Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00213951 Unannounced Monitoring 10/24/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.72(a)The window near the closet in the living room of the home has a temporary screen that does not securely fit the window.Windows, including windows in doors, shall be securely screened when windows or doors are open. While conducting a routine residential inspection by AHH House Manager on 10/13/2022, it was discovered that the living room window screen on Aber was accidentally damaged while removing the AC unit from the window. Maintenance was immediately notified, and a permanent window screen was ordered from Home Depot on 10/13/2022 at 12:49pm. A collapsible window screen was provided to the residence temporarily until the arrival of the permanent screen. At the time of the unannounced inspection on 10/24/2022, the permanent window screen had not yet arrived due to it being a special order. The OM informed licensing reps of the previous discovery by the AHH agency on 10/13/2022. Documentation of the inspection and the purchase receipt of the window screen was readily available at the time of the inspection and exit interview. 11/30/2022 Implemented
6400.76(a)The toilet seat in the first floor bathroom moved approximately one inch from side to side from the base of the toilet posing a fall risk. Furniture and equipment shall be nonhazardous, clean and sturdy. Upon its discovery, the issue was reported to the AHH maintenance team and corrected on 10/24/2022. The maintenance crew safely secured the commode by tightening the connecting bults which after the correction, posed no safety concerns of a fall-risk. 11/09/2022 Implemented
SIN-00211006 Unannounced Monitoring 08/26/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.214(b)Individual #1's most recent physical examination was not at the residential home.The most current copies of record information required in § 6400.213(2)¿(8) shall be kept at the residential home.On 08/25/22, staff members were advised to bring in all current medical records to the AHH Office for Management to review for Compliance. As a result of this, most recent records were not present at the residential home during the time of the unannounced inspection conducted by DHS Licensing reps on 08/26/22. On 8/29/22-9/2/22, all current medical records were reviewed for compliance and returned to the residential homes by the AHH Management Team on 9/2/22. 09/02/2022 Implemented
SIN-00205815 Unannounced Monitoring 05/26/2022 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.67(a)There is a hole in the wall approximately three feet by two feet on the right side of the garage of the home. [Repeat Violation, 7/1/2021, 10/29/2021, 12/3/2021]Floors, walls, ceilings and other surfaces shall be in good repair. On 05/26/2022, CEO, Kamar Williams, instructed The Property Manager to repair the hole at the location. On 05/27/2022, The hole was covered, plastered, sanded and painted by the AHH maintenance team. 07/08/2022 Implemented
6400.167(a)(1)Metformin 500mg Tab, take one tablet by mouth twice a day, and Levothyroxine 50MCG Take on tablet by mouth every morning prescribed to Individual #1 were not administered on 5/21/2022 and 5/22/2022 at 8:00AM. Fluoxetine 20mg, take 3 capsules (60mg) by mouth every morning, prescribed to Individual #1 was not administered on 5/13/2022 and 5/14/2022.Medication errors include the following: Failure to administer a medication.The prescribed medications were entered into the Enterprise Incident Management system as an omission on 05/27/2022 and the Medication Administration Record was updated to reflect the missed dose. 07/08/2022 Not Implemented
SIN-00203915 Unannounced Monitoring 04/21/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(e)The most recent fire drill held during sleeping hours was on 9/16/2021.A fire drill shall be held during sleeping hours at least every 6 months. During an unannounced inspection on 04/21/2022 it was discovered that the most recent fire drill conducted on 3/31/22 was an awake fire drill instead of an overnight fire drill. Staff received training from the operations manager on how to conduct and document an overnight drill. An overnight drill was completed by staff for month of April on 4/29/22. 04/29/2022 Implemented
6400.20(b)The home has not reviewed and analyzed incidents and conducted and documented a trend analysis over the past 3 months.The home shall review and analyze incidents and conduct and document a trend analysis at least every 3 months.During an unannounced inspection on 04/21/22 it was discovered that the quarterly incident reviews were not completed by the previous Assistant Director. The Operations manager will review and analyze incidents and conduct and document a trend analysis at least every 3 months. The Operations manager will create and maintain quarterly incident reports to communicate quality, risk and incident management activities in order to implement risk mitigation and corrective action. 05/21/2022 Implemented
