Abundance of Joy Home Shelter

Staff are allowing children in care to fight without intervening.

Resolution: Corrected: 2025-10-08

Staff are allowing children in care to fight without intervening.

Resolution: Corrected: 2025-10-08

Staff are allowing children in care to fight without intervening.

Resolution: Corrected: 2025-10-08

Staff are allowing children in care to fight without intervening.

Resolution: Corrected: 2025-10-08

Anthony Baldwin DOH: 6-17-24 748.505(5)-No Affidavit Form 2912 in file

Resolution: Corrected: 2025-03-13

Staff Anthony Baldwin No verification in file that employment history or reference checks were completed

Resolution: Corrected: 2025-03-13

Staff Anthony Baldwin left the operation and went to work for another place not related and came back 2 years later. He had no updated TB test in file since being unemployed by a regulated operation within the previous 12 months.

Resolution: Corrected: 2025-03-13

Staff Anthony Baldwin No verification in file that employment history or reference checks were completed

Resolution: Corrected: 2025-03-13

Staff Anthony Baldwin left the operation and went to work for another place not related and came back 2 years later. He had no updated TB test in file since being unemployed by a regulated operation within the previous 12 months.

Resolution: Corrected: 2025-03-13

Anthony Baldwin DOH: 6-17-24 748.505(5)-No Affidavit Form 2912 in file

Resolution: Corrected: 2025-03-13

Staff Anthony Baldwin left the operation and went to work for another place not related and came back 2 years later. He had no updated TB test in file since being unemployed by a regulated operation within the previous 12 months.

Resolution: Corrected: 2025-03-13

Anthony Baldwin DOH: 6-17-24 748.505(5)-No Affidavit Form 2912 in file

Resolution: Corrected: 2025-03-13

Staff Anthony Baldwin No verification in file that employment history or reference checks were completed

Resolution: Corrected: 2025-03-13

Staff Anthony Baldwin No verification in file that employment history or reference checks were completed

Resolution: Corrected: 2025-03-13

Staff Anthony Baldwin left the operation and went to work for another place not related and came back 2 years later. He had no updated TB test in file since being unemployed by a regulated operation within the previous 12 months.

Resolution: Corrected: 2025-03-13

Anthony Baldwin DOH: 6-17-24 748.505(5)-No Affidavit Form 2912 in file

Resolution: Corrected: 2025-03-13

A single caregiver was observed to be present with seven children in care.

Resolution: Corrected: 2025-03-05

A single caregiver was observed to be present with seven children in care.

Resolution: Corrected: 2025-03-05

A single caregiver was observed to be present with seven children in care.

Resolution: Corrected: 2025-03-05

A single caregiver was observed to be present with seven children in care.

Resolution: Corrected: 2025-03-05

The operation has an active background check for staff that no longer works for the operation.

Resolution: Corrected: 2025-03-05

The operation has an active background check for staff that no longer works for the operation.

Resolution: Corrected: 2025-03-05

The operation has an active background check for staff that no longer works for the operation.

Resolution: Corrected: 2025-03-05

The operation has an active background check for staff that no longer works for the operation.

Resolution: Corrected: 2025-03-05

Prudent judgement was not demonstrated when children in care were asked to write a reference letter for a caregiver caring for the children.

Resolution: Corrected: 2025-03-05

Prudent judgement was not demonstrated when children in care were asked to write a reference letter for a caregiver caring for the children.

Resolution: Corrected: 2025-03-05

Prudent judgement was not demonstrated when children in care were asked to write a reference letter for a caregiver caring for the children.

Resolution: Corrected: 2025-03-05

Prudent judgement was not demonstrated when children in care were asked to write a reference letter for a caregiver caring for the children.

Resolution: Corrected: 2025-03-05

1 of 2 direct staff did not have psychotropic medication training.

Resolution: Corrected: 2024-12-31

2 children's service plans did not have the parent's signature.

Resolution: Corrected: 2024-12-31

2 children's service plans did not have the parent's signature.

Resolution: Corrected: 2024-12-31

1 of 2 direct staff did not have psychotropic medication training.

Resolution: Corrected: 2024-12-31

1 of 2 direct staff did not have psychotropic medication training.

