Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00234975 Renewal 10/17/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)72A There was no screen door on the front of the home. There seems to have been one due to the hardware that is left on the frame.Windows, including windows in doors, shall be securely screened when windows or doors are open. The immediate problem was fixed of the screen door 11/15/2023. The residential director is responsible for ensuring the screen door was installed and is secured and is in good working order regarding 72A. A review of all resident's sites was done ensure agency wide compliance. Target date of review of all sites was achieved on 10/21/2023. 12/13/2023 Implemented
6400.72(b)72B The threshold at the front door was loose and moved when walked on. Screens, windows and doors shall be in good repair. The threshold was fixed on 11/15/2023. The residential director is responsible for ensuring the threshold is secure and is in good working order and delegate who will fix the issue. Target date and review of all sites was achieved on 10/21/2023. 01/08/2023 Implemented
6400.80(a)80A There was an old bike lock fastened to the railing leading to the front door of the home. The lock was protruding out onto the steps presenting a tripping hazard for people walking up the steps. Outside walkways shall be free from ice, snow, obstructions and other hazards. The old bike lock was removed 10/19/2023. The residential director is responsible for ensuring the home is free from tripping hazards such as snow, Debrie, ice, and the walkway remains clear at all times. All individual sites and record were check ensure compliance. Target date was achieved on 10/19/2023. Monitoring will be conducted biweekly to ensure agency wide compliancy. 12/13/2023 Implemented
SIN-00230124 Unannounced Monitoring 08/18/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)Individual number one's ISP indicates poisons must be kept locked, as they cannot comprehend warning labels. Poisons were found unlocked in the home. Laundry detergent was found in an unlocked cabinet beneath the utility sink in the basement. Glass cleaner was found in an unlocked closet in a spare second floor bedroom. Non-prescription medication packets were found in the unlocked first aid kit: acetaminophen and antacid.Poisonous materials shall be kept locked or made inaccessible to individuals. All poisonous material was stored and locked away on 08/18/2023; signs were placed at different areas of the home as a reminder to lock a poisonous material away. 08/18/2023 Implemented
6400.77(b)There were no scissors in the first aid kit. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. First Aid kit was replenished on 08/18/2023 as a complete inventory was done to ensure all compliance was met for these regulations. 08/18/2023 Implemented
6400.81(k)(3)Individual number two's bed did not have a fitted sheet.In bedrooms, each individual shall have the following: Bedding, including pillow, linens and blankets appropriate for the season.An inventory was done and fitted sheets were located for individual number two bed. Completion of correction was done 08 /18/2023. 08/18/2023 Implemented
6400.110(e)Smoke detectors in the home are not interconnected.If the home serves four or more individuals or if the home has three or more stories including the basement and attic, there shall be at least one smoke detector on each floor interconnected and audible throughout the home or an automatic fire alarm system that is audible throughout the home. The requirement for homes with three or more stories does not apply to homes licensed in accordance with this chapter prior to November 8, 1991. All Smoke detectors are interconnected as of 09/13/2023 by a Fire Safety Expert. Pictures and service bill can be provided. 09/13/2023 Implemented
6400.111(f)Fire extinguishers throughout the property have out-of-date inspections. They were last inspected in June 2022. A fire extinguisher shall be inspected and approved annually by a fire safety expert. The date of the inspection shall be on the extinguisher. A Fire Expert has inspected the home, and all fire extinguishers are current as of 9/20/2023. Pictures and copy of service can be provided. 09/13/2020 Implemented
6400.171Food was found stored in a way that would not prevent contamination or the attraction of pests. In a cabinet above the stove, the contents of flour and pancake mix containers was found spilled on the shelves where they were stored. Similarly, spices on the shelf below the mixes were partially spilled where they were stored.Food shall be protected from contamination while being stored, prepared, transported and served. Residential Supervisor is responsible do daily checks to ensure food items are stored in a sanitary environment to avoid pests. ARCC instituted a chore list for all Direct Support Staff to follow. Staff had one on one training to ensure they all understand the importance of correct storage and cleaning and sanitizing the correct way. This chore list was completed on 8/19/2023 and all spillage and storage was corrected on 08/19/2023 08/19/2023 Implemented
6400.216(a)Empty prescription blister packs containing individual prescription information was found stored in an open garbage bag in an unlocked cabinet in the kitchen. An individual's records shall be kept locked when unattended. ARCC plan to dispose of prescription and over-the-counter drugs, ARCC Nursing/ Admin staff will destroy the blister packs (to prevent HIPPA violations) and bag the individuals' medication that has expired, or is no longer needed (explanations will be provided via MAR log, medication from the individuals. home) and will be discarded at an FDA Certified Controlled Division Center This was completed on 08/18/2023 (CVS Pharmacy located at 6701 Ridge Avenue, Philadelphia PA 19128) for proper disposal. 08/18/2023 Implemented
SIN-00223824 Renewal 04/24/2023 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)In one of the vacant bedrooms there was a hole in the wall where the doorknob had pressed into. Additionally, that same door was broken on the interior side.Floors, walls, ceilings and other surfaces shall be in good repair. Maintenance repaired the house in the bedroom wall that was caused by the doorknob. Picture attached in drop box 06/06/2023 Not Implemented
SIN-00210365 Renewal 08/30/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The agency failed to provide self-assessments for each home.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. ARCC/The Executive Director will submit the self assessment for licensing 3 to 6 months prior to the expiration date of the certificate of compliance. On September 13, 2022 the ED met with the administrative team (Program Specialist and Director of Residential) to review the Self Assessment and licensing process including the plan of correction and how to accurately complete it. 09/13/2022 Implemented
