Lutheran Social Services of the South, Inc.

While reviewing two (2) foster home training records, it was observed that one (1) foster home, single parent, has not completed CPR/First aid training. The most recent CPR/First aid training expired on 02.03.22.

Resolution: Corrected: 2025-11-21

While reviewing two (2) foster home training records, it was observed that one (1) foster home, single parent, has not completed CPR/First aid training. The most recent CPR/First aid training expired on 02.03.22.

Resolution: Corrected: 2025-11-21

While reviewing two (2) foster home training records, it was observed that one (1) foster home, single parent, has not completed CPR/First aid training. The most recent CPR/First aid training expired on 02.03.22.

Resolution: Corrected: 2025-11-21

While reviewing two (2) foster home training records, it was observed that one (1) foster home, single parent, has not completed CPR/First aid training. The most recent CPR/First aid training expired on 02.03.22.

Resolution: Corrected: 2025-11-21

During a review conducted on October 02, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2025-10-03

During a review conducted on October 02, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2025-10-03

During a review conducted on October 02, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2025-10-03

During a review conducted on October 02, 2025, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2025-10-03

While reviewing background checks for the operation, there was one (1) background check still listed as active but has an end date of 11.03.24 of being with the operation.

Resolution: Corrected: 2025-07-25

While reviewing background checks for the operation, there was one (1) background check still listed as active but has an end date of 11.03.24 of being with the operation.

Resolution: Corrected: 2025-07-25

While reviewing background checks for the operation, there was one (1) background check still listed as active but has an end date of 11.03.24 of being with the operation.

Resolution: Corrected: 2025-07-25

While reviewing background checks for the operation, there was one (1) background check still listed as active but has an end date of 11.03.24 of being with the operation.

Resolution: Corrected: 2025-07-25

During an expedited inspection at the home, the front of the home was observed to be unkept. The grass was knee length high, red solo cups and old cigarette butts were observed scattered throughout the porch. Spider webs and old furniture was also observed.

Resolution: Corrected: 2025-07-22

During an expedited inspection at the home, the front of the home was observed to be unkept. The grass was knee length high, red solo cups and old cigarette butts were observed scattered throughout the porch. Spider webs and old furniture was also observed.

Resolution: Corrected: 2025-07-22

During an expedited inspection at the home, the front of the home was observed to be unkept. The grass was knee length high, red solo cups and old cigarette butts were observed scattered throughout the porch. Spider webs and old furniture was also observed.

Resolution: Corrected: 2025-07-22

During an expedited inspection at the home, the front of the home was observed to be unkept. The grass was knee length high, red solo cups and old cigarette butts were observed scattered throughout the porch. Spider webs and old furniture was also observed.

Resolution: Corrected: 2025-07-22

Both foster parents last completed the administrainging medication training with a health professional on 06.03.24.

Resolution: Corrected: 2025-06-19

Both foster parents last completed the administrainging medication training with a health professional on 06.03.24.

Resolution: Corrected: 2025-06-19

Both foster parents last completed the administrainging medication training with a health professional on 06.03.24.

Resolution: Corrected: 2025-06-19

Both foster parents last completed the administrainging medication training with a health professional on 06.03.24.

Resolution: Corrected: 2025-06-19

During a review of the home records, it was found that the home had not had a health inspection since 2/29/2024.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home had not had a fire inspection since 3/31/2023.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home pet vaccination was last completed 11/7/2023.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home had not had a health inspection since 2/29/2024.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home had not had a fire inspection since 3/31/2023.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home pet vaccination was last completed 11/7/2023.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home had not had a fire inspection since 3/31/2023.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home had not had a fire inspection since 3/31/2023.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home pet vaccination was last completed 11/7/2023.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home had not had a health inspection since 2/29/2024.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home had not had a health inspection since 2/29/2024.

Resolution: Corrected: 2025-05-23

During a review of the home records, it was found that the home pet vaccination was last completed 11/7/2023.

