Meridell Achievement Center
Data Freshness & Provenance
Inspection coverage
356 inspections on record
Active providers
License status: Open
Last refreshed
May 11, 2026
Latest inspection
May 6, 2026
Provenance
Texas licensing inspections and DaycareCheck scoring
Quick Facts
These facts are normalized from the official record so they can be quoted directly.
Updated May 11, 2026
- Provider
- Meridell Achievement Center
- License number
- 50218
- Location
- 12550 W STATE HIGHWAY 29, Liberty Hill, TX 78642
- Status
- Open
- Safety grade
- F (Poor), score 0.0/100
- Inspection record
- 356 inspections, last inspected May 6, 2026
- Provenance
- Official state licensing inspections and DaycareCheck scoring. Last refreshed May 11, 2026.
Safety Scorecard
1437
Total Violations
May 6, 2026
Last Inspection
134
Capacity
Violation Timeline
Violations by month over the last 3 years, colored by severity.
All Violations (1437)
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
Resolution: Corrected: 2026-03-27
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
Resolution: Corrected: 2026-03-27
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
Resolution: Corrected: 2026-03-27
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
Resolution: Corrected: 2026-03-27
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
Resolution: Corrected: 2026-03-27
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
Resolution: Corrected: 2026-03-27
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
Resolution: Corrected: 2026-03-27
During the course of the investigation, it was determined that the incident resulted in a child being arrested on February 20, 2026. However, the operation did not notify Licensing til the 22nd.
Resolution: Corrected: 2026-03-27
Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Resolution: Corrected: 2026-04-10
Throughout the course of the investigation, it was determined that there are staff using profanity with children in care.
Resolution: Corrected: 2026-04-10
Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Resolution: Corrected: 2026-04-10
Throughout the course of the investigation, it was determined that there are staff using profanity with children in care.
Resolution: Corrected: 2026-04-10
Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Resolution: Corrected: 2026-04-10
Throughout the course of the investigation, it was determined that there are staff using profanity with children in care.
Resolution: Corrected: 2026-04-10
Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Resolution: Corrected: 2026-04-10
Throughout the course of the investigation, it was determined that there are staff using profanity with children in care.
Resolution: Corrected: 2026-04-10
Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Resolution: Corrected: 2026-04-10
Throughout the course of the investigation, it was determined that there are staff using profanity with children in care.
Resolution: Corrected: 2026-04-10
Throughout the course of the investigation, it was determined that there are staff using profanity with children in care.
Resolution: Corrected: 2026-04-10
Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
Resolution: Corrected: 2026-04-10
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
Overnight staff interviewed stated the operation has been out of ratio multiple times overnight in the last 2 months.
Resolution: Corrected: 2026-02-19
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
During the investigation, it was determined that a child sustained a head injury while playing basketball and showed symptoms of a concussion at 2:15 PM. Despite earlier instructions from a doctor that the child needed emergency room treatment, the child was not taken to the ER until 9:37 PM
Resolution: Corrected: 2026-01-27
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A caregiver used inappropriate language to a child in care referring to their self-inflected wound scars, in addition to other comments about children's bodies and religion.
Resolution: Corrected: 2026-02-04
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
A child's injury and ER visit was reported to the hotline late.
Resolution: Corrected: 2026-01-05
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
During the course of the investigation, it was determined that a child in care sustained a fracture during recreational activity. However, the child had to wait 24 hours before being fully evaluated by a medical professional.
Resolution: Corrected: 2025-12-14
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
Interviews confirmed a child reported this incident to a staff but the child was not listed on the Serious Incident Report. There was also another victim involved but this child was not listed. Only one of the staff involved were listed on the Serious Incident Report.
Resolution: Corrected: 2025-12-24
Review of the background checks found a staff left in Nov 2025 but was still active as of 12/10/25. This was also verified by interviews that were conducted.
Resolution: Corrected: 2025-12-12
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
A child in care was left unsupervised in the bathroom for several minutes with the door closed. This was not consistent with the child?s precaution plan, which requires staff to maintain line of sight supervision and keep the bathroom door open for safety.
Resolution: Corrected: 2025-11-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
An administrative penalty will be recommended as a result of this citation, per HRC ?42.078
Resolution: Corrected: 2025-07-24
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
Residents interviewed consistently mentioned a staff member used profane language. One staff member was told by several residents that a staff member has use profane language. Another staff member stated he had heard a staff member used profane language.
