Empower Youth Homes LLC

Staff did not report a child in care required medical care. Staff should report incidents that require physician treatment to a child iin care.

Resolution: Corrected: 2025-10-10

Staff did not report a child in care required medical care. Staff should report incidents that require physician treatment to a child iin care.

Resolution: Corrected: 2025-10-10

Staff did not report a child in care required medical care. Staff should report incidents that require physician treatment to a child iin care.

Resolution: Corrected: 2025-10-10

Staff did not report a child in care required medical care. Staff should report incidents that require physician treatment to a child iin care.

Resolution: Corrected: 2025-10-10

Staff instructed another child in care to go get the other child out of their room. This caused an altercation between the two children.

Resolution: Corrected: 2025-10-07

Staff are not following the 1:1 supervision during waking for a child in care that requires 1:1 supervision.

Resolution: Corrected: 2025-10-07

Staff instructed another child in care to go get the other child out of their room. This caused an altercation between the two children.

Resolution: Corrected: 2025-10-07

Staff instructed another child in care to go get the other child out of their room. This caused an altercation between the two children.

Resolution: Corrected: 2025-10-07

Staff are not following the 1:1 supervision during waking for a child in care that requires 1:1 supervision.

Resolution: Corrected: 2025-10-07

Staff are not following the 1:1 supervision during waking for a child in care that requires 1:1 supervision.

Resolution: Corrected: 2025-10-07

Staff instructed another child in care to go get the other child out of their room. This caused an altercation between the two children.

Resolution: Corrected: 2025-10-07

Staff are not following the 1:1 supervision during waking for a child in care that requires 1:1 supervision.

Resolution: Corrected: 2025-10-07

A caregiver retaliated by hitting a youth in care during a physical altercation.

Resolution: Corrected: 2025-08-05

A caregiver who is 18 years old that has a restriction C on their driver license has confirmed they have driven a youth in care on multiple occasions.

Resolution: Corrected: 2025-08-05

This standard was found deficient as part of a DFPS investigation.

Resolution: Corrected: 2025-08-05

Multiple accounts indicate caregivers did not physically intervene to ensure the safety of a youth in care who was engaging in a physical altercation with another caregiver.

Resolution: Corrected: 2025-08-05

Multiple accounts indicate caregivers did not physically intervene to ensure the safety of a youth in care who was engaging in a physical altercation with another caregiver.

Resolution: Corrected: 2025-08-05

A caregiver retaliated by hitting a youth in care during a physical altercation.

Resolution: Corrected: 2025-08-05

This standard was found deficient as part of a DFPS investigation.

Resolution: Corrected: 2025-08-05

A caregiver retaliated by hitting a youth in care during a physical altercation.

Resolution: Corrected: 2025-08-05

Multiple accounts indicate caregivers did not physically intervene to ensure the safety of a youth in care who was engaging in a physical altercation with another caregiver.

Resolution: Corrected: 2025-08-05

This standard was found deficient as part of a DFPS investigation.

Resolution: Corrected: 2025-08-05

A caregiver retaliated by hitting a youth in care during a physical altercation.

Resolution: Corrected: 2025-08-05

A caregiver who is 18 years old that has a restriction C on their driver license has confirmed they have driven a youth in care on multiple occasions.

Resolution: Corrected: 2025-08-05

A caregiver who is 18 years old that has a restriction C on their driver license has confirmed they have driven a youth in care on multiple occasions.

Resolution: Corrected: 2025-08-05

A caregiver who is 18 years old that has a restriction C on their driver license has confirmed they have driven a youth in care on multiple occasions.

Resolution: Corrected: 2025-08-05

Multiple accounts indicate caregivers did not physically intervene to ensure the safety of a youth in care who was engaging in a physical altercation with another caregiver.

Resolution: Corrected: 2025-08-05

This standard was found deficient as part of a DFPS investigation.

Resolution: Corrected: 2025-08-05

One out of three employee files reviewed did not have the employment affidavit notarized.

Resolution: Corrected: 2025-04-14

A pancake mix box was observed left open in the food storage area.

Resolution: Corrected at inspection

Two staff were observed completing administrative and other duties while being counted in ratio.

Resolution: Corrected: 2025-04-14

One out of three employee files reviewed did not have the employment affidavit notarized.

Resolution: Corrected: 2025-04-14

Two staff were observed completing administrative and other duties while being counted in ratio.

Resolution: Corrected: 2025-04-14

One out of three employee files reviewed did not have the employment affidavit notarized.

Resolution: Corrected: 2025-04-14

A pancake mix box was observed left open in the food storage area.

Resolution: Corrected at inspection

A pancake mix box was observed left open in the food storage area.

Resolution: Corrected at inspection

Two staff were observed completing administrative and other duties while being counted in ratio.

Resolution: Corrected: 2025-04-14

One out of three employee files reviewed did not have the employment affidavit notarized.

Resolution: Corrected: 2025-04-14

A pancake mix box was observed left open in the food storage area.

Resolution: Corrected at inspection

Two staff were observed completing administrative and other duties while being counted in ratio.

Resolution: Corrected: 2025-04-14

Children in care were told and reminded that they would lose their placement if they did not behave.

Resolution: Corrected: 2025-05-23

A caregiver told a child in care they would end up homeless, teased children in care about their past trauma, and antagonized children in care to prompt misbehavior/outburst.

Resolution: Corrected: 2025-05-23

Children in care intervene and separate children during fights.

Resolution: Corrected: 2025-05-23

Children in care were told and reminded that they would lose their placement if they did not behave.

Resolution: Corrected: 2025-05-23

Children in care were told and reminded that they would lose their placement if they did not behave.