6400.21(b)Staff member #6 -no FBI background check found in record at inspection. There is a conflict between the job application which has a Delaware address, but the self-attestation states she lived in pa 2 years prior to employment? Unable to determine residency as a result. Documentation of current residence requested but not provided.If a prospective employe who will have direct contact with individuals resides outside this Commonwealth, an application for a Federal Bureau of Investigation (FBI) criminal history record check shall be submitted to the FBI in addition to the Pennsylvania criminal history record check, within 5 working days after the person's date of hire. Staff #6 completed the pre-enrollment for the FBI check via IndentoGO on 9/16/22. Staff #6 is scheduled for the FBI fingerprinting on 9/22/2022 at 3:40pm in Philadelphia, PA. 09/16/2022 Implemented
SIN-00192322 Renewal 08/31/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.77(b)No scissors were located in the First Aid kit at time of inspection. A first aid kit shall contain antiseptic, an assortment of adhesive bandages, sterile gauze pads, a thermometer, tweezers, tape, scissors and syrup of Ipecac, if an individual 4 years of age or younger, or an individual likely to ingest poisons, is served. The residential supervisor replaced the scissors in first aid kit per 6400.77 (b) regulatory guidelines. 09/01/2021 Implemented
6400.111(a)There was no Fire Extinguisher located in the kitchen (the extinguisher was in the dinning room).There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. An operable fire extinguisher with minimum 2-A rating was placed in the kitchen area of the site per 6400.111 (a) regulatory guidelines (see attachment #7) 08/31/2021 Implemented
6400.141(c)(4)It cannot be determined if on individual #1 1/6/21 physical examination that vision or hearing was reviewed or if further examination by a specialist, as this section was left blank.The physical examination shall include: Vision and hearing screening for individuals 18 years of age or older, as recommended by the physician. ARCC staff will ensure all pertinent information outlined on individual's physical form is completed by a physician at time of visit. 09/01/2021 Implemented
6400.141(c)(7)Individual #1 1/6/21 physical did not include a gynecological exam.The physical examination shall include: A gynecological examination including a breast examination and a Pap test for women 18 years of age or older, unless there is documentation from a licensed physician recommending no or less frequent gynecological examinations. Individual #1 GYN exam is scheduled for 12/13/21 09/01/2021 Implemented
6400.141(c)(8)Individual #1 1/6/21 physical did not include an annual mammogram exam. The last mammogram exam was conducted in 11/2019.The physical examination shall include: A mammogram for women at least every 2 years for women 40 through 49 years of age and at least every year for women 50 years of age or older. Individual #1 received a mammogram on 3/3/21 (see attachment #9) 08/31/2021 Implemented
6400.141(c)(13)Individual #1 1/6/21 physical did not address special medication considerations or side effects.The physical examination shall include: Allergies or contraindicated medications.Individual #1 1/6/21 physical does address allergies per 6400.141(c)(13) regulatory guidelines (see attachment #12) 08/31/2021 Implemented
6400.141(c)(14)Individual #1 1/6/21 physical did not include medical information pertinent to diagnosis and treatment in case of emergency.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. ARCC staff will ensure all pertinent information outlined on physical is completed by physician per 6400.141 (c)(14) 08/31/2021 Implemented
6400.181(a)Individual #1 initial assessment was completed 3/25/21, which is more than 60 days from their 12/29/20 admission date. There is also no assessment that has been completed within 1 year prior to admission. 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 program specialist realized the error and was re-educated to ensure all initial assessments must be completed within 60 days of admission per 6400.181(a) regulatory guidelines. 09/01/2021 Implemented
6400.181(e)(7)Individual #1 knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources exceeding 120 degrees Fahrenheit is not adequately addressed on the 3/25/21 assessment. The assessment simply states that the individual avoids all heat sources.The assessment must include the following information: The individual's knowledge of the danger of heat sources and ability to sense and move away quickly from heat sources which exceed 120° F and are not insulated. The program specialist corrected the assessment to give more details of Individual #1's awareness/knowledge of heat sources and the ability to sense and move away from heat sources exceeding 120 degrees Fahrenheit per 6400.181(e)(7) regulatory guidelines. (see attachment #10) 09/01/2021 Implemented
6400.181(e)(12)Individual #1 3/25/21 assessment does not address their recommendation for programming, as this section only references another person, Peter and speaks to him receiving behavioral therapy and having a behavior plan preventing him from certain activities.The assessment must include the following information: Recommendations for specific areas of training, programming and services. The program specialist corrected the assessment to identify the programming needs of Individual#1 per 6400.181 (e)(12) per regulatory guidelines (see Attachment #11) 09/01/2021 Implemented
6400.181(e)(13)(ix)Individual #1 3/25/21 assessment does not address their progress and growth in the area of community integration. It only references another person, Peter who enjoys shooting hoops.The assessment must include the following information: The individual's progress over the last 365 calendar days and current level in the following areas: Community-integration.The program specialist corrected the assessment to identify the community integration needs of Individual#1 per 6400.181 (e)(13)(ix) per regulatory guidelines (see Attachment #11) 09/01/2021 Implemented
6400.32(r)(4)Staff or individuals do not have access to the thermostat, which is locked.The locking mechanism shall allow easy and immediate access by the individual and staff persons in the event of an emergency.The residential supervisor made the thermostat locking mechanism accessible for the individual and staff person by having the key visible in the event of an emergency per 6400.32 (r)(4) regulatory guidelines. (see attachment #14) 08/31/2021 Implemented
6400.34(a)It cannot be determined if individual #1 was notified of their individual rights outlined in the 6400.32 regulations, as the signed copy of rights page provided shows that they signed off on being informed of the rights outlined under the 6100.181 and 6100.182 rights.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.The program specialist reviewed Individual#1 Individual Rights outlined per 6400.34 (a) on 12/29/20 with Individual #1 and her family. (see attachment #15) 08/31/2021 Implemented