Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00242505 Renewal 04/10/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.56On 4/10/2024 at 1:45 PM, the mechanical exhaust fan in the men's bathroom located in the office hallway was inoperative. On 4/10/2024 at 1:53 PM, the mechanical exhaust fan in the unisex bathroom across from exit #1 was inoperative.Program areas, dining areas, kitchens, bathrooms and first aid rooms shall be ventilated by operable windows or mechanical ventilation such as fans or air conditioning.A maintenance request was submitted on 4/22/2024. The repair was scheduled for maintenance and is expected to be completed by 5/8/2024. 05/08/2024 Implemented
2380.113(a)Direct Service Worker #1, date of hire 2/05/2024, had their initial physical examination completed on 2/09/2024. Direct Service Worker #2, date of hire 12/05/2017, did not have a physical examination completed prior to 12/08/2023.A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff persons, shall have a physical examination within 12 months prior to employment and every 2 years thereafter.The Provider's New Hire policy / procedure was updated to include changes to ensure all staff, including staff who are cross-trained to a licensed 2380 program meet the new hire qualifications including their initial physical examination prior to their date of hire in the facility program. Therefore, all staff going forward will be required to meet the qualifications for the licensed 2380 prior to hire. 05/08/2024 Implemented
SIN-00223535 Renewal 04/27/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.113(b)Program Specialist #1's 1/14/22 physical examination is not dated by the medical professional.The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or certified physician's assistant.On 4/26/2023, a request was sent to Worker's Care to have the Program Specialist's 1/14/2022 Physical Examination dated by the medical professional. A response was received and the correction was made on 5/1/2023. 05/11/2023 Implemented
2380.181(f)Individual #1's 8/22/22 assessment was provided to the plan team members 8/22/22 for an annual ISP meeting held 8/29/22.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to the individual plan meeting.It was discovered that the 2022 Assessment was completed and sent to the team on 8/22/2022, which was one year from the 2021 assessment dated 8/23/2021. The 2021 Annual Meeting was held 9/24/2021 and the 2022 Annual meeting was held one week earlier on 9/13/2022. Therefore, the 8/22/2022 annual assessment was not received 30 days prior to the meeting. The first notice for this individual's annual meeting was received on 8/29/2022. This individual is not in HCSIS and billed as "SC Services Only" through manual billing through County. 05/11/2023 Implemented
SIN-00204971 Renewal 05/11/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.113(a)Direct Service Worker #3, date of hire 12/06/2021, had a physical examination completed on 5/12/2020. This is more than 12 months prior to employment.A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff persons, shall have a physical examination within 12 months prior to employment and every 2 years thereafter.The Center updated the New Hire Checklist item, which reads: " _____ Schedule Pre-Hire Physical Examination/TB Test (PPD) ¿ (Community Hab Base Instructors, Program Specialists (not in DuBois), Program Directors (not in DuBois) ¿ check job description to see if new hire requires physical." A statement was added, which reads: "Any qualifying physical examination must be dated within 12 months prior to the date of hire." 06/06/2022 Implemented
2380.36(b)Direct Service Worker #1, date of hire 2/16/2017, completed their most recent training in general fire safety on 7/30/2020. This exceeds the annual requirement.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a).Direct Service Worker #1 completed the Annual Fire Safety Training on 5/31/2022, which was the first date of work following a short-term illness. (The documentation for the training that was completed on 7/1/2021 could not be located after DSW #1 had transferred to a different work location on 9/7/2021.) 05/31/2022 Implemented
2380.39(c)(1)Program Specialist #2, date of hire 2/03/2020, did not complete the following training during the 2021 fiscal training year: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.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.Program Specialist #2 completed the missing training in Person Centered Practices on May 11, 2022. 05/11/2022 Implemented
