Dream Residential Treatment Center, Inc.

One med record reviewed did not contain a time of administration.

Resolution: Corrected at inspection

One med record reviewed did not contain a time of administration.

Resolution: Corrected at inspection

One med record reviewed did not contain a time of administration.

Resolution: Corrected at inspection

One med record reviewed did not contain a time of administration.

Resolution: Corrected at inspection

Two children record reviewed indicated child, caregiver, and CPS worker did not participate or reviewed the child's service plan.

Resolution: Corrected: 2024-12-30

Two children record reviewed indicated child, caregiver, and CPS worker did not participate or reviewed the child's service plan.

Resolution: Corrected: 2024-12-30

Two children record reviewed indicated child, caregiver, and CPS worker did not participate or reviewed the child's service plan.

Resolution: Corrected: 2024-12-30

Two children record reviewed indicated child, caregiver, and CPS worker did not participate or reviewed the child's service plan.

Resolution: Corrected: 2024-12-30

Three residents left the facility without staff knowledge while under supervision.

Resolution: Corrected: 2025-01-02

The facility became aware of the missing children at 10:00AM, but the incident was not reported to licensing, law-enforcement, and CPS until 6:30PM.

Resolution: Corrected: 2025-01-02

According to interviews with residents and staff, residents ride the bus to and from school daily and walk to and from the bus stop on their own. The children's service plan specifies that they are to be transported to and from school by shelter staff due to their history of running and/or leaving school or assigned areas without permission.

Resolution: Corrected: 2025-01-02

The facility became aware of the missing children at 10:00AM, but the incident was not reported to licensing, law-enforcement, and CPS until 6:30PM.

Resolution: Corrected: 2025-01-02

According to interviews with residents and staff, residents ride the bus to and from school daily and walk to and from the bus stop on their own. The children's service plan specifies that they are to be transported to and from school by shelter staff due to their history of running and/or leaving school or assigned areas without permission.

Resolution: Corrected: 2025-01-02

The facility became aware of the missing children at 10:00AM, but the incident was not reported to licensing, law-enforcement, and CPS until 6:30PM.

Resolution: Corrected: 2025-01-02

Three residents left the facility without staff knowledge while under supervision.

Resolution: Corrected: 2025-01-02

According to interviews with residents and staff, residents ride the bus to and from school daily and walk to and from the bus stop on their own. The children's service plan specifies that they are to be transported to and from school by shelter staff due to their history of running and/or leaving school or assigned areas without permission.

Resolution: Corrected: 2025-01-02

The facility became aware of the missing children at 10:00AM, but the incident was not reported to licensing, law-enforcement, and CPS until 6:30PM.

Resolution: Corrected: 2025-01-02

Three residents left the facility without staff knowledge while under supervision.

Resolution: Corrected: 2025-01-02

According to interviews with residents and staff, residents ride the bus to and from school daily and walk to and from the bus stop on their own. The children's service plan specifies that they are to be transported to and from school by shelter staff due to their history of running and/or leaving school or assigned areas without permission.

Resolution: Corrected: 2025-01-02

Three residents left the facility without staff knowledge while under supervision.

Resolution: Corrected: 2025-01-02

The couch in the game room was observed to have a hole in the material.

Resolution: Corrected: 2024-12-13

The couch in the game room was observed to have a hole in the material.

Resolution: Corrected: 2024-12-13

The couch in the game room was observed to have a hole in the material.

Resolution: Corrected: 2024-12-13

The couch in the game room was observed to have a hole in the material.

Resolution: Corrected: 2024-12-13

During the review of documents obtained, the victim child's service plan was not signed by any of the participating parties.

Resolution: Corrected: 2025-01-21

During the review of documents obtained, the victim child's service plan was not signed by any of the participating parties.

Resolution: Corrected: 2025-01-21

During the review of documents obtained, the victim child's service plan was not signed by any of the participating parties.

Resolution: Corrected: 2025-01-21

During the review of documents obtained, the victim child's service plan was not signed by any of the participating parties.

Resolution: Corrected: 2025-01-21

The children's service plans are missing the signatures of persons who participated in the completion of the service plan.

Resolution: Corrected: 2024-09-13

The operation Gas inspection expired in Jan 2024.

Resolution: Corrected: 2024-09-13

The thermometer in the refrigerator reads that 46.

