Redicare

The operation is providing services out of the scope of its permit. Specifically, the operation is providing care to a child outside of the permitted age range and offering ASD related services to children with autism.

Resolution: Corrected: 2026-03-09

The operation is providing services out of the scope of its permit. Specifically, the operation is providing care to a child outside of the permitted age range and offering ASD related services to children with autism.

Resolution: Corrected: 2026-03-09

The operation is providing services out of the scope of its permit. Specifically, the operation is providing care to a child outside of the permitted age range and offering ASD related services to children with autism.

Resolution: Corrected: 2026-03-09

During a review of the incident report, it was found that the documentation did not clearly describe the circumstances surrounding the child's injury involving a razor. The report lacked sufficient detail regarding what occurred, staff awareness, and the actions taken to ensure the chid's safety following the incident.

Resolution: Corrected: 2026-03-02

During a review of the incident report, it was found that the documentation did not clearly describe the circumstances surrounding the child's injury involving a razor. The report lacked sufficient detail regarding what occurred, staff awareness, and the actions taken to ensure the chid's safety following the incident.

Resolution: Corrected: 2026-03-02

During a review of the incident report, it was found that the documentation did not clearly describe the circumstances surrounding the child's injury involving a razor. The report lacked sufficient detail regarding what occurred, staff awareness, and the actions taken to ensure the chid's safety following the incident.

Resolution: Corrected: 2026-03-02

A child's admission date was documented as 1/14/2026 in a preliminary service plan, while the admission assessment had no date of admission. In a review of the visitor log, the child was not placed until 1/15/2026.

Resolution: Corrected: 2026-02-04

A child's admission date was documented as 1/14/2026 in a preliminary service plan, while the admission assessment had no date of admission. In a review of the visitor log, the child was not placed until 1/15/2026.

Resolution: Corrected: 2026-02-04

A child's admission date was documented as 1/14/2026 in a preliminary service plan, while the admission assessment had no date of admission. In a review of the visitor log, the child was not placed until 1/15/2026.

Resolution: Corrected: 2026-02-04

Communication form was observed to have inaccurate information about a child being present during an unannounced visit completed by the Administrator.

Resolution: Corrected: 2025-12-09

Communication form was observed to have inaccurate information about a child being present during an unannounced visit completed by the Administrator.

Resolution: Corrected: 2025-12-09

Communication form was observed to have inaccurate information about a child being present during an unannounced visit completed by the Administrator.

Resolution: Corrected: 2025-12-09

Communication form was observed to have inaccurate information about a child being present during an unannounced visit completed by the Administrator.

Resolution: Corrected: 2025-12-09

There was no discharge/transfer documentation that outlined what the child's reaction was to discharge or other information such as list of medications, physical condition, etc.

Resolution: Corrected: 2025-12-01

An incident report outlined that a child was dispensed OTC on 11/12/2025 and no medication record was available at the time of the visit. The operation later provided a medication record detailing when the OTC was dispensed, and date documented on the incident report did not align with the medication record.

Resolution: Corrected: 2025-12-01

An incident report outlined that a child was dispensed OTC on 11/12/2025 and no medication record was available at the time of the visit. The operation later provided a medication record detailing when the OTC was dispensed, and date documented on the incident report did not align with the medication record.

Resolution: Corrected: 2025-12-01

An incident report outlined that a child was dispensed OTC on 11/12/2025 and no medication record was available at the time of the visit. The operation later provided a medication record detailing when the OTC was dispensed, and date documented on the incident report did not align with the medication record.

Resolution: Corrected: 2025-12-01

There was no discharge/transfer documentation that outlined what the child's reaction was to discharge or other information such as list of medications, physical condition, etc.

Resolution: Corrected: 2025-12-01

An incident report outlined that a child was dispensed OTC on 11/12/2025 and no medication record was available at the time of the visit. The operation later provided a medication record detailing when the OTC was dispensed, and date documented on the incident report did not align with the medication record.

Resolution: Corrected: 2025-12-01

There was no discharge/transfer documentation that outlined what the child's reaction was to discharge or other information such as list of medications, physical condition, etc.

Resolution: Corrected: 2025-12-01

There was no discharge/transfer documentation that outlined what the child's reaction was to discharge or other information such as list of medications, physical condition, etc.

Resolution: Corrected: 2025-12-01

During the inspection, I observed the no trespassing sign posted by the entry way missing the required verbiage.

Resolution: Corrected: 2025-08-28

3 out of 4 employee files reviewed contained training certificates missing the training hours.

Resolution: Corrected: 2025-08-28

2 out of 4 employees did not have instructor led psychotropic training.

Resolution: Corrected: 2025-08-28

748.505(5)-Four out of four employee files reviewed did not contain affidavit form 2912 in the file, 748.505(6) (a)-2 out of 4 employees did not have verification of previous employment and did not have references verified.

Resolution: Corrected at inspection

2 out of 4 employees did not have instructor led psychotropic training.

Resolution: Corrected: 2025-08-28

748.505(5)-Four out of four employee files reviewed did not contain affidavit form 2912 in the file, 748.505(6) (a)-2 out of 4 employees did not have verification of previous employment and did not have references verified.

