Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00210587 Renewal 08/30/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(9)The physical examination completed, 1/21/2022, for Indiviudal #1, age 50, did not include a prostate examination.The physical examination shall include: A prostate examination for men 40 years of age or older. Lauren Kramer Scheduled a prostate exam for Indiviudal #1 on 9/23/22. Upon completion documentation will be submitted to verify exam was completed to the S.C. and to verify POC was corrected. 09/19/2022 Implemented
6400.151(c)(2)Direct Service Worker #1 had a tuberculin test that was read on 3/25/22. The medical provider that read the results did not indicate their credentials; therefore, compliance could not be measured. 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. 09/06/2022 Renee' Bann notified Concentra, where our company physicals and TBs are completed. I spoke to the records manager to inform him that 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. Any medical assistant in their office is NOT permitted to read any TB tests. All signatures by the above mentioned must also include his/ or her creditials upon their signature. QCL added a line below the signature for creditials to be completed on the physical form. 09/19/2022 Implemented
6400.181(e)(10)Individual #1's assessment, completed 5/5/2022 did not include a lifetime medical history.The assessment must include the following information: A lifetime medical history. On 09/16/2022 Lauren Kramer , Program Specialist created a lifetime medical history for the above. The topics on the form cover the following : Developmental information, Allergies, Diagnosis . Any past hospitalizations , and current medications. The medical history form will be ongoing and updated by Lauren Kramer, program specialist and reviewed by Renee Bann . Individual #1 was an emergency placement and did not come with any prior information regarding any type of medical history . The S.C. had no past information prior to admission from his family. He lived with his mom since birth and she is deceased. 09/19/2022 Implemented
6400.51(b)(1)Direct Service Worker #2's orientation training did not include person center practices, community integration, individual choice, and supporting individuals to develop and maintain relationships.The orientation must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships.On 09/06/2022 QCL President notified The Human Resource Director from staffing agency to inform her that additional training must be scheduled with the program specialist or house manager prior to any of her contracted staff work in any 6400 licensed homes. I informed her of the above mentioned training was not included in their their training packet and certificates of completion. On 09/14/and 09/15 /22 Direct care staff #2's was trained by The program Specialist on person center practices, community integration, individual choice , and supporting individuals to develop and maintain relationships. Staff was trained also on all company policies and procedures, individual rights, signs of abuse and the produces of reporting any suspected abuse. and watched several videos to complete training hours. 09/15/2022 Implemented
6400.51(b)(2)Direct Service Worker #2's orientation did not include the prevention, detection, and reporting of abuse, suspected abuse, and alleged abuse.The orientation 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.On 09/06/2022 QCL CEO notified The Human Resource Director from staffing agency to inform them additional training must be scheduled with the program specialist or house manager prior to any of her contracted staff work in any 6400 licensed homes. I informed her of the above mentioned training was not included in their their training packet and certificates of completion. On 09/14/and 09/15 /22 Direct care staff #2's was trained by The program Specialist on person center practices, community integration, individual choice , and supporting individuals to develop and maintain relationships. Staff was trained also on all company policies and procedures, individual rights, signs of abuse and the produces of reporting any suspected abuse. and watched several videos to complete training hours. 09/15/2022 Implemented
6400.51(b)(3)Direct Service Worker #2's orientation did not include individual rights.The orientation must encompass the following areas: Individual rights.On 09/14/and 09/15 /22 Direct Care Staff #2 was trained by The program specialist on person center practices, community integration, individual choice , and supporting individuals to develop and maintain relationships. Staff was trained also on all company policies and procedures , individuals right, signs of abuse and the procedures of reporting any suspected abuse. Direct Care Staff # 2 watched several videos to complete training. All contracted staff will be trained by QCL's management team prior to working in any of QCL's residential homes. We will use our initial and annual staff trying sheets for all contracted staff in the future. 09/15/2022 Implemented