Resolution: Corrected: 2025-05-23

While reviewing one (1) foster home record, it was found neither foster parent has completed the annual normalcy training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) foster home record, it was found neither foster parent has completed the annual psychotropic medication training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) employee record, it was found the employee has not completed the annual normalcy training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) foster home record, it was found neither foster parent has completed the annual psychotropic medication training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) foster home record, it was found neither foster parent has completed the annual normalcy training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) employee record, it was found the employee has not completed the annual normalcy training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) foster home record, it was found neither foster parent has completed the annual psychotropic medication training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) foster home record, it was found neither foster parent has completed the annual normalcy training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) employee record, it was found the employee has not completed the annual normalcy training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) foster home record, it was found neither foster parent has completed the annual psychotropic medication training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) employee record, it was found the employee has not completed the annual normalcy training.

Resolution: Corrected: 2025-05-20

While reviewing one (1) foster home record, it was found neither foster parent has completed the annual normalcy training.

Resolution: Corrected: 2025-05-20

During an RCC home visit the bathtub and tile had mold and mildew stains.

Resolution: Corrected: 2025-05-02

During an RCC HM home visit propane and oxygen tanks were observed outside.

Resolution: Corrected: 2025-05-02

During a RCC HM home visit the outdoors area was observed with hazardous and dangerous materials.

Resolution: Corrected: 2025-05-02

During an RCC HM home visit propane and oxygen tanks were observed outside.

Resolution: Corrected: 2025-05-02

During an RCC home visit the bathtub and tile had mold and mildew stains.

Resolution: Corrected: 2025-05-02

During a RCC HM home visit the outdoors area was observed with hazardous and dangerous materials.

Resolution: Corrected: 2025-05-02

During an RCC HM home visit propane and oxygen tanks were observed outside.

Resolution: Corrected: 2025-05-02

During an RCC home visit the bathtub and tile had mold and mildew stains.

Resolution: Corrected: 2025-05-02

During a RCC HM home visit the outdoors area was observed with hazardous and dangerous materials.

Resolution: Corrected: 2025-05-02

During an RCC home visit the bathtub and tile had mold and mildew stains.

Resolution: Corrected: 2025-05-02

During a RCC HM home visit the outdoors area was observed with hazardous and dangerous materials.

Resolution: Corrected: 2025-05-02

During an RCC HM home visit propane and oxygen tanks were observed outside.

Resolution: Corrected: 2025-05-02

During a review conducted on March 24, 2025 it was determined that: (1)the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having open investigations.

Resolution: Corrected: 2025-03-25

During a review conducted on March 24, 2025 it was determined that: (1)the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having open investigations.

Resolution: Corrected: 2025-03-25

During a review conducted on March 24, 2025 it was determined that: (1)the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having open investigations.

Resolution: Corrected: 2025-03-25

During a review conducted on March 24, 2025 it was determined that: (1)the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having open investigations.

Resolution: Corrected: 2025-03-25

The agency failed to provide basic information to the respite provider, such as last names, DOB, and previous history of the two (2) children.

Resolution: Corrected: 2025-03-21

The agency failed to provide basic information to the respite provider, such as last names, DOB, and previous history of the two (2) children.

Resolution: Corrected: 2025-03-21

The agency failed to provide basic information to the respite provider, such as last names, DOB, and previous history of the two (2) children.

Resolution: Corrected: 2025-03-21

The agency failed to provide basic information to the respite provider, such as last names, DOB, and previous history of the two (2) children.

Resolution: Corrected: 2025-03-21

During a review conducted on September 24, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-09-25

During a review conducted on September 24, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-09-25

During a review conducted on September 24, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-09-25

During a review conducted on September 24, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-09-25

During a review conducted on March 22, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-03-23

During a review conducted on March 22, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-03-23

During a review conducted on March 22, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-03-23

During a review conducted on March 22, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2024-03-23

A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him.

Resolution: Corrected: 2024-02-12

A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him.

Resolution: Corrected: 2024-02-12

A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him.

Resolution: Corrected: 2024-02-12

A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him.

Resolution: Corrected: 2024-02-12

During a review conducted on September 15, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-09-22

During a review conducted on September 15, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-09-22

During a review conducted on September 15, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-09-22

During a review conducted on September 15, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-09-22

While reviewing a staff record whose start date was 03.28.23, the record did not contain a notarized licensing affidavit. One was later provided during the inspection with the notariezd date of 05.24.23.

Resolution: Corrected at inspection

The agency home recieved a Home screening addenum on 04.25.22 due to a change in the ages of children the home is authorized to care for. A new verfication certificate was provided however, it does not contain the correct date to reflect updates.

