| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6500.18 | On 1/25/21, during the virtual annual licensing inspection, Staff #3 verbally abused Individual #1. Staff #3 told Individual #1 to shut up two times in the course of two minutes. Individual #1 was attempting to speak to licensing staff regarding an oil spill that had occurred in the basement of the home prior to the inspection. Licensing staff witnessed Staff #3 tell Individual #1 to shut up twice. | Abuse of an individual is prohibited. Abuse is an act or omission of an act that willfully deprives an individual of rights or human dignity or which may cause or causes actual physical injury or emotional harm to an individual, such as striking or kicking an individual; neglect; rape, sexual molestation, sexual exploitation or sexual harassment of an individual; sexual contact between a family member or an agency staff person and an individual; restraining an individual without following the requirements in this chapter; financial exploitation of an individual; humiliating an individual; or withholding regularly scheduled meals. | Staff 3 participated in a training on Sensitivity on 1/25/2021 prior to the Lifesharing Coordinator leaving the home. (Attachment 01) Individual 1 was also educated on identifying verbal abuse. She reported not feeling verbally abused by Staff 3. She was offered alternative living arrangements (respite) during the investigation, but she refused. During the investigation she stated, If anything ever happened to FLP, if we were apart, I would die instantly. Lifesharing Coordinator (Staff 2) visits the home monthly to ensure Individual 1s health, safety, and well-being. If Staff 2 is not available, the backup plan is implemented and another representative from CARES of Central PA visits the home. This incident allegedly occurred at 1:45pm on 1/25/2021, and the Supports Coordinator and Adult Protective Services were contacted on 1/25/2021. This incident was reported in EIM on 1/26/2021 at 8:12am (Incident #8788793). Certified Investigator was assigned on 1/26/2021 at 8:12am and the investigation was initiated immediately. Interviews with the victim (Individual 1) was conducted on 1/26/2021 from 2:30pm-3:16pm, indicating that she did not feel abused by Staff 3 at any point in time. Interview with the target (Staff 3) was conducted on 1/26/2021 from 3:31pm-3:35pm. This incident was founded by the review committee due to Staff 3 admitting that he told Individual 1 to shup up twice. Individual 3 will be trained on reportable incidents on an annual basis. |
02/17/2021
| Implemented |
| 6500.24(d)(1) | On 7/18/20, cash ledger indicates $17.92 was spent. Receipt was for $17.82. The cash on hand ledger is not current and up to date. The balance of the cash on hand ledger was listed as $157.97 on 10/6/20. The actual balance of the ledger on that date should have been $167.97. From that date, forward the cash ledger was off by $10 each month. On 10/30/21 reported balance was $52.39. $4.39 was spent on 10/31/20. $52.39-$4.39 is $48. Balance was listed as $48.39. The actual October balance was $58. | An up-to-date financial and property record shall be kept for each indivudal that includes the personal possessions and funds received by or deposited with the family or agency. | Cash On Hand Ledgers for October 2020 - January 2021 have been corrected. (Attachment 02) Accurate COH Ledgers will be maintained daily and reviewed monthly by the Lifesharing Coordinator. |
02/10/2021
| Implemented |
| 6500.67 | The lint tray in the dryer had a plum sized ball of lint. Surfaces are to be free of hazards. | Floors, walls, ceilings and other surfaces shall be free of hazards. | Staff 3 cleaned the lint tray of the dryer on 1/25/2021. The dryer lint tray will be cleaned out after every use and checked by the Lifesharing Coordinator at each monthly meeting. |
02/10/2021
| Implemented |
| 6500.17(a) | Self-assessment was last completed on 11/18/19. The license expires 2/1/21. Self-assessment needed to be completed between August of 2020 to November 2020. | If an agency is the legal entity for the home, the agency shall complete a Self-Assessment of Homes the agency is licensed to operate 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. | Self-Assessment for this home was completed on 1/25/2021 and will be completed within 3-6 months of the expiration of certificate of compliance. (Attachment 03) |
02/10/2021
| Implemented |
| 6500.32(c) | On 1/25/21, during the virtual annual licensing inspection, Staff #3 verbally abused Individual #1. Staff #3 told Individual #1 to shut up two times in the course of two minutes. Individual #1 was attempting to speak to licensing staff regarding an oil spill that had occurred in the basement of the home prior to the inspection. Licensing staff did hear Staff #3 tell Individual #1 to shut up two times. | An individual may not be abused, neglected, mistreated, exploited, abandoned or subjected to corporal punishment. | Staff 3 participated in a training on Sensitivity on 1/25/2021 prior to the Lifesharing Coordinator leaving the home. (Attachment 01) Individual 1 was also educated on identifying verbal abuse. She reported not feeling verbally abused by Staff 3. She was offered alternative living arrangements (respite) during the investigation, but she refused. During the investigation she stated, If anything ever happened to FLP, if we were apart, I would die instantly. Lifesharing Coordinator (Staff 2) visits the home monthly to ensure Individual 1s health, safety, and well-being. If Staff 2 is not available, the backup plan is implemented and another representative from CARES of Central PA visits the home. This incident allegedly occurred at 1:45pm on 1/25/2021, and the Supports Coordinator and Adult Protective Services were contacted on 1/25/2021. This incident was reported in EIM on 1/26/2021 at 8:12am (Incident #8788793). Certified Investigator was assigned on 1/26/2021 at 8:12am and the investigation was initiated immediately. Interviews with the victim (Individual 1) was conducted on 1/26/2021 from 2:30pm-3:16pm, indicating that she did not feel abused by Staff 3 at any point in time. Interview with the target (Staff 3) was conducted on 1/26/2021 from 3:31pm-3:35pm. This incident was founded by the review committee due to Staff 3 admitting that he told Individual 1 to shup up twice. Individual 3 will be trained on reportable incidents on an annual basis. |
02/17/2021
| Implemented |
| 6500.32(d) | The Office of Developmental Programs requires that staff who provide direct services wear a mask that covers the nose and mouth during the entirety of service provision. On 1/25/21, Staff #2 was not wearing a mask that covered her nose and mouth during a portion of the inspection. The mask was under her chin. Failure to wear masks is undignified and disrespectful in that it creates a risk of transmitting the COVID-19 virus from staff to individuals. On 1/25/21, during the virtual annual licensing inspection, Staff #3 verbally abused Individual #1. Staff #3 told Individual #1 to shut up two times in the course of two minutes. Individual #1 was attempting to speak to licensing staff regarding an oil spill that had occurred in the basement of the home prior to the inspection. Licensing staff did hear Staff #3 tell Individual #1 to shut up two times. | An individual shall be treated with dignity and respect. | Staff 2 was re-trained on COVID-19 Protocols/Mask Wearing Training on 1/25/2021 and masks will be worn by the Staff 2 in all Lifesharing homes at all times. (Attachment 04) The incident was filed in EIM and an investigation founded this incent to be true. Staff 3 participated in a training on Sensitivity on 1/25/2021 prior to the Lifesharing Coordinator leaving the home. (Attachment 01) |
02/10/2021
| Implemented |