6400.51(b)(4)Direct Service Worker #2's orientation did not include recognizing and reporting incidents.The orientation must encompass the following areas: recognizing and reporting incidents.On 09/14/and 09/15 /22 Direct Care Staff #2 was trained by The program specialist on person center practices, community integration, individual choice , and supporting individuals to develop and maintain relationships. Staff was trained also on all company policies and procedures , individuals right, signs of abuse and the procedures of reporting any suspected abuse. Direct Care Staff # 2 watched several videos to complete training. All contracted staff will be trained by QCL's management team prior to working in any of QCL's residential homes. We will use our initial and annual staff trying sheets for all contracted staff in the future. 09/15/2022 Implemented
6400.51(b)(5)Direct Service Worker #2's orientation did not include job related knowledge and skills.The orientation must encompass the following areas: Job-related knowledge and skills.On 09/14/and 09/15 /22 Direct Care Staff #2 was trained by The program specialist on person center practices, community integration, individual choice , and supporting individuals to develop and maintain relationships. Staff was trained also on all company policies and procedures , individuals right, signs of abuse and the procedures of reporting any suspected abuse. Direct Care Staff # 2 watched several videos to complete training. All contracted staff will be trained by QCL's management team prior to working in any of QCL's residential homes. We will use our initial and annual staff trying sheets for all contracted staff in the future. 09/15/2022 Implemented
SIN-00192252 Renewal 08/31/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(e)A fire drill was held during sleeping hours on 9/25/2020 and again on 4/21/2021.A fire drill shall be held during sleeping hours at least every 6 months. QCL will hold an overnight fire drill on Tuesday, September 14, 2021 and hold another overnight drill the first week in March of 2022 to remain complaint. Keeping the 6 month drill after the last one on 6/20/21 would have us doing another drill in December of this year. I would like to avoid having all residents complete a fire drill by 12/20/21 to avoid cold weather or snow. 09/14/2021 Implemented
6400.181(a)Individual #1's annual assessment was completed on 01/21/20 and again on 02/09/21. 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. The individuals assessment will be completed before 2/8/22 and emailed to the team 30 days prior to the ISP meeting. The CEO will review the documentation of the completed assessment for accuracy and completion date to ensure compliance. The CEO will be CC'd on the email to the team member with the completed assessment. 09/07/2021 Implemented
6400.181(f)The program specialist provided Individual #1's assessment, completed 2/9/2021 to the individual plan team members on 2/9/2021 for the individual plan meeting on 2/26/2021.The program specialist shall provide the assessment to the individual plan team members at least 30 calendar days prior to an individual plan meeting.The individuals assessment will be completed before 2/8/22 and emailed to the team 30 days prior to the ISP meeting. The CEO will review the documentation of the completed assessment for accuracy and completion date to ensure compliance. The CEO will be CC'd on the email to the team member with the completed assessment. 09/07/2021 Implemented
SIN-00157275 Renewal 06/18/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)At 1:06PM, the hot water temperature at bathtub in bathroom near the dining area measured 137.1 degrees Fahrenheit. Hot water temperatures in bathtubs and showers may not exceed 120°F. Water temp at site 2012 Tee Court, Presto, PA 15142 was over 120 degrees Fahrenheit. Water tank was turned down by Waterford Nevillewood Apartments Maintenance Department on 6/28/19. When re-checked on 6/28/19, the water at site 2012 Tee Court was 119 degrees Fahrenheit. Direct Care Staff/Weekend On-call staff has been designated to complete a weekly water temp check at all sites every Monday. Compliance Director will review documentation on Mondays and submit a maintenance request, within 24 hours of check, to building management if a water temp is above 120 degrees Fahrenheit. Water temperature will be rechecked and logged. Water Temperature remains a part of QCL's Quality Management Plan under the goal for Agency Compliance. On a quarterly basis, CEO and Chief Compliance Officer will review all documentation of water temperatures, maintenance requests, maintenance completion, and re-checks on the sites affected. Data and documentation will be kept. Immediately, CEO shall train Weekend On-Call Staff and Compliance Director on the aforementioned procedures. Documentation of training shall be kept (6.28.19). 06/28/2019 Implemented
SIN-00137126 Renewal 06/18/2018 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.106The annual furnace cleaning and inspection was completed on 10/11/2016 and then again on 11/21/17.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. The furnace inspection company will be called in August of 2018 to schedule all 7 appointments to ensure they are completed before 11/21/2018. After the inspection and cleanings are complete all receipts and results will be kept on file in the main office.[Immediately, the CEO shall schedule an appointment to have the furnaces at all community homes inspected and cleaned timely and work with the professional furnace cleaning company to ensure timely scheduling and completion of future annual cleanings and inspections. (AS 7/19/18)] 07/09/2018 Implemented