Resolution: Corrected: 2024-12-31

2 children's service plans did not have the parent's signature.

Resolution: Corrected: 2024-12-31

1 of 2 direct staff did not have psychotropic medication training.

Resolution: Corrected: 2024-12-31

2 children's service plans did not have the parent's signature.

Resolution: Corrected: 2024-12-31

Recreational calendars provided for the past 90 days did not outline an indoor & outdoor recreational activity.

Resolution: Corrected: 2024-11-12

There is no record of practice severe weather drills.

Resolution: Corrected: 2024-11-12

Medication logs reviewed, show no record of medication that was administered.

Resolution: Corrected: 2024-11-12

There is no record of practice severe weather drills.

Resolution: Corrected: 2024-11-12

Recreational calendars provided for the past 90 days did not outline an indoor & outdoor recreational activity.

Resolution: Corrected: 2024-11-12

Medication logs reviewed, show no record of medication that was administered.

Resolution: Corrected: 2024-11-12

Medication logs reviewed, show no record of medication that was administered.

Resolution: Corrected: 2024-11-12

Medication logs reviewed, show no record of medication that was administered.

Resolution: Corrected: 2024-11-12

Recreational calendars provided for the past 90 days did not outline an indoor & outdoor recreational activity.

Resolution: Corrected: 2024-11-12

There is no record of practice severe weather drills.

Resolution: Corrected: 2024-11-12

There is no record of practice severe weather drills.

Resolution: Corrected: 2024-11-12

Recreational calendars provided for the past 90 days did not outline an indoor & outdoor recreational activity.

Resolution: Corrected: 2024-11-12

During the course of the investigation, a child in care reported not being able to breathe during a restraint involving staff sitting on them. The child reported breathing heavily once released. Three children interviewed also reported hearing the child say they could not breathe.

Resolution: Corrected: 2024-07-15

During the course of the investigation, it was reported that staff sat on a child?s lungs and belly during a restraint. Three children interviewed corroborated the child's statement.

Resolution: Corrected: 2024-07-15

During the course of the investigation, a child in care reported not being able to breathe during a restraint involving staff sitting on them. The child reported breathing heavily once released. Three children interviewed also reported hearing the child say they could not breathe.

Resolution: Corrected: 2024-07-15

During the course of the investigation, a child in care reported not being able to breathe during a restraint involving staff sitting on them. The child reported breathing heavily once released. Three children interviewed also reported hearing the child say they could not breathe.

Resolution: Corrected: 2024-07-15

During the course of the investigation, a child in care reported not being able to breathe during a restraint involving staff sitting on them. The child reported breathing heavily once released. Three children interviewed also reported hearing the child say they could not breathe.

Resolution: Corrected: 2024-07-15

During the course of the investigation, it was reported that staff sat on a child?s lungs and belly during a restraint. Three children interviewed corroborated the child's statement.

Resolution: Corrected: 2024-07-15

During the course of the investigation, it was reported that staff sat on a child?s lungs and belly during a restraint. Three children interviewed corroborated the child's statement.

Resolution: Corrected: 2024-07-15

During the course of the investigation, it was reported that staff sat on a child?s lungs and belly during a restraint. Three children interviewed corroborated the child's statement.

Resolution: Corrected: 2024-07-15

The operation provided medication logs for the month of November that do not contain consistent information.

Resolution: Corrected: 2024-07-10

The operation did not provide a requested medication log after multiple requests.

Resolution: Corrected: 2024-07-10

The operation did not provide a requested medication log after multiple requests.

Resolution: Corrected: 2024-07-10

The operation provided medication logs for the month of November that do not contain consistent information.

Resolution: Corrected: 2024-07-10

The operation did not provide a requested medication log after multiple requests.

Resolution: Corrected: 2024-07-10

The operation provided medication logs for the month of November that do not contain consistent information.

Resolution: Corrected: 2024-07-10

The operation did not provide a requested medication log after multiple requests.

Resolution: Corrected: 2024-07-10

The operation provided medication logs for the month of November that do not contain consistent information.

Resolution: Corrected: 2024-07-10

Several staff members failed to complete required training prior to being counted in ratio.

