Haven of Rest Care Home

It was observed that the documented reasons for several medications prescribed to a youth in care on their medication administration logs did not match the reasons documented in the medication management records and the youths service plan that was provided.

Resolution: Corrected: 2026-03-20

The last medication management document provided was last completed in October of 2025. There was no updated information that indicated that Aripiprazole or Clondine was discontinued in December or any indication in the documentation that the youth was having any side effects to the medication in the discussions.

Resolution: Corrected: 2026-03-20

It was observed that the documented reasons for several medications prescribed to a youth in care on their medication administration logs did not match the reasons documented in the medication management records and the youths service plan that was provided.

Resolution: Corrected: 2026-03-20

The last medication management document provided was last completed in October of 2025. There was no updated information that indicated that Aripiprazole or Clondine was discontinued in December or any indication in the documentation that the youth was having any side effects to the medication in the discussions.

Resolution: Corrected: 2026-03-20

It was observed that the documented reasons for several medications prescribed to a youth in care on their medication administration logs did not match the reasons documented in the medication management records and the youths service plan that was provided.

Resolution: Corrected: 2026-03-20

The last medication management document provided was last completed in October of 2025. There was no updated information that indicated that Aripiprazole or Clondine was discontinued in December or any indication in the documentation that the youth was having any side effects to the medication in the discussions.

Resolution: Corrected: 2026-03-20

A staff member did not follow the operations policies by falling asleep during work hours while supervising children.

Resolution: Corrected: 2026-02-17

A staff member did not follow the operations policies by falling asleep during work hours while supervising children.

Resolution: Corrected: 2026-02-17

A staff member did not follow the operations policies by falling asleep during work hours while supervising children.

Resolution: Corrected: 2026-02-17

There was an 18 year old adult child in care sharing a room with a 10 year old and 11 year old.

Resolution: Corrected at inspection

There was an 18 year old adult child in care sharing a room with a 10 year old and 11 year old.

Resolution: Corrected at inspection

There was an 18 year old adult child in care sharing a room with a 10 year old and 11 year old.

Resolution: Corrected at inspection

A suicide screening was not completed at admission for a 12-year-old child.

Resolution: Corrected: 2025-04-11

A suicide screening was not completed at admission for a 12-year-old child.

Resolution: Corrected: 2025-04-11

A suicide screening was not completed at admission for a 12-year-old child.

Resolution: Corrected: 2025-04-11

A child was discovered absent from the operation for more than 2 hours and was not reported within the required timeframe.

Resolution: Corrected: 2025-05-02

A child was discovered absent from the operation for more than 2 hours and was not reported within the required timeframe.

Resolution: Corrected: 2025-05-02

A child was discovered absent from the operation for more than 2 hours and was not reported within the required timeframe.

Resolution: Corrected: 2025-05-02

Caregivers are not following child's service plans. A child in care has not been provided with the level of supervision, according to the child's service plan.

Resolution: Corrected: 2025-03-27

Caregivers are not following child's service plans. A child in care has not been provided with the level of supervision, according to the child's service plan.

Resolution: Corrected: 2025-03-27

Caregivers are not following child's service plans. A child in care has not been provided with the level of supervision, according to the child's service plan.

Resolution: Corrected: 2025-03-27

Two children were discovered absent from the operation for more than six hours and the caregivers called this incident into the statewide hotline the following day.

Resolution: Corrected: 2025-04-16

Children who had a history of being runaways were allowed to go on unsupervised walks.

Resolution: Corrected: 2025-04-16

One staff members did not demonstrate appropriate care when yelling at children.

Resolution: Corrected: 2025-04-16

Children who had a history of being runaways were allowed to go on unsupervised walks.

Resolution: Corrected: 2025-04-16

One staff members did not demonstrate appropriate care when yelling at children.

Resolution: Corrected: 2025-04-16

Two children were discovered absent from the operation for more than six hours and the caregivers called this incident into the statewide hotline the following day.

Resolution: Corrected: 2025-04-16

Two children were discovered absent from the operation for more than six hours and the caregivers called this incident into the statewide hotline the following day.

Resolution: Corrected: 2025-04-16

One staff members did not demonstrate appropriate care when yelling at children.

Resolution: Corrected: 2025-04-16

Children who had a history of being runaways were allowed to go on unsupervised walks.

Resolution: Corrected: 2025-04-16

Children in care were found to be in possession of e-cigarettes and other illegal substances.

Resolution: Corrected: 2025-04-11

Children in care were found to be in possession of e-cigarettes and other illegal substances.

