Adelphoi Colony Home

Citation, renewal inspection : 55 Pa. Code § 3800.184.c Medication Log

The medication log for child A was not completed at the same time each dosage of medication was administered. The MAR was missing documentation for December 26th at 9:00 pm.

Citation, renewal inspection : 55 Pa. Code § 3800.224.a Development of the ISP

Child A was admitted on and the initial ISP was developed on Child B was admitted on and the initial ISP was developed on hese two reports are outside of the initial 30-day ISP timeframe.

Citation, renewal inspection : 55 Pa. Code § 3800.226 Content of the ISP

The agency was missing the monthly documentation from 9/05/2023 to 10/05/2023 of child A's progress on each goal.

Citation : 55 Pa. Code § 3800.141.c

Resident #1’s health arid safety assessment dated 02/10/14 did not Include Immunization history, dental problems, known incidents of aggressive. or violent behavior, substance abuse history, and sexual history or behavior pattems that may place the child or other children at a health or safety risk. Résident#1 was manually restrained on 02/24/14, 02/26/14, 04/14/14, 04/15/14, 04/23/14, and 05/06/14 for being physicatty aggressive towards other residents and staff persons and his/her aggressive behaviors were not documented on the health and safety asgessment, Fo

Citation : 55 Pa. Code § 3800.203.e

Resident #1's Initial restrictive procedure plan dated 04/28/14 did not include the types of restrictive procedures that may be used, the circumstances under which the restrictive procedures may be used, oth of time the restrictive proced ay be applied.

Citation, renewal inspection, repeat violation : 55 Pa. Code § 3800.132.e

The facility's fire drill records indicate no sleeping drills have been conducted from March 2013 through February 2014.

Citation, incident inspection : 55 Pa. Code § 3800.16.c

A fire in the trash receptacte located in the unit bathroom occurred at the facility on 12/14/13 at 1:55 PM. The incident required the services of a fire department and the facility falled to report the incident to HCSIS until 12/16/13 at 11:55 AM.

Citation : 55 Pa. Code § 3800.132.c

The facility's fire drill records from June 2012 through February 2012 do not list evacuation time in minutes and seconds.

Citation : 55 Pa. Code § 3800.132.e

The facllity's fire drill records indicate that a sleeping hours fire drill was not conducted from June 2012 through February 2013,