Resolution: Corrected: 2024-07-05

Several staff members failed to complete required training prior to being counted in ratio.

Resolution: Corrected: 2024-07-05

Several staff members failed to complete required training prior to being counted in ratio.

Resolution: Corrected: 2024-07-05

Several staff members failed to complete required training prior to being counted in ratio.

Resolution: Corrected: 2024-07-05

One out of four youth files reviewed did not contain all required documentation detailing a youth's discharge.

Resolution: Corrected: 2024-04-09

One out of three employee files reviewed only contained 34 annual training hours instead of the required 50 hours.

Resolution: Corrected: 2024-04-09

One of three youth files reviewed did not contain a signature by the PLSP on the most recent service plan.

Resolution: Corrected: 2024-04-09

The administrator did not have all required annual trainings.

Resolution: Corrected: 2024-04-09

Two out of four youth files reviewed did not include known contrindications to restraints for the youth.

Resolution: Corrected: 2024-04-09

The administrator did not have all required annual trainings.

Resolution: Corrected: 2024-04-09

Two out of four youth files reviewed did not include known contrindications to restraints for the youth.

Resolution: Corrected: 2024-04-09

One of three youth files reviewed did not contain a signature by the PLSP on the most recent service plan.

Resolution: Corrected: 2024-04-09

One out of four youth files reviewed did not contain all required documentation detailing a youth's discharge.

Resolution: Corrected: 2024-04-09

The administrator did not have all required annual trainings.

Resolution: Corrected: 2024-04-09

One out of three employee files reviewed only contained 34 annual training hours instead of the required 50 hours.

Resolution: Corrected: 2024-04-09

One out of three employee files reviewed only contained 34 annual training hours instead of the required 50 hours.

Resolution: Corrected: 2024-04-09

The administrator did not have all required annual trainings.

Resolution: Corrected: 2024-04-09

Two out of four youth files reviewed did not include known contrindications to restraints for the youth.

Resolution: Corrected: 2024-04-09

One out of four youth files reviewed did not contain all required documentation detailing a youth's discharge.

Resolution: Corrected: 2024-04-09

One of three youth files reviewed did not contain a signature by the PLSP on the most recent service plan.

Resolution: Corrected: 2024-04-09

One out of three employee files reviewed only contained 34 annual training hours instead of the required 50 hours.

Resolution: Corrected: 2024-04-09

Two out of four youth files reviewed did not include known contrindications to restraints for the youth.

Resolution: Corrected: 2024-04-09

One out of four youth files reviewed did not contain all required documentation detailing a youth's discharge.

Resolution: Corrected: 2024-04-09

One of three youth files reviewed did not contain a signature by the PLSP on the most recent service plan.

Resolution: Corrected: 2024-04-09

A caregiver took five children in care, ages 9-13, to see a horror movie rated PG-13. Several of these children have history of self-harm and have experienced significant trauma. One child?s Conservatorship worker stated that due to her diagnosis, her mindset is much younger than her age.

Resolution: Corrected: 2024-04-25

A caregiver took five children in care, ages 9-13, to see a horror movie rated PG-13. Several of these children have history of self-harm and have experienced significant trauma. One child?s Conservatorship worker stated that due to her diagnosis, her mindset is much younger than her age.

Resolution: Corrected: 2024-04-25

A caregiver took five children in care, ages 9-13, to see a horror movie rated PG-13. Several of these children have history of self-harm and have experienced significant trauma. One child?s Conservatorship worker stated that due to her diagnosis, her mindset is much younger than her age.

Resolution: Corrected: 2024-04-25

A caregiver took five children in care, ages 9-13, to see a horror movie rated PG-13. Several of these children have history of self-harm and have experienced significant trauma. One child?s Conservatorship worker stated that due to her diagnosis, her mindset is much younger than her age.

Resolution: Corrected: 2024-04-25

During an inspection at the operation, scissors were observed to be accessible in a drawer to youth in care recently after an incident involving scissors occurred with a youth at the operation.

Resolution: Corrected: 2024-03-26

During an inspection at the operation, scissors were observed to be accessible in a drawer to youth in care recently after an incident involving scissors occurred with a youth at the operation.