Resolution: Corrected: 2024-09-13

The operation Gas inspection expired in Jan 2024.

Resolution: Corrected: 2024-09-13

The thermometer in the refrigerator reads that 46.

Resolution: Corrected: 2024-09-13

The operation Gas inspection expired in Jan 2024.

Resolution: Corrected: 2024-09-13

The thermometer in the refrigerator reads that 46.

Resolution: Corrected: 2024-09-13

The operation Gas inspection expired in Jan 2024.

Resolution: Corrected: 2024-09-13

The children's service plans are missing the signatures of persons who participated in the completion of the service plan.

Resolution: Corrected: 2024-09-13

The children's service plans are missing the signatures of persons who participated in the completion of the service plan.

Resolution: Corrected: 2024-09-13

The thermometer in the refrigerator reads that 46.

Resolution: Corrected: 2024-09-13

The children's service plans are missing the signatures of persons who participated in the completion of the service plan.

Resolution: Corrected: 2024-09-13

The medication log does not have an accurate count of remaining medication.

Resolution: Corrected: 2024-06-20

A child right form has not been by the child.

Resolution: Corrected: 2024-06-20

During walk through, it was observed that the far left window, on the back of the home, was missing a screen.

Resolution: Corrected: 2024-06-20

During walk through, it was observed that the far left window, on the back of the home, was missing a screen.

Resolution: Corrected: 2024-06-20

A child right form has not been by the child.

Resolution: Corrected: 2024-06-20

The medication log does not have an accurate count of remaining medication.

Resolution: Corrected: 2024-06-20

The medication log does not have an accurate count of remaining medication.

Resolution: Corrected: 2024-06-20

A child right form has not been by the child.

Resolution: Corrected: 2024-06-20

During walk through, it was observed that the far left window, on the back of the home, was missing a screen.

Resolution: Corrected: 2024-06-20

A child right form has not been by the child.

Resolution: Corrected: 2024-06-20

The medication log does not have an accurate count of remaining medication.

Resolution: Corrected: 2024-06-20

During walk through, it was observed that the far left window, on the back of the home, was missing a screen.

Resolution: Corrected: 2024-06-20

Records reviewed show service plans not signed by all required parties as a form of acknowledgment or a child's refusal to sign is not noted.

Resolution: Corrected: 2024-06-27

Records reviewed did not documented how identified high-risks behaviors will be mitigated.

Resolution: Corrected: 2024-06-27

Records reviewed show multiple staff members did not renew annual trainings timely.

Resolution: Corrected: 2024-06-27

There is no medication error report completed for a medication log that shows a change in medication dosage prescribed vs. the dosage of medication administered.

Resolution: Corrected: 2024-06-27

Medication logs reviewed listed "N/A" as reason for medication.

Resolution: Corrected: 2024-06-27

Medication logs reviewed listed "N/A" as reason for medication.

Resolution: Corrected: 2024-06-27

There is no medication error report completed for a medication log that shows a change in medication dosage prescribed vs. the dosage of medication administered.

Resolution: Corrected: 2024-06-27

Records reviewed show service plans not signed by all required parties as a form of acknowledgment or a child's refusal to sign is not noted.

Resolution: Corrected: 2024-06-27

Records reviewed did not documented how identified high-risks behaviors will be mitigated.

Resolution: Corrected: 2024-06-27

Medication logs reviewed listed "N/A" as reason for medication.

Resolution: Corrected: 2024-06-27

Records reviewed show service plans not signed by all required parties as a form of acknowledgment or a child's refusal to sign is not noted.

Resolution: Corrected: 2024-06-27

Records reviewed show multiple staff members did not renew annual trainings timely.

Resolution: Corrected: 2024-06-27

Records reviewed did not documented how identified high-risks behaviors will be mitigated.

Resolution: Corrected: 2024-06-27

Records reviewed show multiple staff members did not renew annual trainings timely.

Resolution: Corrected: 2024-06-27

There is no medication error report completed for a medication log that shows a change in medication dosage prescribed vs. the dosage of medication administered.

Resolution: Corrected: 2024-06-27

Records reviewed show service plans not signed by all required parties as a form of acknowledgment or a child's refusal to sign is not noted.

Resolution: Corrected: 2024-06-27

Medication logs reviewed listed "N/A" as reason for medication.

