Center for Success and Independence

Pre-employment reference check must be completed before a confirmed hire.

Resolution: Corrected at inspection

Unauthorized Absence forrm does not have a section for a debreifing if and when the child returns from AWOL.

Resolution: Corrected at inspection

Pre-employment reference check must be completed before a confirmed hire.

Resolution: Corrected at inspection

Unauthorized Absence forrm does not have a section for a debreifing if and when the child returns from AWOL.

Resolution: Corrected at inspection

Pre-employment reference check must be completed before a confirmed hire.

Resolution: Corrected at inspection

Unauthorized Absence forrm does not have a section for a debreifing if and when the child returns from AWOL.

Resolution: Corrected at inspection

Unauthorized Absence forrm does not have a section for a debreifing if and when the child returns from AWOL.

Resolution: Corrected at inspection

Pre-employment reference check must be completed before a confirmed hire.

Resolution: Corrected at inspection

Two of the staff records reviewed missing annual suicidal prevention training for 2024.

Resolution: Corrected: 2025-06-04

Two of the staff records reviewed found that staff member did not receive 50 hours of annual training for 2024 as required.

Resolution: Corrected: 2025-06-04

Two children's records reviewed found no dental exam have been completed since admission, more than 90 days ago.

Resolution: Corrected: 2025-06-04

One of the staff records reviewed found staff did not receive trauma informed care training and normalcy training for 2024.

Resolution: Corrected: 2025-06-04

One of the staff records reviewed found staff did not receive trauma informed care training and normalcy training for 2024.

Resolution: Corrected: 2025-06-04

Two of the staff records reviewed missing annual suicidal prevention training for 2024.

Resolution: Corrected: 2025-06-04

Two of the staff records reviewed found that staff member did not receive 50 hours of annual training for 2024 as required.

Resolution: Corrected: 2025-06-04

Two children's records reviewed found no dental exam have been completed since admission, more than 90 days ago.

Resolution: Corrected: 2025-06-04

Two of the staff records reviewed found that staff member did not receive 50 hours of annual training for 2024 as required.

Resolution: Corrected: 2025-06-04

Two children's records reviewed found no dental exam have been completed since admission, more than 90 days ago.

Resolution: Corrected: 2025-06-04

Two of the staff records reviewed missing annual suicidal prevention training for 2024.

Resolution: Corrected: 2025-06-04

One of the staff records reviewed found staff did not receive trauma informed care training and normalcy training for 2024.

Resolution: Corrected: 2025-06-04

Two of the staff records reviewed missing annual suicidal prevention training for 2024.

Resolution: Corrected: 2025-06-04

Two children's records reviewed found no dental exam have been completed since admission, more than 90 days ago.

Resolution: Corrected: 2025-06-04

Two of the staff records reviewed found that staff member did not receive 50 hours of annual training for 2024 as required.

Resolution: Corrected: 2025-06-04

One of the staff records reviewed found staff did not receive trauma informed care training and normalcy training for 2024.

Resolution: Corrected: 2025-06-04

On multiple kid files, signatures/initals were missing.

Resolution: Corrected: 2024-10-21

Multiple kids med logs were missing administration times.

Resolution: Corrected: 2024-10-21

On multiple kid files, signatures/initals were missing.

Resolution: Corrected: 2024-10-21

Multiple kids med logs were missing administration times.

Resolution: Corrected: 2024-10-21

On multiple kid files, signatures/initals were missing.

Resolution: Corrected: 2024-10-21

Multiple kids med logs were missing administration times.

Resolution: Corrected: 2024-10-21

On multiple kid files, signatures/initals were missing.

Resolution: Corrected: 2024-10-21

Multiple kids med logs were missing administration times.

Resolution: Corrected: 2024-10-21

It was found that 4 out of 5 children have seen or witnessed a staff member sleeping during shifts of providing care.

Resolution: Corrected: 2024-11-13

It was found that 4 out of 5 children have seen or witnessed a staff member sleeping during shifts of providing care.

Resolution: Corrected: 2024-11-13

It was found that 4 out of 5 children have seen or witnessed a staff member sleeping during shifts of providing care.

Resolution: Corrected: 2024-11-13

It was found that 4 out of 5 children have seen or witnessed a staff member sleeping during shifts of providing care.

Resolution: Corrected: 2024-11-13

The operation has not submitted the quarterly EBI data reports for 2023 4th Quarter and 2024 1st Quarter.

Resolution: Corrected: 2024-05-08

The operation has not submitted the quarterly EBI data reports for 2023 4th Quarter and 2024 1st Quarter.

Resolution: Corrected: 2024-05-08

The operation has not submitted the quarterly EBI data reports for 2023 4th Quarter and 2024 1st Quarter.

Resolution: Corrected: 2024-05-08

The operation has not submitted the quarterly EBI data reports for 2023 4th Quarter and 2024 1st Quarter.

Resolution: Corrected: 2024-05-08

A child's medication was not administered for 3 days due to it being misplaced by operation staff.

