Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00238361 Renewal 01/30/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency completed a self-assessment 1/18/2023, 7/16/2023, 1/13/2024 and not within 3 to 6 months prior to the expiration date of the agency's certificate of compliance.The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. The management team(Site Supervisor, Compliance Specialist and Program Specialist) were trained on the self assessments and completion of self assessment tool in regards to regulation.15(a). 02/05/2024 Implemented
6400.68(b)On 1/31/2024, the hot water temperature measured 128.1°F at the kitchen sink at 9:35AM and measured 133.5°F at the bathtub, in the bathroom on the second floor at :9:39AM. Hot water temperatures in bathtubs and showers may not exceed 120°F. The agency purchased digital thermometers to ensure the temperature is more accurate than the prior thermometers. On 2/1/24 the temperature was turned down on he water tank and rechecked for accuracy. Kitchen sink was 118 degrees Fahrenheit and the bathroom was 118 degrees Fahrenheit. 02/01/2024 Implemented
6400.70On 1/31/2024, the telephone was not operable.A home shall have an operable, noncoin-operated telephone with an outside line that is easily accessible to individuals and staff persons. Management team was retrained on 6400.68(b) regulation on 2/5/24. Verizon was called and trouble shooted the connection on the phone and was fixed 2/6/24. 02/06/2024 Implemented
6400.101On 1/31/2024, the exit door leading to the backyard from the basement, had a lawn mower, a gutter approximately 7 foot in length, and a hose outside in front of the door.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. On 2/5/24, The management team was retrained on regulation 6400.101. On 2/1/24 the site supervisor removed all objects that was reported to be blocking the door. 02/05/2024 Implemented
6400.110(a)On 1/31/2024, at 9:45AM the smoke detector on the second floor of the home tested not operable. A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. The management team was retrained on regulations 6400.110(a). On 2/6/24 interconnected smoke detectors were installed within the house, tested and were working. 02/06/2024 Implemented
SIN-00128511 Renewal 01/30/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(e)The home which had three floors including the basement did not have interconnected smoke detectors.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. Plan of Correction for: PA 6400.110 (e) Smoke Detectors and Fire Alarms How was it Corrected: Quality Adult Care Services will input an interconnected fire alarm system that is audible throughout the home. When it was corrected: On February 9th, 2018, Who made the corrections: The CFO Adam Barnett purchased the interconnected fire alarm system to ensure the necessary compliance from Home Depot (see attached receipt). What Specific Change will be made: The fire alarm system was purchased and installed to have it interconnect to ensure safety in the home. Who will make the change: The Quality Adult care Services management; The CFO/Adam Barnett, CEO/President Tamara Barnett, The Program Supervisor; Tamica Wade, Program Specialist; Anisa Tate and Program Specialist Supervisor: Leslie Law-Ball. When will the change be made: The change was made February 9th 2018 How will the change be made: The interconnected fire alarm system was initially tested upon installation of the fire alarm. system Testing will be done during monthly fire drills. What system have you implemented to make sure that the same violation will not occur again: The fire alarm system will be tested monthly during fire drills to make sure the system is interconnected. What training will be provided by you staff: The topics will cover Fire Drill with Alternative Exists (see attached). Supporting Documentation: Training Agenda Home Depot Receipt 02/16/2018 Implemented
6400.112(f)The monthly fire drills held between 2/17/17 and 1/1/18 used the front door as the exit route.Alternate exit routes shall be used during fire drills. Plan of Correction for: PA 6400.112 (f) Fire Drills How was it Corrected: All Direct Care Staff were notified trough the Quality Adult Care Services Remind App about when to have their monthly fire drill. The sites with multiple exits would need to alternate between the two exists within the home. When it was corrected: On February 16, 2018 Who made the corrections: Program Supervisor Tamica Wade sent a message in the QACS Remind App for the DCS to conduct the fire drill. (see attached). What Specific Change will be made: All Direct Care Staff working at a site with multiple exits will alternative fire exit routes. Who will make the change: The Direct Care Staff will have Fire Drill Training. The Program Supervisor; Tamica Wade, Program Specialist; Anisa Tate and Program Specialist Supervisor: Leslie Law-Ball will conduct the training. When will the change be made: This will be completed by February 6th 2018 How will the change be made: During the Fire Drill training their will be demonstration on how to conduct the fire drill using alternative exists. What system have you implemented to make sure that the same violation will not occur again: Staff will be reminded monthly through the Quality Care Service Remind App to alternate exits and ensure compliance. What training will be provided by you staff: The topics will cover Fire Drill with Alternative Exists (see attached). Supporting Documentation: Training Agenda Fire Drill Form Remind APP print out 02/16/2018 Implemented
