| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(a) | Staff #1's background check was completed on 5/6/19 which was more than five days after date of hire on 3/13/19. | An application for a Pennsylvania criminal history record check shall be submitted to the State Police for prospective employes of the home who will have direct contact with individuals, including part-time and temporary staff persons who will have direct contact with individuals, within 5 working days after the person's date of hire.
| Staff persons #1 has a current criminal background check. Moving forward, Administrator will ensure that all prospective employees of OLALUS Group including part-time and temporary staff persons who will have direct contact with individuals receive a criminal history record check submitted to the State Police. (POC Attachment 7) |
02/20/2020
| Implemented |
| 6400.21(c) | More than one year lapsed for Staff #2's most recent criminal background check and date of hire on 6/21/19 ; 6/14/18 was the criminal background check provided at the time of review. | The Pennsylvania and FBI criminal history record checks shall have been completed no more than 1 year prior to the person's date of hire. | Staff persons #1 has a current criminal background check. Moving forward, the Administrator will ensure that all prospective employees of OLALUG Group including part-time and temporary staff persons who will have direct contact with individuals receive a criminal history record check submitted to the State Police. (POC Attachment 7) |
02/20/2020
| Implemented |
| 6400.64(b) | Mouse droppings were observed in the lower kitchen cabinet and drawer next to the window. | There may not be evidence of infestation of insects or rodents in the home. | The cabinets and entire home have been cleaned. OLALUS has contracted an exterminator. Exterminator will treat the site every six months. Staff and Individual occupant will engage in daily cleaning of the site to avoid/minimize rodent infestation |
02/25/2020
| Implemented |
| 6400.64(c) | The basement was used to store old discarded furniture and building supplies. | Trash shall be removed from the premises at least once per week. | The basement at Glendale has been cleaned out and made inaccessible to staff and individuals and will not be used for storage. |
02/18/2020
| Implemented |
| 6400.64(f) | There were no lids on the outside trash cans at the time of physical site review. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | Trash cans have been replaced. Moving forward, Property manager and house manager will conduct a quarterly inventory to ensure that Trash outside the home shall is kept in closed receptacles that prevent the penetration of insects and rodents. (POC Attachment 6) |
02/20/2020
| Implemented |
| 6400.67(b) | The Living room outlet plate cover near the tv was cracked, exposed and the electrical socket was protruding unevenly from the wall | Floors, walls, ceilings and other surfaces shall be free of hazards. | The outlet plate covered near the TV has been replaced by OLALUS. Property Manager and Program Specialist will monitor Floors, walls, ceilings and other surfaces to ensure that they are in good repair and free of hazards. If any surfaces are in disrepair, a work order will be submitted to the property manager and will be addressed within 5 business days. |
02/20/2020
| Implemented |
| 6400.71 | Emergency numbers were not posted by the telephone located in the basement. | 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 with an outside line.
| OLALUS has placed emergency numbers by all phones in the home. The site coordinator will conduct quarterly monitoring¿s at all sites to ensure compliance. Emergency numbers will also be reviewed at the end of all monthly fire drills by DSP. (POC Attachment 5) |
02/20/2020
| Implemented |
| 6400.111(a) | There was no fire extinguisher located in the basement at the time of physical site review. | There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. | Fire Extinguisher has been placed in the basement. The home is equipped with at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement. Monthly, after every fire drill, Sites coordinator and Property Manager will do an inventory and check all fire extinguishers to ensure that they are operable. contents are present. (POC Attachment 4) |
02/15/2020
| Implemented |
| 6400.32(q) | Two individuals in home have requested a washer and dryer for their home and agency has not gotten them one nor created a plan in which to assist them in obtaining one. This home can accommodate a washer and dryer and as there is no written documents providing a reason in which this request would pose a safety risk to the individuals or anyone else, this appears to a rights violation as no justifiable reason exists why these individuals cannot have their home furnished with a washer and dryer as they would like. | An individual has the right to furnish and decorate the individual's bedroom and the common areas of the home in accordance with § 6400.33 (relating to negotiation of choices). | OLALUS administrator provides laundry money for the individuals to complete their laundry on a weekly basis. Program Specialist and Behavior Supports Specialist are working with the individuals affected to negotiate choices in accordance with the OLALUS procedures for the individuals to resolve differences and make choices. Administrator will continue providing the individuals laundry money on a weekly basis until a reasonable agreement is made between OLALUS and the individuals regarding the purchase of a washer and dryer. |
03/01/2020
| Implemented |