Resolution: Corrected: 2025-04-11

Children in care were found to be in possession of e-cigarettes and other illegal substances.

Resolution: Corrected: 2025-04-11

The medication log was reviewed during the inspection on 1/16/25. The medication log was last updated on 1/12/25.

Resolution: Corrected: 2025-02-17

The medication logs only contain the signature and name of the administrator who does not administer the medication.

Resolution: Corrected: 2025-02-17

The administrator was observed preparing medication for the children more than an hour before the medication was administered.

Resolution: Corrected: 2025-02-17

The medication log was reviewed during the inspection on 1/16/25. The medication log was last updated on 1/12/25.

Resolution: Corrected: 2025-02-17

The administrator was observed preparing medication for the children more than an hour before the medication was administered.

Resolution: Corrected: 2025-02-17

The medication logs only contain the signature and name of the administrator who does not administer the medication.

Resolution: Corrected: 2025-02-17

The medication log was reviewed during the inspection on 1/16/25. The medication log was last updated on 1/12/25.

Resolution: Corrected: 2025-02-17

The administrator was observed preparing medication for the children more than an hour before the medication was administered.

Resolution: Corrected: 2025-02-17

The medication logs only contain the signature and name of the administrator who does not administer the medication.

Resolution: Corrected: 2025-02-17

A staff member did not follow the agencies policy regarding restraints.

Resolution: Corrected: 2025-01-29

A staff put a child in a restraint when they tried to run away.

Resolution: Corrected: 2025-01-29

A staff member did not follow the agencies policy regarding restraints.

Resolution: Corrected: 2025-01-29

Staff were witnessed sleeping when they were supposed to be supervising the children.

Resolution: Corrected: 2025-01-29

Staff were witnessed sleeping when they were supposed to be supervising the children.

Resolution: Corrected: 2025-01-29

A staff member did not follow the agencies policy regarding restraints.

Resolution: Corrected: 2025-01-29

A staff put a child in a restraint when they tried to run away.

Resolution: Corrected: 2025-01-29

A staff put a child in a restraint when they tried to run away.

Resolution: Corrected: 2025-01-29

Staff were witnessed sleeping when they were supposed to be supervising the children.

Resolution: Corrected: 2025-01-29

A caregiver did not complete the EBI training within 6 months of the previous training date.

Resolution: Corrected: 2024-01-30

There were multiple prescription medications stored in a zip lock bag.

Resolution: Corrected: 2024-01-30

There were multiple certificates that did not have the length of the training.

Resolution: Corrected: 2024-01-30

A caregiver did not complete the EBI training within 6 months of the previous training date.

Resolution: Corrected: 2024-01-30

There were multiple prescription medications stored in a zip lock bag.

Resolution: Corrected: 2024-01-30

Two children's file that were reviewed did not have the information documented regarding the contraindications restraints.

Resolution: Corrected: 2024-01-30

There were multiple certificates that did not have the length of the training.

Resolution: Corrected: 2024-01-30

The two CPR and first aid training that were reviewed did not have the trainers qualifications. It also did not have the length of hours 748.915(b)(6).

Resolution: Corrected: 2024-01-30

There were multiple prescription medications stored in a zip lock bag.

Resolution: Corrected: 2024-01-30

A caregiver did not complete the EBI training within 6 months of the previous training date.

Resolution: Corrected: 2024-01-30

The two CPR and first aid training that were reviewed did not have the trainers qualifications. It also did not have the length of hours 748.915(b)(6).

Resolution: Corrected: 2024-01-30

Two children's file that were reviewed did not have the information documented regarding the contraindications restraints.

Resolution: Corrected: 2024-01-30

Two children's file that were reviewed did not have the information documented regarding the contraindications restraints.

Resolution: Corrected: 2024-01-30

There were multiple certificates that did not have the length of the training.

Resolution: Corrected: 2024-01-30

The two CPR and first aid training that were reviewed did not have the trainers qualifications. It also did not have the length of hours 748.915(b)(6).

Resolution: Corrected: 2024-01-30

During the investigation, information was obtained, that two children in care engaged in hitting one another in three different occurrences before staff members were made aware.

Resolution: Corrected: 2023-11-28

During the investigation, information was obtained, that two children in care engaged in hitting one another in three different occurrences before staff members were made aware.

Resolution: Corrected: 2023-11-28

During the investigation, information was obtained, that two children in care engaged in hitting one another in three different occurrences before staff members were made aware.