Resolution: Corrected: 2024-01-26

A child's medication was not administered for 3 days due to it being misplaced by operation staff.

Resolution: Corrected: 2024-01-26

A child's medication was not administered for 3 days due to it being misplaced by operation staff.

Resolution: Corrected: 2024-01-26

A child's medication was not administered for 3 days due to it being misplaced by operation staff.

Resolution: Corrected: 2024-01-26

Four out of four children's records reviewed were missing protection from unnecessary search information within the child's rights policy.

Resolution: Corrected: 2022-12-30

One out of four child's records reviewed were missing the admission assessment.

Resolution: Corrected: 2022-12-30

Two out of four children's record reviewed were missing preliminary service.

Resolution: Corrected: 2022-12-30

Two out of four children's records reviewed were missing immunization record.

Resolution: Corrected at inspection

Two out of four children records reviewed suicide attempts were not reported to Licensing within the required time frame.

Resolution: Corrected: 2022-12-30

Two out of four children's records reviewed were missing proof of two weeks advance notification of service plan meeting.

Resolution: Corrected: 2022-12-30

During the monitoring inspection, it was discovered the operation failed to remove 19 inactive employees from the people's list within required 7 days' timeframe.

Resolution: Corrected: 2022-12-30

One of four children's records reviewed were missing child's initial service plan.

Resolution: Corrected: 2022-12-30

During the monitoring inspection, it was discovered the operation failed to remove 19 inactive employees from the people's list within required 7 days' timeframe.

Resolution: Corrected: 2022-12-30

Two out of four children's record reviewed were missing preliminary service.

Resolution: Corrected: 2022-12-30

One out of four child's records reviewed were missing the admission assessment.

Resolution: Corrected: 2022-12-30

One of four children's records reviewed were missing child's initial service plan.

Resolution: Corrected: 2022-12-30

Two out of four children records reviewed suicide attempts were not reported to Licensing within the required time frame.

Resolution: Corrected: 2022-12-30

Two out of four children's records reviewed were missing immunization record.

Resolution: Corrected at inspection

During the monitoring inspection, it was discovered the operation failed to remove 19 inactive employees from the people's list within required 7 days' timeframe.

Resolution: Corrected: 2022-12-30

Two out of four children's records reviewed were missing proof of two weeks advance notification of service plan meeting.

Resolution: Corrected: 2022-12-30

Four out of four children's records reviewed were missing protection from unnecessary search information within the child's rights policy.

Resolution: Corrected: 2022-12-30

Two out of four children's record reviewed were missing preliminary service.

Resolution: Corrected: 2022-12-30

One out of four child's records reviewed were missing the admission assessment.

Resolution: Corrected: 2022-12-30

One of four children's records reviewed were missing child's initial service plan.

Resolution: Corrected: 2022-12-30

Two out of four children records reviewed suicide attempts were not reported to Licensing within the required time frame.

Resolution: Corrected: 2022-12-30

Two out of four children's records reviewed were missing immunization record.

Resolution: Corrected at inspection

Two out of four children's records reviewed were missing proof of two weeks advance notification of service plan meeting.

Resolution: Corrected: 2022-12-30

Four out of four children's records reviewed were missing protection from unnecessary search information within the child's rights policy.

Resolution: Corrected: 2022-12-30

During the monitoring inspection, it was discovered the operation failed to remove 19 inactive employees from the people's list within required 7 days' timeframe.

Resolution: Corrected: 2022-12-30

Two out of four children's records reviewed were missing immunization record.

Resolution: Corrected at inspection

Two out of four children's record reviewed were missing preliminary service.

Resolution: Corrected: 2022-12-30

One out of four child's records reviewed were missing the admission assessment.

Resolution: Corrected: 2022-12-30

Two out of four children records reviewed suicide attempts were not reported to Licensing within the required time frame.

Resolution: Corrected: 2022-12-30

Two out of four children's records reviewed were missing proof of two weeks advance notification of service plan meeting.

Resolution: Corrected: 2022-12-30

One of four children's records reviewed were missing child's initial service plan.

Resolution: Corrected: 2022-12-30

Four out of four children's records reviewed were missing protection from unnecessary search information within the child's rights policy.

Resolution: Corrected: 2022-12-30

A staff unnecessarily grabbed, pulled, and pushed a child as a means to get the child to comply.

Resolution: Corrected: 2022-10-17

A staff unnecessarily grabbed, pulled, and pushed a child as a means to get the child to comply.

Resolution: Corrected: 2022-10-17

A staff unnecessarily grabbed, pulled, and pushed a child as a means to get the child to comply.

Resolution: Corrected: 2022-10-17

A staff unnecessarily grabbed, pulled, and pushed a child as a means to get the child to comply.

Resolution: Corrected: 2022-10-17

During the inspection EBI reports were reviewed. Four of the four EBI reports reviewed were missing post discussions that included what a child can do to avoid EBI in the future and how a caregiver can assist. One child interviewed stated that they did not have a post discussion on ways that EBI can be avoided in the future.