Resolution: Corrected: 2024-03-26

During an inspection at the operation, scissors were observed to be accessible in a drawer to youth in care recently after an incident involving scissors occurred with a youth at the operation.

Resolution: Corrected: 2024-03-26

During an inspection at the operation, scissors were observed to be accessible in a drawer to youth in care recently after an incident involving scissors occurred with a youth at the operation.

Resolution: Corrected: 2024-03-26

The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.

Resolution: Corrected: 2024-02-12

The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.

Resolution: Corrected: 2024-02-12

The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.

Resolution: Corrected: 2024-02-12

The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.

Resolution: Corrected: 2024-02-12

A suicide risk screening was not conducted with a child post returning from the psych hospital.

Resolution: Corrected: 2023-08-11

A suicide risk screening was not conducted with a child post returning from the psych hospital.

Resolution: Corrected: 2023-08-11

A suicide risk screening was not conducted with a child post returning from the psych hospital.

Resolution: Corrected: 2023-08-11

A suicide risk screening was not conducted with a child post returning from the psych hospital.

Resolution: Corrected: 2023-08-11

It was found in 2 out of 3 children files reviewed that no child orientation was provided upon admission.

Resolution: Corrected: 2023-04-20

Two out of three child records reviewed did not contain a signed statement to acknowledge the child's rights.

Resolution: Corrected: 2023-04-20

Four out of four fire/evacuation drills reviewed were not completed within the required three minutes. One out of the four drills reviewed did not indicate the smoke alarm was set off.

Resolution: Corrected: 2023-04-20

A serious incident that was reported to the statewide intake hotline by the operation did not have a coinciding report documented at the operation.

Resolution: Corrected: 2023-04-20

It was found that 2 out of 3 staff records that there was no high school diploma or GED in the file.

Resolution: Corrected: 2023-04-20

It was found that 2 out of 3 staff records that there was no high school diploma or GED in the file.

Resolution: Corrected: 2023-04-20

It was found in 2 out of 3 children files reviewed that no child orientation was provided upon admission.

Resolution: Corrected: 2023-04-20

Two out of three child records reviewed did not contain a signed statement to acknowledge the child's rights.

Resolution: Corrected: 2023-04-20

Four out of four fire/evacuation drills reviewed were not completed within the required three minutes. One out of the four drills reviewed did not indicate the smoke alarm was set off.

Resolution: Corrected: 2023-04-20

A serious incident that was reported to the statewide intake hotline by the operation did not have a coinciding report documented at the operation.

Resolution: Corrected: 2023-04-20

It was found that 2 out of 3 staff records that there was no high school diploma or GED in the file.

Resolution: Corrected: 2023-04-20

Four out of four fire/evacuation drills reviewed were not completed within the required three minutes. One out of the four drills reviewed did not indicate the smoke alarm was set off.

Resolution: Corrected: 2023-04-20

Two out of three child records reviewed did not contain a signed statement to acknowledge the child's rights.

Resolution: Corrected: 2023-04-20

A serious incident that was reported to the statewide intake hotline by the operation did not have a coinciding report documented at the operation.

Resolution: Corrected: 2023-04-20

It was found in 2 out of 3 children files reviewed that no child orientation was provided upon admission.

Resolution: Corrected: 2023-04-20

It was found that 2 out of 3 staff records that there was no high school diploma or GED in the file.

Resolution: Corrected: 2023-04-20

Four out of four fire/evacuation drills reviewed were not completed within the required three minutes. One out of the four drills reviewed did not indicate the smoke alarm was set off.

Resolution: Corrected: 2023-04-20

Two out of three child records reviewed did not contain a signed statement to acknowledge the child's rights.

Resolution: Corrected: 2023-04-20

A serious incident that was reported to the statewide intake hotline by the operation did not have a coinciding report documented at the operation.

Resolution: Corrected: 2023-04-20

It was found in 2 out of 3 children files reviewed that no child orientation was provided upon admission.

Resolution: Corrected: 2023-04-20

One out of seven employee files reviewed did not contain an updated professional licensure as required for their job position nor any record of training completed. Another employee file did not contain a job description.

