New Hope Youth Center

A can of Lysol was on the kitchen counter next to several bags of chips and next to the stove where food was being cooked.

Resolution: Corrected: 2026-02-26

A can of Lysol was on the kitchen counter next to several bags of chips and next to the stove where food was being cooked.

Resolution: Corrected: 2026-02-26

A can of Lysol was on the kitchen counter next to several bags of chips and next to the stove where food was being cooked.

Resolution: Corrected: 2026-02-26

The child's managing conservator stated he was not informed about the incident and found out about it when the child mentioned it to him. The PM, who is in charge of calling CPS stated he believed he had contacted the CPS worker but was not one hundred percent certain. The administrator stated the PM is the person who calls CPS as is required, but that unfortunately they don't have phone records of it occurring. Per the operation's policies and procedures, the facility will notify the caseworker as soon as possible but no later than 2 hours.

Resolution: Corrected: 2025-05-16

The child's managing conservator stated he was not informed about the incident and found out about it when the child mentioned it to him. The PM, who is in charge of calling CPS stated he believed he had contacted the CPS worker but was not one hundred percent certain. The administrator stated the PM is the person who calls CPS as is required, but that unfortunately they don't have phone records of it occurring. Per the operation's policies and procedures, the facility will notify the caseworker as soon as possible but no later than 2 hours.

Resolution: Corrected: 2025-05-16

The child's managing conservator stated he was not informed about the incident and found out about it when the child mentioned it to him. The PM, who is in charge of calling CPS stated he believed he had contacted the CPS worker but was not one hundred percent certain. The administrator stated the PM is the person who calls CPS as is required, but that unfortunately they don't have phone records of it occurring. Per the operation's policies and procedures, the facility will notify the caseworker as soon as possible but no later than 2 hours.

Resolution: Corrected: 2025-05-16

The child's managing conservator stated he was not informed about the incident and found out about it when the child mentioned it to him. The PM, who is in charge of calling CPS stated he believed he had contacted the CPS worker but was not one hundred percent certain. The administrator stated the PM is the person who calls CPS as is required, but that unfortunately they don't have phone records of it occurring. Per the operation's policies and procedures, the facility will notify the caseworker as soon as possible but no later than 2 hours.

Resolution: Corrected: 2025-05-16

During the review of one childs file, different date of birth was noticed in the children list and another date of birth in the childs admission assessment Part 1. This was corrected at inspection.

Resolution: Corrected at inspection

During the walkthrough of the facility, one Hot Shot ant, roach and spider killer and one insect repellant net weight 8.125 oz were observed on top of the fridge in the kitchen while children are at the facility due to spring break.

Resolution: Corrected at inspection

During the review of one childs file, different date of birth was noticed in the children list and another date of birth in the childs admission assessment Part 1. This was corrected at inspection.

Resolution: Corrected at inspection

During the review of one childs file, different date of birth was noticed in the children list and another date of birth in the childs admission assessment Part 1. This was corrected at inspection.

Resolution: Corrected at inspection

During the walkthrough of the facility, one Hot Shot ant, roach and spider killer and one insect repellant net weight 8.125 oz were observed on top of the fridge in the kitchen while children are at the facility due to spring break.

Resolution: Corrected at inspection

During the review of one childs file, different date of birth was noticed in the children list and another date of birth in the childs admission assessment Part 1. This was corrected at inspection.

Resolution: Corrected at inspection

During the walkthrough of the facility, one Hot Shot ant, roach and spider killer and one insect repellant net weight 8.125 oz were observed on top of the fridge in the kitchen while children are at the facility due to spring break.

Resolution: Corrected at inspection

During the walkthrough of the facility, one Hot Shot ant, roach and spider killer and one insect repellant net weight 8.125 oz were observed on top of the fridge in the kitchen while children are at the facility due to spring break.

Resolution: Corrected at inspection

During a review conducted on October 14, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Resolution: Corrected: 2024-10-15

During a review conducted on October 14, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Resolution: Corrected: 2024-10-15

During a review conducted on October 14, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Resolution: Corrected: 2024-10-15

During a review conducted on October 14, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation(s). Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Resolution: Corrected: 2024-10-15

During a review conducted on April 12, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on September 26, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on December 4, 2023. Specifically, the operation was cited for 748.2307(6) Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child. The operation met compliance on December 11, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Resolution: Corrected: 2024-04-13

During a review conducted on April 12, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on September 26, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on December 4, 2023. Specifically, the operation was cited for 748.2307(6) Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child. The operation met compliance on December 11, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Resolution: Corrected: 2024-04-13

During a review conducted on April 12, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on September 26, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on December 4, 2023. Specifically, the operation was cited for 748.2307(6) Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child. The operation met compliance on December 11, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Resolution: Corrected: 2024-04-13

During a review conducted on April 12, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on September 26, 2023, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on December 4, 2023. Specifically, the operation was cited for 748.2307(6) Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child. The operation met compliance on December 11, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with Medium-High or High weighted licensing citations Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.

