| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(a) | Direct Service Worker #1, date of hire 10/18/17, had a Pennsylvania criminal history record check completed on 11/3/17. | 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.
| The plan to address this issue of non-compliance for this Direct-Service Worker # 1 was termination on 3.30.2018.
The plan to alleviate this violation moving forward is implementation of the New Hire/On-Boarding process implemented here at AMA Support Services. Securing Background Checks is the third step in the New Hire/On-Boarding Process. A new hire staff is not scheduled for New Hire Orientation Training class until all background checks have been secured and reviewed by the HR Manager and the Program Director. [Documentation of audits of criminal history check by the HR Manager and the Program Director shall be kept. (AS 5/1/18)] |
04/03/2018
| Implemented |
| 6400.46(a) | The home did not provide orientation for Direct Service Worker #1, date of hire 10/18/17. | The home shall provide orientation for staff persons relevant to their responsibilities, the daily operation of the home and policies and procedures of the home before working with individuals or in their appointed positions. | The plan to address this issue of non-compliance is that this Direct-Service Worker # 1 was terminated on 3.30.2018. The plan to alleviate this violation moving forward is implementation of the New Hire Orientation Training/On-boarding program at AMA Support Services. This is a week-long orientation/training program for all newly hired staff. The New Hire Orientation program is scheduled for the 1st and 3rd week of each month. [Immediately and upon hire, the CEO or designee shall audit all staff persons' orientations to ensure all staff persons have orientation relevant to their responsibilities, the daily operation of the home and policies and procedures of the home before working with individuals or in their appointed positions. Documentation of audits shall be kept. (AS 5/1/18)] |
04/03/2018
| Implemented |
| 6400.46(e) | Direct Service Worker #1, date of hire 10/18/17, did not have training in the areas of intellectual disability, the principles of normalization, rights, and program planning and implementation. | Program specialists and direct service workers shall have training in the areas of intellectual disability, the principles of normalization, rights and program planning and implementation, within 30 calendar days after the day of initial employment or within 12 months prior to initial employment. | The plan to address this issue of non-compliance for this Direct-Service Worker # 1 was termination on 3.30.2018.
The plan to alleviate this violation moving forward is implementation of the New Hire Orientation Training/On-boarding program at AMA Support Services. This is a week-long orientation/training program for all newly hired staff. The New Hire Orientation program is scheduled for the 1st and 3rd week of each month. [Immediately and upon hire and continuing at least quarterly for 1 year, the CEO or designee shall audit all staff persons' trainings to ensure all staff persons have training in the areas of intellectual disability, the principles of normalization, rights and program planning and implementation, within 30 calendar days after the day of initial employment or within 12 months prior to initial employment. Documentation of audits shall be kept. (AS 5/1/18)] |
04/03/2018
| Implemented |
| 6400.46(f) | Direct Service Worker #1, date of hire 10/18/17, did not have fire safety training before working with individuals. | Program specialists and direct service workers shall be trained before working with individuals in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the home, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered. | The plan to address this issue of non-compliance for this Direct-Service Worker # 1was termination on 3.30.2018.
The plan to alleviate this violation moving forward is implementation of the New Hire Orientation Training/On-boarding program at AMA Support Services. This is a week-long orientation/training program for all newly hired staff. The New Hire Orientation program is scheduled for the 1st and 3rd week of each month. [Immediately and upon hire and continuing at least quarterly for 1 year, the CEO or designee shall audit all staff persons' trainings to ensure all staff persons are trained in general fire safety, evacuation procedures, responsibilities during fire drills, the designated meeting place outside the building or within the fire safe area in the event of an actual fire, smoking safety procedures if individuals or staff persons smoke at the home, the use of fire extinguishers, smoke detectors and fire alarms, and notification of the local fire department as soon as possible after a fire is discovered. . Documentation of audits shall be kept. (AS 5/1/18)] |
04/03/2018
| Implemented |
| 6400.46(h) | Direct Service Worker #1, date of hire 10/18/17, did not have training in first aid techniques before working with individuals. | Program specialists and direct service workers and at least one person in a vehicle while individuals are being transported by the home, shall be trained before working with individuals in first aid techniques. | The plan to address this issue of non-compliance for this Direct-Service Worker # 1was termination on 3.30.2018.
The plan to alleviate this violation moving forward is implementation of the New Hire Orientation Training/On-boarding program at AMA Support Services. This is a week-long orientation/training program for all newly hired staff. The New Hire Orientation program is scheduled for the 1st and 3rd week of each month. [Immediately and upon hire and continuing at least quarterly for 1 year, the CEO or designee shall audit all staff persons' trainings to ensure all staff persons are trained in training in first aid techniques before working with individuals. Documentation of audits shall be kept. (AS 5/1/18)] |
04/03/2018
| Implemented |
| 6400.151(a) | Direct Service Worker #1, date of hire 10/18/17, had physical examination completed 10/21/17. | A staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter. | The plan to alleviate this violation in the future is the implementation of the New Hire/On boarding process implemented here at AMA. This process is managed by the HR manager who completes an initial screening of all potential applicants, completes a telephone pre-screening, schedules an interview and if the applicant is selected as an AMA employee, an offer letter with instructions on completing a Physical/TB and the required Physical form is provided to the potential AMA employee. Prior to being scheduled for New Hire orientation, the potential staff must provide a copy of the Physical with a TB test that has been read to the HR Manager. Once this is secured, the potential employee is scheduled for New Hire Orientation Training Class. [Immediately and upon hire and continuing at least quarterly for 1 year, the CEO or designee shall audit all staff persons' records to ensure all staff person who comes into direct contact with the individuals or who prepares or serves food, for more than 5 days in a 6-month period, including temporary, substitute and volunteer staff, shall have a physical examination within 12 months prior to employment and every 2 years thereafter Documentation of audits shall be kept. (AS 5/1/18)] |
04/03/2018
| Implemented |
| 6400.151(c)(2) | Direct Service Worker #1, date of hire 10/18/17, had tuberculin skin testing completed 10/21/17. | The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. Tuberculin skin testing may be completed and certified in writing by a registered nurse or a licensed practical nurse instead of a licensed physician, licensed physician's assistant or certified nurse practitioner. | The plan to alleviate this violation in the future is the implementation of the New Hire/On boarding process implemented here at AMA. This process is managed by the HR manager who completes an initial screening of all potential applicants, completes a telephone pre-screening, schedules an interview and if the applicant is selected as an AMA employee, an offer letter with instructions on completing a Physical/TB and the required Physical form is provided to the potential AMA employee. Prior to being scheduled for New Hire orientation, the potential staff must provide a copy of the Physical with a TB test that has been read by a registered nurse or a licensed practical nurse, licensed physician, licensed physician's assistant or a certified nurse practioner to the HR Manager. Once this is secured, the potential employee is scheduled for New Hire Orientation Training Class. [Documentation of review shall be kept. (AS 4/27/18)] |
04/03/2018
| Implemented |