Resolution: Corrected: 2024-06-27

Records reviewed did not documented how identified high-risks behaviors will be mitigated.

Resolution: Corrected: 2024-06-27

Records reviewed show multiple staff members did not renew annual trainings timely.

Resolution: Corrected: 2024-06-27

There is no medication error report completed for a medication log that shows a change in medication dosage prescribed vs. the dosage of medication administered.

Resolution: Corrected: 2024-06-27

Staff file is missing an Affidavit for Employment.

Resolution: Corrected: 2023-09-15

The operation has not conducted a weather drill.

Resolution: Corrected: 2023-09-15

Staff file is missing an Affidavit for Employment.

Resolution: Corrected: 2023-09-15

Staff file is missing an Affidavit for Employment.

Resolution: Corrected: 2023-09-15

Staff file is missing an Affidavit for Employment.

Resolution: Corrected: 2023-09-15

The operation has not conducted a weather drill.

Resolution: Corrected: 2023-09-15

The operation has not conducted a weather drill.

Resolution: Corrected: 2023-09-15

The operation has not conducted a weather drill.

Resolution: Corrected: 2023-09-15

The operation failed to report a serious incident in time.

Resolution: Corrected: 2023-09-29

The operation failed to report a serious incident in time.

Resolution: Corrected: 2023-09-29

The operation failed to report a serious incident in time.

Resolution: Corrected: 2023-09-29

The operation failed to report a serious incident in time.

Resolution: Corrected: 2023-09-29

An overnight shift staff member did not follow the RTC's policy when they prefilled out the bed check log form, notating all children were asleep the entire night until 6am.

Resolution: Corrected: 2023-07-05

An overnight shift staff member did not follow the RTC's policy when they prefilled out the bed check log form, notating all children were asleep the entire night until 6am.

Resolution: Corrected: 2023-07-05

An overnight shift staff member did not follow the RTC's policy when they prefilled out the bed check log form, notating all children were asleep the entire night until 6am.

Resolution: Corrected: 2023-07-05

An overnight shift staff member did not follow the RTC's policy when they prefilled out the bed check log form, notating all children were asleep the entire night until 6am.

Resolution: Corrected: 2023-07-05

In review of two child service plans, it was found that service plans are being reviewed after 90 days from the last service plan.

Resolution: Corrected: 2023-04-14

In review of two child service plans, it was found that service plans are being reviewed after 90 days from the last service plan.

Resolution: Corrected: 2023-04-14

In review of two child service plans, it was found that service plans are being reviewed after 90 days from the last service plan.

Resolution: Corrected: 2023-04-14

In review of two child service plans, it was found that service plans are being reviewed after 90 days from the last service plan.

Resolution: Corrected: 2023-04-14

A child in care in missing documentation of the TB exam.

Resolution: Corrected: 2022-12-23

A child in care in missing documentation of the TB exam.

Resolution: Corrected: 2022-12-23

A child in care in missing documentation of the TB exam.

Resolution: Corrected: 2022-12-23

A child in care in missing documentation of the TB exam.

Resolution: Corrected: 2022-12-23

Both the front and rear exit doors from the facility required a code/key to leave building.

Resolution: Corrected: 2022-11-21

Both the front and rear exit doors from the facility required a code/key to leave building.

Resolution: Corrected: 2022-11-21

Both the front and rear exit doors from the facility required a code/key to leave building.

Resolution: Corrected: 2022-11-21

Both the front and rear exit doors from the facility required a code/key to leave building.

Resolution: Corrected: 2022-11-21

Two out of three youth interviewed stated multiple staff have twisted their arms behind their back and held them in this position as a restraint.

Resolution: Corrected: 2022-09-30

Three out of three youth interviewed stated staff will get in their personal space as a means of intimidating or getting them to comply.

Resolution: Corrected: 2022-09-30

Two out of three youth interviewed stated multiple staff have twisted their arms behind their back and held them in this position as a restraint.

Resolution: Corrected: 2022-09-30

Three out of three youth interviewed stated staff will get in their personal space as a means of intimidating or getting them to comply.

Resolution: Corrected: 2022-09-30

Three out of three youth interviewed stated staff will get in their personal space as a means of intimidating or getting them to comply.

Resolution: Corrected: 2022-09-30

Three out of three youth interviewed stated staff will get in their personal space as a means of intimidating or getting them to comply.