Resolution: Corrected: 2023-06-07

While reviewing a staff record whose start date was 03.28.23, the record did not contain a notarized licensing affidavit. One was later provided during the inspection with the notariezd date of 05.24.23.

Resolution: Corrected at inspection

The agency home recieved a Home screening addenum on 04.25.22 due to a change in the ages of children the home is authorized to care for. A new verfication certificate was provided however, it does not contain the correct date to reflect updates.

Resolution: Corrected: 2023-06-07

While reviewing a staff record whose start date was 03.28.23, the record did not contain a notarized licensing affidavit. One was later provided during the inspection with the notariezd date of 05.24.23.

Resolution: Corrected at inspection

The agency home recieved a Home screening addenum on 04.25.22 due to a change in the ages of children the home is authorized to care for. A new verfication certificate was provided however, it does not contain the correct date to reflect updates.

Resolution: Corrected: 2023-06-07

The agency home recieved a Home screening addenum on 04.25.22 due to a change in the ages of children the home is authorized to care for. A new verfication certificate was provided however, it does not contain the correct date to reflect updates.

Resolution: Corrected: 2023-06-07

While reviewing a staff record whose start date was 03.28.23, the record did not contain a notarized licensing affidavit. One was later provided during the inspection with the notariezd date of 05.24.23.

Resolution: Corrected at inspection

The child service plan provided did not document any specific plans, goals, interventions and/or plans to minimize risk of harm due to the child?s history of high-risk behaviors.

Resolution: Corrected: 2023-06-23

It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan.

Resolution: Corrected: 2023-06-23

After reviewing an admission assessment provided by the agency, it was determined that it did not document information pertinent to the child in care.

Resolution: Corrected: 2023-06-23

It was reported and confirmed that the child?s foster parents did not participate in developing in the child?s service planning.

Resolution: Corrected: 2023-06-23

The child service plan provided did not document any specific plans, goals, interventions and/or plans to minimize risk of harm due to the child?s history of high-risk behaviors.

Resolution: Corrected: 2023-06-23

The child service plan provided did not document any specific plans, goals, interventions and/or plans to minimize risk of harm due to the child?s history of high-risk behaviors.

Resolution: Corrected: 2023-06-23

It was reported and confirmed that the child?s foster parents did not participate in developing in the child?s service planning.

Resolution: Corrected: 2023-06-23

After reviewing an admission assessment provided by the agency, it was determined that it did not document information pertinent to the child in care.

Resolution: Corrected: 2023-06-23

It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan.

Resolution: Corrected: 2023-06-23

It was reported and confirmed that the child?s foster parents did not participate in developing in the child?s service planning.

Resolution: Corrected: 2023-06-23

It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan.

Resolution: Corrected: 2023-06-23

After reviewing an admission assessment provided by the agency, it was determined that it did not document information pertinent to the child in care.

Resolution: Corrected: 2023-06-23

The child service plan provided did not document any specific plans, goals, interventions and/or plans to minimize risk of harm due to the child?s history of high-risk behaviors.

Resolution: Corrected: 2023-06-23

It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan.

Resolution: Corrected: 2023-06-23

It was reported and confirmed that the child?s foster parents did not participate in developing in the child?s service planning.

Resolution: Corrected: 2023-06-23

After reviewing an admission assessment provided by the agency, it was determined that it did not document information pertinent to the child in care.

Resolution: Corrected: 2023-06-23

During a review conducted on March 17th, 2023 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-03-21

During a review conducted on March 17th, 2023 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-03-21

During a review conducted on March 17th, 2023 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-03-21

During a review conducted on March 17th, 2023 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2023-03-21

Through interviews, it was determined that infants did not have cribs and were in bassinets for 3 months.

Resolution: Corrected: 2023-05-23

Through interviews it was determined that the FP's were not filling out and submitting medication logs timely.

Resolution: Corrected: 2023-05-22

Through interviews, it was determined that infants did not have cribs and were in bassinets for 3 months.

Resolution: Corrected: 2023-05-23

Through interviews, it was determined that infants did not have cribs and were in bassinets for 3 months.

