Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00228141 Renewal 07/24/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.65There is no ventilation in the bathroom, the fan is not operating properly.Living areas, recreation areas, dining areas, individual bedrooms, kitchens and bathrooms shall be ventilated by at least one operable window or by mechanical ventilation. In regards to violation 55 PA Code Chapter 6400.65 Eastwick Family Services contractor has replaced the vent in the bathroom in which it now operates properly. 08/25/2023 Implemented
6400.18(i)Incidents 9222740, 9188909, 9188905, and 9069523 were not finalized within 30 days of discovery and their deadlines were not extended.The home shall finalize the incident report through the Department's information management system or on a form specified by the Department within 30 days of discovery of the incident by a staff person unless the home notifies the Department in writing that an extension is necessary and the reason for the extension.In regards to violation 55 PA Code Chapter 6400.18(i) Eastwick Family Services Director has met with our certified investigator and explained the Incident policy on closing all incidents within 30 days of discovery and filing extensions if needed. 09/20/2023 Implemented
6400.24Staff member #1 did not have a criminal background check by their hire date of 2/15/23 as required by OAPSA; their criminal check was completed after, on 3/2/23.The home shall comply with applicable Federal and State statutes and regulations and local ordinances.In regards to violation 55 PA Code Chapter 6400.24 Eastwick Family Services HR manager was retrained by the director on the importance of the timing on criminal backgrounds and ensuring they are completed by the date of hire. 07/27/2023 Implemented
SIN-00211703 Renewal 07/26/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)Hot water measured in the tub/shower exceeded 120*F; it read 128.3*F. Hot water temperatures in bathtubs and showers may not exceed 120°F. In regard to violation cited in code 55 PA Code Chapter 6400.68(b) Eastwick Family Services CEO has contacted the leasing office of the apartment complex and requested the Maintenace tech lower the temperature of the hot water. The tech lowered the water temperature, and it is now NOT exceeding 120F. 08/12/2022 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 Manager bought a thermometer for the first aid kit. 08/12/2022 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 all letters to the fire department. They were dated and stated the exact location of all bedrooms of individuals needing assistance evacuating. 08/12/2022 Implemented
6400.151(a)Staff Member 1 did not have a physical within a year prior to their employment start date. They started on 3/25/22, and their only physical on file is dated 7/11/22. Staff Member 5's file also does not contain record of a physical from within a year prior to their hire date of 12/8/21 nor from any time after hire. Staff Members 2, 3, and 4 have not had timely physicals; their most recent two physicals were greater than two years apart: Staff Member 2's most recent physicals were dated 1/13/20, and 7/6/22; Staff Member 3's most recent physicals in their file are dated 4/10/19 and 7/7/21; Staff Member 4's most recent physicals are dated 1/23/20 and 7/7/22. 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 regards to violation cited under code 55 PA Code Chapter 6400.151(a) Eastwick Family Services has ensured all staff now have physicals, Our Human Resource Specialist was retrained on the regulations and in the future will not allow any staff member to work with individuals before having a physical. 08/12/2022 Implemented
6400.44(c)(2)Staff Member 5 does not have the documented experience required to be a program specialist. The agency provided their bachelor's degree, but their resume does not clearly demonstrate two years' experience working directly with individuals with intellectual disabilities or autism.A program specialist shall have one of the following groups of qualifications: A bachelor's degree from an accredited college or university and 2 years of work experience working directly with individuals with an intellectual disability or autism.in regards to violation cited under code 55 PA Code Chapter 6400.44(c)(2) Eastwick Family Services has hired a new Program Specialist with the appropriate credentials to meet the regulation guidelines. 09/12/2022 Implemented
6400.46(b)The agency does not have documentation that indicates a fire safety expert provided the following staff fire safety trainings: Staff Member 1's on 3/25/22; Staff Member 2's on 9/10/21; Staff Member 3's on 9/17/21; Staff Member 4's on 9/10/21; and Staff Member 5's on 12/15/21. The most recent fire safety expert credential documentation on file is Staff Member 6's, dated 7/14/22. The agency indicated that the staff file and credentials of the previous trainer, Staff Member 7, were removed from the agency after their employment ended and are not available.Program specialists and direct service workers shall be trained annually by a fire safety expert in the training areas specified in subsection (a).In regard to violation cited under code 55 PA Code Chapter 6400.46(b) Eastwick Family Services CEO has ensured the office manager is a Fire Safety Trainer and will continue to provide the training to staff. The CEO also has a copy of her training for his own record keeping to prevent errors in the future. 08/30/2022 Implemented