Resolution: Corrected: 2025-05-23

A caregiver told a child in care they would end up homeless, teased children in care about their past trauma, and antagonized children in care to prompt misbehavior/outburst.

Resolution: Corrected: 2025-05-23

Children in care intervene and separate children during fights.

Resolution: Corrected: 2025-05-23

Children in care intervene and separate children during fights.

Resolution: Corrected: 2025-05-23

A caregiver told a child in care they would end up homeless, teased children in care about their past trauma, and antagonized children in care to prompt misbehavior/outburst.

Resolution: Corrected: 2025-05-23

Children in care intervene and separate children during fights.

Resolution: Corrected: 2025-05-23

A caregiver told a child in care they would end up homeless, teased children in care about their past trauma, and antagonized children in care to prompt misbehavior/outburst.

Resolution: Corrected: 2025-05-23

Children in care were told and reminded that they would lose their placement if they did not behave.

Resolution: Corrected: 2025-05-23

The operation's vehicle inspection sticker expired 2/28/2025.

Resolution: Corrected: 2025-04-06

The operation's vehicle inspection sticker expired 2/28/2025.

Resolution: Corrected: 2025-04-06

The operation's vehicle inspection sticker expired 2/28/2025.

Resolution: Corrected: 2025-04-06

The operation's vehicle inspection sticker expired 2/28/2025.

Resolution: Corrected: 2025-04-06

The thermometer in the large freezer is reading at 12 degrees and the thermometer in the refrigerator is not functioning properly.

Resolution: Corrected: 2025-02-26

The thermometer in the large freezer is reading at 12 degrees and the thermometer in the refrigerator is not functioning properly.

Resolution: Corrected: 2025-02-26

The thermometer in the large freezer is reading at 12 degrees and the thermometer in the refrigerator is not functioning properly.

Resolution: Corrected: 2025-02-26

The thermometer in the large freezer is reading at 12 degrees and the thermometer in the refrigerator is not functioning properly.

Resolution: Corrected: 2025-02-26

Two out of three employee files reviewed did not contain detailed documented information regarding the conversation or attempts made for employment history checks.

Resolution: Corrected at inspection

Two out of three employee files reviewed did not contain detailed documented information regarding the conversation or attempts made for employment history checks.

Resolution: Corrected at inspection

Two out of three employee files reviewed did not contain detailed documented information regarding the conversation or attempts made for employment history checks.

Resolution: Corrected at inspection

Two out of three employee files reviewed did not contain detailed documented information regarding the conversation or attempts made for employment history checks.

Resolution: Corrected at inspection

Two of the children's service plans specify a supervision plan of one staff to three children due their high-risk behaviors. However, on the day of the incident, only one staff member was present to supervise four children.

Resolution: Corrected: 2025-02-04

Two of the children's service plans specify a supervision plan of one staff to three children due their high-risk behaviors. However, on the day of the incident, only one staff member was present to supervise four children.

Resolution: Corrected: 2025-02-04

Two of the children's service plans specify a supervision plan of one staff to three children due their high-risk behaviors. However, on the day of the incident, only one staff member was present to supervise four children.

Resolution: Corrected: 2025-02-04

Two of the children's service plans specify a supervision plan of one staff to three children due their high-risk behaviors. However, on the day of the incident, only one staff member was present to supervise four children.

Resolution: Corrected: 2025-02-04

The medication count was documented incorrectly on the med log for two medications.

Resolution: Corrected: 2024-12-05

The medication count was documented incorrectly on the med log for two medications.

Resolution: Corrected: 2024-12-05

The medication count was documented incorrectly on the med log for two medications.

Resolution: Corrected: 2024-12-05

The medication count was documented incorrectly on the med log for two medications.

Resolution: Corrected: 2024-12-05

A child in care was not given their medication as prescribed.

Resolution: Corrected: 2024-11-14

The medication count was documented incorrectly on the med log for two medications.

Resolution: Corrected: 2024-11-14

The medication count was documented incorrectly on the med log for two medications.

Resolution: Corrected: 2024-11-14

A child in care was not given their medication as prescribed.

Resolution: Corrected: 2024-11-14

The medication count was documented incorrectly on the med log for two medications.

Resolution: Corrected: 2024-11-14

A child in care was not given their medication as prescribed.

Resolution: Corrected: 2024-11-14

The medication count was documented incorrectly on the med log for two medications.

Resolution: Corrected: 2024-11-14

A child in care was not given their medication as prescribed.

Resolution: Corrected: 2024-11-14

The incident documentation did not indicate the time of the incident. Incidents that do not rise to the level of a serious incident must be documented in the same manner as a serious incident.

Resolution: Corrected: 2024-11-05

The incident documentation did not indicate the time of the incident. Incidents that do not rise to the level of a serious incident must be documented in the same manner as a serious incident.

Resolution: Corrected: 2024-11-05

The incident documentation did not indicate the time of the incident. Incidents that do not rise to the level of a serious incident must be documented in the same manner as a serious incident.

Resolution: Corrected: 2024-11-05

The incident documentation did not indicate the time of the incident. Incidents that do not rise to the level of a serious incident must be documented in the same manner as a serious incident.

Resolution: Corrected: 2024-11-05

The operation did not provide appropriate caregiver oversight when leaving a single employee that was male to provide supervision and conduct bed checks. The male staff was unable to enter child bedrooms, per operation procedure to not leave camera view, to physically see/check that children were in bed. As a result, a child eloped without a caregiver knowing.

Resolution: Corrected: 2024-10-28

A caregiver did not provide the level of supervision for a child in care and was not aware a child was no longer present at the operation.

