Tri-County Respite, Inc., d/b/a New Vitae, Inc., - Quakertown v. DHS

Commonwealth Court of Pennsylvania·Decided August 3, 2026·No. 755 C.D. 2025·Published·Tsai

Opinion

IN THE COMMONWEALTH COURT OF PENNSYLVANIA

Tri-County Respite, Inc., d/b/a New : Vitae, Inc., - Quakertown, : Petitioner : : v. : : Department of Human Services, : No. 755 C.D. 2025 Respondent : Argued: May 14, 2026

BEFORE: HONORABLE ANNE E. COVEY, Judge HONORABLE STELLA M. TSAI, Judge HONORABLE MARY HANNAH LEAVITT, Senior Judge

OPINION BY JUDGE TSAI FILED: August 3, 2026

Tri-County Respite, Inc., d/b/a New Vitae, Inc. - Quakertown (Petitioner) petitions for review from the order of the Secretary of the Department of Human Services (Secretary) denying reconsideration of a final order by the Department of Human Services (Department), Bureau of Hearings and Appeals (BHA). In its order, BHA dismissed Petitioner’s appeal from a licensing inspection summary (LIS) for a personal care home1 on the grounds that BHA lacked jurisdiction over

1 A personal care home is defined by the Department’s regulations as: A premise in which food, shelter and personal assistance or supervision are provided for a period exceeding 24 hours, for four or more adults who are not relatives of the operator, who do not require the services in or of a licensed long- term care facility, but who do require assistance or supervision in activities of daily living or instrumental activities of daily living. 55 Pa. Code § 2600.4. Petitioner’s appeal. After careful review, we reverse the Secretary’s order denying reconsideration and remand the matter for further proceedings. I. BACKGROUND Petitioner operates a personal care home in Quakertown, Pennsylvania. Pursuant to the Human Services Code (Code),2 Petitioner must maintain a license— a “certificate of compliance” in the Department’s parlance—to operate the personal care home. Section 1002 of the Code, 62 P.S. § 1002; 55 Pa. Code § 2600.4. On August 17, 2023, the Department’s Bureau of Human Services Licensing (BHSL) conducted an unannounced inspection of Petitioner’s Quakertown facility. September 20, 2023 LIS at 3, Reproduced Record (R.R.) 15. During the inspection, BHSL staff determined that Petitioner was in violation of two Department regulations: Section 2600.15 of the Department’s regulations, 55 Pa. Code § 2600.187, pertaining to abuse reporting covered by law; and Section 2600.187 of the Department’s regulations, 55 Pa. Code § 2000.15, pertaining to medication records. Id. at 5, 8, R.R. 17, 20; 55 Pa. Code §§ 2600.15, 2600.187. With respect to the Section 2600.15 violation, BHSL alleged that Petitioner failed to report two incidents of abuse of residents “to the local area agency on aging.” Id. at 5, R.R. 17. The incidents involved only residents, not Petitioner’s staff; neither of the complaining residents reported an injury; and no marks were found on the residents. Id. (describing incidents where “resident #1 claimed that resident #2 punched resident #1 in the stomach” and “resident #2 slapped resident #3 on the arm”). Following the inspection, Petitioner submitted plans of correction, in which it challenged the Department’s interpretation of the incidents as “abuse” under Section 2600.15 and averred that it properly reported the incidents as “assault” under Section

2 Act of June 13, 1967, P.L. 31, as amended, 62 P.S. §§ 101-1503.

2 2600.16 of the Department’s regulations, 55 Pa. Code § 2600.16, pertaining to reportable incidents and conditions. Id. at 5-7, R.R. 17-19. On September 20, 2023, BHSL issued an LIS that (1) identified Petitioner’s “citations” for violating Sections 2600.15 and 2600.187 of the Department’s regulations; (2) memorialized the correspondence between BHSL and Petitioner, which included BHSL’s narrative description of the incidents and Petitioner’s proposed plans of correction; (3) “directed corrective actions for [Petitioner] to implement to correct noncompliant items;” and (4) instructed Petitioner to submit “documentation verifying compliance” by October 5, 2023. Id. at 1-9, R.R. 13-21. Petitioner submitted a revised plan of correction, and, on October 10, 2023, BHSL issued an updated LIS indicating it found the plan acceptable and directed that “[c]ontinued compliance [with the plan] must be maintained.” October 10, 2023 LIS at 1, R.R. 54. On October 20, 2023, Petitioner filed an appeal “from the determinations by the Department . . . cit[ing Petitioner] for a regulatory violation in the nature of a failure to report suspected abuse in accordance with the law, which citation was made September 20, 2023.” BHA Appeal at 1, R.R. 9. Petitioner averred that “no version of the facts” of the incidents, either as known to Petitioner at the time or as developed following a complete investigation, “create[d] a basis for any reasonable suspicion that the incidents involved abuse.” Id. at 2-3, R.R. 10-11. Therefore, Petitioner contended that “the citation [for violation of Section 2600.15 of the Department’s regulations was] inconsistent with the law and represent[ed] a unilateral and unlawful re-writing of the law by the Department.” Id. at 1, R.R. 9. Petitioner alleged that the LIS was “now available for public review, thereby gravely

3 damaging [Petitioner’s] public reputation as a [licensed] provider” in violation of the right to reputation under the Pennsylvania Constitution.3 Id. at 2, R.R. 10. Following receipt of Petitioner’s appeal, a BHA Administrative Law Judge (ALJ) issued a rule to show cause directing Petitioner to demonstrate why its appeal should not be dismissed (1) for lack of jurisdiction because the LIS was not an appealable decision under Section 20.81 of the Department’s regulations, 55 Pa. Code § 20.81, pertaining to decisions that may be appealed; and (2) because the appeal was not filed within ten days as required by Section 35.20 of the General Rules of Administrative Practice and Procedure (GRAPP), 1 Pa. Code § 35.20, pertaining to appeals from actions of the staff. Rule to Show Cause, R.R. 41-42; see 1 Pa. Code § 35.20 (setting forth ten-day appeal period under GRAPP for “actions taken by a subordinate officer under authority delegated by the agency head”); 55 Pa. Code § 2600.12 (“Appeals related to the licensure or approval of the personal care home shall be made in accordance with [GRAPP].”). Petitioner submitted a response, and the ALJ issued an adjudication and recommendation that the appeal be dismissed on April 28, 2025. In the adjudication, the ALJ concluded that the

3 The right to reputation is enshrined in Article I, Section 1 of the Pennsylvania Constitution, as follows: All men are born equally free and independent, and have certain inherent and indefeasible rights, among which are those of enjoying and defending life and liberty, of acquiring, possessing and protecting property and reputation, and of pursuing their own happiness. Pa. Const. art. I, § 1. Additionally, Article 1, Section 11 provides a remedy for injury to reputation: All courts shall be open; and every man for an injury done him in his lands, goods, person or reputation shall have remedy by due course of law, and right and justice administered without sale, denial or delay. Suits may be brought against the Commonwealth in such manner, in such courts and in such cases as the Legislature may by law direct. Pa. Const. art. I, § 11.

4 Department lacked jurisdiction to resolve any challenge to the LIS because, under Section 20.81 of the Department’s regulations, the decision was not appealable, as it did not involve Department action related to Petitioner’s certificate of compliance or the maximum capacity of Petitioner’s facility. Adjudication at 3-4, R.R. 65-66.

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