Inspection IDReason for InspectionInspection DateInspection Status 
SIN-00233646 Renewal 10/31/2023 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.166(b)Individual#1's prescribed medication Carbamazepine 200mg ER was not initialed as administered on 10/31/23 at 9:00AM.The information in subsection (a)(12) and (13) shall be recorded in the medication record at the time the medication is administered.On 10/31/23 at 9:00pm, staff administered Carbamazepine 200mg to a person living at 5821 Morrowfield Ave, Pittsburgh 15217. Staff did not complete the required documentation on the MAR. This error was discovered during the inspection on 11/1/23 . On 11/1/23, the Specialist addressed the concern with this staff and reviewed the 15 Steps of Medication Administration, with emphasis on documenting immediately after passing the medication. The Specialist also discussed how not signing off could lead to mis dosing. Staff acknowledged that he understood the importance. It is important to note that this was an isolated occurrence for this staff member, who hasn't made documentation mistakes on the MAR prior to this incident. (Verification to follow via email to ODP) 11/01/2023 Implemented
SIN-00105258 Renewal 12/13/2016 Compliant - Finalized
RegulationLIS Non-Compliance AreaCorrection RequiredPlans of CorrectionCorrection DatePOC Status
6400.71The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were not on or by the telephone in Individual #1's bedroom.Telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center shall be on or by each telephone in the home with an outside line. The telephone numbers of the nearest hospital, police department, fire department, ambulance and poison control center were placed on the phone when the violation was discovered during inspection on 12/15/16. Specialists will periodically check to ensure phone numbers remain on all telephones during site visits.[Immediately and continuing at least monthly, the program specialist shall check to ensure all required numbers are on or by each telephone with an outside line. Documentation of checks shall be kept. Within 30 days of receipt of the plan of correction, all staff persons working in community home shall be educated on the required telephone numbers and to check for required telephone numbers throughout the course of their daily duties. (AS 1/12/17)] 01/10/2017 Implemented
SIN-00215199 Renewal 11/01/2022 Compliant - Finalized
SIN-00156723 Renewal 06/04/2019 Compliant - Finalized
SIN-00051290 Renewal 09/05/2013 Compliant - Finalized