Resolution: Corrected: 2024-10-28

A caregiver did not provide the level of supervision for a child in care and was not aware a child was no longer present at the operation.

Resolution: Corrected: 2024-10-28

The operation did not provide appropriate caregiver oversight when leaving a single employee that was male to provide supervision and conduct bed checks. The male staff was unable to enter child bedrooms, per operation procedure to not leave camera view, to physically see/check that children were in bed. As a result, a child eloped without a caregiver knowing.

Resolution: Corrected: 2024-10-28

A caregiver did not provide the level of supervision for a child in care and was not aware a child was no longer present at the operation.

Resolution: Corrected: 2024-10-28

The operation did not provide appropriate caregiver oversight when leaving a single employee that was male to provide supervision and conduct bed checks. The male staff was unable to enter child bedrooms, per operation procedure to not leave camera view, to physically see/check that children were in bed. As a result, a child eloped without a caregiver knowing.

Resolution: Corrected: 2024-10-28

The operation did not provide appropriate caregiver oversight when leaving a single employee that was male to provide supervision and conduct bed checks. The male staff was unable to enter child bedrooms, per operation procedure to not leave camera view, to physically see/check that children were in bed. As a result, a child eloped without a caregiver knowing.

Resolution: Corrected: 2024-10-28

A caregiver did not provide the level of supervision for a child in care and was not aware a child was no longer present at the operation.

Resolution: Corrected: 2024-10-28

Children were allowed to hear other children's private information during medical appointments.

Resolution: Corrected: 2024-11-08

Children were allowed to hear other children's private information during medical appointments.

Resolution: Corrected: 2024-11-08

Children were allowed to hear other children's private information during medical appointments.

Resolution: Corrected: 2024-11-08

Children were allowed to hear other children's private information during medical appointments.

Resolution: Corrected: 2024-11-08

Three out of three employee files reviewed did not contain documentation of employment history checks for all previous employers in the previous five years.

Resolution: Corrected: 2024-08-13

Three out of three employee files reviewed did not contain documentation of employment history checks for all previous employers in the previous five years.

Resolution: Corrected: 2024-08-13

Three out of three employee files reviewed did not contain documentation of employment history checks for all previous employers in the previous five years.

Resolution: Corrected: 2024-08-13

Three out of three employee files reviewed did not contain documentation of employment history checks for all previous employers in the previous five years.

Resolution: Corrected: 2024-08-13

Staff left vehicle keys in common area where resident had access to them. Resident took vehicle keys and locked herself in the vehicle.

Resolution: Corrected: 2024-09-23

Staff left vehicle keys in common area where resident had access to them. Resident took vehicle keys and locked herself in the vehicle.

Resolution: Corrected: 2024-09-23

Staff left vehicle keys in common area where resident had access to them. Resident took vehicle keys and locked herself in the vehicle.

Resolution: Corrected: 2024-09-23

Staff left vehicle keys in common area where resident had access to them. Resident took vehicle keys and locked herself in the vehicle.

Resolution: Corrected: 2024-09-23

This standard was found to be deficient as part of a DFPS investigation.

Resolution: Corrected: 2024-08-20

A caregiver intentionally pushed and hit a youth in care during an altercation.

Resolution: Corrected: 2024-08-20

A caregiver intentionally pushed and hit a youth in care during an altercation.

Resolution: Corrected: 2024-08-20

This standard was found to be deficient as part of a DFPS investigation.

Resolution: Corrected: 2024-08-20

A caregiver intentionally pushed and hit a youth in care during an altercation.

Resolution: Corrected: 2024-08-20

A caregiver intentionally pushed and hit a youth in care during an altercation.

Resolution: Corrected: 2024-08-20

This standard was found to be deficient as part of a DFPS investigation.

Resolution: Corrected: 2024-08-20

This standard was found to be deficient as part of a DFPS investigation.

Resolution: Corrected: 2024-08-20

It was observed that four beds did not have mattress cover or protector. It was also noted that there were no sheets.

Resolution: Corrected: 2024-07-18

It was observed that four beds did not have mattress cover or protector. It was also noted that there were no sheets.

Resolution: Corrected: 2024-07-18

It was observed that four beds did not have mattress cover or protector. It was also noted that there were no sheets.

Resolution: Corrected: 2024-07-18

It was observed that four beds did not have mattress cover or protector. It was also noted that there were no sheets.

Resolution: Corrected: 2024-07-18

Multiple children in care mention staff threatening loss of placement.

Resolution: Corrected: 2024-07-05

The service plans reviewed all contained the same information verbatim for the supervision needs of each child.

Resolution: Corrected: 2024-07-08

Multiple children in care mention staff threatening loss of placement.

Resolution: Corrected: 2024-07-05

Multiple children in care mention staff threatening loss of placement.

Resolution: Corrected: 2024-07-05

The service plans reviewed all contained the same information verbatim for the supervision needs of each child.

Resolution: Corrected: 2024-07-08

The service plans reviewed all contained the same information verbatim for the supervision needs of each child.

Resolution: Corrected: 2024-07-08

The service plans reviewed all contained the same information verbatim for the supervision needs of each child.

Resolution: Corrected: 2024-07-08

Multiple children in care mention staff threatening loss of placement.

Resolution: Corrected: 2024-07-05

The operation failed to adjust a child?s medication as recommended by the health-care professional upon discharge from the hospital.

Resolution: Corrected: 2024-07-16

The operation failed to adjust a child?s medication as recommended by the health-care professional upon discharge from the hospital.

Resolution: Corrected: 2024-07-16

The operation failed to adjust a child?s medication as recommended by the health-care professional upon discharge from the hospital.