Resolution: Corrected: 2022-09-30

Two out of three youth interviewed stated multiple staff have twisted their arms behind their back and held them in this position as a restraint.

Resolution: Corrected: 2022-09-30

Two out of three youth interviewed stated multiple staff have twisted their arms behind their back and held them in this position as a restraint.

Resolution: Corrected: 2022-09-30

There is a whole in the upstairs bathroom

Resolution: Corrected: 2022-08-01

There is a whole in the upstairs bathroom

Resolution: Corrected: 2022-08-01

There is a whole in the upstairs bathroom

Resolution: Corrected: 2022-08-01

There is a whole in the upstairs bathroom

Resolution: Corrected: 2022-08-01

During the medication review, it was found that the Medication log for one of the 5 children shows that he should have a remaining 7 pills and the count reflects a remaining 6.

Resolution: Corrected: 2022-04-11

During the medication review, it was found that the Medication log for one of the 5 children shows that he should have a remaining 7 pills and the count reflects a remaining 6.

Resolution: Corrected: 2022-04-11

During the medication review, it was found that the Medication log for one of the 5 children shows that he should have a remaining 7 pills and the count reflects a remaining 6.

Resolution: Corrected: 2022-04-11

During the medication review, it was found that the Medication log for one of the 5 children shows that he should have a remaining 7 pills and the count reflects a remaining 6.

Resolution: Corrected: 2022-04-11

Two out of the four medication records reviewed were missing the health professionals name or had the wrong health care professional's name on the form and did not reflect the medication.

Resolution: Corrected: 2022-02-04

Four medication records were reviewed and all of them contained medication count errors.

Resolution: Corrected: 2022-02-04

Four medication records were reviewed and all of them contained medication count errors.

Resolution: Corrected: 2022-02-04

Two out of the four medication records reviewed were missing the health professionals name or had the wrong health care professional's name on the form and did not reflect the medication.

Resolution: Corrected: 2022-02-04

Four medication records were reviewed and all of them contained medication count errors.

Resolution: Corrected: 2022-02-04

Two out of the four medication records reviewed were missing the health professionals name or had the wrong health care professional's name on the form and did not reflect the medication.

Resolution: Corrected: 2022-02-04

Two out of the four medication records reviewed were missing the health professionals name or had the wrong health care professional's name on the form and did not reflect the medication.

Resolution: Corrected: 2022-02-04

Four medication records were reviewed and all of them contained medication count errors.

Resolution: Corrected: 2022-02-04

Staff put residents at risk for substantial physical injury when she failed to remove both from an unsafe environment. Staff continued to put resident at risk by allowing another resident to restrain and hit the resident numerous times without removing either from the situation, resulting in the resident receiving a black eye due to the other resident striking him in the face with no intervention from Staff. Staff continued to put resident at risk by allowing him to remain present after resident broke the glass. Due to the severity of the situation, resident was transported to the hospital because he had major cuts on his arm and lost a lot of blood.

Resolution: Corrected: 2022-05-06

Staff put residents at risk for substantial physical injury when she failed to remove both from an unsafe environment. Staff continued to put resident at risk by allowing another resident to restrain and hit the resident numerous times without removing either from the situation, resulting in the resident receiving a black eye due to the other resident striking him in the face with no intervention from Staff. Staff continued to put resident at risk by allowing him to remain present after resident broke the glass. Due to the severity of the situation, resident was transported to the hospital because he had major cuts on his arm and lost a lot of blood.

Resolution: Corrected: 2022-05-06

Staff put residents at risk for substantial physical injury when she failed to remove both from an unsafe environment. Staff continued to put resident at risk by allowing another resident to restrain and hit the resident numerous times without removing either from the situation, resulting in the resident receiving a black eye due to the other resident striking him in the face with no intervention from Staff. Staff continued to put resident at risk by allowing him to remain present after resident broke the glass. Due to the severity of the situation, resident was transported to the hospital because he had major cuts on his arm and lost a lot of blood.

Resolution: Corrected: 2022-05-06

Staff put residents at risk for substantial physical injury when she failed to remove both from an unsafe environment. Staff continued to put resident at risk by allowing another resident to restrain and hit the resident numerous times without removing either from the situation, resulting in the resident receiving a black eye due to the other resident striking him in the face with no intervention from Staff. Staff continued to put resident at risk by allowing him to remain present after resident broke the glass. Due to the severity of the situation, resident was transported to the hospital because he had major cuts on his arm and lost a lot of blood.