SIN-00203344 Unannounced Monitoring 03/10/2022 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.112(c)The written fire drill records for the fire drills held on 1/13/2022 and 2/10/2022 did not address problems encountered.A written fire drill record shall be kept of the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. The fire drill record forms that were in use during the unannounced inspection on 03/10/22 were revised by a previous Assistant Director. During the exit interview, it was discovered that the problems encountered section was not included on the revised fire drill record form. Upon its discovery, the Operations Manager removed all of the blank incorrect revised forms from this location and all other sites. After the incorrect forms were removed, the House Manager was trained by the Operations Manager on how to identify missing regulatory requirements for fire drills. After the training was completed, the operations manager provided the correct fire drill forms to the locations to be completed by staff. The updated forms now include the date, time, the amount of time it took for evacuation, the exit route used, problems encountered and whether the fire alarm or smoke detector was operative. 04/30/2022 Not Implemented
SIN-00198071 Renewal 12/16/2021 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)A spray can of Scrubbing Bubbles Bathroom Grime Fighter with instruction to get medical help or contact a Poison Control Center right away, in case of ingestion, was unlocked and accessible on the bottom shelf of the bathroom closet. [Repeat Violation, 7/1/2021, 10/29/2021, 12/3/2021]Poisonous materials shall be kept locked or made inaccessible to individuals. Individual #1s treatment team reviewed Individual #1s most recent Annual Functional Assessment dated for 2/5/21. All of the sections under Household Chores were reviewed to see which ones Individual #1 was not able perform due to not having the skill and ability to use poisonous materials safely and appropriately. The overall progress from February 2021-December 2021 found that Individual #1 has the skills to use poisons appropriately. Individual #1 is able to use cleaning materials, such as Scrubbing Bubbles Bathroom cleaner, to clean his home. It has been agreed upon by Individual #1s treatment team that Individual #1 does not harm himself with these items. On December 23, 2021, Individual #1s ISP was revised to reflect that Individual #1 is able and capable of having these poisonous materials accessible to Individual #1. 12/23/2021 Not Implemented
SIN-00197091 Unannounced Monitoring 12/03/2021 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)A 16-ounce bottle of 91% Isopropyl rubbing alcohol with instruction to get medical help or contact a Poison Control Center right away, in case of ingestion, was unlocked and accessible on the bottom shelf of the medicine cabinet of the bathroom. [Repeat Violation, 7/1/2021, 10/29/2021]Poisonous materials shall be kept locked or made inaccessible to individuals. [Within 5 days of receipt of this DPOC, the CEO shall develop and implement policies and procedures to ensure poisonous materials are kept locked or made inaccessible to individuals in all community homes. Immediately, the CEO or designated staff person shall educate all staff persons on their responsibilities to poisonous materials are kept locked or made inaccessible to individuals in all community homes and to monitor throughout the course of their daily duties and at the end of their daily shift. Documentation of trainings shall be kept. A Helping Home CEO or designated staff person will conduct weekly unannounced visits to the home to ensure staff members are maintaining proper food storage. A record of unannounced visits will be maintained, (DPOC by AES, HSLS on 12/8/21)] 12/13/2021 Not Implemented
6400.76(a)A dining room chair had a leg that was in disrepair and gave way and slid away from the seat of the chair when sat on by the licensing representative causing the licensing representative to fall to the floor during the inspection. [Repeat Violation, 9/21/2021, 10/29/2021] Furniture and equipment shall be nonhazardous, clean and sturdy. [Within 5 days of receipt of this DPOC, the CEO, designated maintenance staff person or professional construction/contract company shall make repairs or replace equipment in the home including but not limited to repairing light fixtures and couches. A Helping Home CEO or designated staff person will conduct weekly unannounced visits to the home to ensure staff members are maintaining a safe home environment. A record of unannounced visits will be maintained including notes related to the physical site conditions of the home shall be kept. Within 5 days of receipt of this DPOC, the CEO shall develop and implement policies and procedures to ensure furniture and equipment is clean, sturdy and nonhazardous including but not limited to daily walk throughs of the homes by the CEO or designated staff/home supervisor persons educated in the aforementioned policies and procedures to ensure all furniture and equipment is clean, sturdy and nonhazardous in all community homes are in good repair and safe. (DPOC by AES,HSLS on 12/8/21)] 12/13/2021 Implemented