Resolution: Corrected: 2022-08-31

One out of three child files reviewed did not contain a copy of the initial service plan in the file. Two out of three children's files did not contain the most recently updated service plan in the file.

Resolution: Corrected: 2022-08-31

The last validation of the employee list in the provider portal was four months ago.

Resolution: Corrected: 2022-08-31

The last validation of the employee list in the provider portal was four months ago.

Resolution: Corrected: 2022-08-31

The last validation of the employee list in the provider portal was four months ago.

Resolution: Corrected: 2022-08-31

One out of three child files reviewed did not contain a copy of the initial service plan in the file. Two out of three children's files did not contain the most recently updated service plan in the file.

Resolution: Corrected: 2022-08-31

One out of three child files reviewed did not contain a copy of the initial service plan in the file. Two out of three children's files did not contain the most recently updated service plan in the file.

Resolution: Corrected: 2022-08-31

One out of seven employee files reviewed did not contain an updated professional licensure as required for their job position nor any record of training completed. Another employee file did not contain a job description.

Resolution: Corrected: 2022-08-31

One out of seven employee files reviewed did not contain an updated professional licensure as required for their job position nor any record of training completed. Another employee file did not contain a job description.

Resolution: Corrected: 2022-08-31

One out of three child files reviewed did not contain a copy of the initial service plan in the file. Two out of three children's files did not contain the most recently updated service plan in the file.

Resolution: Corrected: 2022-08-31

The last validation of the employee list in the provider portal was four months ago.

Resolution: Corrected: 2022-08-31

One out of seven employee files reviewed did not contain an updated professional licensure as required for their job position nor any record of training completed. Another employee file did not contain a job description.

Resolution: Corrected: 2022-08-31

The operation has not had an administrator in 90 days.

Resolution: Corrected: 2022-08-13

The operation has not had an administrator in 90 days.

Resolution: Corrected: 2022-08-13

The operation has not had an administrator in 90 days.

Resolution: Corrected: 2022-08-13

The operation has not had an administrator in 90 days.

Resolution: Corrected: 2022-08-13

There is information to confirm staff use profane language while caring for children.

Resolution: Corrected: 2022-08-26

There is information to confirm staff use profane language while caring for children.

Resolution: Corrected: 2022-08-26

There is information to confirm staff use profane language while caring for children.

Resolution: Corrected: 2022-08-26

There is information to confirm staff use profane language while caring for children.

Resolution: Corrected: 2022-08-26

The operation has not had an administrator in 60 days.

Resolution: Corrected: 2022-07-13

The operation has not had an administrator in 60 days.

Resolution: Corrected: 2022-07-13

The operation has not had an administrator in 60 days.

Resolution: Corrected: 2022-07-13

The operation has not had an administrator in 60 days.

Resolution: Corrected: 2022-07-13

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-06-10

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-06-10

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-06-10

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-06-10

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-30

One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area.

Resolution: Corrected: 2022-05-30

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-30

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-30

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-30

One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area.

Resolution: Corrected: 2022-05-30

One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area.

Resolution: Corrected: 2022-05-30

One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area.

Resolution: Corrected: 2022-05-30

Two of two bathrooms utilized by children in care did not contain: paper towel or any hand drying agent. One of two bathrooms did not contain toilet paper, One of two bathrooms had a broken vanity exposing piping. One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area. There was bag of meat in the freezer in a ripped bag exposing the meat. There was a clump of hair in the freezer.

Resolution: Corrected: 2022-05-20

The purpose of this standard is to ensure child care regulation is able to assess records and documentation for accuracy and compliance.

Resolution: Corrected at inspection

The purpose of this standard is to ensure child care regulation is able to assess records and documentation for accuracy and compliance.

Resolution: Corrected at inspection

Two of two bathrooms utilized by children in care did not contain: paper towel or any hand drying agent. One of two bathrooms did not contain toilet paper, One of two bathrooms had a broken vanity exposing piping. One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area. There was bag of meat in the freezer in a ripped bag exposing the meat. There was a clump of hair in the freezer.

Resolution: Corrected: 2022-05-20

Two of two bathrooms utilized by children in care did not contain: paper towel or any hand drying agent. One of two bathrooms did not contain toilet paper, One of two bathrooms had a broken vanity exposing piping. One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area. There was bag of meat in the freezer in a ripped bag exposing the meat. There was a clump of hair in the freezer.