Resolution: Corrected: 2024-07-16

The operation failed to adjust a child?s medication as recommended by the health-care professional upon discharge from the hospital.

Resolution: Corrected: 2024-07-16

It was determined that staff members do not use prudent judgement when responding to children when they are upset.

Resolution: Corrected: 2024-07-18

It was determined that staff members do not use prudent judgement when responding to children when they are upset.

Resolution: Corrected: 2024-07-18

It was determined that staff members do not use prudent judgement when responding to children when they are upset.

Resolution: Corrected: 2024-07-18

It was determined that staff members do not use prudent judgement when responding to children when they are upset.

Resolution: Corrected: 2024-07-18

Three out of three medication logs reviewed were missing documentation to show medications were administered.

Resolution: Corrected: 2024-03-21

Three out of three medication logs reviewed were missing documentation to show medications were administered.

Resolution: Corrected: 2024-03-21

Three out of three medication logs reviewed were missing documentation to show medications were administered.

Resolution: Corrected: 2024-03-21

Three out of three medication logs reviewed were missing documentation to show medications were administered.

Resolution: Corrected: 2024-03-21

During the walkthrough, there were wood boards and loose bricks laying around in the backyard. Also, in one of the living rooms there was a pack of screws observed laying out next to the firplace. Attempted to follow-up and the physical site was still not in compliance.

Resolution: Corrected at inspection

During the walkthrough, there were wood boards and loose bricks laying around in the backyard. Also, in one of the living rooms there was a pack of screws observed laying out next to the firplace. Attempted to follow-up and the physical site was still not in compliance.

Resolution: Corrected at inspection

During the walkthrough, there were wood boards and loose bricks laying around in the backyard. Also, in one of the living rooms there was a pack of screws observed laying out next to the firplace. Attempted to follow-up and the physical site was still not in compliance.

Resolution: Corrected at inspection

During the walkthrough, there were wood boards and loose bricks laying around in the backyard. Also, in one of the living rooms there was a pack of screws observed laying out next to the firplace. Attempted to follow-up and the physical site was still not in compliance.

Resolution: Corrected at inspection

Staff are using profane language around the children in care.

Resolution: Corrected: 2024-04-11

Staff are using profane language around the children in care.

Resolution: Corrected: 2024-04-11

Staff are using profane language around the children in care.

Resolution: Corrected: 2024-04-11

Staff are using profane language around the children in care.

Resolution: Corrected: 2024-04-11

During the walkthrough, there were wood boards and loose bricks laying around in the backyard. Also, in one of the living rooms there was a pack of screws observed laying out next to the firplace.

Resolution: Corrected: 2024-02-21

During the walkthrough, there were wood boards and loose bricks laying around in the backyard. Also, in one of the living rooms there was a pack of screws observed laying out next to the firplace.

Resolution: Corrected: 2024-02-21

During the walkthrough, there were wood boards and loose bricks laying around in the backyard. Also, in one of the living rooms there was a pack of screws observed laying out next to the firplace.

Resolution: Corrected: 2024-02-21

During the walkthrough, there were wood boards and loose bricks laying around in the backyard. Also, in one of the living rooms there was a pack of screws observed laying out next to the firplace.

Resolution: Corrected: 2024-02-21

It was found during the investigation by an investigator that there were multiple children with 1 or 2 pills missing; medication errors were not documented.

Resolution: Corrected: 2024-03-05

It was found during the investigation by an investigator that there were multiple children with 1 or 2 pills missing; medication errors were not documented.

Resolution: Corrected: 2024-03-05

It was found during the investigation by an investigator that there were multiple children with 1 or 2 pills missing; medication errors were not documented.

Resolution: Corrected: 2024-03-05

It was found during the investigation by an investigator that there were multiple children with 1 or 2 pills missing; medication errors were not documented.

Resolution: Corrected: 2024-03-05

Two out of four youth files reviewed contained service plans that were missing information.

Resolution: Corrected: 2023-12-14

Two out of two medication records reviewed did not have documentation completed for medications that were administered daily over a period of 4 days.

Resolution: Corrected: 2023-12-14

One out of four youth files reviewed did not contain a suicide screening from admission.

Resolution: Corrected: 2023-12-14

One out of four youth files reviewed did not contain a suicide screening from admission.

Resolution: Corrected: 2023-12-14

Two out of two medication records reviewed did not have documentation completed for medications that were administered daily over a period of 4 days.

Resolution: Corrected: 2023-12-14

Two out of four youth files reviewed contained service plans that were missing information.

Resolution: Corrected: 2023-12-14

One out of four youth files reviewed did not contain a suicide screening from admission.

Resolution: Corrected: 2023-12-14

Two out of two medication records reviewed did not have documentation completed for medications that were administered daily over a period of 4 days.

Resolution: Corrected: 2023-12-14

Two out of four youth files reviewed contained service plans that were missing information.

Resolution: Corrected: 2023-12-14

One out of four youth files reviewed did not contain a suicide screening from admission.

Resolution: Corrected: 2023-12-14

Two out of two medication records reviewed did not have documentation completed for medications that were administered daily over a period of 4 days.

Resolution: Corrected: 2023-12-14

Two out of four youth files reviewed contained service plans that were missing information.

Resolution: Corrected: 2023-12-14

Open chips and cereal was found open in the pantry and were not stored in a closed container after being opened in the original bag.

Resolution: Corrected: 2023-10-25

During the walkthrough of the operations, spoiled milk was found inside of the refrigerator {expiration date: Oct. 17, 2023}.

Resolution: Corrected at inspection

Open chips and cereal was found open in the pantry and were not stored in a closed container after being opened in the original bag.