Resolution: Corrected: 2024-04-13

Several children in care stated that they have been threatened by staff at the facility.

Resolution: Corrected: 2024-04-17

Several children in care stated that they have been threatened by staff at the facility.

Resolution: Corrected: 2024-04-17

Several children in care stated that they have been threatened by staff at the facility.

Resolution: Corrected: 2024-04-17

Several children in care stated that they have been threatened by staff at the facility.

Resolution: Corrected: 2024-04-17

During the walkthrough of the facility several rotten pears were observed inside the fruit bowl in the kitchen counter. All rotten fruits were trashed by staff in my presence.

Resolution: Corrected at inspection

During the walkthrough of the facility, one Green gallon of all purpose pinalen Fresh pine cleaner was observed on top of counter next to the washing machine.

Resolution: Corrected at inspection

During the walkthrough of the facility, one Green gallon of all purpose pinalen Fresh pine cleaner was observed on top of counter next to the washing machine.

Resolution: Corrected at inspection

During the walkthrough of the facility several rotten pears were observed inside the fruit bowl in the kitchen counter. All rotten fruits were trashed by staff in my presence.

Resolution: Corrected at inspection

During the walkthrough of the facility, one Green gallon of all purpose pinalen Fresh pine cleaner was observed on top of counter next to the washing machine.

Resolution: Corrected at inspection

During the walkthrough of the facility, one Green gallon of all purpose pinalen Fresh pine cleaner was observed on top of counter next to the washing machine.

Resolution: Corrected at inspection

During the walkthrough of the facility several rotten pears were observed inside the fruit bowl in the kitchen counter. All rotten fruits were trashed by staff in my presence.

Resolution: Corrected at inspection

During the walkthrough of the facility several rotten pears were observed inside the fruit bowl in the kitchen counter. All rotten fruits were trashed by staff in my presence.

Resolution: Corrected at inspection

During a review conducted on October 11, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-low weighted citation in a pattern/trend category on September 26, 2023. Specifically, the operation was cited for 748.1335 Initial Service Plan-Complete the initial service plan within 45 days after admission. The operation met compliance on September 26, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.

Resolution: Corrected: 2023-10-12

During a review conducted on October 11, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-low weighted citation in a pattern/trend category on September 26, 2023. Specifically, the operation was cited for 748.1335 Initial Service Plan-Complete the initial service plan within 45 days after admission. The operation met compliance on September 26, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.

Resolution: Corrected: 2023-10-12

During a review conducted on October 11, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-low weighted citation in a pattern/trend category on September 26, 2023. Specifically, the operation was cited for 748.1335 Initial Service Plan-Complete the initial service plan within 45 days after admission. The operation met compliance on September 26, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.

Resolution: Corrected: 2023-10-12

During a review conducted on October 11, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-low weighted citation in a pattern/trend category on September 26, 2023. Specifically, the operation was cited for 748.1335 Initial Service Plan-Complete the initial service plan within 45 days after admission. The operation met compliance on September 26, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.

Resolution: Corrected: 2023-10-12

One child service plan was reviewed today. It was observed during the review of the plan that the child was admitted on 08-10-23 but initial service plan was completed on 9-25-23 which is 46 days. Agency staff stated that the initial servce plan was completed on 09-22-23 and not 9-25-23 as indicated in the plan but was not able to provide me with any evidence that the meeting was held on 9-22-23.

Resolution: Corrected: 2023-09-29

One child service plan was reviewed today. It was observed during the review of the plan that the child was admitted on 08-10-23 but initial service plan was completed on 9-25-23 which is 46 days. Agency staff stated that the initial servce plan was completed on 09-22-23 and not 9-25-23 as indicated in the plan but was not able to provide me with any evidence that the meeting was held on 9-22-23.

Resolution: Corrected: 2023-09-29

One child service plan was reviewed today. It was observed during the review of the plan that the child was admitted on 08-10-23 but initial service plan was completed on 9-25-23 which is 46 days. Agency staff stated that the initial servce plan was completed on 09-22-23 and not 9-25-23 as indicated in the plan but was not able to provide me with any evidence that the meeting was held on 9-22-23.

Resolution: Corrected: 2023-09-29

One child service plan was reviewed today. It was observed during the review of the plan that the child was admitted on 08-10-23 but initial service plan was completed on 9-25-23 which is 46 days. Agency staff stated that the initial servce plan was completed on 09-22-23 and not 9-25-23 as indicated in the plan but was not able to provide me with any evidence that the meeting was held on 9-22-23.

