| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.21(a) | The Pennsylvania Criminal History Background Checks for the following staff were not conducted within the established regulatory time frame: Staff #1 (Hire Date: 03/26/2021; Check Date: 06/19/2021) and Staff #2 (Hire Date: 02/28/2021; Check Date: 06/19/2021). Both of these criminal history checks occurred more than 5 working days after each staff's respective date of hire. | 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.
| Upon knowledge of a missing criminal , a criminal background was completed . |
07/27/2021
| Implemented |
| 6400.72(b) | There was a cracked window in the living room at time of inspection.
All windows throughout the home are unable to stay up when opened and slam shut upon opening. | Screens, windows and doors shall be in good repair. | Upon discovery of repairs , the owner of the home has been called to replace the windows for safety issues, we are awaiting a date for repairs . |
07/23/2021
| Implemented |
| 6400.151(a) | Several staff did not have Staff Physical Exams occur within the established regulatory time frame. Staff #3 was hired on 05/12/2021, but did not have a physical completed until 06/30/2021. Staff #4 was hired on 03/12/2021, but did not have a physical completed until 06/17/2021. | 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. | Due to covid and the hiring shortage there were limited availability at the doctors office , Although physicals were late they were completed . |
07/23/2021
| Implemented |