Resolution: Corrected: 2023-11-28

A current staff member s background check was inactive as of 5/16/2023.

Resolution: Corrected: 2023-10-18

A current staff member s background check was inactive as of 5/16/2023.

Resolution: Corrected: 2023-10-18

A current staff member s background check was inactive as of 5/16/2023.

Resolution: Corrected: 2023-10-18

A staff member did not implement recommended techniques for discipline when engaging a child in care.

Resolution: Corrected: 2023-12-15

A staff member did not implement recommended techniques for discipline when engaging a child in care.

Resolution: Corrected: 2023-12-15

A staff member did not implement recommended techniques for discipline when engaging a child in care.

Resolution: Corrected: 2023-12-15

One staff did not complete EBI pre-service training requirement hours.

Resolution: Corrected: 2021-11-02

Two staff files did not include documentaiton of total required pre-service training hours.

Resolution: Corrected: 2021-11-02

The service plan for one out of two child files was not signed by the child.

Resolution: Corrected: 2021-10-26

One staff did not complete EBI pre-service training requirement hours.

Resolution: Corrected: 2021-11-02

The service plan for one out of two child files was not signed by the child.

Resolution: Corrected: 2021-10-26

Two staff files did not include documentaiton of total required pre-service training hours.

Resolution: Corrected: 2021-11-02

One staff did not complete EBI pre-service training requirement hours.

Resolution: Corrected: 2021-11-02

The service plan for one out of two child files was not signed by the child.

Resolution: Corrected: 2021-10-26

Two staff files did not include documentaiton of total required pre-service training hours.

Resolution: Corrected: 2021-11-02

medication records did not have actual count of medication present.

Resolution: Corrected: 2021-08-27

medication records did not have actual count of medication present.

Resolution: Corrected: 2021-08-27

There is no controlling person form for the administrator. The administrator date of hire was 10/22/2020.

Resolution: Corrected: 2021-08-27

Three employee records were reviewed and two employees had pre-drug screening after their hire date. The hire dates that arevreported in the file are 10/22/2020 prescreening drug test 07/11/2021 and 07/17/2021.

Resolution: Corrected at inspection

medication records did not have actual count of medication present.

Resolution: Corrected: 2021-08-27

There is no controlling person form for the administrator. The administrator date of hire was 10/22/2020.

Resolution: Corrected: 2021-08-27

Three employee records were reviewed and two employees had pre-drug screening after their hire date. The hire dates that arevreported in the file are 10/22/2020 prescreening drug test 07/11/2021 and 07/17/2021.

Resolution: Corrected at inspection

There is no controlling person form for the administrator. The administrator date of hire was 10/22/2020.

Resolution: Corrected: 2021-08-27

Three employee records were reviewed and two employees had pre-drug screening after their hire date. The hire dates that arevreported in the file are 10/22/2020 prescreening drug test 07/11/2021 and 07/17/2021.

Resolution: Corrected at inspection

Professional level staff must have the education and work experience to perform their job duties

Resolution: Corrected: 2021-06-11

Staff must have TB test or chest ex-ray before working with children in care and provide documentation.

Resolution: Corrected: 2021-06-04

Professional level staff must have the education and work experience to perform their job duties

Resolution: Corrected: 2021-06-11

Staff must have TB test or chest ex-ray before working with children in care and provide documentation.

Resolution: Corrected: 2021-06-04

Professional level staff must have the education and work experience to perform their job duties

Resolution: Corrected: 2021-06-11

Staff must have TB test or chest ex-ray before working with children in care and provide documentation.

Resolution: Corrected: 2021-06-04

One employee file reviewed did not contain verification that the employee met the educational requirement

Resolution: Corrected: 2021-04-23

One employee file reviewed did not contain verification that the employee met the educational requirement

Resolution: Corrected: 2021-04-23

A copy of the child"s orientation was not found in the file.

Resolution: Corrected: 2021-04-23

A record for the child to be able to commincate with his/her siblings.

Resolution: Corrected: 2021-04-23

A record for the child to be able to commincate with his/her siblings.

Resolution: Corrected: 2021-04-23

A copy of the child"s orientation was not found in the file.

Resolution: Corrected: 2021-04-23

One employee file reviewed did not contain verification that the employee met the educational requirement

Resolution: Corrected: 2021-04-23

A record for the child to be able to commincate with his/her siblings.

Resolution: Corrected: 2021-04-23

A copy of the child"s orientation was not found in the file.

Resolution: Corrected: 2021-04-23