Resolution: Corrected: 2023-09-29

It was determined that child was left outside unsupervised for about 10 to 15 minutes while staff was inside the facility.

Resolution: Corrected: 2023-12-04

It was determined that staff was pinching a child's nose to get the child get off of him.

Resolution: Corrected: 2023-12-04

It was determined that a child grabbed a pair of scissors that were unattended from the kitchen counter and threatened to stab staff.

Resolution: Corrected: 2023-12-04

It was determined that child was left outside unsupervised for about 10 to 15 minutes while staff was inside the facility.

Resolution: Corrected: 2023-12-04

It was determined that staff was pinching a child's nose to get the child get off of him.

Resolution: Corrected: 2023-12-04

It was determined that child was left outside unsupervised for about 10 to 15 minutes while staff was inside the facility.

Resolution: Corrected: 2023-12-04

It was determined that a child grabbed a pair of scissors that were unattended from the kitchen counter and threatened to stab staff.

Resolution: Corrected: 2023-12-04

It was determined that staff was pinching a child's nose to get the child get off of him.

Resolution: Corrected: 2023-12-04

It was determined that a child grabbed a pair of scissors that were unattended from the kitchen counter and threatened to stab staff.

Resolution: Corrected: 2023-12-04

It was determined that staff was pinching a child's nose to get the child get off of him.

Resolution: Corrected: 2023-12-04

It was determined that a child grabbed a pair of scissors that were unattended from the kitchen counter and threatened to stab staff.

Resolution: Corrected: 2023-12-04

It was determined that child was left outside unsupervised for about 10 to 15 minutes while staff was inside the facility.

Resolution: Corrected: 2023-12-04

It was observed during the review of a childs file that the admission assessment form Part 1 has wrong date of admission for the child. Child correct date of admission was 6-16-23 but the date of admission in the admission assessment form Part 1 has 3-8-21. The Administrator corrected the information to reflect the correct date of admission which was 6-16-23.

Resolution: Corrected at inspection

It was observed during the walkthrough of the facility that the Air Conditioner in the Day room is leaking water from the unit to the ground. It appears the leak has been going on for some days which has resulted to some part of the wall appeared to be soaked from the leaking water from the A/C Unit.

Resolution: Corrected: 2023-08-29

It was observed during the review of a childs file that the admission assessment form Part 1 has wrong date of admission for the child. Child correct date of admission was 6-16-23 but the date of admission in the admission assessment form Part 1 has 3-8-21. The Administrator corrected the information to reflect the correct date of admission which was 6-16-23.

Resolution: Corrected at inspection

It was observed during the review of a childs file that the admission assessment form Part 1 has wrong date of admission for the child. Child correct date of admission was 6-16-23 but the date of admission in the admission assessment form Part 1 has 3-8-21. The Administrator corrected the information to reflect the correct date of admission which was 6-16-23.

Resolution: Corrected at inspection

It was observed during the walkthrough of the facility that the Air Conditioner in the Day room is leaking water from the unit to the ground. It appears the leak has been going on for some days which has resulted to some part of the wall appeared to be soaked from the leaking water from the A/C Unit.

Resolution: Corrected: 2023-08-29

It was observed during the review of a childs file that the admission assessment form Part 1 has wrong date of admission for the child. Child correct date of admission was 6-16-23 but the date of admission in the admission assessment form Part 1 has 3-8-21. The Administrator corrected the information to reflect the correct date of admission which was 6-16-23.

Resolution: Corrected at inspection

It was observed during the walkthrough of the facility that the Air Conditioner in the Day room is leaking water from the unit to the ground. It appears the leak has been going on for some days which has resulted to some part of the wall appeared to be soaked from the leaking water from the A/C Unit.

Resolution: Corrected: 2023-08-29

It was observed during the walkthrough of the facility that the Air Conditioner in the Day room is leaking water from the unit to the ground. It appears the leak has been going on for some days which has resulted to some part of the wall appeared to be soaked from the leaking water from the A/C Unit.

Resolution: Corrected: 2023-08-29

During the review of a childs initial service plan, it was observed that the DOB for the child in the initial Service plan is different from the correct DOB which is in the childs DFPS placement authorization.

Resolution: Corrected at inspection

During the review of a childs initial service plan, it was observed that the DOB for the child in the initial Service plan is different from the correct DOB which is in the childs DFPS placement authorization.

Resolution: Corrected at inspection

During the review of a childs initial service plan, it was observed that the DOB for the child in the initial Service plan is different from the correct DOB which is in the childs DFPS placement authorization.

Resolution: Corrected at inspection

During the review of a childs initial service plan, it was observed that the DOB for the child in the initial Service plan is different from the correct DOB which is in the childs DFPS placement authorization.

