| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.23(a) | Criminal history checks shall be submitted prior to an individual living in the home. Staff #1 and Staff #2's Pennsylvania criminals history check date of request was completed on 6/15/2020. Individual #1 moved into their home on 5/21/2020. This exceeds the requirement. | An application for a Pennsylvania criminal history record check shall be submitted to the State Police for individuals 18 years of age or older who reside in the home, prior to an individual living or receiving respite care in the home. | All providers will have a criminal history check prior to living in the home. The criminal history check will be submitted before the home is licensed. |
05/03/2021
| Implemented |
| 6500.23(f) | Staff #1 had their child abuse clearance completed on 10/23/17. There is no record of staff #2 having a child abuse clearance completed. Individual #1 moved into their home on 5/21/2020 and they were 15 years old at that time (date of birth 6/14/04). This exceeds the requirement. | If the home serves primarily children, 23 Pa.C.S. § § 6301-6384 (relating to Child Protective Services Law) applies. | All life sharing providers that will be providing services for people under the age of 16 will have child abuse clearances and all necessary clearances within one year prior to their licensing of their home through our life sharing program. |
05/03/2021
| Implemented |
| 6500.24(c) | Individual #2's funds are not being used for his benefit. On 10/4/2020 and 11/3/2020 Individual #2 purchased wipes at the Dollar Store for $6.00. On 1/29/21 and 3/5/21 Individual #2 purchased wipes from Amazon for $10.57. These items should not be purchased using individual's funds as they would be included in Room and Board. | An individual's funds and property shall be used for the individual's benefit. | Wipes were purchased with individual funds. A cash request has been submitted to reimburse the individual for 16.57. Provider will purchase all wipes. |
05/13/2021
| Implemented |
| 6500.125(a) | Staff #1, Staff#3, and Staff #4 all had their physicals completed on 5/22/20. Staff #2 had their physical completed on 7/8/20. Individual #1 moved into their home on 5/21/2020. This exceeds the requirement. | Family members and persons living in the home shall have a physical examination within 12 months prior to the individual living in the home. | All family members will have their physicals prior to living in the home. The physicals will be submitted before the home is licensed. |
05/03/2021
| Implemented |
| 6500.125(c)(2) | Staff #1, staff#3, and staff #3 received their Tuberculin skin testing by Mantoux method with negative results on 5/29/2020, and staff #2 received their Tuberculin skin testing by Mantoux method with negative results on 7/10/2020. Individual #1 moved into their home on 5/21/2020. | The physical examination shall include: (2) Tuberculin skin testing by Mantoux method with negative results every 2 years for family members 1 year of age or older; or, if a 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 licensed practical nurse instead of a licensed physician. | All family members will have their TB test prior to living in the home. The test will be submitted before the home is licensed. |
05/03/2021
| Implemented |
| 6500.32(r)(1) | Individual #2 did not have a lock on their bedroom door. | An individual has the right to lock the individual's bedroom door. Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door. | Due to physical limitations and health and safety risks the team has updated the ISP to reflect that at this time it would not be safe for the individual #2 to have a locking device on his door. |
05/17/2021
| Implemented |
| 6500.45(a) | Staff #1 was not trained in first aid and Heimlich techniques. | 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. | Provider was trained in First Aid Heimlich on 5/11/21. |
05/11/2021
| Implemented |
| 6500.47(b)(2) | Staff #1 did not receive orientation training on the prevention, detection and reporting of abuse, suspected abuse, and alleged abuse. | The orientation 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. | Provider was trained in the prevention, detection and reporting of abuse, suspected abuse and alleged abuse on May 6, 2021. |
05/06/2021
| Implemented |
| 6500.47(b)(4) | Staff #1 did not receive orientation training on recognizing and reporting incidents. | The orientation must encompass the following areas: Recognizing and reporting incidents. | Provider was trained in the prevention, detection and reporting of abuse, suspected abuse and alleged abuse on May 6, 2021. Orientation book with required trainings has been developed and all new providers will receive mandatory training before the individual lives in the home. |
05/06/2021
| Implemented |
| 6500.152(c) | The assessment and ISP do not match. Individual #2's assessment dated 1/22/21 states for home supervision no unsupervised time during awake hours. Their ISP states they need to be supervised while at home. Individual #2 does not need to be within the line of sight but should be within hearing distance and checked on periodically. Individual #2's assessment and ISP for their ability to use or avoid poisonous material do not match. Individual #2's assessment dated 1/22/2021, their functional skill assessment indicates that they are a 4 which is independently or 100% of the time, and the individual does not require any assistance to complete the task as it relates for them to use or avoid poisons. The assessment also states that Individual #2 does not try to ingest or get into anything that's not food or drink related. He knows the difference. Their ISP states under general health and safety risks Individual #2 is supervised due to his sensory needs: he loves to smell things, taste different liquids and feel different objects. This could put him at risk. Under safety precautions it states that Individual #2 does not have any understanding of safety but does not generally try to get into any non-food items. The individual plan shall be revised when an individual's needs change based upon a current assessment. | The individual plan shall be initially developed, revised annually and revised when an individual's needs change based upon a current assessment. | Individual #1: The assessment has been updated to match the ISP that the individual has unsupervised time while her provider steps outside up to 5 min. The individual can also be unsupervised in her room or other areas of the home while the provider in in the home. This was done on 05/03/2021.
Individual #2: The ISP has been updated to match the assessment that he does not try to or attempt to ingest poisonous materials. 05/03/21. |
05/03/2021
| Implemented |