Resolution: Corrected: 2023-05-23

Through interviews it was determined that the FP's were not filling out and submitting medication logs timely.

Resolution: Corrected: 2023-05-22

Through interviews, it was determined that infants did not have cribs and were in bassinets for 3 months.

Resolution: Corrected: 2023-05-23

Through interviews it was determined that the FP's were not filling out and submitting medication logs timely.

Resolution: Corrected: 2023-05-22

Through interviews it was determined that the FP's were not filling out and submitting medication logs timely.

Resolution: Corrected: 2023-05-22

During the course of this investigation, two children confirmed the foster parents would yell at a child in care.

Resolution: Corrected: 2023-03-20

During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on a child in care.

Resolution: Corrected: 2023-03-20

During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on a child in care.

Resolution: Corrected: 2023-03-20

During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on a child in care.

Resolution: Corrected: 2023-03-20

During the course of this investigation, two children confirmed the foster parents would yell at a child in care.

Resolution: Corrected: 2023-03-20

During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on a child in care.

Resolution: Corrected: 2023-03-20

During the course of this investigation, two children confirmed the foster parents would yell at a child in care.

Resolution: Corrected: 2023-03-20

During the course of this investigation, two children confirmed the foster parents would yell at a child in care.

Resolution: Corrected: 2023-03-20

Through an investigation inspection it was determined that the foster parents were allowing the infant child in care to sleep in their bed.

Resolution: Corrected at inspection

Through an investigation inspection it was determined that the foster parents were allowing the infant child in care to sleep in their bed.

Resolution: Corrected at inspection

Through an investigation inspection it was determined that the foster parents were allowing the infant child in care to sleep in their bed.

Resolution: Corrected at inspection

Through an investigation inspection it was determined that the foster parents were allowing the infant child in care to sleep in their bed.

Resolution: Corrected at inspection

While reviewing the foster home record, it was observed that for apporximatly nine (9) months, there was no unannounced supervisory visit conducted at the home.

Resolution: Corrected: 2022-11-29

While reviewing the foster home record, it was observed that for apporximatly nine (9) months, there was no unannounced supervisory visit conducted at the home.

Resolution: Corrected: 2022-11-29

While reviewing the foster home record, it was observed that for apporximatly nine (9) months, there was no unannounced supervisory visit conducted at the home.

Resolution: Corrected: 2022-11-29

While reviewing the foster home record, it was observed that for apporximatly nine (9) months, there was no unannounced supervisory visit conducted at the home.

Resolution: Corrected: 2022-11-29

During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2022-09-17

During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2022-09-17

During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2022-09-17

During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Resolution: Corrected: 2022-09-17

Three of the four child records were missing documents and information such as race, religion, monthly visits, medical, dental, psychological evaluation, pre-placement visit, incorrect child's documents uploaded, documents uploaded to incorrect tabs, and documents noted with incorrect child name.

Resolution: Corrected: 2022-09-28

Two of the child records did not have medication records for several months.

Resolution: Corrected: 2022-09-28

Two of four child records did not have a dental examination documented and one child record was noted to have occurred late.

Resolution: Corrected: 2022-09-28

Two of four child records did not have a dental examination documented and one child record was noted to have occurred late.

Resolution: Corrected: 2022-09-28

Three of the four child records were missing documents and information such as race, religion, monthly visits, medical, dental, psychological evaluation, pre-placement visit, incorrect child's documents uploaded, documents uploaded to incorrect tabs, and documents noted with incorrect child name.

Resolution: Corrected: 2022-09-28

Two of four child records did not have a dental examination documented and one child record was noted to have occurred late.

Resolution: Corrected: 2022-09-28

Two of the child records did not have medication records for several months.

Resolution: Corrected: 2022-09-28

Two of four child records did not have a dental examination documented and one child record was noted to have occurred late.

Resolution: Corrected: 2022-09-28

Three of the four child records were missing documents and information such as race, religion, monthly visits, medical, dental, psychological evaluation, pre-placement visit, incorrect child's documents uploaded, documents uploaded to incorrect tabs, and documents noted with incorrect child name.

Resolution: Corrected: 2022-09-28

Two of the child records did not have medication records for several months.