Resolution: Corrected: 2022-05-06

One of the two child files reviewed is missing a signed statement for the child's rights.

Resolution: Corrected: 2022-01-07

One of the two child files reviewed were missing documentation of a TB screening.

Resolution: Corrected: 2022-01-07

Trigger review has not been conducted for a child who has run away more than 3 times within a 60 day period.

Resolution: Corrected: 2022-01-07

Both staff files reviewed were missing a signed statement for reporting and suspected incident of child abuse, neglect or exploitation.

Resolution: Corrected: 2022-01-07

One of the two child files reviewed were missing documentation of a TB screening.

Resolution: Corrected: 2022-01-07

One of the two child files reviewed were missing documentation of a TB screening.

Resolution: Corrected: 2022-01-07

Trigger review has not been conducted for a child who has run away more than 3 times within a 60 day period.

Resolution: Corrected: 2022-01-07

One of the two child files reviewed is missing a signed statement for the child's rights.

Resolution: Corrected: 2022-01-07

One of the two child files reviewed were missing documentation of a TB screening.

Resolution: Corrected: 2022-01-07

Both staff files reviewed were missing a signed statement for reporting and suspected incident of child abuse, neglect or exploitation.

Resolution: Corrected: 2022-01-07

Trigger review has not been conducted for a child who has run away more than 3 times within a 60 day period.

Resolution: Corrected: 2022-01-07

One of the two child files reviewed is missing a signed statement for the child's rights.

Resolution: Corrected: 2022-01-07

Both staff files reviewed were missing a signed statement for reporting and suspected incident of child abuse, neglect or exploitation.

Resolution: Corrected: 2022-01-07

Both staff files reviewed were missing a signed statement for reporting and suspected incident of child abuse, neglect or exploitation.

Resolution: Corrected: 2022-01-07

Trigger review has not been conducted for a child who has run away more than 3 times within a 60 day period.

Resolution: Corrected: 2022-01-07

One of the two child files reviewed is missing a signed statement for the child's rights.

Resolution: Corrected: 2022-01-07

Staff did not report to Licensing that a child ran away within the 6 hour timeframe.

Resolution: Corrected: 2021-10-29

Staff did not report to Licensing that a child ran away within the 6 hour timeframe.

Resolution: Corrected: 2021-10-29

Staff did not report to Licensing that a child ran away within the 6 hour timeframe.

Resolution: Corrected: 2021-10-29

Staff did not report to Licensing that a child ran away within the 6 hour timeframe.

Resolution: Corrected: 2021-10-29

Unauthorized Absence Log is missing pertinent information required by standards: (1) gender, DOA, (2) time the unauthorized absence was discovered, (4) the name of the caregiver responsible for the child at the time the child?s absence was discovered, (5) the intake report number,if a report was made to Licensing or the DFPS, and (6) whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report, if applicable.

Resolution: Corrected: 2021-12-03

Children reported that 2 children were smoking vape pens in the game room and a child in care was able to offer drugs to other children in care in their bedroom.

Resolution: Corrected: 2021-12-03

Two children have more than three documented Unauthorized Absences, with no documented Triggered Review.

Resolution: Corrected: 2021-12-03

Unauthorized Absence Log is missing pertinent information required by standards: (1) gender, DOA, (2) time the unauthorized absence was discovered, (4) the name of the caregiver responsible for the child at the time the child?s absence was discovered, (5) the intake report number,if a report was made to Licensing or the DFPS, and (6) whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report, if applicable.

Resolution: Corrected: 2021-12-03

Children reported that 2 children were smoking vape pens in the game room and a child in care was able to offer drugs to other children in care in their bedroom.

Resolution: Corrected: 2021-12-03

Two children have more than three documented Unauthorized Absences, with no documented Triggered Review.

Resolution: Corrected: 2021-12-03

Children reported that 2 children were smoking vape pens in the game room and a child in care was able to offer drugs to other children in care in their bedroom.

Resolution: Corrected: 2021-12-03

Unauthorized Absence Log is missing pertinent information required by standards: (1) gender, DOA, (2) time the unauthorized absence was discovered, (4) the name of the caregiver responsible for the child at the time the child?s absence was discovered, (5) the intake report number,if a report was made to Licensing or the DFPS, and (6) whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report, if applicable.

