Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00283096 Renewal 02/10/2026 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.64(a)At 11:27AM on 2/11/26, the interior of the microwave had various brownish and yellowish areas of food splatters, spills, and particles.Clean and sanitary conditions shall be maintained in the home. A new microwave was ordered on 2-16-26 because the yellowish stains did not come out with cleaning. The new microwave was delivered on 2-20-26 03/12/2026 Implemented
6400.72(b)At 11:30 AM on 2/11/26, there was a four inches by one inch tear around the door handle on the screen of the sliding screen door leading to the enclosed deck in the rear of the home. At 11:35 AM on 2/11/26, the left side of the screen frame in the only window in the home's vacant bedroom was bent inward, creating a gap in the window opening that measured approximately one-eighth of an inch by ten inches in length. Screens, windows and doors shall be in good repair. A maintenance request was submitted on 2-16-26 to replace the screen door and for a new screen in the vacant bedroom. The landlord was contacted again on 2-19-26 and verified that the request was received and indicated that the repairs were on the list to be completed. 03/12/2026 Implemented
6400.181(e)(12)Individual #1's current assessment, completed on 10/30/25, did not include recommendations for specific areas of training, programming, and services.The assessment must include the following information: Recommendations for specific areas of training, programming and services. The recommendation section of Individual #1's assessment was updated to include specific areas of training, programming, and services on 2-17-26. The updated assessment was sent to all team members on 2-17-26 as evidenced by the critical exchange form. 03/12/2026 Implemented
SIN-00222379 Renewal 04/04/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.63(a)On 4/5/23, at 10:03 AM, the hot water temperature at the kitchen sink measured 124.2 degrees Fahrenheit.Heat sources, such as hot water pipes, fixed space heaters, hot water heaters, radiators, wood and coal-burning stoves and fireplaces, exceeding 120°F that are accessible to individuals, shall be equipped with protective guards or insulation to prevent individuals from coming in contact with the heat source. The landlord was contacted on 4/5/23 to request that the hot water tank be adjusted to reduce the water temperature. The temperature was rechecked on 4/6/23 and was 119 degrees at the kitchen sink. 05/26/2023 Implemented
6400.214(b)On 4/5/23, the following most recent records were not found at the home for Individual #1: a dental examination and a psychological evaluation. The most current copies of record information required in § 6400.213(2)¿(14) shall be kept at the residential home. The most recent dental examination and psychological exam for individual #1 were obtained from the electronic medical record and placed into the binder locked in a cabinet in the home on 4/28/23. 05/26/2023 Implemented
SIN-00112657 Renewal 04/20/2017 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.164(b)Atorvastatin, 10 mg, take 1 tablet by mouth at bedtime prescribed for Individual #1 was not initialed as administered on 4-2-17 at 9:00PM. The information specified in subsection (a) shall be logged immediately after each individual's dose of medication. The staff who administered the medication for individual #1 on 4-2-17 at 9:00pm initialed the MAR as evidenced by a copy of the MAR sent to ODP. The staff responsible for the documentation error was counseled and reminded to log immiately after each individual's dose of medication. Evidence of the staff counseling will be sent to ODP. [At least weekly for 1 month and then continuing monthly, a designated staff person shall review all individuals' current medication records and current medications to ensure all individual are being administered medications as prescribed and documented as required for the health and safety of the individuals. Documentation of reviews shall be kept. (AS 5/18/17)] 05/05/2017 Implemented
6400.186(a)The program specialist completed an ISP review ending 7-17-16 for Individual #1 and then completed the next ISP review beginning 8-17-16 for Individual #1. The program specialist shall complete an ISP review of the services and expected outcomes in the ISP specific to the residential home licensed under this chapter with the individual every 3 months or more frequently if the individual's needs change which impacts the services as specified in the current ISP. All Program Specialists will ensure that all quarterlies are completed on the correct schedule every three months by either developing a spreadsheet of due dates for their site, or by entering due dates into their calendars. All Program Specialists will be retrained on the requirement to complete quarterlies every three months by 5-26-17. Evidence of the training will be submitted to ODP. [At least quarterly for 1 year, a designated management staff person shall review a 25% sample of ISP review and aforementioned tracking systems to ensure timely completion by the program specialist(s). Documentation of reviews shall be kept. (AS 5/18/17)] 05/05/2017 Implemented
6400.213(1)(i)The photograph in Individual #1's record was not dated. Each individual's record must include the following information: Personal information including: (i) The name, sex, admission date, birthdate and social security number. (iii) The language or means of communication spoken or understood by the individual and the primary language used in the individual's natural home, if other than English. (ii) The race, height, weight, color of hair, color of eyes and identifying marks.(iv) The religious affiliation. (v) The next of kin. (vi) A current, dated photograph.The photograph for individual #1 was dated. A copy of the dated photograph will be sent to ODP. All Pittsburgh Mercy Program Specialists will ensure all individual records include a dated photograph by reviewing them prior to placing them in the individual's file. All Program Specialists will be retrained on this requirement and all of the requirements of 6400.213(1)(i) by 5-26-17. Evidence of the training will be submitted to ODP.[Immediately and at least quarterly, the program specialist(s) shall review all individuals' records to ensure all required information is included as per 6400.213(1)-(14). (AS 5/18/17)] 05/05/2017 Implemented
SIN-00059409 Renewal 01/22/2014 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.31(b)The rights form signed by Individual#1 on 12/27/13, did not state the full rights per regulations 33(g) regarding visitors and 33(k) regarding religion. Per 6400. 33(g), " An individual has the right to receive scheduled and unscheduled visitors, communicate, associate and meet privately with family and persons of the individual's own choice." Individual #1's signed statement included that I have the right to have visitors in my home and talk to people I wnat unless my health or safety is at risk." Per 6400. 33(k), "An individual has the right to practice the religion or faith of the individual's choice." Individual#1's signed statement included that, "I have the right to attend religious services of my choice."(b) Statements signed and dated by the individual, or the individual's parent, guardian or advocate, if appropriate, acknowledging receipt of the information on rights upon admission and annually thereafter, shall be kept. The individual rights statement form was revised to reflect the exact wording of state regulation 6400.31(b)33(g), 33(k).The individual#1 reviewed signed a new rights statment on 03/21/2014, attachment A. All other individuals in residntial programs will sign the revised statement by 4/30/14. The program specialist is responsible for the completion of this corrective action. All agency ID services residential staff will be trained on the changes to the form by 04/30/2014. The program specialist is responsible for ensuring completion of the staff training. 04/30/2014 Implemented
SIN-00171482 Renewal 02/19/2020 Compliant - Finalized