6400.107At 12:45PM, a portable space heater was located in the closet near the bathroom on the first floor of the home.Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms. [Immediately, the space heater shall be removed from the home. Immediately, upon hire, and at least annually, the CEO or designee shall educate all staff persons working and monitoring community homes, of the procedures to report and correct areas in the home that are unsafe, hazardous and not in compliance with the 55 Pa. Code Chapter 6400 regulations. Documentation of the trainings shall be kept. A Helping Home CEO or designated staff person will conduct weekly unannounced visits to the home to ensure staff members are maintaining a safe home environment. A record of unannounced visits will be maintained. (DPOC by AES,HSLS on 12/8/2021)] 12/13/2021 Implemented
6400.165(b)Individual #1's December 2021 Medication Administration Record has Fluoxetine Cap 20MG, take 3 capsules (60MG) by mouth every morning listed two times on separate lines. Both lines were initialed as administered on 12/1/2021, 12/2/2021 and 12/3/2021.A prescription order shall be kept current.[Within 5 days of receipt of this DPOC, a staff person qualified to administer medications and management designee shall audit all individuals' current medications, prescribers' orders and medication administration records to ensure all individuals are administered medications as prescribed including PRNs prescribed for symptoms of a diagnosed psychiatric illness. This will occur at least weekly for 3 months and then on a monthly basis or if/when medication changes occur. The management designee shall ensure all medications records are completed and medication administrations are documented as required. Documentation of medication audits shall be kept. Any identified medication errors shall be reported in accordance with regulatory requirements. (DPOC by AES,HSLS on 12/8/2021)] 12/13/2021 Not Implemented
SIN-00196024 Unannounced Monitoring 10/29/2021 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.62(a)On 10/29/2021 at 1:30PM, a 1 gallon Hot Shot Bedbug Sprayer with cautionary instruction to contact Poison Control if ingested was unlocked and accessible underneath the sink in the kitchen of the home. Individual #1's Individual Service Plan, last updated on 5/12/2021, states, "[Individual #1] does not have the skills to use poisons appropriately. He has been known to put inappropriate things into food and drinks. [Individual #1] must be observed around food items and chemicals to maintain safety." [Repeat Violation, 7/1/2021]Poisonous materials shall be kept locked or made inaccessible to individuals. On October 29 2021 the violation was corrected on site. The AHH management member moved the 1 gallon Hot Shot Bedbug Sprayer to the locked closet where all the poisonous substances are stored and locked. The kitchen cabinet door had a lock placed on it for additional safety of daily frequently used products such as dish detergent and Clorox clean-up in order to maintain compliance with the violated regulation. 10/29/2021 Not Implemented
6400.64(a)At 1:40PM on 10/29/2021, there was an accumulation of approximately 1/2 inch thick dryer lint in the lint trap in the clothes dryer in the basement of the home. There was a large pool of water on the floor of the basement of the home. In addition, there is unknown thick, black substance on the wall of the basement. [Repeat Violation, 7/1/2021]Clean and sanitary conditions shall be maintained in the home. It was discovered that the gutters were clogged due to debris from a fallen tree and needed to be rerouted. The drain was rerouted away from the residence as not to allow running water to infiltrate the basement. There was not a pool of water discovered. The unknown substance was dust. The lint trap was cleaned on site at the time of the unannounced inspection and the floors were swept and mopped and the wall cleaned on 10/29/2021. We are requesting that this be a TA instead as it doesn¿t pertain to health and wellness. 11/10/2021 Not Implemented
6400.67(a)Throughout the basement of the home there are wires hanging from the ceiling and along the walls. In addition, the floor of the basement has areas of broken and loose debris including a pipes, rocks and wires. [Repeat Violation, 7/1/2021]Floors, walls, ceilings and other surfaces shall be in good repair. AHH maintenance removed the excess debris as well as removed any non-functioning wires and tacked the working ones. The walls were dry-locked to address any moisture. 11/15/2021 Not Implemented
6400.68(b)At 1:26PM on 10/29/2021, the hot water temperature at the bathtub of bathroom on the first floor of the home measured at 128.6°F. [Repeat Violation, 7/1/2021] Hot water temperatures in bathtubs and showers may not exceed 120°F. On October 29, 2021 the office manager adjusted the water heater control to lower the temperature of the water. Staff will be trained to conduct water temperature test daily per shift and to make adjustments as needed for temperatures exceeding 120 degrees. The readings will be recorded on a Daily Temperature Check Form. If temperature should ever exceed 120 degrees staff were trained to adjust the water heater temperature to an appropriate temperature not to exceed 120 degrees. 10/29/2021 Not Implemented