6400.111(c)The fire extinguisher in the kitchen was most recently inspected in October 2016. A fire extinguisher 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). Upon the licensing inspection when the extinguisher was not compliant the program specialist immediately notified maintenance to request a new extinguisher be replaced. A work order was put in and the extinguisher was replaced. Prior to licensing QCL called to have the current one replaced due to the tag expiring. Unfortunately the one they replaced was not in compliance. All extinguishers are check monthly when the fire drills are held. Management will continue to monitor all documentation after the drills are held monthly. Staff are trained to call management immediately when the extinguisher's arrow is out the of green area which they did in this case. [Immediately and continuing at least monthly, a designate staff person shall audit all fire extinguishers to ensure fire extinguishers are inspected and approved annually and the date of the inspection is on the fire extinguisher. Documentation of the audits shall be kept. At least quarterly for 1 year, a designated management staff person shall complete an onsite audit of all fire extinguisher and monthly documentation to ensure all fire extinguishers are inspected and approved annually and the date is on the extinguisher. Documentation of quarterly audits shall be kept. (AS 7/19/18)] 07/09/2018 Implemented
6400.112(a)The "Fire Book" kept at the residence contained a schedule of fire drills for the 2018 calendar year, including the dates and times of fire drills. All staff had access to this schedule. An unannounced fire drill shall be held at least once a month. All fire drill schedules were removed from the fire books at each site immediately. The Program Specialist or house manager will call each resident the day of the drill to notify staff the time frame the drill needs to be completed. The following day after the drill Management will check all documentation. [Within 30 days of receipt of the plan of correction, the CEO or designee shall educate all staff persons working in community homes of the requirements of fire drills and documentation of fire drills including that fire drill shall be unannounced to all staff and individuals unless the staff person is conducting the fire drill. Documentation of the trainings shall be kept. Documentation of the aforementioned audits of the fire drills by the program specialist shall be kept. (AS 7/19/18)] 07/09/2018 Implemented
6400.186(a)The ISP review, dated 4/1/17 to 6/30/17, was signed by Individual #1 and the program specialist on 7/31/17. The ISP review, dated 1/1/18 to 3/31/18, was signed by Individual #1 and the program specialist on 4/18/18.The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. The CEO retrained the program specialist on the regulations regarding the 3 month ISP review with each individual. Additional reviews will be completed as needed if there are any changes in the outcomes or services. A sign off sheet was created for both the individual and Program Specialist to sign once the review is completed. The CEO will monitor all documentation regarding all reviews to ensure compliance.[Documentation of the quarterly reviews by the CEO shall be kept. (AS 7/19/18)] 07/09/2018 Implemented
SIN-00117014 Renewal 07/06/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.68(b)On 7/6/17, at 9:43 AM, the hot water temperature in the bathtub in the main bathroom measured at 125.9 degrees Fahrenheit.Hot water temperatures in bathtubs and showers may not exceed 120°F. All water tanks were lowered on site by maintenance. QCL purchased a new waterproof thermometer to monitor all hot water tanks monthly. The program specialist will take the water temperature in each apartment on a monthly basis . Any temperature exceeding 120 degrees will be report to maintenance immediately. [Immediately and continuing at least weekly for 1 month and then continuing at least monthly, the program specialist shall measure the hot water temperature at all bathtubs and showers in the community homes to ensure the hot water temperatures in bathtubs and showers does not exceed 120°F. If the water temperature exceeds 120°F and adjusted by maintenance department, aforementioned procedures shall be repeated. Documentation of all temperatures shall be kept. Immediately, the CEO shall train the program specialist on the aforementioned procedures. Documentation of training shall be kept. (AS 8/16/17)] 08/15/2017 Implemented
6400.141(c)(12)Individual #1's physical examination, completed 3/6/17, and Individual #2's physical examination, completed 11/15/16, did not include physical limitations of the individual. This section was left blank.The physical examination shall include: Physical limitations of the individual. QCL has changed and updated our annual physical to include a section for any pertinent medical information in case of an emergency. The updated physical will be used and completed for all individuals upcoming physicals for 2017/2018. After the completion of an individual's physical Renee' Ciamacco will review all physicals to ensure accuracy and completion for the next year.Any incomplete physicals will be sent back to the PCP for correction immediately upon completion.[Immediately, the CEO or designee shall follow up with Individual #1's physician to obtain required information that physical examinations must include: Physical limitations of the individual. Documentation of audits of physical examinations by the CEO shall be kept. (AS 8/16/17)] 08/15/2017 Implemented