Resolution: Corrected: 2025-05-05
Through interviews staff as well as documentation provided, it is determined one of the units on campus was out of ratio during the time of the altercation on 03/30/2025.
Resolution: Corrected: 2025-05-05
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
An inappropriate restraint was completed by a staff on a child. Staff lunged at the child tackling the child to the ground. A proper hold could not be completed, but staff continued to wrestle with the child for 30-45 seconds until another staff responded.
Resolution: Corrected: 2025-03-10
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
During the course of the investigation, a staff member admitted they did not intervene when an altercation took place between two children in care.
Resolution: Corrected: 2025-03-14
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Two children were observed arguing and then one of the children ran over to the other child's table to try and hit the second child. One of the staff placed themselves in between the two children and the other staff grabbed the child by the arms and jerked them back away. Staff admitted the restraint was inappropriate.
Resolution: Corrected: 2025-01-27
Grates in 4 of the doors at the gym were found to be bent. The pool was found to be dirty and the bottom could not be seen. Trash was foun through out all of the buildings.
Resolution: Corrected: 2025-01-27
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
Children interviewed consistently mentioned a staff member mumbling profane language and derogatory words under his breathing about the children in care.
Resolution: Corrected: 2025-01-10
Children interviewed stated a particular staff member yelled/raised her voice at them triggering a conflict.
Resolution: Corrected: 2025-01-10
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
The staff in question stated they did an escort when the victim refused to leave the Dayroom. 3 Collateral Staff stated an escort was done because the victim refused to leave the Dayroom.
Resolution: Corrected: 2025-01-28
It was determined staff were unable to restrain the child using techniques that were approved by the facility. The staff and 3 collateral witnesses verified this information.
Resolution: Corrected: 2025-01-28
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
During the investigation, it was discovered that a child's records was not documented accurately.
Resolution: Corrected: 2025-02-14
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Documentation reviewed determined a child was assessed and concerns of a serious injury were suspected on 7/29/30 but the child was not given treatement until 7/30/24. Upon Follow up it has been determined the facility will continue with their current protocols.
Resolution: Corrected: 2024-12-16
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
Through the course of the investigation it was determined a child was called a brat in front of other staff and children.
Resolution: Corrected: 2024-12-18
A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.
Resolution: Corrected: 2024-12-18
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
It was determined that staff caring for children do are not easily able to access the Service Plans for the children they are caring for.
Resolution: Corrected: 2024-10-16
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
In conducting a walk through of the facility a clogged toilet with feces, mildew in the bathroom, and toilet paper covered in bodily fluids.
Resolution: Corrected: 2024-10-09
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
Three of Seven Units were found to have repairs needed, peeling paint, broken furniture, broken or missing air vents, and trash in several rooms and on the grounds around the homes.
Resolution: Corrected: 2024-10-16
Review of the backgrounds found an employee had their background inactivated on 7-9-24 and is still having access to children in care.
Resolution: Corrected at inspection
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Three out of five collateral interviews stated the facility has been out of ratio. Another collateral made the statement "when the facility is in ratio" indicating there are times the facility is out of ratio.
Resolution: Corrected: 2024-12-05
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Through interviews of children and staff as well as documentation provided, it is determined one of the units on campus was out of ratio on 9/13 and 9/14.
Resolution: Corrected: 2024-10-22
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Multiple walls in units had derogatory writing on them. There were several bathrooms that had trash items in the sinks. One ceiling vent had what appeared to be mold or heavy dust on it. A bulletin board was observed to be broken in one of the rooms. Multiple units had large areas of peeled paint on the doors and walls.
Resolution: Corrected: 2024-08-09
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
Treatment Plans, Interviews, and video were reviewed during the investigation and determined children were to be checked on every 15 minutes and two of those checks were missed.
Resolution: Corrected: 2024-09-13
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
3 Staff Charts were reviewed did not have Licensing Affidavits.
Resolution: Corrected: 2024-07-22
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the walkthrough of the operation childrens bathrooms were observed with mildew in the shower and bathroom sinks have excessive gunk.
Resolution: Corrected: 2024-05-24
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
During the interview, both the Administrator and the therapist stated the resident was left unsupervised.
Resolution: Corrected: 2024-06-20
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
A child in care sustained a fracture to their hand as confirmed by X Rays results that were provided to the operation on 5/11/24. The operation did not report this to Licensing until 5/14/24.
