| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.22(a) | This provider was not able to provide an individual funds and property policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the individual concerning the use of funds and property. | There shall be a written policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the individual concerning the use of funds and property. | 99 PA Code Chapter 6400.22(a) - There shall be a written policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the individual concerning the use of funds and property.
Biacon's administrator has developed a written policy that establishes procedures for the protection and adequate accounting of individual funds and property and for counseling the use of funds and property. This policy will be effective immediately to ensure compliance. See attachment B |
01/16/2023
| Implemented |
| 6400.22(b) | ISP states individual#1 is responsible for staff admission to specially planned events as well as a meal for staff. | The home's policy may not prohibit the individual's right to manage the individual's own finances. | 99 PA Code Chapter 6400.22(b) - The home's policy may not prohibit the individual's right to manage the individual's own finances.
Biacons Administrator developed an individuals policy which will be effective immediately to ensure the homes policy does not prohibit the individuals right to manage the individuals own finances. See attachment B |
01/16/2023
| Implemented |
| 6400.22(d)(1) | There is $210.53 unaccounted for that has been withdrawn from individual#1 financial account. On 1/12/23, the provider deposited this amount back into the individuals account to make it whole. An accurate up-to-date financial record is not being kept for individual#1. For the months of October-December 2022 none of the ATM withdrawals match up to the receipts provided. Also, the room and board contract has not been signed by individual#1, indicating their agreement and awareness in paying this amount to the provider monthly. | The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home. | 55 PA Code Chapter 6400.22(d)(1)- The home shall keep an up-to-date financial and property record for each individual that includes the following: Personal possessions and funds received by or deposited with the home.
Biacons Financial Administrator will ensure all consumers financial records are up to date and audited monthly to ensure all receipts and balances match up to the individuals accounts. A copy of the room and board contract is attached. see Attachment C |
01/16/2023
| Implemented |
| 6400.67(a) | The hot water knob on the sink located just outside of the garage was broken and unable to be turned on. | Floors, walls, ceilings and other surfaces shall be in good repair. | 55 PA Code Chapter 6400.67(a)- Floors, walls, ceilings and other surfaces shall be in good repair.
Biacons Maintenance staff fixed the broken knob and will assess each home monthly for any items that are not in good repair. Items will be repaid within one week. See attachment D |
01/16/2023
| Implemented |
| 6400.72(a) | One of the windows in the upstairs bedroom did not have a screen installed. | Windows, including windows in doors, shall be securely screened when windows or doors are open. | 55 PA CODE Chapter 6400.72(a) - Windows, including windows in doors, shall be securely screened when windows or doors are open.
Biacons maintenance staff will assess each home monthly to ensure all windows have a screen. Any window without a screen will be repaired within a week. see attachment E |
01/16/2023
| Implemented |
| 6400.141(c)(14) | The section referring to Information pertinent to diagnosis in case of emergency was left blank on the annual physical for individual#1 dated, 10/7/2022. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | 55 PA Code Chapter 6400.141(c)(14) - The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency.
Bacons Nurse will review all phyisicals upon receipt and quarterly to ensure all areas are filled out. Any physical not completed as per the 6400 regulations will be returned to the physicians office to be updated. See attachment F |
02/25/2023
| Implemented |
| 6400.142(a) | No Dental Exam on file for individual#1.
** Individuals still need annual dental visits for gum health even if they no longer have teeth ** | An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. | 55 PA Code Chapter 6400.142(a) - An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually.
Biacons Nurse will ensure that each consumer has a dental exam according to the 6400 regulations. An audit of each consumers file will be conducted monthly to ensure complaince. See attachement F &G |
02/25/2023
| Implemented |
| 6400.32(o) | Individual#1 is being made to sign annually a document which requires payment for staff admission and a meal for said staff when the individual elects to go on outings and specially planned events. | An individual has the right to manage and access the individual's finances. | 55 PA Code Chapter 6400.32(o)- An individual has the right to manage and access the individual's finances.
Biacons administrator has implemented the individual funds policy which is effective immediately for all managers to follow. See atttachment B |
01/16/2023
| Implemented |
| 6400.186 | Individual#1's individual plan states the provider, the rep payee, will assist in managing the individual's money wisely, however the bulk of the individual's discretionary funds are being used to purchase fast food and/or quick restaurant chains despite this individual having an ISP outcome to lose weight. | The home shall implement the individual plan, including revisions. | 55 PA Code Chapter 6400.186 - The home shall implement the individual plan, including revisions.
Biacons staff have been trained on the individuals ISP by Biacons program specialist. Individual #1 does not have an outcome to lose weight. Its states her ISP that her preferred places to eat are WAWA and fast food chains. Biacon will continue to support each individual and encourage to make healthier food choices. see attachment H |
01/16/2023
| Implemented |