decision to give a 45-day notice to this provider. The Supports Coordinator is aware of this decision, Dayspring¿s CEO and Director of Operations are meeting with the Supports Coordinator on 11/28/22 to discuss Dayspring¿s concerns and the decision to terminate this LS Provider. The LS Provider will be issued the 45-day notice by 12/1/22. |
12/01/2022
| Implemented |
6500.48(a) | Life Sharing Provider (LSP ) #1 did not complete 24 hours of training related to job skills and knowledge. | The primary caregiver and the life sharing specialist shall complete 24 hours of training related to job skills and knowledge each year. | The previous LS Specialist was not ensuring that the LS Provider was attending and completing the required trainings. Additionally, this LS provider has been non-compliant and unresponsive when members of the Dayspring management team attempt to reach them for needs, such as signing up for trainings. Due to the LS Providers recent health decline, Dayspring has been in the process of switching the provider to the LS Provider¿s roommate. This change has not yet taken place because we are waiting for the new LS Provider to complete the required trainings. The prospective new LS Provider is currently working on the required trainings.
Aside from training issues, the Dayspring management team has identified several concerns with this LS Provider recently. Due to these concerns, Dayspring has made the decision to give a 45-day notice to this provider. The Supports Coordinator is aware of this decision, Dayspring¿s CEO and Director of Operations are meeting with the Supports Coordinator on 11/28/22 to discuss Dayspring¿s concerns and the decision to terminate this LS Provider. The LS Provider will be issued the 45-day notice by 12/1/22. |
12/01/2022
| Implemented |
6500.48(b)(1) | Life Sharing Provider #1 did not complete annual training hours that encompass the application of person-centered practices, rights, facilitating community integration, individual choice and supporting individuals to develop and maintain relationships. | The annual training hours specified in subsection (a) must encompass the following areas: The application of person-centered practices, rights, facilitating community integration, individual choice and supporting individuals to develop and maintain relationships. | The previous LS Specialist was not ensuring that the LS Provider was attending and completing the required trainings. Additionally, this LS provider has been non-compliant and unresponsive when members of the Dayspring management team attempt to reach them for needs, such as signing up for trainings. Due to the LS Providers recent health decline, Dayspring has been in the process of switching the provider to the LS Provider¿s roommate. This change has not yet taken place because we are waiting for the new LS Provider to complete the required trainings. The prospective new LS Provider is currently working on the required trainings.
Aside from training issues, the Dayspring management team has identified several concerns with this LS Provider recently. Due to these concerns, Dayspring has made the decision to give a 45-day notice to this provider. The Supports Coordinator is aware of this decision, Dayspring¿s CEO and Director of Operations are meeting with the Supports Coordinator on 11/28/22 to discuss Dayspring¿s concerns and the decision to terminate this LS Provider. The LS Provider will be issued the 45-day notice by 12/1/22. |
12/01/2022
| Implemented |
6500.48(b)(2) | Life Sharing Provider #1 did not complete annual training hours that encompass 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. | The annual training hours specified in subsection (a) 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. | The previous LS Specialist was not ensuring that the LS Provider was attending and completing the required trainings. Additionally, this LS provider has been non-compliant and unresponsive when members of the Dayspring management team attempt to reach them for needs, such as signing up for trainings. Due to the LS Providers recent health decline, Dayspring has been in the process of switching the provider to the LS Provider¿s roommate. This change has not yet taken place because we are waiting for the new LS Provider to complete the required trainings. The prospective new LS Provider is currently working on the required trainings.
Aside from training issues, the Dayspring management team has identified several concerns with this LS Provider recently. Due to these concerns, Dayspring has made the decision to give a 45-day notice to this provider. The Supports Coordinator is aware of this decision, Dayspring¿s CEO and Director of Operations are meeting with the Supports Coordinator on 11/28/22 to discuss Dayspring¿s concerns and the decision to terminate this LS Provider. The LS Provider will be issued the 45-day notice by 12/1/22. |
12/01/2022
| Implemented |
6500.48(b)(3) | Life Sharing Provider #1 did not complete annual training hours in Individual Rights. | The annual training hours specified in subsection (a) must encompass the following areas: Individual rights. | The previous LS Specialist was not ensuring that the LS Provider was attending and completing the required trainings. Additionally, this LS provider has been non-compliant and unresponsive when members of the Dayspring management team attempt to reach them for needs, such as signing up for trainings. Due to the LS Providers recent health decline, Dayspring has been in the process of switching the provider to the LS Provider's roommate. This change has not yet taken place because we are waiting for the new LS Provider to complete the required trainings. The prospective new LS Provider is currently working on the required trainings.