SIN-00117218 Renewal 07/11/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.89(c)The fire drills completed 8/29/16, 9/27/26, 10/31/16, 11/30/16, 1/31/17, 2/17/17, 3/30/17, 4/6/17, 5/15/17, and 6/27/27 did not indicate whether the fire alarm was operative. 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 was operative.On 9/15/2017 the Program Specialist will conduct a fire drill and complete the VTDC Monthly Fire Drill Report form in its entirety and verifiy that the fire alarm was operative. On 8/31/17, the Program Specialist was trained/retrained by the Program Quality Training Coordinator and Assistant Program Director, who reviewed the applicable regulations, VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual, the VTDC Fire Safety Monitoring Policy/Procedure and the completion of the Monthly Fire Drill Report form for documenting the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm was operative.Compliance will be monitored for a period of three months by the Assistant Program Director (or available on-site Supervisor) and attested with an initial and date on the Monthly Fire Drill Report.(The VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual is used as a reference tool, in addition to regular training on regulations, policies, and procedures, to assist Program Specialists during their training of Program Specialist duties). 07/23/2017 Implemented
2380.89(h)The fire alarm was not set off for the fire drills held on 9/27/16, 10/31/16, 11/30/16, 1/31/17, 2/17/17, 3/30/17, 4/6/17, 5/15/17, and 6/27/17. A fire alarm shall be set off during each fire drill.On 9/15/2017 the Program Specialist will conduct a fire drill and set off the fire alarm during the fire drill. On 8/31/17, the Program Specialist was trained/retrained by the Program Quality Training Coordinator and Assistant Program Director, who reviewed the applicable regulations, VTDC Fire Safety Monitoring Policy/Procedure, the VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual, and the use of the Monthly Fire Drill Report form, to carry out and document a fire drill, which includes that the fire alarm is set off for each fire drill. Compliance will be monitored for a period of three months by the Assistant Program Director (or available on-site Supervisor) and attested with an initial and date on the Monthly Fire Drill Report. (The VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual is used as a reference tool, in addition to regular training on regulations, policies, and procedures, to assist Program Specialists during their training of Program Specialist duties). 07/23/2017 Implemented
2380.181(f)The program specialist did not provide the assessment dated 1/6/17 for Individual #1 to plan team members prior to the ISP meeting on 2/15/17. The program specialist did not provide the assessment dated 1/13/17 for Individual #2 to plan team members prior to the ISP meeting on 2/14/17. The program specialist shall provide the assessment to the SC or plan lead, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § §  2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP).On 1/6/2017 the Program Specialist provided an annual assessment to the SC for Individual #1 via email; however, given that it was not noted on the assessment with a cc: and date, on 8/31/2017, the Program Specialist updated the information to accurately refelct that the assessment was cc'd to the Program Specialist on 1/6/2017 prior to the annual ISP meeting on 2/15/2017. .Also, on 1/13/2017, the Program Specialist provided an annnual assessment to the SC for Individual #2 in-person during a monitoring. However, it was also not noted with a cc: and date on the assessment. So, the Program Specialist, again, updated the assessment with the cc information and date to reflect that the SC was provided the assessment on 1/13/2017 prior to the annual ISP meeting on 2/14/17. In addition, between March 2017 and 7/3/2017, the Program Quality Training Coordinator had reviewed all other charts for compliance. There were no other instances of non-compliance discovered. To ensure that a copy of the assessment is submitted to the SC within the required timeframe of at least 30 calendar days prior to an ISP meeting, on August 31, 2017, the Program Specialist participated in a training with the Program Quality Training Coordinator and Assistant Program Director, who reviewed the applicable regulations, forms, and processes, which are included in the VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual. Compliance will be monitored for a period of three months by the Assistant Program Director (APD) and attested by cc¿ing the Assistant Program Director when annual assessments are forwarded to the SC. (The VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual is used as a reference tool, in addition to regular training on regulations, policies, and procedures, to assist Program Specialists during their training and administration of Program Specialist duties). 07/23/2017 Implemented