Resolution: Corrected: 2022-05-20

The purpose of this standard is to ensure child care regulation is able to assess records and documentation for accuracy and compliance.

Resolution: Corrected at inspection

Two of two bathrooms utilized by children in care did not contain: paper towel or any hand drying agent. One of two bathrooms did not contain toilet paper, One of two bathrooms had a broken vanity exposing piping. One of two bathroom had a broken toilet paper holder. There was an exposed electrical socket in the kitchen dinning area. There was bag of meat in the freezer in a ripped bag exposing the meat. There was a clump of hair in the freezer.

Resolution: Corrected: 2022-05-20

The purpose of this standard is to ensure child care regulation is able to assess records and documentation for accuracy and compliance.

Resolution: Corrected at inspection

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-19

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-19

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-19

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-19

One out of three medication records reviewed had signatures documented/signed prior to administering any medication to children in care.

Resolution: Corrected: 2022-05-11

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-11

During the inspection, two out of three restraint reports had missing post discussion documentation.

Resolution: Corrected: 2022-05-11

Two out of two restraints reviewed did not include a notification to the parent.

Resolution: Corrected: 2022-05-11

One out of three medication records reviewed indicate that the medication count was inaccurately logged.

Resolution: Corrected: 2022-05-11

One out of three medication records reviewed indicate that the medication count was inaccurately logged.

Resolution: Corrected: 2022-05-11

One out of three medication records reviewed had signatures documented/signed prior to administering any medication to children in care.

Resolution: Corrected: 2022-05-11

During the inspection, two out of three restraint reports had missing post discussion documentation.

Resolution: Corrected: 2022-05-11

Two out of two restraints reviewed did not include a notification to the parent.

Resolution: Corrected: 2022-05-11

One out of three medication records reviewed had signatures documented/signed prior to administering any medication to children in care.

Resolution: Corrected: 2022-05-11

Two out of two restraints reviewed did not include a notification to the parent.

Resolution: Corrected: 2022-05-11

One out of three medication records reviewed indicate that the medication count was inaccurately logged.

Resolution: Corrected: 2022-05-11

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-11

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-11

During the inspection, two out of three restraint reports had missing post discussion documentation.

Resolution: Corrected: 2022-05-11

One out of three medication records reviewed indicate that the medication count was inaccurately logged.

Resolution: Corrected: 2022-05-11

One out of three medication records reviewed had signatures documented/signed prior to administering any medication to children in care.

Resolution: Corrected: 2022-05-11

Two out of two restraints reviewed did not include a notification to the parent.

Resolution: Corrected: 2022-05-11

A window blind in one of the bedrooms was damaged.

Resolution: Corrected: 2022-05-11

During the inspection, two out of three restraint reports had missing post discussion documentation.

Resolution: Corrected: 2022-05-11

No debriefing documentation was given to inspector regarding AWOL of victim

Resolution: Corrected: 2022-07-29

No serious incident report was given to inspector regarding AWOL of victim that was called in to licensing

Resolution: Corrected: 2022-07-29

annual summary log was not given to inspector regarding AWOL as requested

Resolution: Corrected: 2022-07-29

Due to 5 out of 8 staff EBI records no being current. 5 staff are not qualified to perform EBI.

Resolution: Corrected: 2022-07-29

Operation did not send any post EBI documentation regarding the victim or any child in care from the operation

Resolution: Corrected: 2022-07-29

There was no documentation sent to inspector regarding EBI being performed on victim and documentation on EBI performed on other children in care who were interviewed

Resolution: Corrected: 2022-07-29

Reviewing staff training 5 out of 8 staff do not have up to date training for EBI

Resolution: Corrected: 2022-07-29

Operation did not send any post EBI documentation regarding the victim or any child in care from the operation

Resolution: Corrected: 2022-07-29

No debriefing documentation was given to inspector regarding AWOL of victim

Resolution: Corrected: 2022-07-29

annual summary log was not given to inspector regarding AWOL as requested

Resolution: Corrected: 2022-07-29

Reviewing staff training 5 out of 8 staff do not have up to date training for EBI

Resolution: Corrected: 2022-07-29

No serious incident report was given to inspector regarding AWOL of victim that was called in to licensing

Resolution: Corrected: 2022-07-29

Operation did not send any post EBI documentation regarding the victim or any child in care from the operation

Resolution: Corrected: 2022-07-29

There was no documentation sent to inspector regarding EBI being performed on victim and documentation on EBI performed on other children in care who were interviewed

Resolution: Corrected: 2022-07-29

Due to 5 out of 8 staff EBI records no being current. 5 staff are not qualified to perform EBI.