6400.46(d)Staff Member 2's first aid and CPR training are out of date. Their file included Red Cross training from 10/29/19 with a two year expiration, as well as online Relias trainings in first aid and a CPR refresher from 3/28/22. First aid and CPR trainings must have an in-person component. Staff Member 3's CPR and first aid training are out of date. Their record contains a Red Cross training from 10/29/19 with a two year expiration. Staff Members 4 and 5 do not have current first aid or CPR training. Staff Members 4 and 5's documentation was requested but not submitted.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 training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation.In regards to violation cited under code 55 PA Code Chapter 6400.46(d) Eastwick Family Services Human Resources has contacted a certified CPR trainer who will come and train all staff. 12/01/2022 Implemented
6400.50(a)Staff Member 2, 3, and 4's ISP implementation training documentation did not include the date on which it was completed.Records of orientation and training, including the training source, content, dates, length of training, copies of certificates received and staff persons attending, shall be kept.In regards to violation cited under code 55 PA Code Chapter 6400.50(a) Eastwick Family Services Human Resource Specialist has updated the ISP implementation training, so it reflects the date the training was complete. 08/12/2022 Implemented
6400.52(c)(1)Documentation provided does not clearly indicate that the CEO received training on the application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships during the 2021/2022 training year. Documentation provided of a training addressing this topic on 8/12/21 lists the CEO as both the trainer and training recipient.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.In regards to violation cited under code 55 PA Code Chapter 6400.52(c)(1) Eastwick Family Services CEO has contracted with a trainer who is trained to instruct trainings on application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. this contract was signed and agreed upon on 8/26/2022. Going forward all staff will attend training with our contracted trainer. 08/26/2022 Implemented
6400.52(c)(2)Documentation provided does not clearly indicate that the CEO received training on the prevention, detection and reporting of abuse, suspected abuse and alleged abuse during the 2021/2022 training year. Documentation provided of a training addressing this topic on 8/12/21 lists the CEO as both the trainer and training recipient.The annual training hours specified in subsections (a) and (b) must encompass the following areas: The prevention, detection and reporting of abuse, suspected abuse and alleged abuse in accordance with the Older Adults Protective Services Act (35 P.S. §§ 10225.101-10225.5102). The child protective services law (23 Pa. C.S. §§ 6301-6386) the Adult Protective Services Act (35 P.S. §§ 10210.101 - 10210.704) and applicable protective services regulations.In regards to violation cited under code 55 PA Code Chapter 6400.52(c)(2) Eastwick Family Services CEO has contracted with a trainer who is trained to instruct trainings on prevention, detection and reporting of abuse, suspected abuse and alleged abuse. this contract was signed and agreed upon on 8/26/2022. 08/26/2022 Implemented
6400.52(c)(3)Documentation provided does not clearly indicate that the CEO received training on individual rights during the 2021/2022 training year. Documentation provided of a training addressing this topic on 8/12/21 lists the CEO as both the trainer and training recipient.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Individual rights.In regards to violation cited under code 55 PA Code Chapter 6400.52(c)(3) Eastwick Family Services CEO has contracted with a trainer who is trained to instruct trainings on individual rights this contract was signed and agreed upon on 8/26/2022. 08/26/2022 Implemented
6400.52(c)(4)Documentation provided does not clearly indicate that the CEO received training on recognizing and reporting incidents during the 2021/2022 training year. Documentation provided of a training addressing this topic on 8/12/21 lists the CEO as both the trainer and training recipient.The annual training hours specified in subsections (a) and (b) must encompass the following areas: Recognizing and reporting incidents.In regards to violation cited under code 55 PA Code Chapter 6400.52(c)(4) Eastwick Family Services CEO has contracted with a trainer who is trained to instruct trainings on recognizing and reporting incidents. this contract was signed and agreed upon on 8/26/2022. 08/26/2022 Implemented
