Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00228140 Renewal 07/24/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The oven bottom drawer is damaged and in need of repair.Floors, walls, ceilings and other surfaces shall be in good repair. In regards to violation 55 PA Code Chapter 6400.67(a) Eastwick Family Services contractor has adjusted the tracks on the drawer of the stove to ensure that the drawer opens and closes properly. 08/01/2023 Implemented
6400.52(a)(3)Staff Member #1 orientation was not completed within 30 days of their hire date of 3/16/23, with some core trainings occurring after that time period elapsed: Recognizing and Reporting Incidents and Individual Rights, both on 4/25/23.The following shall complete 24 hours of training related to job skills and knowledge each year: Program specialists.In regards to violation 55 PA Code Chapter 6400.52(a)(3) Eastwick Family Services has a certified trainer, and they were informed and retrained by the director on the training regulations to ensure all staff complete orientation training within 30 days of date of hire. 09/05/2023 Implemented
SIN-00211702 Renewal 07/26/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)The dresser located in Individual 2's bedroom was missing knobs.Floors, walls, ceilings and other surfaces shall be in good repair. In regards to violation cited in code 55 PA Code Chapter 6400.67(a) Eastwick Family Services CEO has purchased a new dresser for Individual 2. 08/30/2022 Implemented
6400.67(b)The dryer filter had lint the size of a golf ball. Floors, walls, ceilings and other surfaces shall be free of hazards.In regards to violation cited under code 55 PA Code Chapter 6400.67(b)Eastwick Family Services House Manager has cleaned the lint trap in the dryer and has retrained all the staff on the importance of keeping it clean. 07/30/2022 Implemented
6400.77(b)The first aid kit did not contain a thermometer. 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. In regards to violation cited under code 55 PA Code Chapter 6400.77(b) Eastwick Family Services House Manger has purchased a Thermometer to be placed into the Aid Kit. 08/15/2022 Implemented
6400.77(c)A first aid manual was not located in the first aid kit. A first aid manual shall be kept with the first aid kit.In regard to violation cited under code 55 PA Code Chapter 6400.77(c) Eastwick Family Services House Manager has inserted a manual in the first Aid kit. 08/15/2022 Implemented
6400.101The basement back door exit is obstructed, staff stated the exit is under construction. There is no pathway leading out.Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed. In regards to violation cited under code 55 PA Code Chapter 6400.101 Eastwick Family Services CEO has hired a contractor to create a pathway leading out the backdoor so that the back door is not obstructed. 11/30/2022 Implemented
6400.104Notifications to the fire department do not indicate the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. Notifications were not dated so it could not be determined if the document was current.The home shall notify the local fire department in writing of the address of the home and the exact location of the bedrooms of individuals who need assistance evacuating in the event of an actual fire. The notification shall be kept current. In regards to violation cited under code 55 PA Code Chapter 6400.104 Eastwick Family Services Program Specialist has revised and resent the letters to the fire department dated and stating the location of the bedroom for each individual who needs assistance evacuating. 08/12/2022 Implemented
6400.144Individual 1's Medication PROCTOFOAM HC 1% was signed as administered by staff, when questioned staff admittedly stated the medication was not administered as prescribed.Health services, such as medical, nursing, pharmaceutical, dental, dietary and psychological services that are planned or prescribed for the individual shall be arranged for or provided. In regards to violation cited under code 55 PA Code Chapter 6400.144 Eastwick Family Services Program Specialist has retrained all staff on the importance of medication administration to prevent any future errors. 10/10/2022 Implemented
6400.15(b)The following areas were not measured for compliance or recorded all were left blank on the self-assessment: a) 66-lighting in the home to assure safety was not measured-left blank on assessment; b) 67(a)-(b)-surfaces in the home not measured to be in good repair, and free of hazards-left blank on assessment; c) 72(a)-(c)-screens, windows, and doors, not measured for compliance-left blank on assessment.(b) The agency shall use the Department's licensing inspection instrument for the community homes for individuals with an intellectual disability or autism regulations to measure and record compliance.In regards to violation cited under code 55 PA Code Chapter 6400.15(b) Eastwick Family Services CEO has retrained all management on Self Inspection Tools and the importance of filling them out completely. 08/15/2022 Implemented
6400.166(b)All 8pm prescribed medications for Individual 1 were not signed as administered on the MAR.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.In regards to violation cited under code 55 PA Code Chapter 6400.166(b) Eastwick Family Services medication trainer has retrained staff on medication importance and how to properly record medication on the MARS 10/10/2022 Implemented
SIN-00192768 Renewal 07/29/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.66There was no ight in the backyard/deck area of the home at time of inspection.Rooms, hallways, interior stairways, outside steps, outside doorways, porches, ramps and fire escapes shall be lighted to assure safety and to avoid accidents. In regards to 55 PA Code Chapter 6400.66 Eastwick Family Services has hired an independent contractor to install a light in the backyard /deck area of the home. 10/29/2021 Implemented
6400.72(a)The window in the dining area was open and had no screen. Screens should be in all open windows.Windows, including windows in doors, shall be securely screened when windows or doors are open. In regards to 55 PA Code Chapter 6400.72(a) Eastwick Family Services has hired an independent contractor to install a screen in the dining room window. 10/01/2021 Implemented
6400.165(b)The prescription Polyethylene Glycol Powder (PRN) for Individual #1 expired March 2021. All prescriptions should be current.A prescription order shall be kept current.In regards to 55 PA Code Chapter 6400.165(b) Eastwick Family Services has retrained all staff with our new medication trainer on the importance of safely destroying all expired meds. 09/28/2021 Implemented