Resolution: Corrected at inspection

The administrator confirmed that the incident went on for several hours. Licensing was not made aware of the incident until the following day.

Resolution: Corrected: 2023-05-26

The administrator confirmed that the incident went on for several hours. Licensing was not made aware of the incident until the following day.

Resolution: Corrected: 2023-05-26

The administrator confirmed that the incident went on for several hours. Licensing was not made aware of the incident until the following day.

Resolution: Corrected: 2023-05-26

The administrator confirmed that the incident went on for several hours. Licensing was not made aware of the incident until the following day.

Resolution: Corrected: 2023-05-26

During a review conducted on April 10, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-low weighted citation in a pattern/trend category on February 15, 2023. Specifically, the operation was cited for 748.2857(b) A copy of EBI documentation provided to the parent must be maintained in the child?s record. The operation met compliance on February 16, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations.

Resolution: Corrected: 2023-04-11

During a review conducted on April 10, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-low weighted citation in a pattern/trend category on February 15, 2023. Specifically, the operation was cited for 748.2857(b) A copy of EBI documentation provided to the parent must be maintained in the child?s record. The operation met compliance on February 16, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations.

Resolution: Corrected: 2023-04-11

During a review conducted on April 10, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-low weighted citation in a pattern/trend category on February 15, 2023. Specifically, the operation was cited for 748.2857(b) A copy of EBI documentation provided to the parent must be maintained in the child?s record. The operation met compliance on February 16, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations.

Resolution: Corrected: 2023-04-11

During a review conducted on April 10, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-low weighted citation in a pattern/trend category on February 15, 2023. Specifically, the operation was cited for 748.2857(b) A copy of EBI documentation provided to the parent must be maintained in the child?s record. The operation met compliance on February 16, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations.

Resolution: Corrected: 2023-04-11

Three out of five children interviewed stated a staff member calls them names.

Resolution: Corrected: 2023-05-02

Three out of five children interviewed stated a staff member calls them names.

Resolution: Corrected: 2023-05-02

Three out of five children interviewed stated a staff member calls them names.

Resolution: Corrected: 2023-05-02

Three out of five children interviewed stated a staff member calls them names.

Resolution: Corrected: 2023-05-02

One out of four child records reviewed did not include an immunization record or documented attempts to obtain the record.

Resolution: Corrected at inspection

Four out of four EBI documentation reviewed did not document that the youth's parent was notified.

Resolution: Corrected: 2023-02-22

One out of four child records reviewed did not include an immunization record or documented attempts to obtain the record.

Resolution: Corrected at inspection

One out of four child records reviewed did not include an immunization record or documented attempts to obtain the record.

Resolution: Corrected at inspection

Four out of four EBI documentation reviewed did not document that the youth's parent was notified.

Resolution: Corrected: 2023-02-22

Four out of four EBI documentation reviewed did not document that the youth's parent was notified.

Resolution: Corrected: 2023-02-22

Four out of four EBI documentation reviewed did not document that the youth's parent was notified.

Resolution: Corrected: 2023-02-22

One out of four child records reviewed did not include an immunization record or documented attempts to obtain the record.

Resolution: Corrected at inspection

3 children stated that staff are sleeping while on shift. The operation currently has 11 children in care with one staff during overnight shift.

Resolution: Corrected: 2023-01-27

3 children stated that staff are sleeping while on shift. The operation currently has 11 children in care with one staff during overnight shift.

Resolution: Corrected: 2023-01-27

3 children stated that staff are sleeping while on shift. The operation currently has 11 children in care with one staff during overnight shift.

Resolution: Corrected: 2023-01-27

3 children stated that staff are sleeping while on shift. The operation currently has 11 children in care with one staff during overnight shift.

Resolution: Corrected: 2023-01-27

Both the victim child and the Caregiver who performed a restraint, stated the child's arms was placed behind his back.

Resolution: Corrected: 2023-01-17

The victim child and the Caregiver supervising the group stated the Caregiver had stepped away to help another resident when a physical altercation happened.

Resolution: Corrected: 2023-01-17

Both the victim child and the Caregiver who performed a restraint, stated the child's arms was placed behind his back.

Resolution: Corrected: 2023-01-17

Both the victim child and the Caregiver who performed a restraint, stated the child's arms was placed behind his back.

Resolution: Corrected: 2023-01-17

The victim child and the Caregiver supervising the group stated the Caregiver had stepped away to help another resident when a physical altercation happened.

Resolution: Corrected: 2023-01-17

The victim child and the Caregiver supervising the group stated the Caregiver had stepped away to help another resident when a physical altercation happened.

Resolution: Corrected: 2023-01-17

The victim child and the Caregiver supervising the group stated the Caregiver had stepped away to help another resident when a physical altercation happened.

