Paradigm of Excellence

Medication for a child in care was observed not to be stored in the original containers, but rather in a divided pill box.

Resolution: Corrected: 2025-12-19

Medication for a child in care was observed not to be stored in the original containers, but rather in a divided pill box.

Resolution: Corrected: 2025-12-19

Medication for a child in care was observed not to be stored in the original containers, but rather in a divided pill box.

Resolution: Corrected: 2025-12-19

The emergency admission assessment was not completed at the time of admission. It was completed two days later.

Resolution: Corrected: 2026-01-06

The agency failed to make self-reports of a youth being arrested or police responding to the foster home.

Resolution: Corrected: 2026-01-06

A caregiver chose to record a child that was opening the car door while driving down the highway rather than intervene and ensure the child stayed in the car.

Resolution: Corrected: 2026-01-05

The agency failed to make self-reports of a youth being arrested or police responding to the foster home.

Resolution: Corrected: 2026-01-06

The emergency admission assessment was not completed at the time of admission. It was completed two days later.

Resolution: Corrected: 2026-01-06

The agency did not follow the 1:1 supervision that was specified in the service plan for a child in care.

Resolution: Corrected: 2026-01-05

The agency did not follow the 1:1 supervision that was specified in the service plan for a child in care.

Resolution: Corrected: 2026-01-05

The agency did not follow the 1:1 supervision that was specified in the service plan for a child in care.

Resolution: Corrected: 2026-01-05

The agency failed to make self-reports of a youth being arrested or police responding to the foster home.

Resolution: Corrected: 2026-01-06

A caregiver chose to record a child that was opening the car door while driving down the highway rather than intervene and ensure the child stayed in the car.

Resolution: Corrected: 2026-01-05

The emergency admission assessment was not completed at the time of admission. It was completed two days later.

Resolution: Corrected: 2026-01-06

A caregiver chose to record a child that was opening the car door while driving down the highway rather than intervene and ensure the child stayed in the car.

Resolution: Corrected: 2026-01-05

The child's service plan did not address anything concerning the plan for transitioning to successful adulthood.

Resolution: Corrected: 2025-12-30

The child's service plan did not address anything concerning the plan for transitioning to successful adulthood.

Resolution: Corrected: 2025-12-30

The child's service plan did not address anything concerning the plan for transitioning to successful adulthood.

Resolution: Corrected: 2025-12-30

Medication was observed on the desk in the master bedroom.

Resolution: Corrected: 2025-11-07

A child is not being supervised as stated in the child's service plan.

Resolution: Corrected: 2025-12-18

A caregiver admitted to yelling at a child in care.

Resolution: Corrected: 2025-12-18

Medication was observed on the desk in the master bedroom.

Resolution: Corrected: 2025-11-07

Medication was observed on the desk in the master bedroom.

Resolution: Corrected: 2025-11-07

A child is not being supervised as stated in the child's service plan.

Resolution: Corrected: 2025-12-18

A caregiver admitted to yelling at a child in care.

Resolution: Corrected: 2025-12-18

A child is not being supervised as stated in the child's service plan.

Resolution: Corrected: 2025-12-18

A caregiver admitted to yelling at a child in care.

Resolution: Corrected: 2025-12-18

It was determined that the signature on the preliminary service plan was not signed by the caregiver.

Resolution: Corrected: 2025-12-30

The closing summary reviewed was missing the copy of the verification certificate, the foster home addresses for the past two years, the length of time the foster parents have been fostering with this agency, information about the children in the last two years, any pending investigations or unresolved deficiencies and any pending corrective actions.

Resolution: Corrected: 2025-12-30

It was determined that the signature on the preliminary service plan was not signed by the caregiver.

Resolution: Corrected: 2025-12-30

It was determined that the agency did not provide a transfer summary to another agency.

Resolution: Corrected: 2025-12-30

The closing summary reviewed was missing the copy of the verification certificate, the foster home addresses for the past two years, the length of time the foster parents have been fostering with this agency, information about the children in the last two years, any pending investigations or unresolved deficiencies and any pending corrective actions.

Resolution: Corrected: 2025-12-30

It was determined that the agency did not provide a transfer summary to another agency.