Resolution: Corrected: 2024-07-19
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
In reviewing the investigation it was found a person that was not a qualified caregiver was interacting with children and was left to supervise the children.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Three out of five children interviewed stated a staff member will cuss at them.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
Documenation and interviews verified the child was recommended for a follow-up on 1/23/24 and did not receive it.
Resolution: Corrected: 2024-06-05
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
In reviewing background checks if was found two employees did not have active backgrounds checks.
Resolution: Corrected: 2024-04-11
In reviewing Serious Incidents it was found a fght occurred in which a child was iinjured and taken to the doctor, but never reported.
Resolution: Corrected: 2024-04-05
In reviewing the Admission Assessment, Preliminary Service Plans, and Initial Service Plans, several items that are required were found not to be included.
Resolution: Corrected: 2024-04-18
During the walk through a staff was observed in the Nurse's Station on their personal phone while 4 chidlren were out in the Day Room alone.
Resolution: Corrected: 2024-04-18
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
Interviews from 6 persons validated that staff yelled at children when behaviors started to escalate.
Resolution: Corrected: 2024-07-03
Interviews validated there was no documentation written for the restraint.
Resolution: Corrected: 2024-06-25
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
The operation was out of ratio during the day on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
3 staff and 1 child stated staff use profane language around and/or towards the children in care.
Resolution: Corrected: 2024-05-03
3 staff and 3 children noted staff are passive aggressive and/or rude towards the children.
Resolution: Corrected: 2024-05-03
The operation was out of ratio overnight on at least 3 occurrences in 1-2 units.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
A physical altercation occurred on 3.28.24 in a unit that was out of ratio. Due to this, a child had to call the code to get additional staff to respond. Not having enough staff to respond to codes was brought up numerous times during interviews with children and staff. Additionally, an incident occurred where a child was left in a unit for approximately 15 minutes without a staff. The nurse was double covering that day and staff believed the nurse was inside, however, she had left to check on the other unit.
Resolution: Corrected: 2024-05-02
5 staff and 2 children stated staff yell at children in care.
Resolution: Corrected: 2024-05-03
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
Four of the Seven Units were observed out of ratio and a group was observed out of ratio while walking to dinner.
Resolution: Corrected: 2024-03-18
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was determined children were exposed to explicit content when a staff member screened their phone to the television.
Resolution: Corrected: 2024-06-25
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was found the staff involved in this case had EBI training 7/27/23 which expired in January and did not have current training at the time of the incident.
Resolution: Corrected: 2024-06-05
Documentation determined the victim was walking away from the situation when the staff chose to restrain the child.
Resolution: Corrected: 2024-06-05
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
It was noted during a walkthrough that multiple bathrooms had feces on the walls. One room had a rotten food product in the sink. Food smears were noted in multiple rooms.
Resolution: Corrected: 2024-02-16
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Staff were iinterviewed and were unaware and unable to tell the protocol of knowing which staff would handle incidents and which would monitor the kids.
Resolution: Corrected: 2024-02-22
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Through interviews with staff, it was determined that the operation is completing incident reports but are not making reports to the hotline.
Resolution: Corrected: 2024-03-14
Based on documentation and interviews with staff, it was determined that the operation is changing the staffing schedules and adding more staff and are providing licensing different schedules.
Resolution: Corrected: 2024-03-14
Through interviews, it was determined that two units were out of ratio having 20 residents with 2 staff and 11 residents with 2 staff.
Resolution: Corrected: 2024-02-20
Through interviews with children and staff, it was determined that staff are cursing directly at children to get them to comply.
Resolution: Corrected: 2024-03-14
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
Review of the documentation and CLASS verified it was made known a child had a serious injury on 12/5/23 but the Hotline was not notifiied until 12/11/23.
Resolution: Corrected: 2024-02-22
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
During the walkthrough trash was observed throughout the walkthrough of Liberty Hall.
Resolution: Corrected: 2024-02-16
During the walkthrough of the operation a child was observed in his room alone with no caregiver within visual or auditory range of the child.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
During the course of the investigation several staff stated children would wet their beds and not get clean sheets. There was a bedroom observed during the walk through with soiled linens.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff admitted to the operation being out of ratio. Nurses at the operation were working as direct care givers and as nurse at the same time while being counted in ratio.
