Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
6400.62(d) | Bottles of water and detergent were stored together in a closet in the kitchen. | Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces. | 55 PA CODE CHAPTER 6400.62(d) - Poisonous materials shall be kept separate from food, food preparation surfaces and dining surfaces.
Biacons supervisor will check and make sure all poisonous substances are locked separately from food during their weekly rounds. See attachment M |
04/10/2023
| Implemented |
6400.63(a) | The water in the bathroom sink was measured at 126.8 degrees Fahrenheit. | Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. | 55 Pa code chapter 6400.63(a)-Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source.
Biacons Administrator contacted apartment complex after inspection and requested the water in the bathroom sink be adjusted to read less than 120 degrees. Supervisor will check monthly via the fire drill log the water temperature at each site's bathroom and sink. See attachment R |
04/10/2023
| Implemented |
6400.67(a) | There is a hole in the wall in the bathroom under the towel rack near the toilet, about the size of a fist. | 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 will check all sites monthly to make sure no holes are present. All repairs will be made within 24-48 hours. See attachment B |
04/10/2023
| Implemented |
6400.163(h) | Regarding the medication review for Individual #3: Diazepam Gel's label has an expiration date of 2/14/23 that has been crossed off by staff and replaced with the date 8/26. | Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations. | 55 PA CODE CHAPTER-Prescription medications that are discontinued or expired shall be destroyed in a safe manner according to Federal and State statutes and regulations.
Biacons Nurse and/or supervisor will remove all expired medications immediately once medication has been discontinued, changed or expired. See attachment A |
04/10/2023
| Implemented |