SIN-00095100 Renewal 05/06/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.33(c)(3)Program Specialist #2 did not have one of the educational qualifications for this position.A program specialist shall have one of the following groups of qualifications: An associate¿s degree or 60 credit hours from an accredited college or university and 4 years of work experience working directly with persons with disabilities.06/10/16 - Effective Friday, June 10, 2016 the employee reviewed as ¿Program Specialist #2¿ self-terminated. The Program Director is responsible to cover the duties of the Program Specialist until the position is filled by a qualified staff. Qualifications for the Program Director were sent with the corrective action documentation on 6/8/16. The employee identified as ¿Program Specialist #2¿ was listed as the Program Specialist for Venango Life Skills Habilitation Program in error, while this employee was considered ¿provisional¿ and awaiting verification of qualifications; the employee was subsequently reviewed on May 6, 2016. VTDC had enacted a VTDC Provisional Employment Qualification Requirements form and guidelines in order to hire and retain an applicant that is interested in the position of Program Specialist, but who is awaiting verification of qualifications.In order to clarify this internal provision, and prevent such an applicant from assuming duties prior to meeting all of the qualifications necessary for the position, on July 1, 2016, the Venango Training and Development Center, Inc. New Hire and Qualification Policy/Procedure and VTDC Provisional Employment Qualification Requirements was updated to include the statement: ¿During the provisional period, the position shall remain `vacant¿ until all required documentation is obtained, and all duties shall be the responsibility of the supervisor.¿ Note: An HR Assistant position was recently eliminated, so the ¿Checklist¿ mechanism that was previously used to ensure verification of qualifications has been replaced with management control over the process. This process will continue to be monitored on a monthly basis by the Compliance Committee. [COO will review diplomas and work experience etc. prior to hire to ensure the applicant has the required qualifications for a program specialist. Documentation of qualifications shall be maintained in the personnel record. (AS 7/15/16) 07/04/2016 Implemented
2380.53(b)There was an unlabeled clear spray bottle with a thick white liquid stored in the room with the furnace.Poisonous materials shall be stored in their original, labeled containers.On June 29, 2016, the Compliance Committee, which consists of the CEO, COO, CFO, and Compliance/Quality Director, met and discussed the implementation and monitoring processes for monthly VTDC Facility Safety Audits, and ongoing facility [physical site] monitoring for regulatory compliance.On June 30, 2016, Mary Kush, the Program Quality Training Coordinator created the Physical Site Checklist and updated the corresponding section of the VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual for Program Specialists. The updated Manual states that, ¿it is the responsibility of the Program Specialist to utilize the Physical Site checklist [to monitor physical site compliance] in accordance with 2380 regulations. This is required bi-weekly. The Program Quality Training Coordinator will utilize the same checklist monthly during site monitoring. The Physical Site Checklist also describes the instructions for the Program Specialist to follow when an issue arises: ¿If any discrepancies are noted, it is your responsibility to correct the error, contact the proper department or if needed, send a request, via email to the attention of the Maintenance Department for correction. . . . Instruction for use: If compliant, check the box, if not circle the box and report issues to the proper department via email. The bi-weekly checklists shall be kept for one year.¿ The PQTC reviewed the new Physical Site Checklist and the corresponding updated section of the VTDC ATF ¿ Program Specialist Responsibilities/ Duties Reference Manual with the Program Director. A Staff Training Signature Sheet is attached. Given that the Venango Life Skills Habilitation Program ¿ Program Specialist position is vacant, as of June 10, 2016, the Program Director assumes Program Specialist responsibilities until the position is filled with a qualified applicant. This process will be monitored on a monthly basis during Monthly Site Visits by the Program Quality Training Coordinator. In addition, physical site issues, which are related to ensuring facilities and equipment are safe and operable, are reported monthly at Safety Committee meetings using the VTDC Safety Audit form. While this form does not explicitly address combustibles or hazardous materials, any safety issues not listed may be explained in the ¿Other¿ category. All safety concerns are monitored monthly at Safety Committee meetings and reported directly to the COO. [The unlabeled spray bottle was disposed of on 5/6/16 by maintenance personnel. The program director was trained by program quality training coordinator on June 30, 2016 on the responsibilities and procedures to ensure poisonous materials are stored in their original, labeled containers. Upon hire, the Program specialist shall be trained in aforementioned responsibilities and procedures. (AS 7/14/16)] 07/04/2016 Implemented
