Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00237701 Renewal 01/09/2024 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(c)(5)Individual #1's most recent physical examination, dated 01/05/2023, did not contain immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control. The physical examination shall include: Immunizations and screening tests for individuals 17 years of age or younger, as recommended by the Standards of Child Health Care of the American Academy of Pediatrics, Post Office Box 1034, Evanston, Illinois 60204.A copy of Individual #1¿s PA Child lifetime medical, which includes immunizations will be attached to each physical form prior to individual going to the physician to ensure that immunizations will be reviewed and included in each physical exam. 01/24/2024 Implemented
6500.121(c)(6)Individual #1's two most recent Mantoux tests occurred on 06/08/2023 and 05/12/2021. The interim between these two dates exceeds the 2-year timeframe requirement.Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if a tuberculin skin test is positive, an initial chest x-ray with results noted.A tracking sheet was developed for each individual to keep track of appointments, due dates and follow ups. 01/22/2024 Implemented
6500.133(d)At the time of inspection, Individual #1's medications were found unlocked on top of a countertop in the home's kitchen. Individual #1 is self-medicating; however, a self-medicating individual's medications must either be locked or stored in the in the individual's private bedroom or with the individual's personal belongings.Prescription medications and syringes, with the exception of epinephrine and epinephrine auto-injectors, shall be kept in an area or container that is locked.Individual #1¿s medications have been moved to his personal bedroom. 01/22/2024 Implemented
SIN-00221847 Renewal 01/26/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.121(a)The annual physical examination dated 1/05/2023 for Individual #1 was completed late. The individual's previous physical examination was completed on 12/17/2021.An individual shall have a physical examination within 12 months prior to living in the home and annually thereafter.Memo (Document 1) distributed to all Life Sharing providers requiring that all planned vacations be brought to the attention of the Program Specialist with as much advance notice as possible to ensure that all required medical appointments can be planned accordingly. 03/17/2023 Implemented
6500.121(c)(4)The physical examination completed on 1/05/2023 for Individual #1 did not include a hearing screening. The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician.Review forms/retrain Life Sharing provider on making sure forms are complete and implement a checklist for physicals (Document 3) to be reviewed by the Program Specialist. 03/17/2023 Implemented
6500.121(c)(12)The physical examination completed on 1/05/2023 for Individual #1 did not record whether the individual has any physical limitations. The "yes" or "no" checkboxes and narrative line for physical limitations were not completed on the physical examination form. The physical examination shall include: Physical limitations of the individual.Review forms/retrain Life Sharing provider on making sure forms are complete and implement a checklist for physicals to be reviewed by the Program Specialist 03/17/2023 Implemented
SIN-00180307 Renewal 12/03/2020 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.108(a)The fire extinguishers located on the basement of the home and in the attic had a rating of 1A-10BC.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic.The landlord replaced the existing fire extinguishers with 2-A rated extinguishers on each floor of the home, including basement and attic. This was verified by PS. PA Child updated its Home Safety checklist (see attachment) to prompt a homeowner/caregiver or staff who is conducting a safety check to specifically check the rating of all fire extinguishers in a home. The Family Living Provider has been trained on this regulation and training records can be available upon request by the department. 12/21/2020 Implemented
6500.108(b)The fire extinguisher located in the kitchen had a rating of 5BC.Fire extinguishers with a minimum 2A-10BC rating shall be located in each kitchen. The kitchen extinguisher meets the requirements for one floor as required in subsection (a).The landlord replaced the existing kitchen fire extinguishers with 2-A 10BC rated extinguishers. This was verified by PS. PA Child updated its Home Safety checklist (see attachment) to prompt a homeowner/caregiver or staff who is conducting a safety check to specifically check the rating of kitchen fire extinguishers. The Family Living Provider has been trained on this regulation and training records can be available upon request by the department. 12/21/2020 Implemented
SIN-00155316 Renewal 05/09/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6500.71There were no emergency phone numbers posted on or near the telephone.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home.Emergency phone numbers including the nearest hospital, police, fire, ambulance and poison control has been placed by the telephone in the home. 05/30/2019 Implemented
6500.108(a)There was no fire extinguisher in the attic of this residence.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic.A fire extinguisher has been placed in the attic of the home. 05/09/2019 Implemented
SIN-00202740 Renewal 02/02/2022 Compliant - Finalized