Royal Oaks Residential Treatment Center LLC

One out of three employee files reviewed included documentation for a prior TB skin test that was indicated as expired and was not completed while the employee worked for a regulated child-care operation within the previous 12 months.

Resolution: Corrected: 2023-12-18

One out of three employee files reviewed included documentation for a prior TB skin test that was indicated as expired and was not completed while the employee worked for a regulated child-care operation within the previous 12 months.

Resolution: Corrected: 2023-12-18

One out of three employee files reviewed included documentation for a prior TB skin test that was indicated as expired and was not completed while the employee worked for a regulated child-care operation within the previous 12 months.

Resolution: Corrected: 2023-12-18

A child in care was allowed to carry their own medication outside of the operation. The child has attempted to administer more medication than needed before they administered too medication to themselves.

Resolution: Corrected: 2024-02-21

A child in care was allowed to carry their own medication outside of the operation. The child has attempted to administer more medication than needed before they administered too medication to themselves.

Resolution: Corrected: 2024-02-21

A child in care was allowed to carry their own medication outside of the operation. The child has attempted to administer more medication than needed before they administered too medication to themselves.

Resolution: Corrected: 2024-02-21

Both child admission assessments were missing the child's religion.

Resolution: Corrected at inspection

Both child admission assessments were missing the child's religion.

Resolution: Corrected at inspection

Both child admission assessments were missing the child's religion.

Resolution: Corrected at inspection

Admission is missing information about risk factors/warning signs and safety plans. If a suicide risk screening is required at admission and the child is screened as having a high or potential risk of suicide: (A)The identification of any risk factors or warning signs of suicide, if applicable (B)The safety plan staff and caregivers will implement related to the risk factors and warning signs. The results of the suicide screening at admission, if required.

Resolution: Corrected: 2023-03-08

Reviewed files, things are missing.

Resolution: Corrected: 2023-03-08

The preliminary service plan is missing needs of treatment and care. child?s immediate educational, medical, and dental needs, including possible side effects of medications or treatment prescribed to the child. A description of how you will meet the child?s needs, including any necessary increased supervision or follow-up actions of possible side effects of medication or treatment provided to the child. The identification of any issues or concerns the child may have that could escalate a child?s behavior. A designation of who will be responsible for meeting each of the child?s needs.

Resolution: Corrected: 2023-03-08

Log is missing a place for the name of caregiver responsible for child at time absence discovered.

Resolution: Corrected: 2023-03-08

Admission Assessment is missing the initial evaluation of the appropriate placement for a child. Description of the child?s behavior, including appropriate and maladaptive behavior, and any high-risk behavior. Any history of trauma.

Resolution: Corrected: 2023-03-08

Orientation is missing information about gifts and discipline. How to make complaints to outside agencies (Abuse Neglect Hotline, Ombudsman) and contact parties to a child?s case (i.e. caseworker, attorney ad litem, guardian ad litem, CASA worker, etc.).

Resolution: Corrected: 2023-03-08

Policy is missing job description, responsibilities, qualifications, screening, orientation, training, supervision and contact with children.

Resolution: Corrected at inspection

The report is missing location information.

Resolution: Corrected: 2023-03-08

During the review the policy was missing.

Resolution: Corrected at inspection

Admission is missing the primary caregivers for the child, any person with whom the child is allowed to leave the operation, and any other individual who has the legal authority to consent to the child?s medical care. The names, addresses, and telephone numbers of siblings. The child?s immunization record (a spot that it was received). Chronic health conditions. Known contraindications to the use of restraint. Identification of the child?s high-risk behaviors, if applicable, and the safety plan staff and caregivers will implement related to the behaviors.

Resolution: Corrected: 2023-03-08

During the review the count of medication was missing.

Resolution: Corrected: 2023-03-08

Policy is missing the age range of the children.

Resolution: Corrected at inspection

Log is missing debriefing form.

Resolution: Corrected: 2023-03-08

Admission Assessment is missing birth and neonatal history. The services you plan to provide to the child, including long-range goals of placement. Recommendations for any further assessments and testing. A recommended behavior management plan. A determination of whether and how you can meet the needs of the child based on an evaluation of the child?s special strengths and needs.

Resolution: Corrected: 2023-03-08

Admission is missing the primary caregivers for the child, any person with whom the child is allowed to leave the operation, and any other individual who has the legal authority to consent to the child?s medical care. The names, addresses, and telephone numbers of siblings. The child?s immunization record (a spot that it was received). Chronic health conditions. Known contraindications to the use of restraint. Identification of the child?s high-risk behaviors, if applicable, and the safety plan staff and caregivers will implement related to the behaviors.

Resolution: Corrected: 2023-03-08

Admission Assessment is missing birth and neonatal history. The services you plan to provide to the child, including long-range goals of placement. Recommendations for any further assessments and testing. A recommended behavior management plan. A determination of whether and how you can meet the needs of the child based on an evaluation of the child?s special strengths and needs.