2380.85Cans of floor sealer, floor cleaner, joint compound, paint and a plastic garbage containing plastic bags and the plastic vacuum hoses were stored less than 3 feet from the furnace and the hot water tank.Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.On June 29, 2016, the Compliance Committee, which consists of the CEO, COO, CFO, and Compliance/Quality Director, met and discussed the implementation and monitoring processes for monthly VTDC Facility Safety Audits, and ongoing facility [physical site] monitoring for regulatory compliance.On June 30, 2016, Mary Kush, the Program Quality Training Coordinator created the Physical Site Checklist and updated the corresponding section of the VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual for Program Specialists. The updated Manual states that, ¿it is the responsibility of the Program Specialist to utilize the Physical Site checklist [to monitor physical site compliance] in accordance with 2380 regulations. This is required bi-weekly. The Program Quality Training Coordinator will utilize the same checklist monthly during site monitoring. The Physical Site Checklist also describes the instructions for the Program Specialist to follow when an issue arises: ¿If any discrepancies are noted, it is your responsibility to correct the error, contact the proper department or if needed, send a request, via email to the attention of the Maintenance Department for correction. . . . Instruction for use: If compliant, check the box, if not circle the box and report issues to the proper department via email. The bi-weekly checklists shall be kept for one year.¿The PQTC reviewed the new Physical Site Checklist and the corresponding updated section of the VTDC ATF ¿ Program Specialist Responsibilities/ Duties Reference Manual with the Program Director. A Staff Training Signature Sheet is attached. Given that the Venango Life Skills Habilitation Program ¿ Program Specialist position is vacant, as of June 10, 2016, the Program Director assumes Program Specialist responsibilities until the position is filled with a qualified applicant. This process will be monitored on a monthly basis during Monthly Site Visits by the Program Quality Training Coordinator. In addition, physical site issues, which are related to ensuring facilities and equipment are safe and operable, are reported monthly at Safety Committee meetings using the VTDC Safety Audit form. While this form does not explicitly address combustibles or hazardous materials, any safety issues not listed may be explained in the ¿Other¿ category. All safety concerns are monitored monthly at Safety Committee meetings and reported directly to the COO. [The program director was trained by program quality training coordinator on June 30, 2016 on the responsibilities and procedures to ensure flammable and combustible supplies and equipment are utilized safely and stored away from heat sources. Upon hire, the Program specialist shall be trained in aforementioned responsibilities and procedures. (AS 7/14/16)] 07/04/2016 Implemented
2380.111(c)(10)The physical examination for Individual #2, dated 2/4/16 did not include medical information pertinent to diagnosis and treatment in case of an emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.On June 1, 2016, the Program Specialist contacted (via phone) the Support Coordinator to request that this information be obtained from the medical provider. On July 1, 2016, the Supervisor at UPMC Senior Communities/Sugar Creek Station faxed the 2/4/2016 physical for Individual #2 with section 111 c 10 - Medical information pertinent to diagnosis and treatment in case of emergency completed. The updated physical form for Individual #2 is attached. The Program Specialist is responsible to review participant physicals for completeness at intake using the attached VTDC [Participant] Orientation Checklist. The Program Specialist is also responsible to review the participant physical for completeness at the time of renewal. To ensure physicals are completed in their entirety as a requirement for participation in the program, on June 30, 2016, the Program Quality Training Coordinator updated the corresponding section of the VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual with a notation, which states: ¿[A participant] may not attend ATF until you receive the physical form completed in its entirety!