6400.141(c)(14)Individual #1's physical examination, completed 3/6/17, did not include medical information pertinent to diagnosis and treatment in case of an emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. QCL has changed and updated our annual physical to include a section for any pertinent medical information in case of an emergency. The updated physical will be used and completed for all individuals upcoming physicals for 2017/2018. After the completion of an individual's physical Renee' Ciamacco will review all physicals to ensure accuracy and completion for the next year.Any incomplete physicals will be sent back to the PCP for correction immediately upon completion.[Immediately, the CEO or designee shall follow up with Individual #1's physician to obtain required information that physical examinations must include: medical information pertinent to diagnosis and treatment in case of an emergency. Documentation of audits of physical examinations by the CEO shall be kept. (AS 8/16/17)] 08/15/2017 Implemented
6400.141(c)(15)Individual #2's physical examination, completed 11/15/16, did not include special diet instructions. This section was left blank.The physical examination shall include:Special instructions for the individual's diet. QCL has changed and updated our annual physical to include a section for any pertinent medical information in case of an emergency. The updated physical will be used and completed for all individuals upcoming physicals for 2017/2018. After the completion of an individual's physical Renee' Ciamacco will review all physicals to ensure accuracy and completion for the next year.Any incomplete physicals will be sent back to the PCP for correction immediately upon completion..[Immediately, the CEO or designee shall follow up with Individual #1's physician to obtain required information that physical examinations must include: Special instructions for the individual's diet. Documentation of audits of physical examinations by the CEO shall be kept. (AS 8/16/17)] 08/15/2017 Implemented
6400.181(f)The program specialist did not provide Individual #1's assessment, completed 2/21/17, to all plan team members including the community habilitation provider and the behavior supports provider.(f) The program specialist shall provide the assessment to the SC, as applicable, and plan team members at least 30 calendar days prior to an ISP meeting for the development, annual update and revision of the ISP under § § 2380.182, 2390.152, 6400.182 and 6500.152 (relating to development, annual update and revision of the ISP). The P.Swas retained by Renee' Ciamacco on the annual assessment. Triaining covered the initial assessment within 1 year prior to or 60 calendar days after admission to the residential home. The completion of the annual assessment and information . 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. Renee' Ciamacco will monitor all annual assessments to ensure a timely completion for one year. The Program specialist is to give proof the all assessments were send to the team members including the S.C. and behavioral specialist.[Individual #1's assessment was provided to the plan team members on 7/28/17 via email. Documentation of audits of individuals' assessments by the CEO shall be kept. (AS 8/16/17)] 08/15/2017 Implemented
6400.186(b)Individual #1's ISP reviews end dated 9/30/16, 12/30/16, 3/31/17, and 6/30/17, were not signed and dated by Individual #1. Individual #2's ISP reviews end dated 9/30/16, 12/30/16, 3/31/17, and 6/30/17, were not signed and dated by Individual #2.The program specialist and individual shall sign and date the ISP review signature sheet upon review of the ISP. The Program Specialist was retrained by Renee' Ciamacco about completing the ISP reviews on a quarterly basis and after completion reviewing them with each individual, signatures are required by both the individual and the P.S.. A completed copy is them sent to all team members. Renee' Ciamacco will monitor and review all completed ISP reviews and review the documentation that the document was sent to all team members. I will monitor the ISP reviews for one year on a quarterly basis.On July 31, 2017, Individual #1 signed the quarterly review, end dated July 2017. On July 25, 2017, Individual #2 signed the quarterly review, end dated July 2017. Documentation of audits of ISP reviews by the CEO shall be kept. (AS 8/16/17)] 08/15/2017 Implemented
6400.186(d)The program specialist did not date when Individual #1's and Individual #2's 3 month ISP reviews, end dated 9/30/16, 12/30/16, 3/31/17, and 6/30/17, were provided to the plan team members; therefore, compliance could not be measured. The program specialist shall provide the ISP review documentation, including recommendations, if applicable, to the SC, as applicable, and plan team members within 30 calendar days after the ISP review meeting. The Program Specialist was retrained by Renee' Ciamacco about completing the ISP reviews on a quarterly basis and after completion reviewing them with each individual, signatures are required by both the individual and the P.S.. A completed copy is them sent to all team members. Renee' Ciamacco will monitor and review all completed ISP reviews and review the documentation that the document was sent to all team members. I will monitor the ISP reviews for one year on a quarterly basis.[Individual #1's and Individual #2's June, 2017 quarterly review was provide to the plan team members on 8/8/17 via email. Documentation of audits of correspondence by the CEO shall be kept. (AS 8/16/17)] 08/15/2017 Implemented
