| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.110(a) | On 4/5/2023, at 11:50 AM, the smoke detector in the hallway of the home was inoperable. This is the only smoke detector in a common area. | A home shall have a minimum of one operable automatic smoke detector on each floor, including the basement and attic. | The smoke detector batteries were replaced on 4/5/23 immediately after the virtual inspection. The new battery corrected the problem and brought the smoke detector back into compliance. |
05/26/2023
| Implemented |
| 6400.51(b)(1) | Direct Service Worker #1 began working with individuals on 11/10/2022. The orientation, completed 11/10/2022, did not include the following required training topic: application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | The orientation must encompass the following areas: The application of person-centered practices, community integration, individual choice and supporting individuals to develop and maintain relationships. | The Direct Service Worker #1 last worked at Pittsburgh Mercy on 4/7/23 and no longer works for the temporary agency or Pittsburgh Mercy. |
05/26/2023
| Implemented |
| 6400.51(b)(3) | Direct Service Worker #1 began working with individuals on 11/10/2022. The orientation, completed 11/10/2022, did not include the following required training topic: individual rights. | The orientation must encompass the following areas: Individual rights. | The Direct Service Worker #1 last worked at Pittsburgh Mercy on 4/7/23 and no longer works for the temp agency or Pittsburgh Mercy. |
05/26/2023
| Implemented |
| 6400.51(b)(4) | Direct Service Worker #1 began working with individuals on 11/10/2022. The orientation, completed 11/10/2022, did not include the following required training topic: recognizing and reporting incidents. | The orientation must encompass the following areas: recognizing and reporting incidents. | The Direct Service Worker #1 last worked at Pittsburgh Mercy on 4/7/23 and no longer works for the temp agency or Pittsburgh Mercy. |
05/26/2023
| Implemented |