¿ (The VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual is used as a reference tool, in addition to regular training on regulations, policies, and procedures, to assist Program Specialists during their training of Program Specialist duties).On June 30, 2016, Mary Kush, the Program Quality Training Coordinator reviewed the updated VTDC Participant Physical Form and Procedure for Participant Physicals and the corresponding updated section of the VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual with the Program Director.A Staff Training Signature Sheet is attached. Given that the Venango Life Skills Habilitation Program ¿ Program Specialist position is vacant, as of June 10, 2016, the Program Director assumes Program Specialist responsibilities until the position is filled with a qualified applicant. [Upon hire the Program Quality Training Coordinator will review/train the aforementioned "responsibilities/Duties" reference manual with the new Program specialist to ensure the program specialist reviews the individuals' physical examinations to ensure all required information is included. At least quarterly, the Program Director or Program Quality Training Coordinator will review a 25% sample of completed physical examination to ensure all required information is included. (As 7/14/16)] 07/04/2016 Implemented
2380.113(a)Direct Service Worker #1, date of hire 12/1/15 had a physical examination on 12/2/15.A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff persons, shall have a physical examination within 12 months prior to employment and every 2 years thereafter.On June 29, 2016, the Compliance Committee, which consists of the CEO, COO, CFO, and Compliance/Quality Director, met and discussed the updates needed for the VTDC HR Policy and Procedure for Pre-Employment Physicals to ensure that applicants for licensed Adult Training Facilities receive a physical prior to the first date of employment. On June 30, 2016, the COO updated the document as the Chief Operations Officer Responsibilities/HR Procedures and modified item #11 regarding Pre-employment Physicals to include the statements: ¿The COO will schedule all pre-employment physicals¿ and ¿All Physicals and TB tests will be completed and acceptable before any offer of employment is finalized.¿ Also, completed Physical forms must be ¿returned to the COO¿, not Payroll, as was previously stated. In addition, the COO created a procedure to document the process, which is attached. Note: An HR Assistant position was recently eliminated, so the ¿Checklist¿ mechanism that was previously used has been replaced with management control over the process. This process will continue to be monitored on a monthly basis by the Compliance Committee. 07/04/2016 Implemented
2380.181(a)The most recent assessment for Individual #1 were completed 2/23/15 and 3/6/16.Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the facility and an updated assessment annually thereafter.On June 21, 2016, Mary Kush, Program Training Coordinator, completed a monthly site visit at VLSHP, and checked all participant charts, including assessments, for compliance. The completed VTDC Site Visit Report & Summary is attached, along with summarized notes ¿Venango LSHP Charts: (as of 6/21/2016). Also attached is a 2380 licensure checklists (long form and short form), which are used during site visits to check participant charts and ensure consistency, thoroughness, and follow through. The notes page is a summary of findings from the checklist(s).To ensure assessments are completed in within the required timeframe, on June 30, 2016, the Program Quality Training Coordinator updated the Caseload Chart section of the VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual to include and describe how the Caseload Chart excel database is used by the Program Specialists and Program Quality Training Coordinator to monitor participant information and due dates, as well as, plan Monthly site visits. Revisions to this section also include a bolded notation to remind Program Specialists to update the chart ¿every two weeks.¿(The VTDC ATF ¿ Program Specialist Responsibilities/Duties Reference Manual is used as a reference tool, in addition to regular training on regulations, policies, and procedures, to assist Program Specialists during their training of Program Specialist duties). [At least quarterly, the Program Director and/or program quality training coordinator shall review a 25% sample of assessments to ensure individuals' assessments are completed within the required timeframes. Documentation of reviews shall be kept. (AS 7/14/16)] 07/04/2016 Implemented
