Tree of Life Personal Care Home.

“A copy of the 2600 regulations was not posted in a conspicuous and public place in the home. Staff had removed the regulation book to use as a reference and did not return it to its original location.”

“The home did not obtain an FBI background check for a staff person who began working in the home and had not resided in Pennsylvania for 2 years prior to employment. An incorrect child abuse clearance was obtained instead of the required criminal background check.”

“From 11:00 PM on 8/25/25 until 7:00 AM on 8/26/25, none of the staff persons present in the home were certified in first aid and CPR, violating the requirement that at least one staff person for every 50 residents certified in these areas be present at all times.”

“The home's menu for the current week was posted, but the next week's menu was not posted in advance as required. Weekly menus must be posted one week in advance in a conspicuous and public place.”

“Resident #1 is prescribed blood glucose checks once daily in the morning. On 9/3/25, the MAR showed 'error' with an illegible crossed-out number for the 7:00 AM Accucheck, and there was no blood glucose reading on the glucometer, indicating the prescriber's orders were not followed.”

“Resident #1's initial medical evaluation was not completed on the Department's current standardized form, HS2136. The facility was using an outdated version of the form.”

“The home's written emergency procedures have not been submitted annually to the local emergency management agency as required.”

“The facility failed to post required Clean Indoor Air Act signage at entrances stating 'Smoking Permitted in Designated Areas Only' or 'No Smoking.'”

“Doors on common bathrooms and Jack & Jill bathrooms in resident rooms did not have latches or locks to ensure privacy during bathing, dressing, changing and medical procedures.”

“The facility did not have a working, non-coin-operated landline telephone accessible in emergencies. The only landline was located in the Administrator's office, which was not always unlocked.”

“Emergency telephone numbers for hospital, police, fire, ambulance, poison control, local emergency management and personal care home complaint hotline were not posted by the telephone with an outside line in the Administrator's office.”

“Firearms were present on the licensed premises and not contained in a locked cabinet in a place other than residents' rooms or common living areas. The Vice President of Operations, Owner and three maintenance staff members were carrying concealed weapons during inspection.”

“Four staff members (A, B, C, D) did not receive orientation training on fire safety and emergency preparedness topics including evacuation procedures, staff duties for fire drills, designated meeting places, smoking safety, fire extinguisher use, smoke detectors/alarms, and emergency notification procedures prior to or during their first work day.”

“Four staff members (A, B, C, D) did not receive Rights/Abuse 40 Hours training within 40 scheduled working hours on mandatory reporting of abuse (OAPSA) and reporting reportable incidents and conditions.”

“Four staff members (A, B, C, D) did not have a general orientation to their specific job functions as it relates to their position prior to working in that capacity.”

“An unannounced fire drill was not held during the month of July 2023.”

“Staff Member C has not successfully completed a Department-approved medications administration course with a passing performance-based competency test within the past 2 years and is therefore not qualified to administer oral, topical, eye, nose and ear drop prescription medications and epinephrine injections.”