Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00240820 Renewal 03/14/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(13)For individual 1 - the allergies section of the January 2024 physical is blank.The physical examination shall include: Allergies or contraindicated medications.On April 1, 2024, the agency's nurse rectified an oversight by addressing the blank allergies section in the January 2024 physical for Individual 1. 04/01/2024 Implemented
6400.181(c)For individual 1 - the 2022 and 2023 assessments appear to be identical in their contents.The assessment shall be based on assessment instruments, interviews, progress notes and observations. On March 27, 2023, the Chief Operating Officer (COO) conducted an orientation for the Program Specialist (PS) and identified similarities in both annual assessments. 03/27/2024 Implemented
6400.181(e)(3)(i)For individual 1 - the assessment does not speak to the individual's progress in areas that support is needed (for example, the reported desire/objective to become self-medicating).The assessment must include the following information: The individual's current level of performance and progress in the following areas: Acquisition of functional skills. On March 27, 2023, the Chief Operating Officer (COO) oriented the Program Specialist (PS) to ensure that assessments reflect the individual's progress in areas where support is needed. 03/27/2024 Implemented
6400.181(e)(12)For individual 1 - the assessment does not provide any details regarding recommendations for areas of training, programming, or services.The assessment must include the following information: Recommendations for specific areas of training, programming and services. On March 27, 2023, the Chief Operating Officer (COO) oriented the Program Specialist (PS) to ensure that assessments provide detailed recommendations for areas of training, programming, or services. 03/27/2024 Implemented
6400.32(r)The individual rights form does not include stipulation about the consumer's right to have a lock on their door.An individual has the right to lock the individual's bedroom door.The bedrooms lack the proper door locks per regulation 55 PA Code Chapter 6400.32(r) regarding an individual's right to lock their bedroom door. In compliance with this regulation, Halia's maintenance team addressed these issues on March 28, 2024, by installing the proper door locks on all bedroom doors, granting individuals the right to secure their private spaces. 04/01/2024 Implemented
6400.186For individual 1 - the provided documentation (ISP, monthly progress notes, assessment) all indicate that the individual continues to present challenging behaviors. Such behaviors were identified for treatment in the BSP included in his file. The BSP treatment plan date ended 5/13/23, which is outdated based on included data, and requires renewal to enact his plan and meet his needs as dictated.The home shall implement the individual plan, including revisions.On March 27, 2023, the Chief Operating Officer (COO) oriented the Program Specialist (PS) to ensure that the Behavioral Support Plan (BSP) treatment plan, which ended on May 13, 2023, has been updated by the behavioral specialist to ensure its renewal and alignment with the individual's needs as prescribed. 03/27/2024 Implemented
SIN-00203139 Renewal 03/14/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Individual #1 October 2021 assessment indicates poisons must be kept locked up in his home. A large bottle of dish detergent was found in an unlocked cabinet under the kitchen sink.Poisonous materials shall be kept locked or made inaccessible to individuals. 6400.62(a)/On 03/18/2022, HALIA's Residential Manager and Administrator/Trainer in-serviced all employees on staff on how to store away food items and separate them from chemical substances. Moreover, when we discovered non-compliance on the inspection day, the COO removed the food items from under the kitchen. 03/18/2022 Implemented
6400.66The door leading out to the apartment's porch has no light above it.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. Regarding 6400.66, on 6/27/2022, HALIA's COO instructed our maintenance team to install additional lights at the front patio exit and vacant bedroom to assure safety and avoid accidents. As instructed, our maintenance team installed lights at the front patio exit and vacant bedroom on 6/27/2022. 06/27/2022 Implemented
6400.77(b)The property's first aid kit did not have scissors. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. Chapter (6400.77(b) missing scissors in first aid kit. On 3/18/2022, Halia management, through the COO, purchased scissors and placed them in the first aid kit. In addition, the COO ensures that all homes' first aid kits have all of the required items, including scissors. 03/18/2022 Implemented
6400.166(a)(11)Individual #1 March 2022 MAR does not list the diagnoses or reasons for all medications listed on it. The entry for their Ventolin HFA 90 MCG inhaler indicates it is to be taken as needed for shortness of breath or wheezing, but the other medications listed do not list their reasons or diagnoses.A medication record shall be kept, including the following for each individual for whom a prescription medication is administered: Diagnosis or purpose for the medication, including pro re nata.6400.166(a)(11), the MAR did not list diagnosis for medication. On 4/2/22, HALIA's Administrator reached out to the pharmacy to list all diagnoses for the medications on the MARs. 04/02/2022 Implemented
SIN-00155968 Renewal 05/14/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.83(a)The Kitchen had insufficient equipment for cooking and serving food, could only locate two dishes for individual, no cups, and 2 mugs. A home shall have a kitchen area with a refrigerator, sink, cooking equipment and cabinets for storage. 29. On 5/17/2019, Halia completed purchased and supplied adequate matching utensils, cooking equipment, cups and plates to all the homes guaranteeing provisions sufficient to assist all individuals in eating comfortably in their home. To prevent a re-occurrence of this violation, Halia's CEO will continue to oversee all apartments to ensure that adequate provisions are available for use at all times. Attachment#17 07/04/2019 Implemented