Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.21(b) | New Hires- #2 At inspection, no FBI check or residency waiver provided for staff members. Residency was not established, and it could not be determined residence at employment.
Staff listed another state on their applications, no FBI check found in record or provided. | If a prospective employe who will have direct contact with individuals resides outside this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the person's date of hire.
| All employee files were reviewed by the Human Resources to establish which current staff required FBI background checks. Through our review it was determined there was one staff person who needed the FBI Background check. The process to obtain those records is ongoing. As we await the results this staff person has been working at our willow grove location which requires two staff at all times. |
05/07/2021
| Implemented |
6400.46(g) | Staff #1 date of hire 11/18/19, it could not be determined if staff member was trained by a fire safety expert or a staff member trained by a fire safety expert to conduct annual fire safety training. | Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (f). | A date to complete the fire safety training for ALL RMPC staff has been established and will occur on 5/11/21.The Training will be conducted by Tri State Training and Safety Consulting LLC. |
05/11/2021
| Implemented |
6400.105 | A Golf ball sized amount of dryer lint was present in the dryer at time of inspection. | Flammable and combustible supplies and equipment shall be utilized safely and stored away from heat sources.
| The providers plan of correction is to ensure that all lent screens are cleaned out after every drying cycle. |
05/07/2021
| Implemented |
6400.166(b) | Azelastine nasal spray did not have staff initials present for 3/16/21 8pm administration at time of inspection for Individual #3. | The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered. | All staff at 10101 were retrained on MAR Documentation by RMPC Compliance Officer. The training took place on 3/26/21 via zoom. |
05/07/2021
| Implemented |