Resolution: Corrected: 2022-07-29

annual summary log was not given to inspector regarding AWOL as requested

Resolution: Corrected: 2022-07-29

Reviewing staff training 5 out of 8 staff do not have up to date training for EBI

Resolution: Corrected: 2022-07-29

No serious incident report was given to inspector regarding AWOL of victim that was called in to licensing

Resolution: Corrected: 2022-07-29

Operation did not send any post EBI documentation regarding the victim or any child in care from the operation

Resolution: Corrected: 2022-07-29

There was no documentation sent to inspector regarding EBI being performed on victim and documentation on EBI performed on other children in care who were interviewed

Resolution: Corrected: 2022-07-29

No debriefing documentation was given to inspector regarding AWOL of victim

Resolution: Corrected: 2022-07-29

Due to 5 out of 8 staff EBI records no being current. 5 staff are not qualified to perform EBI.

Resolution: Corrected: 2022-07-29

Reviewing staff training 5 out of 8 staff do not have up to date training for EBI

Resolution: Corrected: 2022-07-29

No debriefing documentation was given to inspector regarding AWOL of victim

Resolution: Corrected: 2022-07-29

There was no documentation sent to inspector regarding EBI being performed on victim and documentation on EBI performed on other children in care who were interviewed

Resolution: Corrected: 2022-07-29

Due to 5 out of 8 staff EBI records no being current. 5 staff are not qualified to perform EBI.

Resolution: Corrected: 2022-07-29

No serious incident report was given to inspector regarding AWOL of victim that was called in to licensing

Resolution: Corrected: 2022-07-29

annual summary log was not given to inspector regarding AWOL as requested

Resolution: Corrected: 2022-07-29

Staff failed to report serious incidents involving children in care to the parents. Children have been involved in serious incidents requiring medical evaluations after and parents have not been informed within required time frames.

Resolution: Corrected: 2022-05-10

Staff failed to report serious incidents involving children in their care to the hotline. Incidents involving physical abuse between children were not reported timely.

Resolution: Corrected: 2022-05-10

Staff failed to complete EBI documentation for serious incidents involving children in their care.

Resolution: Corrected: 2022-05-10

Two children used one seat belt while being transported for an outing.

Resolution: Corrected: 2022-05-10

The operation documents on their incident reports that children are being evaluated by their concierge doctor however there is not always documentation to go along with this and when a document is provided it does not have any official signatures or letterhead and it is unknown who is filling out the document .

Resolution: Corrected: 2022-05-10

One staff member supervised 6 children in a van on 03/20/2022 when a physical altercation occurred.

Resolution: Corrected: 2022-05-10

Staff failed to complete EBI documentation for serious incidents involving children in their care.

Resolution: Corrected: 2022-05-10

The operation documents on their incident reports that children are being evaluated by their concierge doctor however there is not always documentation to go along with this and when a document is provided it does not have any official signatures or letterhead and it is unknown who is filling out the document .

Resolution: Corrected: 2022-05-10

Staff failed to complete EBI documentation for serious incidents involving children in their care.

Resolution: Corrected: 2022-05-10

Staff failed to report serious incidents involving children in care to the parents. Children have been involved in serious incidents requiring medical evaluations after and parents have not been informed within required time frames.

Resolution: Corrected: 2022-05-10

One staff member supervised 6 children in a van on 03/20/2022 when a physical altercation occurred.

Resolution: Corrected: 2022-05-10

Staff failed to report serious incidents involving children in care to the parents. Children have been involved in serious incidents requiring medical evaluations after and parents have not been informed within required time frames.