SIN-00083837 Renewal 09/09/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.33(c)(1)Program Specialist #1, date of hire 4/20/15, does not possess the educational qualifications for program specialist position.A program specialist shall have one of the following groups of qualifications: A master's degree or above from an accredited college or university and 1 year of work experience working directly with persons with disabilities.Based on the qualifications of a Program Specialist described in 2380.33(c)(3), which are an associate¿s degree or 60 credit hours from an accredited college or university and 4 years of work experience working directly with persons with disabilities, VTDC has developed the following corrective action: On September 9, 2015, Program Specialist #1, date of hire 4/20/2015, submitted an email request to the registrar to obtain a transcript record for an Associate¿s Degree from California College for Health Sciences (CCHS). CCHS was renamed California College San Diego, and is accredited by the ACCSC (Accrediting Commission of Career Schools and Colleges). Note: A September 09, 2015 email from the University indicated that the record request can take 5-10 business days to process. A September 28, 2015 email relayed information received by phone, which provided a 4- 6 week timeline to receive a transcript, and up to 10 weeks to receive a diploma.On September 30, 2015, VTDC¿s New Hire Checklist was updated, and includes collecting an Employment Verification form, to verify relevant experience, in conjunction with any training/education documentation, required to qualify an applicant for the position. On September 30, 2015, the VTDC New Hire and Qualification Policy/ Procedure was updated to include a policy/procedure (#14) for provisionally hiring an employee, who is awaiting verification of relevant experience and/or a certificate, diploma, or transcript record documenting education or training required to qualify for a position. The revised policy/procedure will be presented to the Personnel Committee of the Board on October 21, 2015, and to the full Board for approval on October 28, 2015. In addition, on September 30, 2015, a VTDC Provisional Employment Qualification Requirements form was developed and approved by VTDC Management to outline VTDC¿s requirements and conditions of provisionally hiring an employee, based on pending verification of qualifications. Among these conditions, VTDC requires the following to ensure that services are provided by a qualified staff. During the provisional period, the employee remains under the supervision of an experienced VTDC staff, who supervises the applicant while carrying out all of his/her assigned duties, and provides a record of supervision, which is retained in the employee¿s personnel file (i.e. 30, 60 and 90-day evaluations and site monitoring reports). A provisional employee, who is awaiting verification of experience or documentation of qualifications required for their position, may not assume full signatory responsibilities until verification and/or documentation is obtained. Therefore, a provisional employee must ensure that all activities under their authority are supervised and signed, where applicable, by an authorized, designated staff, who meets the applicable regulatory qualifications of their position. The provisional employee, who is awaiting verification of experience or qualifications required for their position, may not work with a participant alone (i.e. Provide one-on-one, unsupervised services to a participant) in any Home and Community-Based service.[As per conversation with Compliance/Quality Director 11/5/15, prior to 10/30/2015 all program specialist qualifications were reviewed by COO and HR assistant along with the Compliance Director to ensure PS throughout the agency meet the required qualifications. If Program Specialist #1's qualification verification is not received and submitted to the department (via email to TVolkman@pa.gov) by 12/1/15, PS #1 will be reassigned from the PS position. (AS 11/5/15)] 09/25/2015 Implemented
SIN-00058361 Renewal 04/17/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
2380.111(c)(4)The most recent physical examination dated 7/8/13 for Individual #1 did not include a hearing screening. (c)  The physical examination shall include:(4)  Vision and hearing screening, as recommended by the physician.Individual #1 will be due for an annual physical examination effective July 8, 2014. Per Venango Training and Development Center, Inc.'s procedure outlined in an internal Corrective Action Plan, 1) A memo will be sent home with each individual with a VTDC Physical form attached one month prior to the physical due date. The VTDC Physical form requires a hearing screening per 2380.111 (c )(4). 2) Next, if the individual is absent or not attending for any reason one month prior to the due date, the Program Specialists will mail the VTDC physical form to the individual¿s caregiver. 3) A follow-up phone call will be made the same day to the individual¿s caregiver. The Program Specialist shall inform the caregiver that the VTDC physical form must be completed by a physician during the annual physical exam. 4) The Program Specialist will ask to be notified when the exam is scheduled. 5) Two weeks prior to the physical exam, the Program Specialist will place a courtesy call to the individual¿s caregiver as a reminder to use the VTDC Physical form. Program Specialists in programs licensed under 2380 regulations received the above VTDC Corrective Action procedure for the ¿Life Skills Habilitation Program Physical Form¿, the VTDC physical form, and Memo template(s) on April 22, 2014 and March 14, 2014, and (an updated form) on May 6, 2014. Program Specialists will submit a signed VTDC CAP form, which outlines VTDC¿s annual physical examination renewal procedure, by May 8, 2014 as evidence of their training on the procedure and updated form. 05/08/2014 Implemented
