Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00233740 Renewal 10/31/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.107At 1:51PM on 11/1/2023, a portable space heater was in the supply closet in the basement of the home. [Repeat Violation, 3/29/2023]Portable space heaters, defined as heaters that are not permanently mounted or installed, are not permitted in any room including staff rooms. 1. The portable space heater was removed from the Benwood residential on 11/1/2023 at 1:55PM. 2. On 11/6/23, all residential supervisors and program specialist were trained on the dangers of space heaters. 3. On 11/6/23, all residential supervisors and program specialist were trained on the mandated restrictions of portable space heaters in any room, including staff rooms. Hello, the violation 55 PA Code Chapter 6400.107 is correct and was founded on 11/1/2023. It is not a repeat violation, 3/29/2023. This violation has not occurred at the Benwood house or any other TFS locations before 11/1/2023. 11/12/2023 Implemented
SIN-00221737 Renewal 03/28/2023 Non Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.141(c)(6)Individual #1, date of admission 2/11/2021, had an initial Tuberculin testing completed on 3/12/2022.The physical examination shall include: Tuberculin skin testing by Mantoux method with negative results every 2 years for individuals 1 year of age or older; or, if tuberculin skin test is positive, an initial chest x-ray with results noted. TFS supervisors are working together to document and track important client dates on a spreadsheet for client medical and mental health appointments. 04/24/2023 Implemented
6400.141(c)(14)Individual #1's physical examination, completed on 1/24/2023, does not include medical information pertinent to diagnosis and treatment in case of an emergency. This section was left blank.The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. Staff will be retrained on the physical examination form understanding that all information is required to be filled out by medical personnel including medical information pertinent to diagnosis and treatment in case of an emergency . Documentation will be on record. [Individual #1 had a physical examination completed 4/10/2023 to include medical information pertinent to diagnosis and treatment in case of an emergency. (AES,HSLS on 5/1/2023)] 04/24/2023 Implemented
6400.34(a)Individual #1 was informed and explained her Individual Rights on 1/1/2023. These rights did not include 6400.32f, an individual has the right to refuse to participate in activities and services; 6400.32g, an individual has the right to control the individual's own schedule and activities; and 6400.32v, an individual's rights may only be modified in accordance with § 6400.185 (relating to content of the individual plan) to the extent necessary to mitigate a significant health and safety risk to the individual or others. Individual #2 was informed and explained his Individual Rights on 1/1/2023. These rights did not include 6400.32f, an individual has the right to refuse to participate in activities and services; 6400.32g, an individual has the right to control the individual's own schedule and activities; and 6400.32v, an individual's rights may only be modified in accordance with § 6400.185 (relating to content of the individual plan) to the extent necessary to mitigate a significant health and safety risk to the individual or others.The home shall inform and explain individual rights and the process to report a rights violation to the individual, and persons designated by the individual, upon admission to the home and annually thereafter.The TFS Rights review and client signature sheets were updated to include: 6400.32f, an individual has the right to refuse to participate in activities and services; 6400.32g, an individual has the right to control the individual's own schedule and activities; and 6400.32v, an individual's rights may only be modified in accordance with § 6400.185 (relating to content of the individual plan) to the extent necessary to mitigate a significant health and safety risk to the individual or others. 04/24/2023 Implemented
6400.165(g)Individual #1 had a psychiatric medication review on 5/3/2022 and then again on 3/21/2023. These psychiatric medication reviews did not include the medications or the need to continue the medications.If a medication is prescribed to treat symptoms of a psychiatric illness, there shall be a review by a licensed physician at least every 3 months that includes to document the reason for prescribing the medication, the need to continue the medication and the necessary dosage.The TFS psychotropic medication review form was updated to include detailed information to include the medications and/or the need to continue the medications. Documentation of the revised form will be provided. 04/24/2023 Not Implemented
6400.169(b)(2)Individual #1 is prescribed Tresiba FlexTouch for Diabetes. The agency staff have administered and documented administering this medication from 3/1/2023 to 3/10/2023 and from 3/12/2023 to 3/23/2023. The agency staff have not completed a Department approved diabetes patient education training program.A staff person may administer insulin injections following successful completion of both: A Department-approved diabetes patient education program within the past 12 months.TFS staff have enrolled and have taken a Department-approved diabetes patient education program through Penn State Beaver on 4/4/23. Documentation of enrollment can be provided. TFS are still waiting for certificates via email. 04/24/2023 Implemented
6400.213(1)(i)Individual #1's record does not include identifying marks. This section was left blank. Individual #2's record does not include identifying marks. This section was left blank.Each individual's record must include the following information: Personal information, including: (i) The name, sex, admission date, birthdate and Social Security number.TFS supervisors will be retrained on completing the Individual's face sheet including identifying information such as personal information, including: (i) The name, sex, admission date, birthdate and Social Security number. 04/24/2023 Implemented
SIN-00203761 Renewal 04/18/2022 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.74The 7 wooden steps leading from the 2nd floor exit to the outisde did not have a nonskid surface.Interior stairs and outside steps shall have a nonskid surface. Nonskid surfaces were put on the 7 wooden steps leading from the 2nd floor exit to the outside. This was done to reduce the risk of falling when ascending or descending stairs. [Picture showing non-skid installed on stairs received on 5/18/22 and reviewed 5/20/22. DPOC by HDKP, HSLS, on 5/20/22]. 05/06/2022 Implemented
6400.111(a)The fire extinguishers located in the basement, on the 1st floor in the kitchen, on the 2nd floor in the hallway, and in the 3rd floor hallway of the home had a 1A rating.There shall be at least one operable fire extinguisher with a minimum 2-A rating for each floor, including the basement and attic. Fire extinguishers were replaced with a minimum 2-A rating. The violation was fully corrected. [Receipt for purchase of 4 fire extinguishers, dated 5/4/22, received 5/18/22 and reviewed on 5/20/22. Five pictures of fire extinguishers placed in home received 5/18/22 and reviewed on 5/20/22. DPOC by HDKP, HSLS, on 5/20/22]. 05/06/2022 Implemented
SIN-00188398 Renewal 04/27/2021 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.151(c)(3)Program Specialist #1's physical examination completed 8/10/20, Direct Service Worker #2's physical examination completed 11/19/20, Direct Service Worker #3's physical examination completed 6/3/20, Direct Service Worker #4's physical examination completed 1/7/21 and Direct Service Worker #5's physical completed 1/6/21 do not include a signed statement that the staff person is free of communicable diseasesThe physical examination shall include: A signed statement that the staff person is free of communicable diseases or that the staff person has a communicable disease but is able to work in the home if specific precautions are taken that will prevent the spread of the dease to individuals.Tucker Family Supports (TFS) updated the staff and consumer physical form to properly document immunizations as well as communicable diseases and included specific precautions that must be taken if the individual has a communicable disease, to prevent spread of the disease to other individuals. 05/05/2021 Implemented