6400.161(d)On 1/31/18, at 1:40PM, there were three loose pills in the bottom of Individual #1's medication box.Prescription and nonprescription medications shall be stored under proper conditions of sanitation, temperature, moisture and light. Plan of Correction for: PA 6400.161(d) Storage of medications How it was corrected: On January 31, 2018 at 2pm Program Specialist Supervisor Leslie Law-Ball and Program Supervisor Tamica disposed of the three loose medications on site. Both signed the medication disposal form documenting the disposal. (see attached) When it was corrected: January 31, 2018 at 2pm Who made the correction: QACS Management; Program Specialist Supervisor Leslie Law-Ball and Program Supervisor Tamica Wade What specific change will be made: DCS Staff will be trained to empty the medication storage box each time medication is administered to ensure that there are no loose pills remaining in the medication storage box. DCS Staff will initial off of the Daily Job Responsibilities Log after completing the task. (see attached example) Who will make the change: Quality Adult Care Services Management: Program Specialist Supervisor Leslie Law, Program Specialist Anisa Tate and Program Supervisor Tamica Wade. When will the change be made: Change will be completed February 12, 2018 How will the change be made: DCS Staff will be trained through a demonstration by QACS Management as listed above during training. What system have you implemented to make sure that the same violation will not occur again: DCS Staff will be trained to take all medications out of the medication storage container until empty to ensure there are no loose medications. Staff will then initial on Daily Job Responsibilities checklist after completion during each medication administration. What training will be provided to your staff: Proper Medication Storage Supporting documentation: Training Agenda/Medication Disposal Form/Daily Job Responsibilities check list 02/16/2018 Implemented
6400.161(e)Ventolin HFA inhaler, expiration date 5/18/17, prescribed for Individual #1, remained in Individual #1's medication box.Discontinued prescription medications shall be disposed of in a safe manner.Plan of Correction for: PA 6400.161(e) Storage of medications How it was corrected: On January 31, 2018 at 2pm Program Specialist Supervisor Leslie Law-Ball and Program Supervisor Tamica disposed of the expired Ventolin HFA inhaler on site. Both signed the medication disposal form documenting the disposal. (see attached) When it was corrected: January 31, 2018 at 2pm Who made the correction: QACS Management; Program Specialist Supervisor Leslie Law-Ball and Program Supervisor Tamica Wade What specific change will be made: DCS Staff will be trained to check the expiration date of all medications after delivery of monthly medications and dispose of any medications requiring disposal as well as complete the Medication Disposal Form. DCS Staff will initial off of the Daily Job Responsibilities Log after completing the task. This process will occur monthly. (see attached example) Who will make the change: Quality Adult Care Services Management: Program Specialist Supervisor Leslie Law, Program Specialist Anisa Tate and Program Supervisor Tamica Wade When will the change be made: Change will be completed February 12, 2018 How will the change be made: DCS Staff will be trained through a demonstration by QACS Management as listed above during training. What system have you implemented to make sure that the same violation will not occur again: DCS Staff will be trained to check the expiration date of all medications being administered and dispose of any that require disposal as well as complete the Medication Disposal Form. Staff will then initial on Daily Job Responsibilities checklist after completion during each medication administration. What training will be provided to your staff: Proper Medication Storage Supporting documentation: Training Agenda/Medication Disposal Form/Daily Job Responsibilities check list 02/16/2018 Implemented
SIN-00107946 Renewal 02/06/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessments for home were completed on 7/29/16 and 1/29/17. The certificate of compliance expires on 3/19/16. [Repeat Violation 1/22/16]The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. QACS CEO plan to address the non-compliance by correcting the dates of completing the self-assessments to the appropriate dates. The dates will be within 3 to 6 months prior to the expiration date of QACS certificate of compliance, which is 3/19/2017. The CEO will implement an automatic calendar to alert CEO of this required completion to measure and record compliance with this chapter 6400.15(a). The CEO changed the dates to correct this violation to 10/19/17 & 4/19/17 to avoid future violations with this chapter.[NOT ACCEPTABLE DATE IS AFTER THE EXPIRATION OF THE CURRENT LICENSE (AS 2/22/17) Upon receipt of the certificate of compliance, the CEO shall review the date of expiration to determine the required timeframe for completing the self-assessments and implement aforementioned tracking system to ensure timely completion. (AS 2/22/17)] 02/18/2017 Implemented
SIN-00088720 Renewal 01/22/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self-assessment of the home was completed on 7/1/15. The certificate of compliance expires on 3/19/16. [Repeated Violation 1/29/15]The agency shall complete a self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency¿s certificate of compliance, to measure and record compliance with this chapter. The CEO, Tamara Barnett of Quality Adult Care Services will ensure that the self-assessment of each home the agency operates serving eight or fewer individuals, within 3 to 6 months prior to the expiration date of the agency's certificate of compliance to measure and record compliance with PA 6400.15(a). The new dates the CEO will complete the self-assessment will now be on 1/29 & 7/29 to continue compliance with this chapter. [Immediately, CEO will develop and implement and review at least quarterly a tracking system with reminders to complete the self-assessments for each community home within the required timeframes. Immediately, PSS will also develop and implement a separate tracking system with reminders to complete the self-assessment for each community home within the required timeframes. CEO and PSS will meet at least quarterly to discuss the process for timely completion of each self-assessment. (AS 3/7/16)] 02/11/2016 Implemented