Resolution: Corrected: 2024-02-16
Throughout the course of the investigation multiple staff and children admitted that staff use profanity around the children.
Resolution: Corrected: 2024-02-16
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
A caregiver yelled at a child in an untherapeutic way after the child had run away from the operation.
Resolution: Corrected: 2024-02-12
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
An unsafe environment was created when all staff intervened in one incident leaving other children with previous physical altercation issues unsupervised allowing a third altercation between the two children.
Resolution: Corrected: 2024-01-25
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was determined staff was doing other duties and was not aware of the childrens' actions allowing them to leave the premises.
Resolution: Corrected: 2023-12-22
In the course of the investigation it was found a staff member left the key to all doors accessible to a child in care allowing them the opportunity to elope from the facility.
Resolution: Corrected: 2023-12-22
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
A child went to the emergency room on 8/19/23 after having a seizure. Another child went to the emergency room on 9/17/23 after having a seizure. Another child went to urgent care on 8/12/23 for a fractured finger. These incidences were not reported to Licensing.
Resolution: Corrected: 2024-01-05
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
During the walk-through of Eagle unit located in Liberty Hall, it was noted that one child s pillow was complete stained and had red circular stains on it. Please refer to 748.3015, if applicable.
Resolution: Corrected: 2023-10-17
It was determined that Bunk House was out of ratio, 17:2, for more than 15 minutes as one staff was in the Nurse s station conducting administrative duties and speaking to children individually, and another staff left Bunk House to drop off her personal items in the Admin building. A nurse was in the Med room performing medication/administrative duties.
Resolution: Corrected at inspection
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
It was documented and made known that a child was not adequately supervised as they were able to open locked doors, leave the unit and climb the building?s roof multiple times without staff being aware he was absent from the unit. It was also recorded that the child was able to leave the unit and jump the property?s fence in which resulted in injuries.
Resolution: Corrected: 2023-12-06
It was confirmed that a memo had been provided to all staff noting no staff member shall contact any outside entity without prior communication with a program supervisor, manager, and/or Director regarding any ratio related concern. All staff members confirmed that they have been directly told not to speak to Licensing and/or provide information. It was also reported that all incidents are to be reported to the nurses and they will inform the administration to be advised whether or not the incident is to be documented in the operation?s system.
Resolution: Corrected: 2023-12-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Operation did not have required No Trespassing signs posted at entrance of facility.
Resolution: Corrected: 2023-11-06
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
Caregivers conducted an unwarranted restraint on a child in care as the child was running away.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
10 of 10 serious incident reports were reviewed and none documented the operation's address or phone number, or the child's date of admission as required.
Resolution: Corrected: 2023-08-17
Two staff files were reviewed for EBI training documentation and both were missing documentation verifying annual EBI training was completed.
Resolution: Corrected: 2023-08-17
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
During the inspection, two of six child files reviewed did not identify the level of observation required in the preliminary service plan.
Resolution: Corrected: 2023-05-26
Three out of ten staff files reviewed were missing the signed policy related to reporting abuse and neglect.
Resolution: Corrected: 2023-05-26
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
In reviewing the Initial Service Plan there was no direction on supervision provided.
Resolution: Corrected: 2023-04-20
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
7 of 8 direct care staff files pulled are missing 1 or all of the annual required trainings: Normalcy, Trauma Informed Care and EBI
Resolution: Corrected: 2023-04-14
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the investigation, documents reviewed show the census and staffing schedule show several days in February where the Hacienda unit was out of ratio.
Resolution: Corrected: 2023-03-27
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
During the inspection, it was found that the Administrator doesn't have a background check under this operation.
Resolution: Corrected: 2023-01-26
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Four out of ten child records did not list the known allergies or chronic conditions in a prominent place on the child file and one child record reviewed did not list a medication allergy.
Resolution: Corrected: 2022-12-16
Five mattresses in seventeen rooms inspected had torn mattress and mattress covers. One of the mattresses was being used by a child and it was replaced at the time of inspection.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not document an invitation for the parent or child to participate in the development of the service plan.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
Four out of four discharged child records reviewed failed to include the circumstance of the discharge.
Resolution: Corrected: 2022-12-16
During the inspection thirteen out of sixteen bathrooms had mildew.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed failed to incorporate individualized and specific goals or instructions to caregivers how to accomplish those goals.