Resolution: Corrected: 2023-01-17

Both the victim child and the Caregiver who performed a restraint, stated the child's arms was placed behind his back.

Resolution: Corrected: 2023-01-17

During a review conducted on October 7, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-weighted citation in a pattern/trend category on September 6, 2022. Specifically, the operation was cited for 748.3301(a)(2) Physical Site- Buildings must be clean and in good repair. The operation met compliance on September 22, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.

Resolution: Corrected: 2022-10-08

During a review conducted on October 7, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-weighted citation in a pattern/trend category on September 6, 2022. Specifically, the operation was cited for 748.3301(a)(2) Physical Site- Buildings must be clean and in good repair. The operation met compliance on September 22, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.

Resolution: Corrected: 2022-10-08

During a review conducted on October 7, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-weighted citation in a pattern/trend category on September 6, 2022. Specifically, the operation was cited for 748.3301(a)(2) Physical Site- Buildings must be clean and in good repair. The operation met compliance on September 22, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.

Resolution: Corrected: 2022-10-08

During a review conducted on October 7, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-weighted citation in a pattern/trend category on September 6, 2022. Specifically, the operation was cited for 748.3301(a)(2) Physical Site- Buildings must be clean and in good repair. The operation met compliance on September 22, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.

Resolution: Corrected: 2022-10-08

One of the bathrooms was observed to be clogged and had fecal matter in it. A window was observed not to be in good repair and was pushed out on one side.

Resolution: Corrected: 2022-09-09

One of the bathrooms was observed to be clogged and had fecal matter in it. A window was observed not to be in good repair and was pushed out on one side.

Resolution: Corrected: 2022-09-09

One of the bathrooms was observed to be clogged and had fecal matter in it. A window was observed not to be in good repair and was pushed out on one side.

Resolution: Corrected: 2022-09-09

One of the bathrooms was observed to be clogged and had fecal matter in it. A window was observed not to be in good repair and was pushed out on one side.

Resolution: Corrected: 2022-09-09

Staff member engaged in a power struggle with a child in care due child refusing to release a lego. Staff member slammed child on a table during the incident.

Resolution: Corrected: 2023-01-12

6 children reported that profane language and belittling remarks were made by the staff.

Resolution: Corrected: 2023-01-12

Restraint was initiated due to child refusing to follow directives from staff.

Resolution: Corrected: 2023-01-12

Staff engaged in physical discipline by slamming child on a table due to child refusing to follow instructions.

Resolution: Corrected: 2023-01-12

Restraint was initiated in a non-emergency situation due to child refusing to release a lego.

Resolution: Corrected: 2023-01-12

Staff engaged in physical discipline by slamming child on a table due to child refusing to follow instructions.

Resolution: Corrected: 2023-01-12

Restraint was initiated in a non-emergency situation due to child refusing to release a lego.

Resolution: Corrected: 2023-01-12

Staff member engaged in a power struggle with a child in care due child refusing to release a lego. Staff member slammed child on a table during the incident.

Resolution: Corrected: 2023-01-12

6 children reported that profane language and belittling remarks were made by the staff.

Resolution: Corrected: 2023-01-12

Staff engaged in physical discipline by slamming child on a table due to child refusing to follow instructions.

Resolution: Corrected: 2023-01-12

Restraint was initiated due to child refusing to follow directives from staff.

Resolution: Corrected: 2023-01-12

Restraint was initiated in a non-emergency situation due to child refusing to release a lego.

Resolution: Corrected: 2023-01-12

Staff member engaged in a power struggle with a child in care due child refusing to release a lego. Staff member slammed child on a table during the incident.

Resolution: Corrected: 2023-01-12

6 children reported that profane language and belittling remarks were made by the staff.

Resolution: Corrected: 2023-01-12

Restraint was initiated due to child refusing to follow directives from staff.

Resolution: Corrected: 2023-01-12

Staff engaged in physical discipline by slamming child on a table due to child refusing to follow instructions.

Resolution: Corrected: 2023-01-12

Staff member engaged in a power struggle with a child in care due child refusing to release a lego. Staff member slammed child on a table during the incident.

Resolution: Corrected: 2023-01-12

Restraint was initiated in a non-emergency situation due to child refusing to release a lego.

Resolution: Corrected: 2023-01-12

6 children reported that profane language and belittling remarks were made by the staff.

Resolution: Corrected: 2023-01-12

Restraint was initiated due to child refusing to follow directives from staff.

Resolution: Corrected: 2023-01-12

The operation is not sharing any information regarding the child's needs such as coping skills and triggers there is also no documentation available that anything has been shared to the caregivers. The last documentation reviewed and available for caregivers was from 12/14/2020.

