AT LAST!, Inc.

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Operation did not submit EBI information for quarter 3.

Resolution: Corrected: 2024-10-30

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Three staff files were reviewed, and one staff file did not include TB test results.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

Two of three staff CPR certificates reviewed did not include the trainer's qualifications. The certificates also did not include the length of the training.

Resolution: Corrected: 2024-06-13

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

One staff's file contained reference checks that did not include all required information about the reference.

Resolution: Corrected: 2024-05-09

During the inspection three fire extinguishers were observed to have expired in April 2024.

Resolution: Corrected: 2024-05-06

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The medication cabinet was unlocked during the inspection. Non-prescription ointments were stored in an unlocked cabinet that was accessible to children.

Resolution: Corrected: 2024-04-09

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

A child in care was self administering an inhaler and there was no documentation.

Resolution: Corrected: 2023-12-08

Van used to transport children did not have current liability insurance.

Resolution: Corrected at inspection

Child admission assessment did not have immunization record and other important information.

Resolution: Corrected: 2023-12-15

Three of the three child files that were reviewed did not document the date the preliminary service plan was completed.

Resolution: Corrected: 2023-12-15

The operations did not have all documentation completed documentation was contractidcing on dates and information.

Resolution: Corrected: 2023-12-15

Operation runaway log did not have information for the gender date of admiission or if law enfrocement was contacted.

Resolution: Corrected: 2023-12-15

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

Resolution: Corrected: 2023-10-12

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Resolution: Corrected: 2023-09-15

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

Two lighters were located in a drawer in the common living area.

Resolution: Corrected at inspection

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-30

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Resolution: Corrected: 2023-06-30

At Last! does not have written relocation plan.

Resolution: Corrected: 2023-06-30

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

Resolution: Corrected: 2023-06-12

The operation admission policy did not specify the gender they will provide services for.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document what documentation is required for gas inspections.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

Grass at the facility was overgrown.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Resolution: Corrected: 2023-06-12

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

At Last! safety polices does not include these additional safety provisions

Resolution: Corrected: 2023-06-12

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

Resolution: Corrected: 2023-06-12

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

Resolution: Corrected: 2023-06-12

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12

The policy does not address all areas of the Addressing Suicide Attempts.

Resolution: Corrected: 2023-06-12

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

Resolution: Corrected: 2023-06-12

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

Resolution: Corrected: 2023-06-12

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

Resolution: Corrected: 2023-06-12

Bunkbeds in all bedrooms were missing the ladder.

Resolution: Corrected: 2023-06-12

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

Resolution: Corrected: 2023-06-12

Childrens bedrooms did have appropritate window covers to provide privacy.

Resolution: Corrected: 2023-06-12

Operation policy did not specified who has acess to the records.

Resolution: Corrected: 2023-06-12

At Last! safety policies does not document who must conduct a gas inspection for the operation.

Resolution: Corrected: 2023-06-12

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

Resolution: Corrected: 2023-06-12