Resolution: Corrected: 2025-12-30

The closing summary reviewed was missing the copy of the verification certificate, the foster home addresses for the past two years, the length of time the foster parents have been fostering with this agency, information about the children in the last two years, any pending investigations or unresolved deficiencies and any pending corrective actions.

Resolution: Corrected: 2025-12-30

It was determined that the signature on the preliminary service plan was not signed by the caregiver.

Resolution: Corrected: 2025-12-30

It was determined that the agency did not provide a transfer summary to another agency.

Resolution: Corrected: 2025-12-30

A caregiver stated that they discipline children by making them squat for two minutes.

Resolution: Corrected: 2025-12-02

A caregiver stated that they discipline children by making them squat for two minutes.

Resolution: Corrected: 2025-12-02

A caregiver stated that they discipline children by making them squat for two minutes.

Resolution: Corrected: 2025-12-02

The people list was reviewed, and background checks for two foster parents were showing as active for a foster home that was closed on 04/30/2025. In addition, the treatment director did not have their background check inactivated within seven days of leaving the operation.

Resolution: Corrected: 2025-10-09

The people list was reviewed, and background checks for two foster parents were showing as active for a foster home that was closed on 04/30/2025. In addition, the treatment director did not have their background check inactivated within seven days of leaving the operation.

Resolution: Corrected: 2025-10-09

The people list was reviewed, and background checks for two foster parents were showing as active for a foster home that was closed on 04/30/2025. In addition, the treatment director did not have their background check inactivated within seven days of leaving the operation.

Resolution: Corrected: 2025-10-09

A caregiver in one out of one home files reviewed was over the 12-month period for completing medical consent,psychotropic medication, normalcy, trauma informed care, runaway prevention and recognizing, reporting and preventing child abuse trainings.

Resolution: Corrected: 2025-10-09

One out of one employee file reviewed did not have documentation for this training.

Resolution: Corrected: 2025-10-09

A caregiver in one out of one home files reviewed was over the 12-month period for completing medical consent,psychotropic medication, normalcy, trauma informed care, runaway prevention and recognizing, reporting and preventing child abuse trainings.

Resolution: Corrected: 2025-10-09

One out of one home files reviewed did not document the group interview conducted with all the household members.

Resolution: Corrected: 2025-10-09

One out of one employee files reviewed had their annual training certificates past due by a month.

Resolution: Corrected: 2025-10-09

One out of one home files reviewed did not document the group interview conducted with all the household members.

Resolution: Corrected: 2025-10-09

One out of one employee file reviewed did not have documentation for this training.

Resolution: Corrected: 2025-10-09

One out of one employee file reviewed did not have documentation for this training.

Resolution: Corrected: 2025-10-09

One out of one employee file reviewed did not have documentation for this training.

Resolution: Corrected: 2025-10-09

One out of one employee files reviewed had their annual training certificates past due by a month.

Resolution: Corrected: 2025-10-09

A caregiver in one out of one home files reviewed was over the 12-month period for completing medical consent,psychotropic medication, normalcy, trauma informed care, runaway prevention and recognizing, reporting and preventing child abuse trainings.

Resolution: Corrected: 2025-10-09

One out of one employee file reviewed did not have documentation for this training.

Resolution: Corrected: 2025-10-09

One out of one home files reviewed did not document the group interview conducted with all the household members.

Resolution: Corrected: 2025-10-09

One out of one employee files reviewed had their annual training certificates past due by a month.

Resolution: Corrected: 2025-10-09

One out of one employee file reviewed did not have documentation for this training.

Resolution: Corrected: 2025-10-09

There were ants observed inside the foster home.

Resolution: Corrected: 2025-11-01

There were ants observed inside the foster home.

Resolution: Corrected: 2025-11-01

A child was observed to have bite marks on their hand, shoulder, foot, leg and ankle.

Resolution: Corrected: 2025-11-01

A child was observed to have bite marks on their hand, shoulder, foot, leg and ankle.

Resolution: Corrected: 2025-11-01

A child was observed to have bite marks on their hand, shoulder, foot, leg and ankle.

Resolution: Corrected: 2025-11-01

There were ants observed inside the foster home.

Resolution: Corrected: 2025-11-01

It was discovered that a biological child living in the home turned 14 and a background check was not conducted.

Resolution: Corrected: 2025-08-25

Medication was left on the nightstand in the caregiver's bedroom.