Resolution: Corrected: 2022-09-22

The operation is not sharing any information regarding the child's needs such as coping skills and triggers there is also no documentation available that anything has been shared to the caregivers. The last documentation reviewed and available for caregivers was from 12/14/2020.

Resolution: Corrected: 2022-09-22

The operation is not sharing any information regarding the child's needs such as coping skills and triggers there is also no documentation available that anything has been shared to the caregivers. The last documentation reviewed and available for caregivers was from 12/14/2020.

Resolution: Corrected: 2022-09-22

The operation is not sharing any information regarding the child's needs such as coping skills and triggers there is also no documentation available that anything has been shared to the caregivers. The last documentation reviewed and available for caregivers was from 12/14/2020.

Resolution: Corrected: 2022-09-22

During walkthrough, it was observed that sofa chair in dayroom spring was broken, causing the chair to lean.

Resolution: Corrected: 2022-07-08

During walkthrough, it was observed that sofa chair in dayroom spring was broken, causing the chair to lean.

Resolution: Corrected: 2022-07-08

During walkthrough, it was observed that sofa chair in dayroom spring was broken, causing the chair to lean.

Resolution: Corrected: 2022-07-08

During walkthrough, it was observed that sofa chair in dayroom spring was broken, causing the chair to lean.

Resolution: Corrected: 2022-07-08

During walkthrough, it was observed that a staff that is not counted in ratio was watching a group of children.

Resolution: Corrected at inspection

During walkthrough, it was observed that a staff that is not counted in ratio was watching a group of children.

Resolution: Corrected at inspection

During walkthrough, it was observed that a staff that is not counted in ratio was watching a group of children.

Resolution: Corrected at inspection

During walkthrough, it was observed that a staff that is not counted in ratio was watching a group of children.

Resolution: Corrected at inspection

Staff member was overheard telling the resident that he was a liar and not credible. In the interview with staff member, staff member stated there was a pattern forming with the child having an attraction to his older roommates. Staff member even admits to bringing in the children and putting them against one another. However, he continued to put him with similar roommates, and failed to tell his therapist.

Resolution: Corrected: 2022-07-20

Staff member was overheard telling the resident that he was a liar and not credible. In the interview with staff member, staff member stated there was a pattern forming with the child having an attraction to his older roommates. Staff member even admits to bringing in the children and putting them against one another. However, he continued to put him with similar roommates, and failed to tell his therapist.

Resolution: Corrected: 2022-07-20

Staff member was overheard telling the resident that he was a liar and not credible. In the interview with staff member, staff member stated there was a pattern forming with the child having an attraction to his older roommates. Staff member even admits to bringing in the children and putting them against one another. However, he continued to put him with similar roommates, and failed to tell his therapist.

Resolution: Corrected: 2022-07-20

Staff member was overheard telling the resident that he was a liar and not credible. In the interview with staff member, staff member stated there was a pattern forming with the child having an attraction to his older roommates. Staff member even admits to bringing in the children and putting them against one another. However, he continued to put him with similar roommates, and failed to tell his therapist.

Resolution: Corrected: 2022-07-20

Documentation shows a child was held in a prone position for 2 minutes.

Resolution: Corrected: 2022-05-25

Documentation shows a child was held in a prone position for 2 minutes.

Resolution: Corrected: 2022-05-25

Documentation shows a child was held in a prone position for 2 minutes.

Resolution: Corrected: 2022-05-25

Documentation shows a child was held in a prone position for 2 minutes.

Resolution: Corrected: 2022-05-25

It is determined that a child was found outside the home, close to the street with no supervision.

Resolution: Corrected: 2022-06-13

It is determined that a child was found outside the home, close to the street with no supervision.

Resolution: Corrected: 2022-06-13

It is determined that a child was found outside the home, close to the street with no supervision.

Resolution: Corrected: 2022-06-13

It is determined that a child was found outside the home, close to the street with no supervision.

Resolution: Corrected: 2022-06-13

Children that were interviewed stated that a staff member talks to them rudely and at time uses profane language.

Resolution: Corrected: 2022-05-18

Children that were interviewed stated that a staff member talks to them rudely and at time uses profane language.

Resolution: Corrected: 2022-05-18

Children that were interviewed stated that a staff member talks to them rudely and at time uses profane language.

Resolution: Corrected: 2022-05-18

Children that were interviewed stated that a staff member talks to them rudely and at time uses profane language.

Resolution: Corrected: 2022-05-18

The emergency evacuation & relocation diagrams observed do no include a designated shelter inside location nor an identified meeting place on the outside of the operation.

Resolution: Corrected: 2022-03-10

There were several areas on the physical grounds that require attention such as the fence being broken in several areas, large trash that include furniture, trash, ant beds, and large rocks.