Aside from training issues, the Dayspring management team has identified several concerns with this LS Provider recently. Due to these concerns, Dayspring has made the decision to give a 45-day notice to this provider. The Supports Coordinator is aware of this decision, Dayspring¿s CEO and Director of Operations are meeting with the Supports Coordinator on 11/28/22 to discuss Dayspring¿s concerns and the decision to terminate this LS Provider. The LS Provider will be issued the 45-day notice by 12/1/22. |
12/01/2022
| Implemented |
6500.48(b)(4) | Life Sharing Provider #1 did not complete annual training in recognizing and reporting incidents. | The annual training hours specified in subsection (a) must encompass the following areas: Recognizing and reporting incidents. | The previous LS Specialist was not ensuring that the LS Provider was attending and completing the required trainings. Additionally, this LS provider has been non-compliant and unresponsive when members of the Dayspring management team attempt to reach them for needs, such as signing up for trainings. Due to the LS Providers recent health decline, Dayspring has been in the process of switching the provider to the LS Provider's roommate. This change has not yet taken place because we are waiting for the new LS Provider to complete the required trainings. The prospective new LS Provider is currently working on the required trainings.
Aside from training issues, the Dayspring management team has identified several concerns with this LS Provider recently. Due to these concerns, Dayspring has made the decision to give a 45-day notice to this provider. The Supports Coordinator is aware of this decision, Dayspring¿s CEO and Director of Operations are meeting with the Supports Coordinator on 11/28/22 to discuss Dayspring¿s concerns and the decision to terminate this LS Provider. The LS Provider will be issued the 45-day notice by 12/1/22. |
12/01/2022
| Implemented |
6500.48(b)(5) | Life Sharing Provider #1 did not complete annual training in the safe and appropriate use of behavior supports. | The annual training hours specified in subsection (a) must encompass the following areas: The safe and appropriate use of behavior supports. | The previous LS Specialist was not ensuring that the LS Provider was attending and completing the required trainings. Additionally, this LS provider has been non-compliant and unresponsive when members of the Dayspring management team attempt to reach them for needs, such as signing up for trainings. Due to the LS Providers recent health decline, Dayspring has been in the process of switching the provider to the LS Provider¿s roommate. This change has not yet taken place because we are waiting for the new LS Provider to complete the required trainings. The prospective new LS Provider is currently working on the required trainings.
Aside from training issues, the Dayspring management team has identified several concerns with this LS Provider recently. Due to these concerns, Dayspring has made the decision to give a 45-day notice to this provider. The Supports Coordinator is aware of this decision, Dayspring¿s CEO and Director of Operations are meeting with the Supports Coordinator on 11/28/22 to discuss Dayspring¿s concerns and the decision to terminate this LS Provider. The LS Provider will be issued the 45-day notice by 12/1/22. |
12/01/2022
| Implemented |
6500.48(b)(6) | Life Sharing Provider #1 did not complete annual training that included the implementation of the individual plan. | The annual training hours specified in subsection (a) must encompass the following areas: Implementation of the individual plan. | The previous LS Specialist was not ensuring that the LS Provider was attending and completing the required trainings. Additionally, this LS provider has been non-compliant and unresponsive when members of the Dayspring management team attempt to reach them for needs, such as signing up for trainings. Due to the LS Providers recent health decline, Dayspring has been in the process of switching the provider to the LS Provider¿s roommate. This change has not yet taken place because we are waiting for the new LS Provider to complete the required trainings. The prospective new LS Provider is currently working on the required trainings.
Aside from training issues, the Dayspring management team has identified several concerns with this LS Provider recently. Due to these concerns, Dayspring has made the decision to give a 45-day notice to this provider. The Supports Coordinator is aware of this decision, Dayspring¿s CEO and Director of Operations are meeting with the Supports Coordinator on 11/28/22 to discuss Dayspring¿s concerns and the decision to terminate this LS Provider. The LS Provider will be issued the 45-day notice by 12/1/22. |
12/01/2022
| Implemented |