SIN-00096349 Renewal 06/07/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency did not complete a self-assessment. 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. QCL will complete a Self Assessment 3 to 6 months before the license expires. The Program Specialist and House Manager were trained on how to complete the self assessment and the time frame the assessment is due. [The CEO and Program Specialist completed the self-assessment during the onsite inspection, 6/6/16 and 6/7/16. Within 30 days of receipt of the plan of correction, the CEO will develop and implement a tracking system and procedures to ensure self-assessments for all community homes are completed within the required timeframes. CEO will train staff responsible for completion of assessments on the tracking system and procedures to ensure accurate and timely completion. Upon completion of the self-assessments, the CEO will review for completion and timeliness. Documentation of reviews and aforementioned trainings shall be kept. (AS 8/4/16)] 07/07/2016 Implemented
6400.112(c)The written fire drill records for the monthly fire drill held between June 2015 to May 2016 do not include problems encountered.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. The Fire Drill documentation sheet for staff to complete during a fire drill was updated to include a section where staff can document if any problems occurred during the drill.[Within 30 days of receipt of the plan of correction, the CEO will develop and implement policies and procedure on fire drills and written fire drill records to include addressing and documenting problems encountered. Within 60 days of receipt of the plan of correction and continuing at least annually, all staff responsible for conducting and documenting fire drills shall be trained on the policies and procedures for conducting and documenting fire drills to include problems encountered using the aforementioned updated form. At least quarterly, the CEO or program specialist will review the all community homes written fire drill records to ensure problems encountered is documented and to ensure problems encountered is addressed as specified in the policy and procedures. Documentation of trainings and reviews shall be kept.(AS 8/4/16)] 07/07/2016 Implemented
SIN-00079590 Renewal 05/28/2015 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(3)The physical exmination dated 3/5/15 for Individual #1 does not include immunizations.The physical examination shall include: Immunizations for individuals 18 years of age or older as recommended by the United States Public Health Service, Centers for Disease Control, Atlanta, Georgia 30333. CEO contacted the mother of individual 1 regarding immunization records. CEO was directed to contact the SC for records. CEO requested records from SC. [As per conversation with CEO on 7/17/15, Individual #1's immunization records were received from SC on 6/14/15. CEO checked all individual records for required elements in the physical examinations. CEO will review all physical examinations of individuals and obtain information as needed prior to Individual being admitted. (AS 7/17/15)] 06/25/2015 Implemented
6400.151(c)(3)The physical examination dated 2/24/14 for Staff Person #1 does not include a signed statement certifying that the staff person is free of communicable diseases. The physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the disease to individuals. Staff #1 obtained another physical that addresses staff person is free of communicable diseases. [As per conversation with CEO on 7/17/15, CEO checked all staff records for required elements in the physical examinations. CEO will review all physical examinations prior to staff being hired and annually for required information. CEO added a communicable disease statement to the agency physical examination form to ensure this is addressed when staff persons have a physical examination completed. (AS 7/17/15)] 06/25/2015 Implemented
6400.164(b)Divalproex tab 125 mg prescribed for Individual #2 was not logged as administered on 5/29/15 at 8:00 AM. The information specified in subsection (a) shall be logged immediately after each individual's dose of medication. Staff was retrained on medication administration times.[As per conversation with CEO on 7/17/15, MAR will be monitored daily by the house manager in the homes to ensure all required documentation is kept and will address and the train the trainer will retrain staff if needed. (AS 7/17/15)] 06/25/2015 Implemented
SIN-00065673 Renewal 09/24/2014 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.23The home does not have a written grievance procedure for individuals, individual's families, advocates and staff persons that assure investigation and resolution of complaints.The home shall have written grievance procedures for individuals, individual's families, advocates and staff persons, that assure investigation and resolution of complaints. A written grievance procedures for individuals, individual's families, advocates and staff persons, that assure investigation and resolution of complaints was written and implemented. [All staff and individuals will be trained on the procedures within 30 days upon receipt of the plan of correction. (CHG 1/20/15)] 10/17/2014 Implemented