Resolution: Corrected: 2022-12-16
Six out of six child records reviewed did not include issues that could escalate the child in cares behavior in the preliminary service plan.
Resolution: Corrected: 2022-12-16
Six out of six child files reviewed did not have documentation showing two weeks advance notice to the parents for the initial service plan.
Resolution: Corrected: 2022-12-16
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was not in compliance in regard to ratio on numerous occasions the last month and a half. Specifically, the operation was out of compliance 19 times out of a 16 day time period.
Resolution: Corrected: 2022-11-30
3 of 5 staff's certificates submitted for review, specifically in regard to SAMA, did not have the trainers' qualifications documented.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
During the investigation, it was determined the operation was using unqualified employees as caregivers on the unit due to staffing shortages. These employees were not properly trained in SAMA, normalcy, and/or trauma informed care. 8 staff training records were reviewed. 6 out of 8 records did not have proper SAMA training, 2 out of 8 records did not have normalcy training, and 3 out of 8 records did not have TIC training.
Resolution: Corrected: 2022-11-30
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined that caregivers are not following the child/caregiver ratio expectations on a regular basis. It was noted 1-2 caregivers are left to supervise up to 17 children.
Resolution: Corrected: 2022-10-14
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined that caregivers reported they were unsure how to handle the emergency situation and did not have proper training.
Resolution: Corrected: 2022-12-02
During the course of the investigation, it was determined a child in care was physically abused by a caregiver when he was choked.
Resolution: Corrected: 2022-12-02
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
A child in care tested positive for a communicable disease on 7/10/22, the illness was not reported until 7/12/2022.
Resolution: Corrected: 2022-07-15
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the course of the investigation it was determined an incident requiring medical attention was not reported timely.
Resolution: Corrected: 2022-08-09
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
During the investigation it was made known that a staff member calls the children in care "tubby tubby" and "ugly".
Resolution: Corrected: 2022-07-11
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
Based on preponderance there is evidence that children have slept on the hall floor on an unelevated mattress.
Resolution: Corrected: 2022-05-20
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
It was discovered during investigation a staff member shoved a child in care during a verbal discussion. The video footage showed the incident to be valid. Compliance was completed at time of inspection.
Resolution: Corrected at inspection
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
A child in care was to receive follow-up within 1 week from 1.16.22. No follow-up was completed.
Resolution: Corrected: 2022-03-16
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
When reviewing documents, it was determined that at least one child tested positive for COVID and was not called in on time.
Resolution: Corrected: 2022-02-14
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
It was determined that a child in care had a fractured hand on 9/3/2021. This was not reported to RCCR until 9/7/2021.
Resolution: Corrected: 2021-09-23
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
A caregiver was observed on video using an improper restraint that was not a permitted technique allowed by the operation.
Resolution: Corrected: 2021-10-12
Several nurses were observed on video to not intervene when a child was placed in a supine hold and when another caregiver was hitting a child. They also did not continuously observe the child during the restraint to ensure safety and were observed leaving the room multiple times leaving the escalated caregiver alone with the child.
Resolution: Corrected: 2021-10-20
The video of this incident showed that a caregiver got in a child's face for about 18 seconds and did not make any attempts to de-escalate the situation. The child also had stopped the destructive behavior when the caregiver walked into the room so the EBI use may not have been necessary.
Resolution: Corrected: 2021-10-12
A staff member was observed on video to swing and hit a child in care multiple times, wrestled with the child and placed the child in an improper restraint where the child appeared to be knocked to the ground and have the staff member's arm across their neck.
Resolution: Corrected: 2021-10-08
A caregiver was observed on video placing a child in care in a supine restraint that lasted over 4 minutes.
Resolution: Corrected: 2021-10-12
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
The medication room door was broken and staff did not ensure it was properly closed and a child was able to enter the room and obtain and ingest OTC medication.
Resolution: Corrected at inspection
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Frequently Asked Questions
What is Meridell Achievement Center's safety grade?
Meridell Achievement Center has a safety grade of F (Poor) based on state inspection data. The composite score is 0.0 out of 100.
How many violations does Meridell Achievement Center have?
Meridell Achievement Center has 1437 total violations on record, including 1042 critical, 369 serious, and 26 minor.
When was Meridell Achievement Center last inspected?
Meridell Achievement Center was last inspected on May 6, 2026.