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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 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

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

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 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 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

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! 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

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

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 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 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 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

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! 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

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

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