Resolution: Corrected: 2022-03-10

Most of the first aid kits were observed missing several of the required supplies such as: cotton balls, adhesive tape, and thermometers.

Resolution: Corrected: 2022-03-10

There were three packages of chicken fajitas with a use by date of 02/17/2022.

Resolution: Corrected at inspection

There was a black-two drawer file cabinet in the medication closet without a lock; preventing the "overflow" medication from being double locked.

Resolution: Corrected at inspection

There was a black-two drawer file cabinet in the medication closet without a lock; preventing the "overflow" medication from being double locked.

Resolution: Corrected at inspection

There was a black-two drawer file cabinet in the medication closet without a lock; preventing the "overflow" medication from being double locked.

Resolution: Corrected at inspection

There were three packages of chicken fajitas with a use by date of 02/17/2022.

Resolution: Corrected at inspection

Most of the first aid kits were observed missing several of the required supplies such as: cotton balls, adhesive tape, and thermometers.

Resolution: Corrected: 2022-03-10

There were several areas on the physical grounds that require attention such as the fence being broken in several areas, large trash that include furniture, trash, ant beds, and large rocks.

Resolution: Corrected: 2022-03-10

The emergency evacuation & relocation diagrams observed do no include a designated shelter inside location nor an identified meeting place on the outside of the operation.

Resolution: Corrected: 2022-03-10

There were several areas on the physical grounds that require attention such as the fence being broken in several areas, large trash that include furniture, trash, ant beds, and large rocks.

Resolution: Corrected: 2022-03-10

There was a black-two drawer file cabinet in the medication closet without a lock; preventing the "overflow" medication from being double locked.

Resolution: Corrected at inspection

There were three packages of chicken fajitas with a use by date of 02/17/2022.

Resolution: Corrected at inspection

The emergency evacuation & relocation diagrams observed do no include a designated shelter inside location nor an identified meeting place on the outside of the operation.

Resolution: Corrected: 2022-03-10

Most of the first aid kits were observed missing several of the required supplies such as: cotton balls, adhesive tape, and thermometers.

Resolution: Corrected: 2022-03-10

There were several areas on the physical grounds that require attention such as the fence being broken in several areas, large trash that include furniture, trash, ant beds, and large rocks.

Resolution: Corrected: 2022-03-10

There were three packages of chicken fajitas with a use by date of 02/17/2022.

Resolution: Corrected at inspection

The emergency evacuation & relocation diagrams observed do no include a designated shelter inside location nor an identified meeting place on the outside of the operation.

Resolution: Corrected: 2022-03-10

Most of the first aid kits were observed missing several of the required supplies such as: cotton balls, adhesive tape, and thermometers.

Resolution: Corrected: 2022-03-10

Five out of five children interviewed stated staff members curse at them.

Resolution: Corrected: 2022-03-16

Five out of five children interviewed stated staff members curse at them.

Resolution: Corrected: 2022-03-16

Five out of five children interviewed stated staff members curse at them.

Resolution: Corrected: 2022-03-16

Five out of five children interviewed stated staff members curse at them.

Resolution: Corrected: 2022-03-16

Upon reviewing child's file, the TB test was missing from immunization list.

Resolution: Corrected: 2021-12-27

Upon reviewing child's file, the TB test was missing from immunization list.

Resolution: Corrected: 2021-12-27

Upon reviewing child's file, the TB test was missing from immunization list.

Resolution: Corrected: 2021-12-27

Upon reviewing child's file, the TB test was missing from immunization list.

Resolution: Corrected: 2021-12-27

Two bottles of medication was observed in the staff room; not in the medication container where medication is kept.

Resolution: Corrected at inspection

Two bottles of medication was observed in the staff room; not in the medication container where medication is kept.

Resolution: Corrected at inspection

Two bottles of medication was observed in the staff room; not in the medication container where medication is kept.

Resolution: Corrected at inspection

Two bottles of medication was observed in the staff room; not in the medication container where medication is kept.

Resolution: Corrected at inspection

An altercation between two children that resulted in LE being called, was not reported to licensing.

Resolution: Corrected: 2021-11-22

An altercation between two children that resulted in LE being called, was not reported to licensing.

Resolution: Corrected: 2021-11-22

An altercation between two children that resulted in LE being called, was not reported to licensing.

Resolution: Corrected: 2021-11-22

An altercation between two children that resulted in LE being called, was not reported to licensing.

Resolution: Corrected: 2021-11-22

Four of six children interviewed stated staff used profanity to or around them. Three of six children stated Supervisory Staff use abusive, profane and threatening language towards children in care.

Resolution: Corrected: 2021-10-29

Four of six children interviewed stated staff used profanity to or around them. Three of six children stated Supervisory Staff use abusive, profane and threatening language towards children in care.

