| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.15(b) | The Department's licensing inspection instrument for the community homes for people with intellectual disability regulations to measure and record compliance was not used. | The agency shall use the Department's licensing inspection instrument for the community homes for people with intellectual disability regulations to measure and record compliance.
| 6400.15(b) ¿ WHAT and HOW: The agency shall use the Department¿s licensing inspection instrument for the ¿Community Homes for Individuals with an Intellectual Disability¿ regulations to measure and record compliance. Agency completed the self- inspection however we did not have the correct form to use. Correct form has been obtained and will now be utilized for all houses. House supervisor manager will train house supervisors in use of the correct form.
WHO: Responsibility: House supervisors will be in charge of making the correction and implementing the change, Manager of the House Supervisors will conduct a quarterly review.
WHEN: Implementation date: May 1, 2018 and ongoing |
05/01/2018
| Implemented |
| 6400.62(a) | Individuals living in the home were not assessed to be safe regarding poisonous materials. Two bottles of mouthwash were unlocked in the hallway closet. Soap in the bathroom and kitchen had labels indicating poison control is to be contacted. | Poisonous materials shall be kept locked or made inaccessible to individuals. | 6400.62(a) ¿ WHAT and HOW: Poisonous materials shall be kept locked or inaccessible to individuals. Two bottles of mouthwash were unlocked in the hallway closet. Soap in the bathroom and kitchen had labels indicating poison control is to be contacted. Soap has been replaced with a non-toxic soap called Method. To prevent recurrence in the future, only non-toxic soap will be purchased for the homes. Mouthwash is now locked and will only be used under supervision for those individuals whose ISP states this is appropriate.
WHO: Responsibility: House supervisors will be in charge of making the correction and implementing the change, Manager of the House Supervisors will conduct a quarterly review.
WHEN: Implementation date: March 15, 2018
ADDITIONALLY: All individual ISP¿s will be reviewed by May 1, 2018 to ensure that safety procedures in regards to poisonous materials are being followed. |
03/15/2018
| Implemented |
| 6400.68(b) | Hot water temperature was measured at 124.8 degrees Fahrenheit in the bathtub. | Hot water temperatures in bathtubs and showers may not exceed 120°F. | 6400.68(b) ¿WHAT and HOW: hot water temperatures in bathtubs and showers will not exceed 120 degrees F. Temperature in bathtub was measured at 124.8 degrees F. To prevent recurrence, Faithful Homes has purchased the same thermometers as the Department used for each home. In addition, house supervisors will be trained on how to properly calibrate a thermometer, and document training. To assure ongoing compliance, calibration of thermometer will be included in the house safety checklist.
WHO: Responsibility: House supervisors will be in charge of making the correction and implementing the change, Manager of the House Supervisors will conduct a quarterly review.
WHEN: Implementation date: May 1, 2018.
the water temperature from the bathtub facet was adjusted and within the guidelines on May 1 2018. It was tested again the week of May 14, 2018 and was within guidelines. On May 23 2018 it was tested and was above the guidelines. A plumber (The Purple Plumber) came out at approximately 5 p.m. on May 23 2018. He found a part inside the water heater had deteriorated. He replaced that part and waited for approximately 1 hour. Then he tested the water and it was within guidelines. Later that night the house supervisor also tested the tub water and it was within guidelines. On May 24, 2018 a licensing department member tested the water before 12 noon and it was also within guidelines. |
05/01/2018
| Implemented |
| Article X.1007 | Faithful Homes LLC is required to meet all requirements of Article X of the Public Welfare Code and of the applicable statutes, ordinances and regulations (62 P.S. § 1007) including criminal history checks and hiring policies for the hiring, retention and utilization of staff persons in accordance with the Older Adult Protective Services Act (OAPSA) (35 P.S. § 10225.101 -- 10225.5102) and its regulations (6 Pa. Code Ch. 15). Staff #1 was hired on 11/15/2017; the criminal history check was requested on 11/17/2017. | When, after investigation, the department is satisfied that the applicant or applicants for a license are responsible persons, that the place to be used as a facility is suitable for the purpose, is appropriately equipped and that the applicant or applicants and the place to be used as a facility meet all the requirements of this act and of the applicable statutes, ordinances and regulations, it shall issue a license and shall keep a record thereof and of the application. | Article X .1007 ¿ Provider objects to this citation. This is not according to the 6400 or the 6400 interpretive guidelines. Department was very clear that we were to follow the 6400. We do not see or know of anything in writing that says that Article 10 of the welfare code supersedes the 6400 until now. Therefore, we request this get removed for this inspection. |
03/30/2018
| Implemented |