SIN-00170717 Renewal 02/10/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(a)There was no fire drill record for the home for the month of December in 2019. An unannounced fire drill shall be held at least once a month. In order to be in compliance with 55 PA Code Chapter 6400.112 (a) Eastwick has determined that a new resident moved in on December 19, 2019 and the fire drill took place in January 2020. Eastwick's program manager was not aware that the initial fire drill and fire safety training should have taken place the same day the individual resident moved in to the 6400 home. In order to prevent this citation from reoccurring, the program specialist and house managers will receive an addendum to the fire safety training policy which will state that all residents who are new to the residential program will be trained on Fire Safety and participate in a Fire Drill within 24 hours of admission into Eastwick's residential program. 04/13/2020 Implemented
6400.141(c)(12)Individual #1's annual physical dated 11/11/19 did not indicate whether or not there were physical limitations. The area on the physical was left blank.The physical examination shall include: Physical limitations of the individual. In order to be in compliance with 55 PA Code Chapter 6400.141 (c)(12) Eastwick has determined that upon the admission of Individual # 1 on December 19, 2019 the annual physical that Eastwick received was not completely filled out by the physician. In order to prevent this citation from reoccurring Eastwick will ensure that during the proper transitioning of an individual, that their entire admissions checklist including a complete annual physical be secured by the house manager an d or program specialist prior to the individual moving into the residential home. Eastwick will update the Resident Admissions check list to specify the required areas to be complete on an individual's physical assessment documentation. 04/13/2020 Implemented
6400.141(c)(14)Individual #1's annual physical dated 11/11/19 did not indicate information pertinent to diagnosis. The area on the physical was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. In order to be in compliance with 55 PA Code Chapter 6400. 141 (c)(14) ) Eastwick has determined that upon the admission of Individual # 1 on December 19, 2019 the annual physical that Eastwick received was not completely filled out by the physician. In order to prevent this citation from reoccurring Eastwick will ensure that during the proper transitioning of an individual, that their entire admissions checklist including a complete annual physical be secured by the house manager an d or program specialist prior to the individual moving into the residential home. Eastwick will update the Resident Admissions check list to specify the required areas to be complete on an individual's physical assessment documentation. 04/13/2020 Implemented
6400.151(c)(2)Staff #1's record did not contain results of a TB test. 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. In order to be incompliance with 5 PA Code Chapter 6400.151 (c)(2) Eastwick determined that Staff # 1's physical was miss-filed. What was presented at the time of licensing inspection was only part of the staff's physical record. Later after inspection the Human Resource manager was able to locate the remaining physical examination that was completed on Eastwick's company form. In order to prevent this citation from reoccurring, the human resource manager will ensure that checking employee files is a ongoing practice completed monthly to make sure all required documents are filled timely as well as appropriately. Within 30 days of March 13, 2020 Eastwick will begin checking all staff files to ensure all appropriate documents are filed as required. 04/13/2020 Implemented
6400.151(c)(4)Staff #1's record did not indicate whether or not there were medical problems.The physical examination shall include: Information of medical problems which might interfere with the health of the individuals.In order to be in compliance with 55 PA Code Chapter 6400.151 (c)(4) Eastwick determined that staff # 1's medical record simply stated that she was in good health to perform her duties. It failed to list communicable diseases and other health concerns because the actual physical form was miss-filed. What was presented at the time of licensing inspection was only part of the staff's physical record. Later after inspection the Human Resource manager was able to locate the remaining physical examination that was completed on Eastwick's company form. In order to prevent this citation from reoccurring, the human resource manager will ensure that checking employee files is a ongoing practice completed monthly to make sure all required documents are filled timely as well as appropriately. Within 30 days of March 13, 2020 Eastwick will begin checking all staff files to ensure all appropriate documents are filed as required. 04/13/2020 Implemented
SIN-00192769 Renewal 07/29/2021 Compliant - Finalized