Resolution: Corrected: 2023-03-08

Policy is missing the age range of the children.

Resolution: Corrected at inspection

Reviewed files, things are missing.

Resolution: Corrected: 2023-03-08

Admission is missing information about risk factors/warning signs and safety plans. If a suicide risk screening is required at admission and the child is screened as having a high or potential risk of suicide: (A)The identification of any risk factors or warning signs of suicide, if applicable (B)The safety plan staff and caregivers will implement related to the risk factors and warning signs. The results of the suicide screening at admission, if required.

Resolution: Corrected: 2023-03-08

The report is missing location information.

Resolution: Corrected: 2023-03-08

During the review the policy was missing.

Resolution: Corrected at inspection

Orientation is missing information about gifts and discipline. How to make complaints to outside agencies (Abuse Neglect Hotline, Ombudsman) and contact parties to a child?s case (i.e. caseworker, attorney ad litem, guardian ad litem, CASA worker, etc.).

Resolution: Corrected: 2023-03-08

Policy is missing job description, responsibilities, qualifications, screening, orientation, training, supervision and contact with children.

Resolution: Corrected at inspection

Admission Assessment is missing the initial evaluation of the appropriate placement for a child. Description of the child?s behavior, including appropriate and maladaptive behavior, and any high-risk behavior. Any history of trauma.

Resolution: Corrected: 2023-03-08

The preliminary service plan is missing needs of treatment and care. child?s immediate educational, medical, and dental needs, including possible side effects of medications or treatment prescribed to the child. A description of how you will meet the child?s needs, including any necessary increased supervision or follow-up actions of possible side effects of medication or treatment provided to the child. The identification of any issues or concerns the child may have that could escalate a child?s behavior. A designation of who will be responsible for meeting each of the child?s needs.

Resolution: Corrected: 2023-03-08

Log is missing a place for the name of caregiver responsible for child at time absence discovered.

Resolution: Corrected: 2023-03-08

During the review the count of medication was missing.

Resolution: Corrected: 2023-03-08

Log is missing debriefing form.

Resolution: Corrected: 2023-03-08

Admission is missing the primary caregivers for the child, any person with whom the child is allowed to leave the operation, and any other individual who has the legal authority to consent to the child?s medical care. The names, addresses, and telephone numbers of siblings. The child?s immunization record (a spot that it was received). Chronic health conditions. Known contraindications to the use of restraint. Identification of the child?s high-risk behaviors, if applicable, and the safety plan staff and caregivers will implement related to the behaviors.

Resolution: Corrected: 2023-03-08

Admission Assessment is missing birth and neonatal history. The services you plan to provide to the child, including long-range goals of placement. Recommendations for any further assessments and testing. A recommended behavior management plan. A determination of whether and how you can meet the needs of the child based on an evaluation of the child?s special strengths and needs.

Resolution: Corrected: 2023-03-08

Policy is missing the age range of the children.

Resolution: Corrected at inspection

Reviewed files, things are missing.

Resolution: Corrected: 2023-03-08

Admission is missing information about risk factors/warning signs and safety plans. If a suicide risk screening is required at admission and the child is screened as having a high or potential risk of suicide: (A)The identification of any risk factors or warning signs of suicide, if applicable (B)The safety plan staff and caregivers will implement related to the risk factors and warning signs. The results of the suicide screening at admission, if required.

Resolution: Corrected: 2023-03-08

The report is missing location information.

Resolution: Corrected: 2023-03-08

Log is missing debriefing form.

Resolution: Corrected: 2023-03-08

During the review the count of medication was missing.

Resolution: Corrected: 2023-03-08

During the review the policy was missing.

Resolution: Corrected at inspection

Orientation is missing information about gifts and discipline. How to make complaints to outside agencies (Abuse Neglect Hotline, Ombudsman) and contact parties to a child?s case (i.e. caseworker, attorney ad litem, guardian ad litem, CASA worker, etc.).

Resolution: Corrected: 2023-03-08

Policy is missing job description, responsibilities, qualifications, screening, orientation, training, supervision and contact with children.

Resolution: Corrected at inspection

Admission Assessment is missing the initial evaluation of the appropriate placement for a child. Description of the child?s behavior, including appropriate and maladaptive behavior, and any high-risk behavior. Any history of trauma.

Resolution: Corrected: 2023-03-08

The preliminary service plan is missing needs of treatment and care. child?s immediate educational, medical, and dental needs, including possible side effects of medications or treatment prescribed to the child. A description of how you will meet the child?s needs, including any necessary increased supervision or follow-up actions of possible side effects of medication or treatment provided to the child. The identification of any issues or concerns the child may have that could escalate a child?s behavior. A designation of who will be responsible for meeting each of the child?s needs.

Resolution: Corrected: 2023-03-08

Log is missing a place for the name of caregiver responsible for child at time absence discovered.

Resolution: Corrected: 2023-03-08