Resolution: Corrected: 2022-01-06

During the inspection EBI reports were reviewed. Four of the four EBI reports reviewed were missing post discussions that included what a child can do to avoid EBI in the future and how a caregiver can assist. One child interviewed stated that they did not have a post discussion on ways that EBI can be avoided in the future.

Resolution: Corrected: 2022-01-06

During the inspection EBI reports were reviewed. Four of the four EBI reports reviewed were missing post discussions that included what a child can do to avoid EBI in the future and how a caregiver can assist. One child interviewed stated that they did not have a post discussion on ways that EBI can be avoided in the future.

Resolution: Corrected: 2022-01-06

During the inspection EBI reports were reviewed. Four of the four EBI reports reviewed were missing post discussions that included what a child can do to avoid EBI in the future and how a caregiver can assist. One child interviewed stated that they did not have a post discussion on ways that EBI can be avoided in the future.

Resolution: Corrected: 2022-01-06

During the walkthrough, it was observed that 1/3 restrooms was out of order for 1 week, leaving 21 residents to utilize 2 occupiable restrooms.

Resolution: Corrected: 2021-10-06

During the walkthrough, it was observed that 1/3 restrooms was out of order for 1 week, leaving 21 residents to utilize 2 occupiable restrooms.

Resolution: Corrected: 2021-10-06

During the walkthrough, it was observed that 1/3 restrooms was out of order for 1 week, leaving 21 residents to utilize 2 occupiable restrooms.

Resolution: Corrected: 2021-10-06

During the walkthrough, it was observed that 1/3 restrooms was out of order for 1 week, leaving 21 residents to utilize 2 occupiable restrooms.

Resolution: Corrected: 2021-10-06

A child in care was able to obtain a container of medication that was placed within arms reach and subsequently ingested a number of pills from the medication container.

Resolution: Corrected: 2021-11-17

A child's self-harming injuries were not documented and staff were not aware of them. Staff did not follow procedure the operations procedure of checking the sleeves when taking medication.

Resolution: Corrected: 2021-11-26

A child's self-harming injuries were not documented and staff were not aware of them. Staff did not follow procedure the operations procedure of checking the sleeves when taking medication.

Resolution: Corrected: 2021-11-26

A child's self-harming injuries were not documented and staff were not aware of them. Staff did not follow procedure the operations procedure of checking the sleeves when taking medication.

Resolution: Corrected: 2021-11-26

A child in care was able to obtain a container of medication that was placed within arms reach and subsequently ingested a number of pills from the medication container.

Resolution: Corrected: 2021-11-17

A child's self-harming injuries were not documented and staff were not aware of them. Staff did not follow procedure the operations procedure of checking the sleeves when taking medication.

Resolution: Corrected: 2021-11-26

A child in care was able to obtain a container of medication that was placed within arms reach and subsequently ingested a number of pills from the medication container.

Resolution: Corrected: 2021-11-17

A child in care was able to obtain a container of medication that was placed within arms reach and subsequently ingested a number of pills from the medication container.

Resolution: Corrected: 2021-11-17

During interviewing, it was found that there are some blind spots in video surveillance when supervising children in care. Children also admitted that staff is not always able to see them when they want their actions to be concealed.

Resolution: Corrected: 2021-12-10

During interviewing, it was found that there are some blind spots in video surveillance when supervising children in care. Children also admitted that staff is not always able to see them when they want their actions to be concealed.

Resolution: Corrected: 2021-12-10

During interviewing, it was found that there are some blind spots in video surveillance when supervising children in care. Children also admitted that staff is not always able to see them when they want their actions to be concealed.

Resolution: Corrected: 2021-12-10

During interviewing, it was found that there are some blind spots in video surveillance when supervising children in care. Children also admitted that staff is not always able to see them when they want their actions to be concealed.

Resolution: Corrected: 2021-12-10

Witness stated that they've overheard staff make statements that she would hit the victim child.

Resolution: Corrected: 2021-09-15

Witness stated that they've overheard staff make statements that she would hit the victim child.

Resolution: Corrected: 2021-09-15

Witness stated that they've overheard staff make statements that she would hit the victim child.

Resolution: Corrected: 2021-09-15

Witness stated that they've overheard staff make statements that she would hit the victim child.

Resolution: Corrected: 2021-09-15

A child in care reported a grievance to the operation and it was not reported to licensing until 4 days later.

Resolution: Corrected: 2021-06-04

A child in care reported a grievance to the operation and it was not reported to licensing until 4 days later.

Resolution: Corrected: 2021-06-04

A child in care reported a grievance to the operation and it was not reported to licensing until 4 days later.

Resolution: Corrected: 2021-06-04

A child in care reported a grievance to the operation and it was not reported to licensing until 4 days later.

Resolution: Corrected: 2021-06-04

The Agency must ensure sufficient staff to address emergency situations where children attempt self-harm and require professional medical attention.

Resolution: Corrected: 2021-03-17

Staff were being allowed to execute procedures that do not align with the policies regarding supervision- specifically, room check policy. This lead to child being able to attempt self-harm.

Resolution: Corrected: 2021-03-17