| Regulation | LIS Non-Compliance Area | Correction Required | Plans of Correction | Correction Date | POC Status |
| 6400.64(f) | At 12:32 PM on 11/14/2024, one of two trash receptacles in front of the attached garage in the driveway of the home was overfilled with two gray garbage bags and a white garbage bag that were protruding over the top, preventing the lid from closing. | Trash outside the home shall be kept in closed receptacles that prevent the penetration of insects and rodents. | Laurel House, Inc ordered new trash receptacles to be placed at the residential site to ensure that al garbage at the home that is placed in the receptacles can be closed and latched appropriately to make sure that no insects or rodents are able to get into the garbage. Program Supervisors/Specialists complete weekly visits to the home and will make sure that garbage is secured. During one of their visits, they will complete a Home Hazard/Safety Checklist. If any of the receptacles at the home are broken or cannot be latched appropriately then a maintenance request will be completed so that new trash receptables can be ordered. |
12/31/2024
| Implemented |
| 6400.101 | At 12:51 PM on 11/14/2024, the door between the home and the garage has a key lock and a key dead bolt on the garage side, creating an obstructed egress from the garage without key. There is not a swing door in the garage of the home. | Stairways, halls, doorways, passageways and exits from rooms and from the building shall be unobstructed.
| On 12/4/2024 Laurel House, Inc Maintenance Team removed the doorknob with the locking mechanism and replaced it with a non-locking doorknob. They also removed the deadbolt from the door. A photograph of the remediated violation will be submitted for review. |
12/31/2024
| Implemented |
| 6400.32(r)(1) | At 12:25PM on 11/14/2024, there was a pinhole lock on Individual #1's and Individual #2's shared bedroom door. Individual #1 and Individual #2 have not been provided with a mechanism to lock and unlock the door. At 12:26PM on 11/14/2024, there was a pinhole lock on Individual #3's bedroom door. Individual #3 has not been provided with a mechanism to lock and unlock the door. | Locking may be provided by a key, access card, keypad code or other entry mechanism accessible to the individual to permit the individual to lock and unlock the door. | On 12/4/2024 Laurel House Inc Maintenance Team replaced the doorknob to Individual #1 and Individual #2 room with a doorknob that has no locking mechanism. All individuals that reside
in this residence have a signed Individual Rights Key Possession Form stating that they do not want to lock their bedrooms or have the ability to lock/unlock it. A photograph of the remediated violation will be sent to licensing for review. |
12/31/2024
| Implemented |
| 6400.32(r)(5) | At 12:25PM on 11/14/2024, there was a pinhole lock on Individual #1's and Individual #2's shared bedroom door. Staff did not have a mechanism to lock and unlock the door. At 12:26PM on 11/14/2024, there was a pinhole lock on Individual #3's bedroom door. Staff does not have a mechanism to lock and unlock the door. | Direct service workers who provide services to the individual shall have the key or entry device to lock and unlock the door. | On 12/4/2024 the Laurel House, Inc Maintenance Team replaced all doorknobs to the Individuals Rooms at the residential site with doorknobs that have no locking mechanism, as per the individuals choice, which is documented on a Key Possession Form that can be located in their ISP Charts. DSPs at the home will not have a key to enter their bedrooms as there is no locking mechanism on any of the individuals doors. A photograph of the remediation will be submitted to Licensing for review. |
12/31/2024
| Implemented |
| 6400.46(d) | Direct Service Worker #1 completed two-year certification trainings in first aid, Heimlich techniques, and cardio-pulmonary resuscitation on 4/14/21, and then again on 5/25/23. | Program specialists, direct service workers and drivers of and aides in vehicles shall be trained within 6 months after the day of initial employment and annually thereafter, by an individual certified as a training by a hospital or other recognized health care organization, in first aid, Heimlich techniques and cardio-pulmonary resuscitation. | Program Supervisors/Specialists, Direct Support Professionals, and drivers of and aides in vehicles shall be trained within 6 months after the day of initial Hire and Annually thereafter, by a certified trainer (by a hospital or other recognized health care organization) in basic First Aid, Heimlich techniques, and cardio-pulmonary resuscitation. |
12/31/2024
| Implemented |
| 6400.169(a) | Direct Service Worker #1's medication administration certification expired on 1/30/2023 and was not recertified to administer medications until 11/10/2024. Direct Service Worker #1 administered medications over a seven-month period from 4/26/2023 to 11/10/2024, without having completed the Department-approved medication administration course. Direct Service Worker #1 did not administer medications from 12/9/2022 to 4/26/2023. | A staff person who has successfully completed a Department-approved medications administration course, including the course renewal requirements may administer medications, injections, procedures and treatments as specified in § 6400.162 (relating to medication administration). | Program Supervisors/Specialists will be monitoring staff working in each of their assigned homes to make sure that Medication Administration Certifications are kept current/up to date. Program Supervisors/Specialists will utilize an Excel Spreadsheet to keep track of Medication
Administration Certification Dates to ensure that Practicums and Medication Reviews are completed. |
12/31/2024
| Implemented |