Resolution: Corrected: 2023-10-25

During the walkthrough of the operations, spoiled milk was found inside of the refrigerator {expiration date: Oct. 17, 2023}.

Resolution: Corrected at inspection

Open chips and cereal was found open in the pantry and were not stored in a closed container after being opened in the original bag.

Resolution: Corrected: 2023-10-25

During the walkthrough of the operations, spoiled milk was found inside of the refrigerator {expiration date: Oct. 17, 2023}.

Resolution: Corrected at inspection

Open chips and cereal was found open in the pantry and were not stored in a closed container after being opened in the original bag.

Resolution: Corrected: 2023-10-25

During the walkthrough of the operations, spoiled milk was found inside of the refrigerator {expiration date: Oct. 17, 2023}.

Resolution: Corrected at inspection

Two out of four serious incident reports reviewed were not reported to Licensing.

Resolution: Corrected: 2023-08-11

Several living insects were observed inside and outside of the operation.

Resolution: Corrected: 2023-08-11

One out of the four youth files reviewed did not contain the child's signature on their child's rights document.

Resolution: Corrected: 2023-08-11

During the walkthrough, a thermometer was not observed in the refrigerator.

Resolution: Corrected: 2023-08-11

During the inspection, it was observed one staff completing administrative duties while being the only staff counted in ratio to supervise the youth in care for more than 30 minutes.

Resolution: Corrected: 2023-07-28

During the walkthrough, the operation's grounds were observed to have several hazardous objects such as loose bricks and wood planks as well as a small metal ladder. There was also a fallen tree branch in the backyard still somewhat connected to the tree.

Resolution: Corrected: 2023-08-11

One out of four youth files reviewed did not contain the youth's signature on their service plan.

Resolution: Corrected: 2023-08-11

One out of four youth files reviewed did not include a preliminary service plan.

Resolution: Corrected: 2023-08-11

Several beds in the operation were missing all required bedding components.

Resolution: Corrected: 2023-08-11

One out of the four youth files reviewed did not contain the child's signature on their child's rights document.

Resolution: Corrected: 2023-08-11

One out of four youth files reviewed did not contain the youth's signature on their service plan.

Resolution: Corrected: 2023-08-11

One out of four youth files reviewed did not include a preliminary service plan.

Resolution: Corrected: 2023-08-11

During the walkthrough, the operation's grounds were observed to have several hazardous objects such as loose bricks and wood planks as well as a small metal ladder. There was also a fallen tree branch in the backyard still somewhat connected to the tree.

Resolution: Corrected: 2023-08-11

Several beds in the operation were missing all required bedding components.

Resolution: Corrected: 2023-08-11

During the walkthrough, a thermometer was not observed in the refrigerator.

Resolution: Corrected: 2023-08-11

During the inspection, it was observed one staff completing administrative duties while being the only staff counted in ratio to supervise the youth in care for more than 30 minutes.

Resolution: Corrected: 2023-07-28

Several living insects were observed inside and outside of the operation.

Resolution: Corrected: 2023-08-11

Two out of four serious incident reports reviewed were not reported to Licensing.

Resolution: Corrected: 2023-08-11

One out of the four youth files reviewed did not contain the child's signature on their child's rights document.

Resolution: Corrected: 2023-08-11

One out of four youth files reviewed did not contain the youth's signature on their service plan.

Resolution: Corrected: 2023-08-11

Several beds in the operation were missing all required bedding components.

Resolution: Corrected: 2023-08-11

One out of four youth files reviewed did not include a preliminary service plan.

Resolution: Corrected: 2023-08-11

During the inspection, it was observed one staff completing administrative duties while being the only staff counted in ratio to supervise the youth in care for more than 30 minutes.

Resolution: Corrected: 2023-07-28

During the walkthrough, a thermometer was not observed in the refrigerator.

Resolution: Corrected: 2023-08-11

During the walkthrough, the operation's grounds were observed to have several hazardous objects such as loose bricks and wood planks as well as a small metal ladder. There was also a fallen tree branch in the backyard still somewhat connected to the tree.

Resolution: Corrected: 2023-08-11

Two out of four serious incident reports reviewed were not reported to Licensing.

Resolution: Corrected: 2023-08-11

Several living insects were observed inside and outside of the operation.

Resolution: Corrected: 2023-08-11

One out of the four youth files reviewed did not contain the child's signature on their child's rights document.

Resolution: Corrected: 2023-08-11

One out of four youth files reviewed did not contain the youth's signature on their service plan.

Resolution: Corrected: 2023-08-11

One out of four youth files reviewed did not include a preliminary service plan.

Resolution: Corrected: 2023-08-11

During the inspection, it was observed one staff completing administrative duties while being the only staff counted in ratio to supervise the youth in care for more than 30 minutes.

Resolution: Corrected: 2023-07-28

During the walkthrough, a thermometer was not observed in the refrigerator.

Resolution: Corrected: 2023-08-11

Several beds in the operation were missing all required bedding components.

Resolution: Corrected: 2023-08-11

During the walkthrough, the operation's grounds were observed to have several hazardous objects such as loose bricks and wood planks as well as a small metal ladder. There was also a fallen tree branch in the backyard still somewhat connected to the tree.

Resolution: Corrected: 2023-08-11

Two out of four serious incident reports reviewed were not reported to Licensing.

Resolution: Corrected: 2023-08-11

Several living insects were observed inside and outside of the operation.

Resolution: Corrected: 2023-08-11

Seven out of fifteen beds did not include all required bedding components.

