| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(a) | Staff #1, the Program Specialist, was hired 01/27/2019 and their Pennsylvania criminal history check was completed on 02/27/19. | 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.
| Binty Nurses, Inc will hire a Human Resource Specialist to make sure all Hiring process is done according to state law and 6400 regulations. Binty Nurses Inc Human Resource will ensure criminal records are done before a newly hired staff starts to work.
After Our HR has done all hiring process, Program Director will check all staff files before a new staff gains employment with Binty Nurses, Inc to make sure all criminal background is transparent with no records. |
09/17/2019
| Implemented |
| 6400.44(c) | Staff #1,the Program Specialist, personnel record did not include a resume or documentation of experience working with intellectually disabled individuals. | A program specialist shall have one of the following groups of qualifications: (1) A master's degree or above from an accredited college or university and 1 year work experience working directly with persons with intellectual disability. (2) A bachelor's degree from an accredited college or university and 2 years work experience working directly with persons with intellectual disability. (3) An associate's degree or 60 credit hours from an accredited college or university and 4 years work experience working directly with persons with intellectual disability. | Program Specialist has updated his resume with over 6 years of experience in working with people with Intellectual disability, and Autism. Program Specialist has a Master degree in Health Care Informatics and Bachelors Degree in Health Administration. |
08/19/2019
| Implemented |
| 6400.46(g) | Staff #1, the Program Specialist, fire safety training completed on 5/28/19 was not completed by a fire safety expert. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (f). | Staff #1 was trained by a fire safety Expert name Keith D. Thomas. Unfortunately, his credentials were not on file in the office. Moving forward, Program Specialist and Program Director will ensure all Trained experts credentials are kept on record for verification every year. Program Specialist will forward Fire Expert Trainer's credential and Resume through email. |
08/16/2019
| Implemented |
| 6400.46(i) | Staff #1, the Program Specialist, completed an online first aid and CPR training. | Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a trainer by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation. | Program Specialist has registered for the CPR trainer/instructor training with the American Heart Foundation on 10/09/19 to train all staff of Binty Nurses, Inc. After 10/09/19, Program Specialist will train all Binty Nurses, Inc staff to become CPR certified. Three months after they are hired.
Program Specialist will email a copy of the receipt for the CPR instructor training date |
10/09/2019
| Implemented |
| 6400.66 | There was no operational working light at the front door or the back door of the residence. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| The front door has a light fixed on 08/20/19. The Program Specialist will ensure each month to make a walkthrough in all homes to make sure all rooms, hallways, interior stairways, outside doorways, porches, ramps, and fire escapes shall be lighted to assure safety and to avoid accidents |
08/20/2019
| Implemented |
| 6400.66 | The bathroom in the basement did not have an operable light. | Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents.
| The bathroom in the basement has a light fixed on 08/20/19. The Program Specialist will ensure each month to make a walkthrough in all homes to make sure all rooms, hallways, interior stairways, outside doorways, porches, ramps, and fire escapes shall be lighted to assure safety and to avoid accidents |
08/20/2019
| Implemented |
| 6400.72(b) | The front screen door was damaged. | Screens, windows and doors shall be in good repair. | The front screen door has been replaced on 09/17/19. The picture will follow. Residential House mangers will ensure to report any damage in the house to Residential program manager anytime there is damage. The residential program manager will call Maintenance about the repairs to be fixed. Maintenance specialist shall repair the damage within 24 hours. The program specialist will check on all damages reported to make sure Maintenance is doing the repairs on time. |
08/20/2019
| Implemented |
| 6400.151(c)(2) | Staff #1, the Program Specialist, physical exam completed on 5/20/19 indicated they had a positive PPD, and had no chest x-ray results. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if 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 a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. | Program Specialist has updated his physical and chest x-ray. The chest was done on 10/16/17. Program Specialist has an appointment for his Physical Exams with Mainline health Care on 09/30/19 for an updated physical. See email for chest Xray.
Binty Nurses Inc Huma Resource specialist will ensure all staff's annual physical are done and completed with current PPD or chest Xray. Program DIrector will check all staff records every six months to make sure every staff has an updated document on file to avoid such an error. |
09/10/2019
| Implemented |