Resolution: Corrected: 2025-07-08

It was discovered that a biological child living in the home turned 14 and a background check was not conducted.

Resolution: Corrected: 2025-08-25

It was discovered that a biological child living in the home turned 14 and a background check was not conducted.

Resolution: Corrected: 2025-08-25

Medication was left on the nightstand in the caregiver's bedroom.

Resolution: Corrected: 2025-07-08

Medication was left on the nightstand in the caregiver's bedroom.

Resolution: Corrected: 2025-07-08

During the course of the investigation, it was determined that a video camera was being used in a bedroom of a child who was above five years old, and this was not justified in their service plan.

Resolution: Corrected: 2025-06-30

During the course of the investigation, it was determined that a video camera was being used in a bedroom of a child who was above five years old, and this was not justified in their service plan.

Resolution: Corrected: 2025-06-30

During the course of the investigation, it was determined that a video camera was being used in a bedroom of a child who was above five years old, and this was not justified in their service plan.

Resolution: Corrected: 2025-06-30

Medication errors were not recorded in one of two child files reviewed.

Resolution: Corrected: 2025-04-17

Medication errors were not recorded in one of two child files reviewed.

Resolution: Corrected: 2025-04-17

Medication errors were not recorded in one of two child files reviewed.

Resolution: Corrected: 2025-04-17

During a sampling inspection, medication was observed to be accessible to children in care in both the kitchen and one of the bedrooms.

Resolution: Corrected: 2025-04-16

During a sampling inspection, medication was observed to be accessible to children in care in both the kitchen and one of the bedrooms.

Resolution: Corrected: 2025-04-16

Durig a sampling inspection, the living area of a foster home was found to be used as a bedroom, and the same living area was also on a passageway to access the backyard.

Resolution: Corrected: 2025-04-16

During a sampling inspection, a three-year old was found to be sharing a room with a caregiver living in the foster home.

Resolution: Corrected: 2025-04-16

During a sampling inspection, medication was observed to be accessible to children in care in both the kitchen and one of the bedrooms.

Resolution: Corrected: 2025-04-16

Durig a sampling inspection, the living area of a foster home was found to be used as a bedroom, and the same living area was also on a passageway to access the backyard.

Resolution: Corrected: 2025-04-16

During a sampling inspection, a three-year old was found to be sharing a room with a caregiver living in the foster home.

Resolution: Corrected: 2025-04-16

During a sampling inspection, a three-year old was found to be sharing a room with a caregiver living in the foster home.

Resolution: Corrected: 2025-04-16

Durig a sampling inspection, the living area of a foster home was found to be used as a bedroom, and the same living area was also on a passageway to access the backyard.

Resolution: Corrected: 2025-04-16

Employee affidavit was not notarized.

Resolution: Corrected: 2024-08-15

Employee affidavit was not notarized.

Resolution: Corrected: 2024-08-15

Supervisory visits were not filed within 30 days.

Resolution: Corrected: 2024-08-15

Supervisory visits were not filed within 30 days.

Resolution: Corrected: 2024-08-15

Employee affidavit was not notarized.

Resolution: Corrected: 2024-08-15

Supervisory visits were not filed within 30 days.

Resolution: Corrected: 2024-08-15

Documents were not in staff files and had to be requested from agency staff.

Resolution: Corrected: 2023-12-28

Documents were not in staff files and had to be requested from agency staff.

Resolution: Corrected: 2023-12-28

Documents were not in staff files and had to be requested from agency staff.

Resolution: Corrected: 2023-12-28

Policies in place are a reflection of minimum standards and do not include procedures in place.

Resolution: Corrected: 2023-09-05

Standard used in polices is incorrect.

Resolution: Corrected: 2023-09-05

Information provided does not meet Minimum standards.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not Show a plan to update the service plan if the child is Suicidal

Resolution: Corrected: 2023-09-05

Information provided does not meet Minimum standard requirements.

Resolution: Corrected: 2023-09-05

The operation suicide policies must be understood by those taking the training.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show that FP's verified to care for children five years of age or older must complete the training within a year of verification.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

Operation did not provide plan/policies and procedure how the operation will protect operation records.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not address the lessons learned from a suicide attempt

Resolution: Corrected: 2023-09-05

Standard used in polices is incorrect.