Resolution: Corrected: 2023-05-11

One out of two employee files reviewed did not indicate the date of employment, did not include a job description, acknowledgement of reporting abuse/neglect, verification of age requirements, affidavit for employment, and a job description.

Resolution: Corrected: 2023-05-11

Cleaning supplies were observed in an area accessible to youth in care.

Resolution: Corrected: 2023-05-11

Seven out of fifteen beds did not include all required bedding components.

Resolution: Corrected: 2023-05-11

Cleaning supplies were observed in an area accessible to youth in care.

Resolution: Corrected: 2023-05-11

Cleaning supplies were observed in an area accessible to youth in care.

Resolution: Corrected: 2023-05-11

Seven out of fifteen beds did not include all required bedding components.

Resolution: Corrected: 2023-05-11

One out of two employee files reviewed did not indicate the date of employment, did not include a job description, acknowledgement of reporting abuse/neglect, verification of age requirements, affidavit for employment, and a job description.

Resolution: Corrected: 2023-05-11

Cleaning supplies were observed in an area accessible to youth in care.

Resolution: Corrected: 2023-05-11

Seven out of fifteen beds did not include all required bedding components.

Resolution: Corrected: 2023-05-11

One out of two employee files reviewed did not indicate the date of employment, did not include a job description, acknowledgement of reporting abuse/neglect, verification of age requirements, affidavit for employment, and a job description.

Resolution: Corrected: 2023-05-11

One out of two employee files reviewed did not indicate the date of employment, did not include a job description, acknowledgement of reporting abuse/neglect, verification of age requirements, affidavit for employment, and a job description.

Resolution: Corrected: 2023-05-11

Operation has not had a fire inspection completed yet.

Resolution: Corrected: 2023-02-23

There was not a policy that mention simultaneous interventions and the use of mechanical restraints/emergency medication.

Resolution: Corrected: 2023-02-23

Policy doesn't indicate child will be released from EBI after meeting timeframe per Minimum Standards.

Resolution: Corrected: 2023-02-23

The policy does not mention Simultaneous Intervention.

Resolution: Corrected: 2023-02-23

Policy doesn't indicate child will be released from EBI after meeting timeframe per Minimum Standards.

Resolution: Corrected: 2023-02-23

The policy does not mention Simultaneous Intervention.

Resolution: Corrected: 2023-02-23

There was not a policy that mention simultaneous interventions and the use of mechanical restraints/emergency medication.

Resolution: Corrected: 2023-02-23

The policy does not mention Simultaneous Intervention.

Resolution: Corrected: 2023-02-23

Policy doesn't indicate child will be released from EBI after meeting timeframe per Minimum Standards.

Resolution: Corrected: 2023-02-23

Operation has not had a fire inspection completed yet.

Resolution: Corrected: 2023-02-23

Operation has not had a fire inspection completed yet.

Resolution: Corrected: 2023-02-23

There was not a policy that mention simultaneous interventions and the use of mechanical restraints/emergency medication.

Resolution: Corrected: 2023-02-23

Policy doesn't indicate child will be released from EBI after meeting timeframe per Minimum Standards.

Resolution: Corrected: 2023-02-23

The policy does not mention Simultaneous Intervention.

Resolution: Corrected: 2023-02-23

There was not a policy that mention simultaneous interventions and the use of mechanical restraints/emergency medication.

Resolution: Corrected: 2023-02-23

Operation has not had a fire inspection completed yet.

Resolution: Corrected: 2023-02-23

The policy does not include successive use of EBI.

Resolution: Corrected: 2023-01-19

Bedroom 1 has a tripping hazard at the doorway.

Resolution: Corrected: 2023-02-02

Operation needs a sanitation inspection.

Resolution: Corrected: 2023-02-02

The policy does not mention that retaliation is prohibited if a complaint is filed.

Resolution: Corrected: 2023-02-02

Admission assessment is missing a spot for the primary caregivers for the child, any person with whom the child is allowed to leave the operation, and any other individual who has the legal authority to consent to the child?s medical care.

Resolution: Corrected at inspection

The policy does not include sharing information with children in a manner the child can understand.

Resolution: Corrected: 2023-02-02

The policy does not mention Simultaneous Intervention.

Resolution: Corrected: 2023-02-02

The policy lack's methods for employees to recognize signs that a child may be a victim of abuse/neglect.

Resolution: Corrected: 2023-02-02

The policy lack's prevention techniques.

Resolution: Corrected: 2023-02-02

Missing a form to provide all of the information to the next placement.

Resolution: Corrected at inspection

Log needs to include: (1)Child?s full name (2)Prescribing health-care professional?s name, if applicable; [Medium] (3)Reason medication was prescribed, for prescription medication [Medium]; (4)Medication name, strength, and dosage [Medium-High]; (5)Date (day, month, and year) and time the medication was administered [Medium High]; (6)Name and signature of the person who administered the medication [Medium]; (7)Child?s refusal to accept medication, if applicable [Medium]; and (8)Reasons for administering the medication, including the specific symptoms, condition, and/or injuries of the child that you are treating, only for [Medium-High]: (A) PRN psychotropic medications; and (B) Nonprescription medications and supplements for children under five years old. (d)Unless you operate on a cottage home model, you must count each medication daily

Resolution: Corrected at inspection

The hot water was not working.

Resolution: Corrected: 2023-02-02

Operation has not had a fie inspection completed yet.

Resolution: Corrected: 2023-02-02

The appropriate ratios for a Residential Treatment Center are not listed this policy. The policy provided states one staff to eight residences when it should be one staff to five residences.

Resolution: Corrected: 2023-02-02

The staff file reviewed did not have a TB test.