2380.111(c)(7)The most recent physical examination dated 7/8/13 for Individual #1 did not include an assessment of the individual's health maintenance needs.The physical examination shall include: An assessment of the individual's health maintenance needs, medication regimen and the need for blood work at recommended intervals.Individual #1 will be due for an annual physical examination effective July 8, 2014. Per Venango Training and Development Center, Inc.'s procedure outlined in an internal Corrective Action Plan, 1) A memo will be sent home with each individual with a VTDC Physical form attached one month prior to the physical due date. The VTDC Physical form requires an assessment of the individual's health maintenance needs per regulation 2380.111(c )(7). 2) Next, if the individual is absent or not attending for any reason one month prior to the due date, the Program Specialists will mail the VTDC physical form to the individual¿s caregiver. 3) A follow-up phone call will be made the same day to the individual¿s caregiver. The Program Specialist shall inform the caregiver that the VTDC physical form must be completed by a physician during the annual physical exam. 4) The Program Specialist will ask to be notified when the exam is scheduled. 5) Two weeks prior to the physical exam, the Program Specialist will place a courtesy call to the individual¿s caregiver as a reminder to use the VTDC Physical form. Program Specialists in programs licensed under 2380 regulations received the above VTDC Corrective Action procedure for the ¿Life Skills Habilitation Program Physical Form¿, the VTDC physical form, and Memo template(s) on April 22, 2014 and March 14, 2014, and (an updated form) on May 6, 2014. Program Specialists will submit a signed VTDC CAP form, which outlines VTDC¿s annual physical examination renewal procedure, by May 8, 2014 as evidence of their training on the procedure and updated form. 05/08/2014 Implemented
2380.111(c)(8)The most recent physical examination dated 7/8/13 for Individual #1 did not include the physical limitations of the individual.The physical examination shall include: Physical limitations of the individual.Individual #1 will be due for an annual physical examination effective July 8, 2014. Per Venango Training and Development Center, Inc.'s procedure outlined in an internal Corrective Action Plan, 1) A memo will be sent home with each individual with a VTDC Physical form attached one month prior to the physical due date. The VTDC Physical form requires the physical limitations of the individual per 2380.111(c)(8). 2) Next, if the individual is absent or not attending for any reason one month prior to the due date, the Program Specialists will mail the VTDC physical form to the individual¿s caregiver. 3) A follow-up phone call will be made the same day to the individual¿s caregiver. The Program Specialist shall inform the caregiver that the VTDC physical form must be completed by a physician during the annual physical exam. 4) The Program Specialist will ask to be notified when the exam is scheduled. 5) Two weeks prior to the physical exam, the Program Specialist will place a courtesy call to the individual¿s caregiver as a reminder to use the VTDC Physical form. Program Specialists in programs licensed under 2380 regulations received the above VTDC Corrective Action procedure for the ¿Life Skills Habilitation Program Physical Form¿, the VTDC physical form, and Memo template(s) on April 22, 2014 and March 14, 2014, and (an updated form) on May 6, 2014. Program Specialists will submit a signed VTDC CAP form, which outlines VTDC¿s annual physical examination renewal procedure, by May 8, 2014 as evidence of their training on the procedure and updated form. 05/08/2014 Implemented
2380.111(c)(9)The most recent physical examination dated 7/8/2013 for Individual #1 did not include allergies or contraindicated medication.The physical examination shall include: Allergies or contraindicated medication.Individual #1 will be due for an annual physical examination effective July 8, 2014. Per Venango Training and Development Center, Inc.'s procedure outlined in an internal Corrective Action Plan, 1) A memo will be sent home with each individual with a VTDC Physical form attached one month prior to the physical due date. The VTDC Physical form requires allergies or contraindicated medication per 2380.111(c)(9).. 2) Next, if the individual is absent or not attending for any reason one month prior to the due date, the Program Specialists will mail the VTDC physical form to the individual¿s caregiver. 