6400.72(a)The screen in the window of the first floor bathroom is not secured to the window and is resting on a metal bar approximately two inches away from the window. [Repeat Violation, 4/27/2021 and 7/1/2021]Windows, including windows in doors, shall be securely screened when windows or doors are open. The window was fitted for a collapsible screen which was installed by AHH maintenance that day. The window was also measured for a custom screen which was also ordered that day. 10/29/2021 Not Implemented
6400.80(b)There are two holes approximately 8 inches wide by 8 inches long and another hole approximately 8 inches wide by 12 inches long that is partially covered by bricks in the yard of the home. In addition, there are several additional cinder block near the holes in the yard. These conditions are posing a falling and tripping hazards. The outside of the building and the yard or grounds shall be well maintained, in good repair and free from unsafe conditions.AHH maintenance removed the cinder blocks and realigned the bricks. The holes were filled in with soil and seed. 11/15/2021 Not Implemented
6400.214(a)On 10/29/2021, Individual #1's required record information as per 6400.213(1)-(6) was not present at the home.Record information required in § 6400.213(1) (relating to content of records) shall be kept at the home.On 11/01/2021 individual #1¿s required record information as per 6400.213(1)-(6) was replaced and put back into the individual¿s on-site program binder. Please see the Vial of Life. 11/01/2021 Not Implemented
SIN-00186855 Renewal 04/27/2021 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.32(d)The Office of Developmental Programs requires that staff who provide direct services wear a mask that covers the nose and mouth during the entirety of service provision. On 4/28/2021 at 10:10AM, Direct Service Worker #1 who was not wearing a mask was standing next to Individual #1. Failure to wear masks is undignified and disrespectful in that it creates a risk of transmitting the COVID-19 virus from staff to individuals.An individual shall be treated with dignity and respect.Plan of Correction for: 55 PA Code Chapter 6400.32(d) Respect and Dignity ¿ Staff had no mask How it was corrected: On April 28, 2021 AHH Office Manager instructed the staff to properly place his mask over his mouth as well as his nose. When it was corrected: April 28, 2021 Who made the correction: A Helping Home, LLC Office Manager and DSP Staff What specific change will be made: All AHH staff will be reminded that while on shift or within 6ft of the supported individuals face masks must be worn. Who will make the change: AHH Management Team; CEO, Associate Director, Office Manager and House Supervisor 04/28/2021 Not Implemented
SIN-00163086 Unannounced Monitoring 08/26/2019 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
20.34On 8/26/19, at 10:10AM and again at 1:26PM, during an unannounced inspection, agents of the Department, Human Services Licensing Representatives requested the required agency's Certified Investigation for Individual #1 for the following incidents entered in to the Enterprise Incident Management System: ID#8571184, primary category: physical abuse, 7/4/19 and ID#8549101, primary category physical abuse, 5/7/19. Additional requests were made for this information to the agency's Chief Executive officer #1 and Associate Director #2 via email on 9/13/19 and 9/24/19. As of 9/25/19 the agency had not provided the requested Certified Investigations. (Repeat violation, 1/18/19)The facility or agency shall provide to authorized agents of the Department full access to the facility or agency and its records during both announced and unannounced inspections. The facility or agency shall provide the opportunity for authorized agents of the Department to privately interview staff and clients.To reiterate, the facility or agency shall provide to authorized agents of the Department full access to the facility or agency and its records during both announced and unannounced inspections. The facility or agency shall provide the opportunity for authorized agents of the Department to privately interview staff and clients. And in order to do so the agency has created and implemented an Unannounced Inspections Policy and Procedure which states that all office personnel will have keys and access to the office and the staff's and individual's locked files. In the off chance that there are no office personnel in the office at the time of an unannounced inspection the Loving Place Front Desk attendant will contact the CEO who will then have an office member in route to the office within 15 minutes. Also included in the policy is access to a spare key at the Centre Avenue locati9on which is less then 2 miles distance from the office. This will ensure full access at all times. This new policy was given a trial run on Friday, October 11, 2019, which was successful. The AD went to the front desk and announced herself as an unannounced auditor and ask to speak to an AHH representative. The front desk called to the AHH