Resolution: Corrected: 2022-09-28

Three of the four child records were missing documents and information such as race, religion, monthly visits, medical, dental, psychological evaluation, pre-placement visit, incorrect child's documents uploaded, documents uploaded to incorrect tabs, and documents noted with incorrect child name.

Resolution: Corrected: 2022-09-28

Two of the child records did not have medication records for several months.

Resolution: Corrected: 2022-09-28

During the inspection, it was found that 2 prescription medications were not locked. This was corrected at inspection.

Resolution: Corrected: 2022-08-29

During the inspection, it was found that 2 prescription medications were not locked. This was corrected at inspection.

Resolution: Corrected: 2022-08-29

During the inspection, it was found that 2 prescription medications were not locked. This was corrected at inspection.

Resolution: Corrected: 2022-08-29

During the inspection, it was found that 2 prescription medications were not locked. This was corrected at inspection.

Resolution: Corrected: 2022-08-29

After reviewing records, it was found that 2 of 3 home screening addendums were completed after the 30 day required time frame of a "major life change" such as a move to another location or marriage.

Resolution: Corrected: 2022-09-20

After reviewing records, it was found that 2 of 3 home screening addendums were completed after the 30 day required time frame of a "major life change" such as a move to another location or marriage.

Resolution: Corrected: 2022-09-20

After reviewing records, it was found that 2 of 3 home screening addendums were completed after the 30 day required time frame of a "major life change" such as a move to another location or marriage.

Resolution: Corrected: 2022-09-20

After reviewing records, it was found that 2 of 3 home screening addendums were completed after the 30 day required time frame of a "major life change" such as a move to another location or marriage.

Resolution: Corrected: 2022-09-20

During the walk through medication was being stored in a draw in one of the adults rooms, but were not locked.

Resolution: Corrected: 2022-04-22

During the walk through medication was being stored in a draw in one of the adults rooms, but were not locked.

Resolution: Corrected: 2022-04-22

During the walk through medication was being stored in a draw in one of the adults rooms, but were not locked.

Resolution: Corrected: 2022-04-22

During the walk through medication was being stored in a draw in one of the adults rooms, but were not locked.

Resolution: Corrected: 2022-04-22

During the walkthrough of the residence, it was noted that there were several broken toys in the back yard.

Resolution: Corrected: 2021-10-29

Durng the inspection, it was determined that foster parents did not have the medication record for the child in care.

Resolution: Corrected: 2021-10-29

During the walkthrough of the residence, it was noted that there were several broken toys in the back yard.

Resolution: Corrected: 2021-10-29

During the walkthrough of the residence, it was noted that there were several broken toys in the back yard.

Resolution: Corrected: 2021-10-29

Durng the inspection, it was determined that foster parents did not have the medication record for the child in care.

Resolution: Corrected: 2021-10-29

During the walkthrough of the residence, it was noted that there were several broken toys in the back yard.

Resolution: Corrected: 2021-10-29

Durng the inspection, it was determined that foster parents did not have the medication record for the child in care.

Resolution: Corrected: 2021-10-29

Durng the inspection, it was determined that foster parents did not have the medication record for the child in care.

Resolution: Corrected: 2021-10-29

During the course of the investigation, it was determined that a child in care was subjected to corporal punishment following a verbal altercation with foster parent.

Resolution: Corrected: 2021-10-29

During the course of the investigation, it was determined that a child in care was subjected to corporal punishment following a verbal altercation with foster parent.

Resolution: Corrected: 2021-10-29

During the course of the investigation, it was determined that a child in care was subjected to corporal punishment following a verbal altercation with foster parent.

Resolution: Corrected: 2021-10-29

During the course of the investigation, it was determined that a child in care was subjected to corporal punishment following a verbal altercation with foster parent.

Resolution: Corrected: 2021-10-29

A household member that was not currently up to date on their First-aid/CPR training was left to babysit a child in care with primary medical needs.

Resolution: Corrected at inspection

A household member that was not currently up to date on their First-aid/CPR training was left to babysit a child in care with primary medical needs.

Resolution: Corrected at inspection

A household member that was not currently up to date on their First-aid/CPR training was left to babysit a child in care with primary medical needs.

Resolution: Corrected at inspection

A household member that was not currently up to date on their First-aid/CPR training was left to babysit a child in care with primary medical needs.

Resolution: Corrected at inspection