Resolution: Corrected: 2023-02-02

The policy does not include information about staff needing a drug test upon being hired.

Resolution: Corrected: 2023-02-02

Not all beds in the operation contained all components required for linens on the beds.

Resolution: Corrected: 2023-02-02

The child file needs a place to document allergies.

Resolution: Corrected: 2023-02-02

Policy doesn't indicate child will be released from EBI after meeting timeframe per Minimum Standards.

Resolution: Corrected: 2023-02-02

The policy does not list required trainings for the employees.

Resolution: Corrected: 2023-02-02

There was not a policy that mention simultaneous interventions and the use of mechanical restraints/emergency medication.

Resolution: Corrected: 2023-02-02

The admission assessment is missing a spot for the identification of any risk factors or warning signs of suicide. The safety plan staff and caregivers will implement related to the risk factors and warning signs. Also missing a spot for the results of the suicide screening at admission, if required.

Resolution: Corrected at inspection

The policy does not indicate that permitted EBI will be posted or provided to children.

Resolution: Corrected: 2023-02-02

The policy does not mention if staff are allowed to take children away for day/overnight visits.

Resolution: Corrected: 2023-02-02

Operation has not had a fie inspection completed yet.

Resolution: Corrected: 2023-02-02

The policy does not mention Simultaneous Intervention.

Resolution: Corrected: 2023-02-02

There was not a policy that mention simultaneous interventions and the use of mechanical restraints/emergency medication.

Resolution: Corrected: 2023-02-02

The policy does not include successive use of EBI.

Resolution: Corrected: 2023-01-19

The child file needs a place to document allergies.

Resolution: Corrected: 2023-02-02

Operation needs a sanitation inspection.

Resolution: Corrected: 2023-02-02

Not all beds in the operation contained all components required for linens on the beds.

Resolution: Corrected: 2023-02-02

Policy doesn't indicate child will be released from EBI after meeting timeframe per Minimum Standards.

Resolution: Corrected: 2023-02-02

The hot water was not working.

Resolution: Corrected: 2023-02-02

The admission assessment is missing a spot for the identification of any risk factors or warning signs of suicide. The safety plan staff and caregivers will implement related to the risk factors and warning signs. Also missing a spot for the results of the suicide screening at admission, if required.

Resolution: Corrected at inspection

The staff file reviewed did not have a TB test.

Resolution: Corrected: 2023-02-02

The policy does not include sharing information with children in a manner the child can understand.

Resolution: Corrected: 2023-02-02

The policy does not indicate that permitted EBI will be posted or provided to children.

Resolution: Corrected: 2023-02-02

The policy lack's prevention techniques.

Resolution: Corrected: 2023-02-02

Log needs to include: (1)Child?s full name (2)Prescribing health-care professional?s name, if applicable; [Medium] (3)Reason medication was prescribed, for prescription medication [Medium]; (4)Medication name, strength, and dosage [Medium-High]; (5)Date (day, month, and year) and time the medication was administered [Medium High]; (6)Name and signature of the person who administered the medication [Medium]; (7)Child?s refusal to accept medication, if applicable [Medium]; and (8)Reasons for administering the medication, including the specific symptoms, condition, and/or injuries of the child that you are treating, only for [Medium-High]: (A) PRN psychotropic medications; and (B) Nonprescription medications and supplements for children under five years old. (d)Unless you operate on a cottage home model, you must count each medication daily

Resolution: Corrected at inspection

The policy does not mention that retaliation is prohibited if a complaint is filed.

Resolution: Corrected: 2023-02-02

The policy does not list required trainings for the employees.

Resolution: Corrected: 2023-02-02

Missing a form to provide all of the information to the next placement.

Resolution: Corrected at inspection

The policy does not include information about staff needing a drug test upon being hired.

Resolution: Corrected: 2023-02-02

Bedroom 1 has a tripping hazard at the doorway.

Resolution: Corrected: 2023-02-02

The policy does not mention if staff are allowed to take children away for day/overnight visits.

Resolution: Corrected: 2023-02-02

The appropriate ratios for a Residential Treatment Center are not listed this policy. The policy provided states one staff to eight residences when it should be one staff to five residences.

Resolution: Corrected: 2023-02-02

The policy lack's methods for employees to recognize signs that a child may be a victim of abuse/neglect.

Resolution: Corrected: 2023-02-02

Operation has not had a fie inspection completed yet.

Resolution: Corrected: 2023-02-02

Admission assessment is missing a spot for the primary caregivers for the child, any person with whom the child is allowed to leave the operation, and any other individual who has the legal authority to consent to the child?s medical care.

Resolution: Corrected at inspection

The policy lack's prevention techniques.

Resolution: Corrected: 2023-02-02

Log needs to include: (1)Child?s full name (2)Prescribing health-care professional?s name, if applicable; [Medium] (3)Reason medication was prescribed, for prescription medication [Medium]; (4)Medication name, strength, and dosage [Medium-High]; (5)Date (day, month, and year) and time the medication was administered [Medium High]; (6)Name and signature of the person who administered the medication [Medium]; (7)Child?s refusal to accept medication, if applicable [Medium]; and (8)Reasons for administering the medication, including the specific symptoms, condition, and/or injuries of the child that you are treating, only for [Medium-High]: (A) PRN psychotropic medications; and (B) Nonprescription medications and supplements for children under five years old. (d)Unless you operate on a cottage home model, you must count each medication daily

Resolution: Corrected at inspection

The policy does not mention Simultaneous Intervention.

Resolution: Corrected: 2023-02-02

There was not a policy that mention simultaneous interventions and the use of mechanical restraints/emergency medication.