office and an office personnel, Office Assistant Irwin Banks, came to the front and escorted the individual back within 2 minutes time. The office personnel was able to access the locked file cabinet and when asked for a personnel file he was able to produce such. [On 10/30/19 at 10:00AM, Agent of the Department entered the public office space and requested a representative from the agency and within a few minutes was greeted by office associate staff. Office associate staff introduced the program specialist/director to the Department within a few minutes. Documentation was requested for training, new policy as per plan of correction and recently hired PS qualifications. Training attendance form and qualifications for PS was provided to the Department, promptly. Policy as per plan of correction was not available at the time of on site inspection. Policy was emailed to the Department at 12:17Pm on 10/30/19 after the department had exited the agency. At 10:53am, certified investigation documentation requested and not available. Immediately, the CEO or designee shall develop and implement policies and procedures to ensure the Department has full access to the agency and its records at the time of inspections. At least quarterly for 1 year, the CEO or designee shall review the agency's policies and procedures and update as needed to ensure access as required. Immediately and upon changes, the CEO or designee shall train all staff persons on the agency's policies and procedures to ensure the Department full access to the agency and its records during inspections. Documentation of audits and trainings shall be kept. (DPOC by AES, HSLS on 10/30/19)] 10/11/2019 Not Implemented
SIN-00159760 Renewal 07/23/2019 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.15(a)The self assessment for the home was completed on 7/9/19. The agency's certificate of compliance expires on 8/25/19.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. How was it Corrected: The self-assessments had been completed prior to licensing however were not on file at the office.When it was corrected: On July 24, 2019 Who made the corrections: A Helping Home, LLC CEO Kamar Williams What Specific Change will be made: A file was created to store the site self-assessments at the main office as well as on site. Who will make the change: CEO Kamar Williams When will the change be made: This change took place immediately How will the change be made: CEO Kamar Williams instructed Office Manager Sheena Hancock to create a separate file specifically for site self assessments which will now be completed bi-annually. What system have you implemented to make sure that the same violation will not occur again: CEO Kamar Williams will ensure the site self assessments are properly filed once Associate Director Tamica Wade completes them.What training will be provided by you to the staff: Staff are not responsible for site self assessments. Supporting Documentation: Training Agenda 07/31/2019 Implemented
6400.77(b)The first aid kit did not contain a thermometer. 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. How it was corrected: On July 24, 2019 a thermometer was brought to the site and replaced in the first aid kit. This infraction was corrected on site. (see attached receipt and letter)When it was corrected: July 24, 2019 Who made the correction: A Helping Home, LLC Management, Kamar Williams, CEO What specific change will be made: A thermometer was placed in the first aid kit. Who will make the change: A Helping Home, LLC Management Associate Director Tamica Wade will ensure moving forward all first aid kits are supplied as required. When will the change be made: Changes were completed on July 24, 2019 How will the change be made: A Helping Home, LLC Associate Director Tamica Wade will ensure all first aid kits are equipped are required and will check quarterly and document. What system have you implemented to make sure that the same violation will not occur again: DCS Staff will be required to notify management if the first aid kit is missing any required items or supplies. What training will be provided to your staff: Ensuring a working telephone shall be present in all sites with an outside line accessible to individuals and staff persons. A Helping Home, LLC Management, Associate Director Tamica Wade and Antoinette Thomas, House Supervisor will conduct quarterly onsite checks to ensure compliance and will replace any supplies or required items of the first aid kit to ensure compliance. Supporting documentation: Training Agenda Quarterly On-Site Inspection Checklist 07/24/2019 Implemented
SIN-00235919 Renewal 12/07/2023 Compliant - Finalized
SIN-00235021 Unannounced Monitoring 11/16/2023 Compliant - Finalized
SIN-00232312 Renewal 09/26/2023 Compliant - Finalized
SIN-00221116 Unannounced Monitoring 03/16/2023 Compliant - Finalized
SIN-00219170 Unannounced Monitoring 02/09/2023 Compliant - Finalized
SIN-00199230 Unannounced Monitoring 01/26/2022 Compliant - Finalized
SIN-00189542 Unannounced Monitoring 07/01/2021 Compliant - Finalized
SIN-00172839 Renewal 03/26/2020 Compliant - Finalized
SIN-00141377 Renewal 07/25/2018 Compliant - Finalized