SIN-00170716 Renewal 02/10/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(c)The self-assessment did not evaluate staffing and training 6400: 42 to 46h. Staff health was not evaluated from 151a to 152cA copy of the agency's self-assessment results and a written summary of corrections made shall be kept by the agency for at least 1 year. In order to be in compliance with 55 PA Code Chapter 6400.15(c) Eastwick determined that the house managers who performed the self assessments neglected to fill out the entire assessments due to lack of understanding the forms and how to respond appropriately. In order to prevent this citation from reoccurring, Eastwick will re-train all house managers on how to complete quarterly self assessments for each site. Within 30 days of March 13, 2020 Eastwick will conduct this re-training and have all managers re-submit new self assessments. 04/13/2020 Implemented
6400.21(b)Staff #3 who was hired on 10/22/19 did not have an FBI check completed until 12/3/19.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. In order to be in compliance with PA Code Chapter 6400.21 (b) Eastwick determined that the human resource manager did submit the FBI Finger print application upon hiring the staff, however the staff cancelled the first appointment and failed to notify the human resource department that it needed to be rescheduled right away. In order to prevent this citation from reoccurring the human resource manager will create a new policy stating that all new hires and staff who'll require a FBI fingerprint clearance application and appointment must be completed with proper documentation to confirm this process was completed prior to working with Individuals. This documentation from IDENTOGO for example must be submitted to the human resource manager prior to any shift coverage. This new policy will be created within 30 days of March 13, 2020. 04/13/2020 Implemented
6400.112(d)The night drill held on 12/16/19 at 3 am did not list the time for evacuation. Individuals shall be able to evacuate the entire building, or to a fire safe area designated in writing within the past year by a fire safety expert, within 2 1/2 minutes or within the period of time specified in writing within the past year by a fire safety expert. The fire safety expert may not be an employe of the home or agency. Staff assistance shall be provided to an individual only if staff persons are always present at the home while the individual is at the home. In order to be in compliance with 55 PA Code Chapter 6400.112(d) Eastwick has determined that the fire drill documentation did not have a evacuation time as a result of staff leaving this section blank. The Direct Support Staff will be retrained on how to properly conduct and document a Fire Drill within 30 days of March 13, 2020. In order to prevent this citation from reoccurring, the House Manager will be responsible for checking all fire drills for error prior to submission to the program specialist monthly for inspection. 04/13/2020 Implemented
6400.151(a)Staff #2 did not have a physical on record. The agency has since stated that they have taken this staff off of their schedules. 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. In order to be in compliance with 55 PA Code Chapter 6400.151 (a) Eastwick has determined that the Human Resource department hired a staff who was a PRN as needed staff and promised to bring in her physical within a 5 day period of working with individuals. The staff failed to turn in the physical within the allotted timeframe and was removed from all shift coverage. In order to prevent a future reoccurring citation, the Human Resource Manager will ensure that all staff physical health requirements are met prior to working with an individual. The Human Resource Department will create a new policy stating that before a direct support staff can work with any individual, they must first produce a valid physical and PPD or Chest X-ray before working any shift. 04/13/2020 Implemented
SIN-00146270 Renewal 12/03/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.181(a)Individual #1's record did not include an assessment.[REPEATED NON-COMPLIANCE 4/17/18] Each individual shall have an initial assessment within 1 year prior to or 60 calendar days after admission to the residential home and an updated assessment annually thereafter. The initial assessment must include an assessment of adaptive behavior and level of skills completed within 6 months prior to admission to the residential home. In accordance with 55 PA Code Chapter 6400.181 (a), Eastwick has determined that unforeseen events caused this repeat violation. Our Program Specialist suddenly resigned the week of Individual # 1's admission. Under typical circumstances since the new monthly review policy was created in April 2018, the Quality Review Specialist would first review the individual's record and report the findings to the Executive Director who would then notify the Program Specialist to complete the missing documentation. However the source of this assessment not being completed resulted from our program specialist resigning upon individual #1' s admission. To ensure that we improve the policy for unexpected resignations, we have restructured and hired a new program coordinator and assigned a new program specialist. The Program coordinator's role will assist the program specialist as well as fill in for the program specialist upon an absence to ensure all written documentation is completed in a timely manner. On October 30, 2018, Eastwick hired a new program coordinator who assisted the new program specialist with preparing a written initial assessment for individual #1 on December 5, 2018. 12/05/2018 Implemented
SIN-00133755 Unannounced Monitoring 04/17/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.110(e)The home had 3 levels, main floor, upstairs, and basement, and the smoke detectors were not interconnected.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. In order to be in compliance with 55 PA Code Chapter 6400.110 (e), On April 30, 2018, Eastwick Family Services replaced all smoke detectors that were not interconnected with a brand new interconnected set of smoke detectors that are now functioning properly. Once a individual is admitted into the residence, In order to prevent future system malfunctioning, Eastwick will have it's house manager check each smoke detector on each floor directly before doing monthly fire drills to ensure they are operating correctly and interconnected. If the smoke detectors are not operating correctly at the time of inspection, the house manager or designated staff member will report this to supervision within 24 hours in order for the smoke detectors to be repaired or replaced right away. While the home is not occupied, Eastwick's maintenance team will check the smoke detectors once a month to make sure they are still functioning properly. 04/30/2018 Implemented