Resolution: Corrected: 2021-10-29

Four of six children interviewed stated staff used profanity to or around them. Three of six children stated Supervisory Staff use abusive, profane and threatening language towards children in care.

Resolution: Corrected: 2021-10-29

Four of six children interviewed stated staff used profanity to or around them. Three of six children stated Supervisory Staff use abusive, profane and threatening language towards children in care.

Resolution: Corrected: 2021-10-29

Two medication record logs were missing pills that are not accounted for. One Log has 20 pills listed but only 18 pills were found and the second log had 23 pills listed and only 22 pills accounted for.

Resolution: Corrected: 2021-08-24

Two medication record logs were missing pills that are not accounted for. One Log has 20 pills listed but only 18 pills were found and the second log had 23 pills listed and only 22 pills accounted for.

Resolution: Corrected: 2021-08-24

Two medication record logs were missing pills that are not accounted for. One Log has 20 pills listed but only 18 pills were found and the second log had 23 pills listed and only 22 pills accounted for.

Resolution: Corrected: 2021-08-24

Two medication record logs were missing pills that are not accounted for. One Log has 20 pills listed but only 18 pills were found and the second log had 23 pills listed and only 22 pills accounted for.

Resolution: Corrected: 2021-08-24

Two of three bathrooms contained no hand washing soap. Three of three bathrooms did not contain any approved hand drying agent.

Resolution: Corrected: 2021-07-09

Two of three bathrooms contained no hand washing soap. Three of three bathrooms did not contain any approved hand drying agent.

Resolution: Corrected: 2021-07-09

Two of three bathrooms contained no hand washing soap. Three of three bathrooms did not contain any approved hand drying agent.

Resolution: Corrected: 2021-07-09

Two of three bathrooms contained no hand washing soap. Three of three bathrooms did not contain any approved hand drying agent.

Resolution: Corrected: 2021-07-09

One child record reviewed did not include the priliminary service plan.

Resolution: Corrected: 2021-06-25

One child record reviewed did not include the priliminary service plan.

Resolution: Corrected: 2021-06-25

One child record reviewed did not include the priliminary service plan.

Resolution: Corrected: 2021-06-25

One child record reviewed did not include the priliminary service plan.

Resolution: Corrected: 2021-06-25

A bed board was broken on the bottom bunk in bedroom 1 creating a risk to children in care.

Resolution: Corrected: 2021-04-20

A bed board was broken on the bottom bunk in bedroom 1 creating a risk to children in care.

Resolution: Corrected: 2021-04-20

A bed board was broken on the bottom bunk in bedroom 1 creating a risk to children in care.

Resolution: Corrected: 2021-04-20

A bed board was broken on the bottom bunk in bedroom 1 creating a risk to children in care.

Resolution: Corrected: 2021-04-20

The operation was observed to have a broken broken stove top.

Resolution: Corrected: 2021-04-09

The operation was observed to have a broken broken stove top.

Resolution: Corrected: 2021-04-09

The operation was observed to have a broken broken stove top.

Resolution: Corrected: 2021-04-09

It was observed and photographed that the operation had loose bricks scattered throughout the property grounds in four (4) areas and a pile of damaged wood on the grounds. At the front entrance, the porch light was observed to have damaged glass (outside). The front entrance outlet cover was observed to be damanged and have exposed metal area that needs to be replaced.

Resolution: Corrected: 2021-03-19

It was determined that staff use profanity around children at the operation; which exposes residents to inappropriate language while in care.

Resolution: Corrected: 2021-03-31

It was determined that staff use profanity around children at the operation; which exposes residents to inappropriate language while in care.

Resolution: Corrected: 2021-03-31

It was determined that staff use profanity around children at the operation; which exposes residents to inappropriate language while in care.

Resolution: Corrected: 2021-03-31

No one at the operation reported any suspected abuse or neglect even though it was witnessed.

Resolution: Corrected: 2021-03-15

There was no documentation on the EBI in the child's record at the operation.

Resolution: Corrected: 2021-03-15

A supine restraint took place for more than one minute obstructing the ability to breath and caused the child to feel suffocated for a length of no less than 4 to 5 minutes.

Resolution: Corrected: 2021-03-15

A caregiver did not intervene when it was necessary and did not keep the child safe during a restraint.

Resolution: Corrected: 2021-03-15

A short personal restraint was conducted inappropriately in which a supine restraint was used.

Resolution: Corrected: 2021-03-15

Child?s right were violated when staff intentionally and knowingly placed their body weight on a 13 year old child's back, a vulnerable part of the body, obstructing his ability to breath and causing the child to feel suffocated for a length of no less than 4 to 5 minutes.

Resolution: Corrected: 2021-03-12