3) A follow-up phone call will be made the same day to the individual¿s caregiver. The Program Specialist shall inform the caregiver that the VTDC physical form must be completed by a physician during the annual physical exam. 4) The Program Specialist will ask to be notified when the exam is scheduled. 5) Two weeks prior to the physical exam, the Program Specialist will place a courtesy call to the individual¿s caregiver as a reminder to use the VTDC Physical form. Program Specialists in programs licensed under 2380 regulations received the above VTDC Corrective Action procedure for the ¿Life Skills Habilitation Program Physical Form¿, the VTDC physical form, and Memo template(s) on April 22, 2014 and March 14, 2014, and (an updated form) on May 6, 2014. Program Specialists will submit a signed VTDC CAP form, which outlines VTDC¿s annual physical examination renewal procedure, by May 8, 2014 as evidence of their training on the procedure and updated form. 05/08/2014 Implemented
2380.111(c)(10)The most recent physical dated 7/8/2013 for Individual #1 did not include medical information pertinent to diagnosis and treatment in case of emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.Individual #1 will be due for an annual physical examination effective July 8, 2014. Per Venango Training and Development Center, Inc.'s procedure outlined in an internal Corrective Action Plan, 1) A memo will be sent home with each individual with a VTDC Physical form attached one month prior to the physical due date. The VTDC Physical form requires medical information pertinent to diagnosis and treatment in case of emergency per 2380.111(c)(10). 2) Next, if the individual is absent or not attending for any reason one month prior to the due date, the Program Specialists will mail the VTDC physical form to the individual¿s caregiver. 3) A follow-up phone call will be made the same day to the individual¿s caregiver. The Program Specialist shall inform the caregiver that the VTDC physical form must be completed by a physician during the annual physical exam. 4) The Program Specialist will ask to be notified when the exam is scheduled. 5) Two weeks prior to the physical exam, the Program Specialist will place a courtesy call to the individual¿s caregiver as a reminder to use the VTDC Physical form. Program Specialists in programs licensed under 2380 regulations received the above VTDC Corrective Action procedure for the ¿Life Skills Habilitation Program Physical Form¿, the VTDC physical form, and Memo template(s) on April 22, 2014 and March 14, 2014, and (an updated form) on May 6, 2014. Program Specialists will submit a signed VTDC CAP form, which outlines VTDC¿s annual physical examination renewal procedure, by May 8, 2014 as evidence of their training on the procedure and updated form. 05/08/2014 Implemented
2380.111(c)(11)The most recent physical examination dated 7/8/2013 for Individual #1 did not include special instructions for the individual's diet.The physical examination shall include: Special instructions for an individual's diet.Individual #1 will be due for an annual physical examination effective July 8, 2014. Per Venango Training and Development Center, Inc.'s procedure outlined in an internal Corrective Action Plan, 1) A memo will be sent home with each individual with a VTDC Physical form attached one month prior to the physical due date. The VTDC Physical form requires special instructions for the individual's diet per 2380.111(c)(11). 2) Next, if the individual is absent or not attending for any reason one month prior to the due date, the Program Specialists will mail the VTDC physical form to the individual¿s caregiver. 3) A follow-up phone call will be made the same day to the individual¿s caregiver. The Program Specialist shall inform the caregiver that the VTDC physical form must be completed by a physician during the annual physical exam. 4) The Program Specialist will ask to be notified when the exam is scheduled. 5) Two weeks prior to the physical exam, the Program Specialist will place a courtesy call to the individual¿s caregiver as a reminder to use the VTDC Physical form. Program Specialists in programs licensed under 2380 regulations received the above VTDC Corrective Action procedure for the ¿Life Skills Habilitation Program Physical Form¿, the VTDC physical form, and Memo template(s) on April 22, 2014 and March 14, 2014, and (an updated form) on May 6, 2014. Program Specialists will submit a signed VTDC CAP form, which outlines VTDC¿s annual physical examination renewal procedure, by May 8, 2014 as evidence of their training on the procedure and updated form. 05/08/2014 Implemented
SIN-00188053 Renewal 05/27/2021 Compliant - Finalized
SIN-00158643 Renewal 07/19/2019 Compliant - Finalized
SIN-00137130 Renewal 06/19/2018 Compliant - Finalized
SIN-00141035 Renewal 06/19/2018 Compliant - Finalized
SIN-00065054 Initial review 09/12/2014 Compliant - Finalized
SIN-00063618 Renewal 04/17/2014 Compliant - Finalized
SIN-00046101 Renewal 12/14/2012 Compliant - Finalized