| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.106 | Documentation of the furnace being inspected and cleaned at least annually by a professional furnace cleaning company was not provided. Therefore, compliance could not be measured. [Repeat violation: 8/17/22 Et al.] | Furnaces shall be inspected and cleaned at least annually by a professional furnace cleaning company. Written documentation of the inspection and cleaning shall be kept.
| LRS has updated our annual service agreement with Armstrong Comfort Solutions & Matz Plumbing to provide furnace inspection services for our Waterfront, Beacon Hill, and Lawrenceville apartment locations. Prior inspections only included LRS's single-family location. Upon completion, a copy of the furnace inspection and cleaning will be submitted to the Department. |
09/01/2023
| Implemented |
| 6400.142(a) | Individual #1, date of birth 10/24/1996, had a dental examination 3/11/22 and then again 4/14/23. | An individual 17 years of age or younger shall have a dental examination performed by a licensed dentist semiannually. An individual 18 years of age or older shall have a dental examination performed by a licensed dentist annually. | The Nurse Coordinator will obtain written documentation confirming that the next appointment date will exceed the anniversary of the previous appointment to remedy this violation. |
08/30/2023
| Implemented |
| 6400.142(g) | Individual #1 had dental hygiene plans competed 3/11/22 and then again 4/14/23. | A dental hygiene plan shall be rewritten at least annually. | The dental hygiene plan will be updated by the Program Specialist every six months or more frequently than annually after dental appointments to reflect the current recommendations of the dental provider. |
08/31/2023
| Implemented |
| 6400.18(g) | Certified Investigation documentation regarding Incident #9251656, Individual to Individual psychological abuse on 7/22/23, involving Individual #1, was not provided. Therefore, compliance could not be measured. | The home shall initiate an investigation of an incident, alleged incident or suspected incident within 24 hours of discovery by a staff person. | Incident #9251656 was discovered on July 22, 2023, at 12:00 AM, and the investigator was assigned on the same day at 05:30 PM. The investigation started on July 23, 2023, at 01:38 PM, within 24 hours of being discovered by a staff member Photos of the area where allegedly heavy trash bags were made to carry to the designated trash and recycling area will be sent to the Department. |
07/23/2023
| Implemented |
| 6400.32(d) | On 8/16/23, located on the wall, next to Individual #2's bedroom is a sign stating, "limit amount of toilet paper and paper towels given to [Individual #2]." | An individual shall be treated with dignity and respect. | The sign near Individual #2's bedroom that stated, "Limit the amount of toilet paper and paper towels given to Individual #2" has been removed by LRS. Pictures of both the sign and the wall where it was posted will be sent to the Department. |
08/30/2023
| Implemented |
| 6400.32(h) | On 8/16/23, the toilet seat, located in the bathroom in Individual #2's bedroom, has a sensor to alert staff when the toilet is used. Staff reported it was placed there to "keep [Individual #2] from playing in the toilet." | An individual has the right to privacy of person and possessions. | LRS removed the sensor from the toilet seat used to prevent clogging. Photos of the toilet without the sensor will be sent to the Department. |
08/30/2023
| Implemented |
| 6400.32(n) | On 8/16/23, located on the wall in the livingroom, behind the television and landline telephone is a sign stating, "No calls are to be made by consumers after 8 PM". | An individual has the right to unrestricted and private access to telecommunications. | LRS took down the sign stating, "No calls after 8 PM by consumers". The Department will receive photos of the wall and the sign. |
08/30/2023
| Implemented |
| 6400.32(t) | On 8/16/23, located on the wall in the dining area is a sign with specific mealtimes for breakfast, lunch and dinner. | An individual has the right to access food at any time. | LRS removed the sign with specific mealtimes for breakfast, lunch, and dinner. Photos of the wall and the sign will be sent to the Department. |
08/30/2023
| Implemented |