Resolution: Corrected: 2021-12-03

Two children have more than three documented Unauthorized Absences, with no documented Triggered Review.

Resolution: Corrected: 2021-12-03

Two children have more than three documented Unauthorized Absences, with no documented Triggered Review.

Resolution: Corrected: 2021-12-03

Children reported that 2 children were smoking vape pens in the game room and a child in care was able to offer drugs to other children in care in their bedroom.

Resolution: Corrected: 2021-12-03

Unauthorized Absence Log is missing pertinent information required by standards: (1) gender, DOA, (2) time the unauthorized absence was discovered, (4) the name of the caregiver responsible for the child at the time the child?s absence was discovered, (5) the intake report number,if a report was made to Licensing or the DFPS, and (6) whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report, if applicable.

Resolution: Corrected: 2021-12-03

Staff members use corporal punishment by punching a child and pushing another.

Resolution: Corrected: 2022-01-14

Staff members use corporal punishment by punching a child and pushing another.

Resolution: Corrected: 2022-01-14

Staff members use corporal punishment by punching a child and pushing another.

Resolution: Corrected: 2022-01-14

Staff members use corporal punishment by punching a child and pushing another.

Resolution: Corrected: 2022-01-14

A background check for a maintenance person was submitted on 12/01/2021 as a Contracted Service Provider. It was cancelled by the operation on 12/16/2020 but the person was still allowed to be at the operation performing work for the operation.

Resolution: Corrected: 2021-12-17

The permit holder allowed a contractor access to the facility with children in care without a background check.

Resolution: Corrected: 2021-12-17

The owner of the operation was negligent in their duty by allowing a contracted person to continue being present at the facility, despite admitting knowledge that the contracted person was not allowed to be on the property, and in doing so exposed the children placed at the facility at immediate risk of harm.

Resolution: Corrected: 2021-12-17

A background check for a maintenance person was submitted on 12/01/2021 as a Contracted Service Provider. It was cancelled by the operation on 12/16/2020 but the person was still allowed to be at the operation performing work for the operation.

Resolution: Corrected: 2021-12-17

A background check for a maintenance person was submitted on 12/01/2021 as a Contracted Service Provider. It was cancelled by the operation on 12/16/2020 but the person was still allowed to be at the operation performing work for the operation.

Resolution: Corrected: 2021-12-17

The owner of the operation was negligent in their duty by allowing a contracted person to continue being present at the facility, despite admitting knowledge that the contracted person was not allowed to be on the property, and in doing so exposed the children placed at the facility at immediate risk of harm.

Resolution: Corrected: 2021-12-17

The permit holder allowed a contractor access to the facility with children in care without a background check.

Resolution: Corrected: 2021-12-17

A background check for a maintenance person was submitted on 12/01/2021 as a Contracted Service Provider. It was cancelled by the operation on 12/16/2020 but the person was still allowed to be at the operation performing work for the operation.

Resolution: Corrected: 2021-12-17

The owner of the operation was negligent in their duty by allowing a contracted person to continue being present at the facility, despite admitting knowledge that the contracted person was not allowed to be on the property, and in doing so exposed the children placed at the facility at immediate risk of harm.

Resolution: Corrected: 2021-12-17

The permit holder allowed a contractor access to the facility with children in care without a background check.

Resolution: Corrected: 2021-12-17

The permit holder allowed a contractor access to the facility with children in care without a background check.

Resolution: Corrected: 2021-12-17

The owner of the operation was negligent in their duty by allowing a contracted person to continue being present at the facility, despite admitting knowledge that the contracted person was not allowed to be on the property, and in doing so exposed the children placed at the facility at immediate risk of harm.

Resolution: Corrected: 2021-12-17

The medication record for one child was for March but he arrived at the facility in April.

Resolution: Corrected: 2021-08-09

Mulitple medication logs did not include the date and time.

Resolution: Corrected: 2021-08-09

Multiple records did not include the daily amount given each day.

Resolution: Corrected: 2021-08-09

Over five medication records reviewed determined that the operation did not administer the meds as the doctor prescribed for certain days.

Resolution: Corrected: 2021-08-09

Mulitple medication logs did not include the date and time.