6400.151(a)Direct Service Worker #1, date of hire 12/22/15, did not have a physical examination completed until 12/30/15. 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, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. The CEO, Tamara Barnett of Quality Adult Care Services will ensure that staff person(s) 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, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. If the staff person(s) do not have the necessary correct physical examination within 12 months prior to employment then Quality Adult Care Services shall not proceed with employment with the agency due to the regulation PA 6400.151(a).[Immediately, CEO will review all staff records to ensure all staff have required current physical examinations. Immediately, CEO will develop and implement a new hire checklist to include the completion of staff physical examinations within required timeframes. CEO will review all new staff physical examinations to ensure competition within the required timeframes and document on the new hire checklist. (AS 3/7/16)] 02/11/2016 Implemented
SIN-00078505 Unannounced Monitoring 05/01/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.21(a)Staff person #1 hired on 2-4-13 had a Pennsylvania criminal history record check completed on 11-4-14.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. Staff person #1 had Pennsylvania criminal history record check completed on 11/04/14. QACS will ensure that prospective employees 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 to avoid reoccurance of this violation. Supporting documentation will be mailed certified on 05/18/2015. [CEO will review all staff records to ensure required criminal checks are completed for all current staff and will review all criminal background checks for prohibitive offences and act accordingly. CEO will ensure all prospective hires have criminal background checks without prohibitive offenses prior to having direct contact with individuals. (AS 6/17/15)] 05/24/2015 Implemented
6400.151(a)Staff person #1 hired on 2-4-13 had documented direct contact with individuals on 4-20-14, 5-7-14, 6-6-14, 8-12-14. A statement in a supports coordinator note dated 8-12-14 anecdotally indicates Staff person #1 had other contacts with individuals served by the agency. Staff person #1 did not have a physical examination completed 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, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. Staff person #1 completed physical examination with TB shot on 05/15/15. The results of the TB results were read on 05/17/15. QACS will ensure that staff shall have a physical examination within 12 months prior to employment and every 2 years thereafter at QACS. to avoid reoccurance of violation. [CEO will be responsible for ensuring that staff have all require information on physicals. (AS 6-17-15)] Supporting documentation will be mailed certified on 05/18/2015. 05/24/2015 Implemented
SIN-00042784 Renewal 11/05/2012 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.101On 11-5-12, egress from a small storage room in the kitchen of the home was obstructed by a padlock on the storage room door. Fully implemented - cs - 2/22/13.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. The padlock was removed on the storage room door and a new lock was input to have entry from the inside of the stroage room door to exit. The picture of the new lock will be e-mailed to the Inspector Christine Smith. All staff has been retrained on the Regulation 6400.101 that a person has to be able to exit from inside storage room door. The designated person selected to ensure responsibility and monthly safety checks of home is Tamara Barnett, Program Specialist. All necessary documents will be faxed for verification. 02/20/2013 Implemented
6400.141(c)(4)A pre-admission physical examination for Individual #1 completed on 4-3-12 did not include a vision screening. Partially implemented - adequate progress - cs - 2/22/13.(4) Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. The pre-admission physical was signed and dated from pcp on initial pre-admission physical exam that a vision screening was complete initially. All staff has been trained on the new physical exam form. Tamara Barnett, Program Specialist will be responsible for all required information on physical exam form during pre-admission. All necessary documents will be faxed for verification. Program Specialist will monitor physical examination forms on a monthly basis to ensure that all required information is completed. 02/20/2013 Implemented
6400.141(c)(6)A pre-admission physical examination for Individual #1 on 4-3-12 did not include TB testing. Partially implemented - adequate progress - cs - 2/22/13.(6) Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. TB test and results for Individual #1 was completed and the document will be faxed. All staff have been trained on the requirements of TB testing every 2 years. All necessary documents will be faxed for verification. Negative TB test for Individual #1 completed on 5-17-12. Program Specialist will monitor physical examination forms on a monthly basis to ensure that TB testing is completed as required. 02/20/2013 Implemented
6400.163(c)A review on 9-20-12 of psychotropic medications prescribed for Individual #1 did not include the reason for prescribing the medication, the need to continue the medication, or the necessary dosages. Partially implemented, adequate progress - cs - 2/22/13.(c) If a medication is prescribed to treat symptoms of a diagnosed psychiatric illness, there shall be a review with documentation by a licensed physician at least every 3 months that includes the reason for prescribing the medication, the need to continue the medication and the necessary dosage. The agency developed a new form for psychotropic medications prescribed for review to better capture the required information of the psychotropic medications review. The form was first used 11/16/2012. All staff have been trained regarding the required information on the psychiatric review form. Tamara Barnett will be responsible for this regulation and that it is met. Tamara Barnett will follow each psychiatric review on a regular basis. All necessary documents will be faxed for verification. Completed psychiatric medication review, using new form, was submitted. 02/20/2013 Implemented
SIN-00184885 Renewal 03/16/2021 Compliant - Finalized
SIN-00074022 Renewal 01/28/2015 Compliant - Finalized