| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(d)(1) | Individual #1's annual assessment indicates that the individual is not able handle any amount of money without producing receipts, the individual requires assistance and prompts to make change. Individual #1 receives $20 weekly from the rep payee, more if necessary. Individual #1 is permitted to hold and manage this $20 via a debit card despite the assessment and Individual Service Plan indicating that the individual is unable to do so. The home does not maintain an up to date financial and property record for the individual. | The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. | A New Direction What¿s Next has updated Individual #1¿s assessment to indicate that the individual is able to handle up to $20, typically via debit card, without producing receipts. Updated assessment was forwarded to Individual #1¿s Supports Coordinator on August 2, 2022 and revisions to the Individual Support Plan were requested to reflect the updated individual assessed needs. A New Direction What¿s Next has also created an Individual financial and property record which is maintained in Individual #1¿s home effective August 1, 2022. |
08/01/2022
| Implemented |
| 6400.22(e)(3) | Individual #1's annual assessment indicates that the individual is not able handle any amount of money without producing receipts, the individual requires assistance and prompts to make change. Individual #1 receives $20 weekly from the rep payee, more if necessary. Individual #1 is permitted to hold and manage this $20 via a debit card despite the assessment and Individual Service Plan indicating that the individual is unable to manage any amount of money. The home does not maintain documentation either by actual receipt or expense record of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person. | If the home assumes the responsibility of maintaining an individual's financial resources, the following shall be maintained for each individual: Documentation, by actual receipt or expense record, of each single purchase exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person. | A New Direction What¿s Next has created an individual financial and property record, which is maintained in Individual #1¿s home effective August 1, 2022. The financial and property record specifically details receipt of funds and expenses, with all receipts for purchases exceeding $15 made on behalf of the individual carried out by or in conjunction with a staff person, attached to the record. |
08/01/2022
| Implemented |
| 6400.68(a) | The home did not have hot running water under pressure. The water temperature in the home was low at 99.3 degrees. | A home shall have hot and cold running water under pressure. | A New Direction What¿s Next contacted property management effective July 14, 2022. Property management adjusted the water temperature in the apartment effective July 21, 2022 with current water temperature testing at 109.2. |
07/21/2022
| Implemented |
| 6400.141(c)(6) | Individual #1's preadmission physical examination dated 9/27/21 did not include 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. | The physical examination shall include: 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. | Individual #1 had tuberculin skin testing with negative results on July 14, 2022. |
07/14/2022
| Implemented |
| 6400.52(c)(2) | Staff #1 did not receive annual training in 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 Service Law (23 Pa.C.S §§ 6301-6386), the Adult Protective Services Act (35 P.S. §§ 10210.101-10210.704) and applicable adult protective services regulations. | 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. | Staff #1 completed annual training in the prevention, detection and reporting abuse, suspected abuse, and alleged abuse in accordance with all applicable laws/regulations effective August 2, 2022. |
08/02/2022
| Implemented |
| 6400.165(g) | Individual #1 was admitted to the program on 12/17/21. Individual #2 is prescribed psychotropic medications to treat symptoms of a psychiatric illness. Individual #1 did not have psychiatric medication reviews. | If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage. | Individual #1 attended psychiatric medication review appointments with Brandon Pankiewicz, CRNP, at Community Services Group Bethlehem, PA location on 1/20/2022, 2/24/2022, 4/07/2022, and 6/23/2022, however appointment forms were not collected at the times of the appointments. Program Specialist requested the forms be completed by Community Services Group on 7/11/2022, however the forms were not returned prior to licensing onsite visit on 7/18/2022. Completed forms should be obtained by August 31, 2022. |
08/31/2022
| Implemented |