Resolution: Corrected: 2023-02-02

Operation needs a sanitation inspection.

Resolution: Corrected: 2023-02-02

The policy does not mention that retaliation is prohibited if a complaint is filed.

Resolution: Corrected: 2023-02-02

The policy does not list required trainings for the employees.

Resolution: Corrected: 2023-02-02

Missing a form to provide all of the information to the next placement.

Resolution: Corrected at inspection

Not all beds in the operation contained all components required for linens on the beds.

Resolution: Corrected: 2023-02-02

Policy doesn't indicate child will be released from EBI after meeting timeframe per Minimum Standards.

Resolution: Corrected: 2023-02-02

The hot water was not working.

Resolution: Corrected: 2023-02-02

The policy does not include information about staff needing a drug test upon being hired.

Resolution: Corrected: 2023-02-02

Bedroom 1 has a tripping hazard at the doorway.

Resolution: Corrected: 2023-02-02

The policy does not mention if staff are allowed to take children away for day/overnight visits.

Resolution: Corrected: 2023-02-02

Operation has not had a fie inspection completed yet.

Resolution: Corrected: 2023-02-02

The policy does not include successive use of EBI.

Resolution: Corrected: 2023-01-19

The child file needs a place to document allergies.

Resolution: Corrected: 2023-02-02

Admission assessment is missing a spot for the primary caregivers for the child, any person with whom the child is allowed to leave the operation, and any other individual who has the legal authority to consent to the child?s medical care.

Resolution: Corrected at inspection

The appropriate ratios for a Residential Treatment Center are not listed this policy. The policy provided states one staff to eight residences when it should be one staff to five residences.

Resolution: Corrected: 2023-02-02

The policy lack's methods for employees to recognize signs that a child may be a victim of abuse/neglect.

Resolution: Corrected: 2023-02-02

The admission assessment is missing a spot for the identification of any risk factors or warning signs of suicide. The safety plan staff and caregivers will implement related to the risk factors and warning signs. Also missing a spot for the results of the suicide screening at admission, if required.

Resolution: Corrected at inspection

The staff file reviewed did not have a TB test.

Resolution: Corrected: 2023-02-02

The policy does not include sharing information with children in a manner the child can understand.

Resolution: Corrected: 2023-02-02

The policy does not indicate that permitted EBI will be posted or provided to children.

Resolution: Corrected: 2023-02-02

The policy lack's prevention techniques.

Resolution: Corrected: 2023-02-02

The policy does not list required trainings for the employees.

Resolution: Corrected: 2023-02-02

The appropriate ratios for a Residential Treatment Center are not listed this policy. The policy provided states one staff to eight residences when it should be one staff to five residences.

Resolution: Corrected: 2023-02-02

The policy does not include sharing information with children in a manner the child can understand.

Resolution: Corrected: 2023-02-02

Missing a form to provide all of the information to the next placement.

Resolution: Corrected at inspection

The staff file reviewed did not have a TB test.

Resolution: Corrected: 2023-02-02

The policy does not mention if staff are allowed to take children away for day/overnight visits.

Resolution: Corrected: 2023-02-02

Bedroom 1 has a tripping hazard at the doorway.

Resolution: Corrected: 2023-02-02

The policy does not mention that retaliation is prohibited if a complaint is filed.

Resolution: Corrected: 2023-02-02

Policy doesn't indicate child will be released from EBI after meeting timeframe per Minimum Standards.

Resolution: Corrected: 2023-02-02

Operation needs a sanitation inspection.

Resolution: Corrected: 2023-02-02

The policy does not include successive use of EBI.

Resolution: Corrected: 2023-01-19

The policy does not mention Simultaneous Intervention.

Resolution: Corrected: 2023-02-02

The hot water was not working.

Resolution: Corrected: 2023-02-02

The policy lack's methods for employees to recognize signs that a child may be a victim of abuse/neglect.

Resolution: Corrected: 2023-02-02

The policy does not indicate that permitted EBI will be posted or provided to children.

Resolution: Corrected: 2023-02-02

The child file needs a place to document allergies.

Resolution: Corrected: 2023-02-02

Log needs to include: (1)Child?s full name (2)Prescribing health-care professional?s name, if applicable; [Medium] (3)Reason medication was prescribed, for prescription medication [Medium]; (4)Medication name, strength, and dosage [Medium-High]; (5)Date (day, month, and year) and time the medication was administered [Medium High]; (6)Name and signature of the person who administered the medication [Medium]; (7)Child?s refusal to accept medication, if applicable [Medium]; and (8)Reasons for administering the medication, including the specific symptoms, condition, and/or injuries of the child that you are treating, only for [Medium-High]: (A) PRN psychotropic medications; and (B) Nonprescription medications and supplements for children under five years old. (d)Unless you operate on a cottage home model, you must count each medication daily

Resolution: Corrected at inspection

There was not a policy that mention simultaneous interventions and the use of mechanical restraints/emergency medication.

Resolution: Corrected: 2023-02-02

Admission assessment is missing a spot for the primary caregivers for the child, any person with whom the child is allowed to leave the operation, and any other individual who has the legal authority to consent to the child?s medical care.

Resolution: Corrected at inspection

The policy does not include information about staff needing a drug test upon being hired.

Resolution: Corrected: 2023-02-02

The admission assessment is missing a spot for the identification of any risk factors or warning signs of suicide. The safety plan staff and caregivers will implement related to the risk factors and warning signs. Also missing a spot for the results of the suicide screening at admission, if required.

Resolution: Corrected at inspection

Not all beds in the operation contained all components required for linens on the beds.

Resolution: Corrected: 2023-02-02