Resolution: Corrected: 2023-09-05

Operation plan did not include location of operation and phone number for operation.

Resolution: Corrected: 2023-09-05

Operation did not provide Abuse and Neglect policies.

Resolution: Corrected: 2023-09-05

Information provided for conflict-of-interest polices is not accurate to 749.107.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

Operation did not provide plan/policies and procedure how the operation will protect operation records.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not address the lessons learned from a suicide attempt

Resolution: Corrected: 2023-09-05

Standard used in polices is incorrect.

Resolution: Corrected: 2023-09-05

Operation plan did not include location of operation and phone number for operation.

Resolution: Corrected: 2023-09-05

Operation did not provide Abuse and Neglect policies.

Resolution: Corrected: 2023-09-05

Information provided for conflict-of-interest polices is not accurate to 749.107.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

Professional Staffing Plan was not included as part of the personnel policies.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not Show a plan to update the service plan if the child is Suicidal

Resolution: Corrected: 2023-09-05

Information provided does not meet Minimum standard requirements.

Resolution: Corrected: 2023-09-05

Information provided does not meet Minimum standards.

Resolution: Corrected: 2023-09-05

The operation suicide policies must be understood by those taking the training.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show that FP's verified to care for children five years of age or older must complete the training within a year of verification.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show that the training must understand the safety planning.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show where a child will meet with an MH Professional

Resolution: Corrected: 2023-09-05

Supervisory visit from does not include names of all present during the visit.

Resolution: Corrected: 2023-09-05

Definition of Treatment Services is incorrect.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

Standard used in polices is incorrect.

Resolution: Corrected: 2023-09-05

The operation does not have liability insurance.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show that Foster Parents must complete the training every two years.

Resolution: Corrected: 2023-09-05

Policies in place are a reflection of minimum standards and do not include procedures in place.

Resolution: Corrected: 2023-09-05

Standard used in polices is incorrect.

Resolution: Corrected: 2023-09-05

Information provided does not meet Minimum standards.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not address the lessons learned from a suicide attempt

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show where a child will meet with an MH Professional

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

Information provided for conflict-of-interest polices is not accurate to 749.107.

Resolution: Corrected: 2023-09-05

Operation did not provide plan/policies and procedure how the operation will protect operation records.

Resolution: Corrected: 2023-09-05

Operation did not provide Abuse and Neglect policies.

Resolution: Corrected: 2023-09-05

Standard used in polices is incorrect.

Resolution: Corrected: 2023-09-05

Operation plan did not include location of operation and phone number for operation.

Resolution: Corrected: 2023-09-05

Professional Staffing Plan was not included as part of the personnel policies.

Resolution: Corrected: 2023-09-05

Standard used in polices is incorrect.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show that FP's verified to care for children five years of age or older must complete the training within a year of verification.

Resolution: Corrected: 2023-09-05

Definition of Treatment Services is incorrect.

Resolution: Corrected: 2023-09-05

The operation does not have liability insurance.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show that Foster Parents must complete the training every two years.

Resolution: Corrected: 2023-09-05

Standard used in polices is incorrect.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not Show a plan to update the service plan if the child is Suicidal

Resolution: Corrected: 2023-09-05

The operation suicide policies must be understood by those taking the training.

Resolution: Corrected: 2023-09-05

Policies in place are a reflection of minimum standards and do not include procedures in place.

Resolution: Corrected: 2023-09-05

Information provided does not meet Minimum standard requirements.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show that the training must understand the safety planning.

Resolution: Corrected: 2023-09-05

Supervisory visit from does not include names of all present during the visit.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

Professional Staffing Plan was not included as part of the personnel policies.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show that the training must understand the safety planning.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show where a child will meet with an MH Professional

Resolution: Corrected: 2023-09-05

Supervisory visit from does not include names of all present during the visit.

Resolution: Corrected: 2023-09-05

Definition of Treatment Services is incorrect.

Resolution: Corrected: 2023-09-05

Standard used in policies is incorrect.

Resolution: Corrected: 2023-09-05

Standard used in polices is incorrect.

Resolution: Corrected: 2023-09-05

The operation does not have liability insurance.

Resolution: Corrected: 2023-09-05

The operation suicide policies do not show that Foster Parents must complete the training every two years.

Resolution: Corrected: 2023-09-05