Resolution: Corrected: 2021-08-09

Multiple records did not include the daily amount given each day.

Resolution: Corrected: 2021-08-09

Multiple records did not include the daily amount given each day.

Resolution: Corrected: 2021-08-09

Over five medication records reviewed determined that the operation did not administer the meds as the doctor prescribed for certain days.

Resolution: Corrected: 2021-08-09

The medication record for one child was for March but he arrived at the facility in April.

Resolution: Corrected: 2021-08-09

Mulitple medication logs did not include the date and time.

Resolution: Corrected: 2021-08-09

The medication record for one child was for March but he arrived at the facility in April.

Resolution: Corrected: 2021-08-09

Multiple records did not include the daily amount given each day.

Resolution: Corrected: 2021-08-09

The medication record for one child was for March but he arrived at the facility in April.

Resolution: Corrected: 2021-08-09

Mulitple medication logs did not include the date and time.

Resolution: Corrected: 2021-08-09

Over five medication records reviewed determined that the operation did not administer the meds as the doctor prescribed for certain days.

Resolution: Corrected: 2021-08-09

Over five medication records reviewed determined that the operation did not administer the meds as the doctor prescribed for certain days.

Resolution: Corrected: 2021-08-09

Two of five children interviewed stated that when they are restrained, they are in a supine position. Two of five children interviewed stated that other residents are restrained in a supine position. One of five children interviewed stated that during restraints, residents are in a supine position or prone position.

Resolution: Corrected: 2021-07-19

Two of five children interviewed stated that when they are restrained, they are in a supine position. Two of five children interviewed stated that other residents are restrained in a supine position. One of five children interviewed stated that during restraints, residents are in a supine position or prone position.

Resolution: Corrected: 2021-07-19

Two of five children interviewed stated that when they are restrained, they are in a supine position. Two of five children interviewed stated that other residents are restrained in a supine position. One of five children interviewed stated that during restraints, residents are in a supine position or prone position.

Resolution: Corrected: 2021-07-19

Two of five children interviewed stated that when they are restrained, they are in a supine position. Two of five children interviewed stated that other residents are restrained in a supine position. One of five children interviewed stated that during restraints, residents are in a supine position or prone position.

Resolution: Corrected: 2021-07-19

no documentation of siblings

Resolution: Corrected: 2021-05-26

2 children's medication count wrong all children's medication count prefilled

Resolution: Corrected: 2021-05-26

1 out of 3 staff files reviewed did not have the date of hire documented in the file.

Resolution: Corrected: 2021-05-21

No documentation of the reasons in 2 out of the 2 files reviewed.

Resolution: Corrected: 2021-05-26

No documentation of how operation will meet the needs of the child being admitted.

Resolution: Corrected: 2021-05-26

No place to document high risk behaviors

Resolution: Corrected: 2021-05-26

The 72 hours plan provided is the exact same information found in the admissions assessment.

Resolution: Corrected: 2021-05-26

No place to document high risk behaviors

Resolution: Corrected: 2021-05-26

1 out of 3 staff files reviewed did not have the date of hire documented in the file.

Resolution: Corrected: 2021-05-21

No documentation of the reasons in 2 out of the 2 files reviewed.

Resolution: Corrected: 2021-05-26

2 children's medication count wrong all children's medication count prefilled

Resolution: Corrected: 2021-05-26

no documentation of siblings

Resolution: Corrected: 2021-05-26

No documentation of how operation will meet the needs of the child being admitted.

Resolution: Corrected: 2021-05-26

The 72 hours plan provided is the exact same information found in the admissions assessment.

Resolution: Corrected: 2021-05-26

No place to document high risk behaviors

Resolution: Corrected: 2021-05-26

1 out of 3 staff files reviewed did not have the date of hire documented in the file.

Resolution: Corrected: 2021-05-21

No documentation of the reasons in 2 out of the 2 files reviewed.

Resolution: Corrected: 2021-05-26

2 children's medication count wrong all children's medication count prefilled

Resolution: Corrected: 2021-05-26

no documentation of siblings

Resolution: Corrected: 2021-05-26

No documentation of how operation will meet the needs of the child being admitted.

Resolution: Corrected: 2021-05-26

The 72 hours plan provided is the exact same information found in the admissions assessment.