Resolution: Corrected: 2022-05-10

Staff failed to report serious incidents involving children in care to the parents. Children have been involved in serious incidents requiring medical evaluations after and parents have not been informed within required time frames.

Resolution: Corrected: 2022-05-10

Two children used one seat belt while being transported for an outing.

Resolution: Corrected: 2022-05-10

The operation documents on their incident reports that children are being evaluated by their concierge doctor however there is not always documentation to go along with this and when a document is provided it does not have any official signatures or letterhead and it is unknown who is filling out the document .

Resolution: Corrected: 2022-05-10

Two children used one seat belt while being transported for an outing.

Resolution: Corrected: 2022-05-10

Staff failed to complete EBI documentation for serious incidents involving children in their care.

Resolution: Corrected: 2022-05-10

One staff member supervised 6 children in a van on 03/20/2022 when a physical altercation occurred.

Resolution: Corrected: 2022-05-10

Staff failed to report serious incidents involving children in their care to the hotline. Incidents involving physical abuse between children were not reported timely.

Resolution: Corrected: 2022-05-10

The operation documents on their incident reports that children are being evaluated by their concierge doctor however there is not always documentation to go along with this and when a document is provided it does not have any official signatures or letterhead and it is unknown who is filling out the document .

Resolution: Corrected: 2022-05-10

Staff failed to report serious incidents involving children in their care to the hotline. Incidents involving physical abuse between children were not reported timely.

Resolution: Corrected: 2022-05-10

Two children used one seat belt while being transported for an outing.

Resolution: Corrected: 2022-05-10

Staff failed to report serious incidents involving children in their care to the hotline. Incidents involving physical abuse between children were not reported timely.

Resolution: Corrected: 2022-05-10

One staff member supervised 6 children in a van on 03/20/2022 when a physical altercation occurred.

Resolution: Corrected: 2022-05-10

Medication logs reviewed did not include the reason medication was prescribed.

Resolution: Corrected: 2022-02-18

Medication logs reviewed did not include the reason medication was prescribed.

Resolution: Corrected: 2022-02-18

Medication logs reviewed did not include the reason medication was prescribed.

Resolution: Corrected: 2022-02-18

Medication logs reviewed did not include the reason medication was prescribed.

Resolution: Corrected: 2022-02-18

During the inspection; medication was observed accessible to the children in care and child in care pick up a pill off the floor.

Resolution: Corrected at inspection

During the inspection; medication was observed accessible to the children in care and child in care pick up a pill off the floor.

Resolution: Corrected at inspection

During the inspection; medication was observed accessible to the children in care and child in care pick up a pill off the floor.

Resolution: Corrected at inspection

During the inspection; medication was observed accessible to the children in care and child in care pick up a pill off the floor.

Resolution: Corrected at inspection

During the inspection; a post discussion was not completed after restraint conducted on a child in care.

Resolution: Corrected: 2021-12-28

During the inspection; a post discussion was not completed after restraint conducted on a child in care.

Resolution: Corrected: 2021-12-28

During the inspection; a post discussion was not completed after restraint conducted on a child in care.

Resolution: Corrected: 2021-12-28

During the inspection; a post discussion was not completed after restraint conducted on a child in care.

Resolution: Corrected: 2021-12-28

One out of two youth files reviewed contained an incident report that did not match the emergency behavior intervention report to coincide with it.

Resolution: Corrected: 2021-04-15

One of the window blinds in bedroom three contained mold.

Resolution: Corrected: 2021-04-15

One of the window blinds in bedroom three contained mold.

Resolution: Corrected: 2021-04-15

One out of two youth files reviewed contained an incident report that did not match the emergency behavior intervention report to coincide with it.

Resolution: Corrected: 2021-04-15

One of the window blinds in bedroom three contained mold.

Resolution: Corrected: 2021-04-15

One of the window blinds in bedroom three contained mold.

Resolution: Corrected: 2021-04-15

One out of two youth files reviewed contained an incident report that did not match the emergency behavior intervention report to coincide with it.

Resolution: Corrected: 2021-04-15

One out of two youth files reviewed contained an incident report that did not match the emergency behavior intervention report to coincide with it.

Resolution: Corrected: 2021-04-15