6400.68(b)The hot water temperature in the bath tub was 126.6 degrees Fahrenheit at 9:56 a.m. Hot water temperatures in bathtubs and showers may not exceed 120°F. The hot water temperatures were adjusted and corrected during the inspection. The water temperature will be check frequently to ensure the proper temperature according to the regulation. [Immediately, the hot water temperature at all site locations will be turned down until the temperature reads at or below 120 degrees Fahrenheit. The CEO or designee will check the hot water temperature at all bathtubs and showers weekly at every community home and record the temperature on a log. If the temperature is found to be above 120 degrees Fahrenheit it will be turned down immediately. Documentation shall be kept. (CHG 1/20/15)] 10/17/2014 Not Implemented
6400.103The emergency evacuation procedures does not specify the means of transportation and the emergency shelter location.There shall be written emergency evacuation procedures that include individual and staff responsibilities, means of transportation and an emergency shelter location. The policy was updated to include the means of transportation and the location of the emergency shelter location. All staff are trained on the emergency evacuation procedure upon hire. [All staff persons shall be trained in the updated policy within 30 days upon receipt of the plan of correction. (CHG 1/20/15)] 10/17/2014 Implemented
6400.106There is no written documentation of the inspection and cleaning of the furnace.Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept. The furnaces in all homes were inspected by a professional and receipt was submitted. QCL will continue to conduct inspections annually. 10/17/2014 Implemented
6400.110(h)There is no written procedure for fire safety monitoring in the event the smoke detector or fire alarm is inoperative. There shall be a written procedure for fire safety monitoring in the event the smoke detector or fire alarm is inoperative.A written procedure was written and implemented on fire safety monitoring in the event the smoke detector or fire alarm is inoperable.[Immediately, a procedure will be written and implemented for fire safety monitoring in the event that the smoke detector or fire alarm are inoperable. All staff will be educated on the policy/procedures within 30 days of receipt of the plan of correction. Documentation shall be kept. (CHG 1/20/15)] 10/17/2014 Not Implemented
6400.111(c)A fire extinguisher was not located in the kitchen. A fire extinguisher 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 fire extinguisher was relocated to under the kitchen sink. the prior location was sketchy so they were removed in all apartments to under the sink. [All staff will be informed of the location of the fire extinguishers prior to working in the community homes. (CHG 1/20/15)] 10/17/2014 Implemented
6400.145(1)The home does not have a written emergency medical plan listing the hospital or source of health care that will be used in an emergency.The home shall have a written emergency medical plan listing the following: The hospital or source of health care that will be used in an emergency. Staff are trained upon hire of the hospital used in case of an emergency. The policy is the home for staff to reference. [The required information has been added to the policy. All staff will be educated on the policy/procedures within 30 days of receipt of the plan of correction. (CHG 1/20/15)] 10/17/2014 Implemented
6400.145(2)The home does not have a written emergency medical plan listing the method of transportation to be used.The home shall have a written emergency medical plan listing the following: The method of transportation to be used. THe Written emergency Plan was updated to include the method of transportation and is placed in a binder in the homes. [All staff persons shall be trained on the plan within 30 days upon receipt of the plan of correction. (CHG 1/20/15)] 10/17/2014 Implemented
6400.145(3)The home does not have a written emergency medical plan listing an emergency staffing plan.The home shall have a written emergency medical plan listing the following: An emergency staffing plan.The Emergency medical plan was updated and placed in a binder in each individual home. The emergency staffing plan is also listed in the individuals ISP. [All staff persons shall be trained on the update plan within 30 days upon receipt of the plan of correction. (1/20/15)] 10/17/2014 Implemented
6400.192There is no written policy regarding restrictive procedures.A written policy that defines the prohibition or use of specific types of restrictive procedures, describes the circumstances in which restrictive procedures may be used, the persons who may authorize the use of restrictive procedures, a mechanism to monitor and control the use of restrictive procedures and a process for the individual and family to review the use of restrictive procedures shall be kept at the home. Restricitve Procedure policy was written. Quality Community Living does not use any restrictive procedures throughout the agency. all staff are trained on the policy. 10/16/2014 Implemented
SIN-00229373 Renewal 08/15/2023 Compliant - Finalized
SIN-00177177 Renewal 09/29/2020 Compliant - Finalized