Resolution: Corrected: 2021-05-26

No place to document high risk behaviors

Resolution: Corrected: 2021-05-26

no documentation of siblings

Resolution: Corrected: 2021-05-26

1 out of 3 staff files reviewed did not have the date of hire documented in the file.

Resolution: Corrected: 2021-05-21

No documentation of the reasons in 2 out of the 2 files reviewed.

Resolution: Corrected: 2021-05-26

No documentation of how operation will meet the needs of the child being admitted.

Resolution: Corrected: 2021-05-26

2 children's medication count wrong all children's medication count prefilled

Resolution: Corrected: 2021-05-26

The 72 hours plan provided is the exact same information found in the admissions assessment.

Resolution: Corrected: 2021-05-26

In review of restraint reports, there are no mention of what method of EBI was administered.

Resolution: Corrected: 2021-04-26

In review of 4 staff files, I was found that three of the four staff members lacks the proper amount of EBI training hours before being counted into ratio.

Resolution: Corrected: 2021-04-26

In review of Drug test, it is found that staff is only being tested for Marijuana and nothing else.

Resolution: Corrected: 2021-04-26

The facility does not have an annual summary log for a child who has an unauthorized absence

Resolution: Corrected: 2021-04-26

Administrator is missing Normalcy training

Resolution: Corrected: 2021-04-26

In review of two staff files, there is no documentation that verifies education requirements.

Resolution: Corrected: 2021-04-26

Serious Incident report document does not list all minimum standard requirements.

Resolution: Corrected: 2021-04-26

Each child file reviewed is missing the child allergy information on the front of the file.

Resolution: Corrected: 2021-04-26

In review of 4 staff files, I was found that three of the four staff members lacks the proper amount of EBI training hours before being counted into ratio.

Resolution: Corrected: 2021-04-26

Serious Incident report document does not list all minimum standard requirements.

Resolution: Corrected: 2021-04-26

In review of 4 staff files, I was found that three of the four staff members lacks the proper amount of EBI training hours before being counted into ratio.

Resolution: Corrected: 2021-04-26

The facility does not have an annual summary log for a child who has an unauthorized absence

Resolution: Corrected: 2021-04-26

Each child file reviewed is missing the child allergy information on the front of the file.

Resolution: Corrected: 2021-04-26

Administrator is missing Normalcy training

Resolution: Corrected: 2021-04-26

In review of restraint reports, there are no mention of what method of EBI was administered.

Resolution: Corrected: 2021-04-26

In review of Drug test, it is found that staff is only being tested for Marijuana and nothing else.

Resolution: Corrected: 2021-04-26

In review of two staff files, there is no documentation that verifies education requirements.

Resolution: Corrected: 2021-04-26

Serious Incident report document does not list all minimum standard requirements.

Resolution: Corrected: 2021-04-26

In review of 4 staff files, I was found that three of the four staff members lacks the proper amount of EBI training hours before being counted into ratio.

Resolution: Corrected: 2021-04-26

The facility does not have an annual summary log for a child who has an unauthorized absence

Resolution: Corrected: 2021-04-26

Each child file reviewed is missing the child allergy information on the front of the file.

Resolution: Corrected: 2021-04-26

Administrator is missing Normalcy training

Resolution: Corrected: 2021-04-26

In review of two staff files, there is no documentation that verifies education requirements.

Resolution: Corrected: 2021-04-26

In review of restraint reports, there are no mention of what method of EBI was administered.

Resolution: Corrected: 2021-04-26

In review of Drug test, it is found that staff is only being tested for Marijuana and nothing else.

Resolution: Corrected: 2021-04-26

Administrator is missing Normalcy training

Resolution: Corrected: 2021-04-26

Each child file reviewed is missing the child allergy information on the front of the file.

Resolution: Corrected: 2021-04-26

In review of two staff files, there is no documentation that verifies education requirements.

Resolution: Corrected: 2021-04-26

In review of restraint reports, there are no mention of what method of EBI was administered.

Resolution: Corrected: 2021-04-26

Serious Incident report document does not list all minimum standard requirements.

Resolution: Corrected: 2021-04-26

In review of Drug test, it is found that staff is only being tested for Marijuana and nothing else.

Resolution: Corrected: 2021-04-26

The facility does not have an annual summary log for a child who has an unauthorized absence

Resolution: Corrected: 2021-04-26