Resolution: Corrected at inspection

2 out of 4 employees did not have instructor led psychotropic training.

Resolution: Corrected: 2025-08-28

3 out of 4 employee files reviewed contained training certificates missing the training hours.

Resolution: Corrected: 2025-08-28

During the inspection, I observed the no trespassing sign posted by the entry way missing the required verbiage.

Resolution: Corrected: 2025-08-28

3 out of 4 employee files reviewed contained training certificates missing the training hours.

Resolution: Corrected: 2025-08-28

During the inspection, I observed the no trespassing sign posted by the entry way missing the required verbiage.

Resolution: Corrected: 2025-08-28

748.505(5)-Four out of four employee files reviewed did not contain affidavit form 2912 in the file, 748.505(6) (a)-2 out of 4 employees did not have verification of previous employment and did not have references verified.

Resolution: Corrected at inspection

2 out of 4 employees did not have instructor led psychotropic training.

Resolution: Corrected: 2025-08-28

3 out of 4 employee files reviewed contained training certificates missing the training hours.

Resolution: Corrected: 2025-08-28

During the inspection, I observed the no trespassing sign posted by the entry way missing the required verbiage.

Resolution: Corrected: 2025-08-28

748.505(5)-Four out of four employee files reviewed did not contain affidavit form 2912 in the file, 748.505(6) (a)-2 out of 4 employees did not have verification of previous employment and did not have references verified.

Resolution: Corrected at inspection

During the walkthrough of the operation, there was an open purse viewied on the kitchen counter with a staff member's OTC medication.

Resolution: Corrected at inspection

During the walkthrough of the operation, there was an open purse viewied on the kitchen counter with a staff member's OTC medication.

Resolution: Corrected at inspection

During the walkthrough of the operation, there was an open purse viewied on the kitchen counter with a staff member's OTC medication.

Resolution: Corrected at inspection

During the walkthrough of the operation, there was an open purse viewied on the kitchen counter with a staff member's OTC medication.

Resolution: Corrected at inspection

During a heightened visit, a child's medication log was reviewed and there was no documentation if the child's prescribed Fluticasone was administered on 6/17/25.

Resolution: Corrected: 2025-07-17

During a heightened visit, a child's medication log was reviewed and there was no documentation if the child's prescribed Fluticasone was administered on 6/17/25.

Resolution: Corrected: 2025-07-17

During a heightened visit, a child's medication log was reviewed and there was no documentation if the child's prescribed Fluticasone was administered on 6/17/25.

Resolution: Corrected: 2025-07-17

During a heightened visit, a child's medication log was reviewed and there was no documentation if the child's prescribed Fluticasone was administered on 6/17/25.

Resolution: Corrected: 2025-07-17

it was observed during todays inspection at the facility that the health inspectiton expired on 5-10-25. The administrator confirmed it has expired and that they have scheduled for the inspection to be completed tomorrow 6-14-25.

Resolution: Corrected: 2025-06-17

it was observed during todays inspection at the facility that the health inspectiton expired on 5-10-25. The administrator confirmed it has expired and that they have scheduled for the inspection to be completed tomorrow 6-14-25.

Resolution: Corrected: 2025-06-17

it was observed during todays inspection at the facility that the health inspectiton expired on 5-10-25. The administrator confirmed it has expired and that they have scheduled for the inspection to be completed tomorrow 6-14-25.

Resolution: Corrected: 2025-06-17

it was observed during todays inspection at the facility that the health inspectiton expired on 5-10-25. The administrator confirmed it has expired and that they have scheduled for the inspection to be completed tomorrow 6-14-25.

Resolution: Corrected: 2025-06-17

Child CONCERTA Medication was discontinued by the doctor upon child discharge from the hospital on 5-12-25. However, the medication log for CONCERTA for 5-12 and 5-13 did not state the medication was discontinued by the doctor at the hospital.

Resolution: Corrected: 2025-06-13

Child CONCERTA Medication was discontinued by the doctor upon child discharge from the hospital on 5-12-25. However, the medication log for CONCERTA for 5-12 and 5-13 did not state the medication was discontinued by the doctor at the hospital.

Resolution: Corrected: 2025-06-13

Child CONCERTA Medication was discontinued by the doctor upon child discharge from the hospital on 5-12-25. However, the medication log for CONCERTA for 5-12 and 5-13 did not state the medication was discontinued by the doctor at the hospital.

Resolution: Corrected: 2025-06-13

Child CONCERTA Medication was discontinued by the doctor upon child discharge from the hospital on 5-12-25. However, the medication log for CONCERTA for 5-12 and 5-13 did not state the medication was discontinued by the doctor at the hospital.

Resolution: Corrected: 2025-06-13

The operation is providing services to 2 children with a diagnosis of ASD, a service not listed on their permit.

Resolution: Corrected: 2025-10-09

A service plan reviewed did not list the child's Autistic disorder diagnosis.

Resolution: Corrected: 2025-08-15

The operation is providing services to 2 children with a diagnosis of ASD, a service not listed on their permit.

Resolution: Corrected: 2025-10-09

The operation is providing services to 2 children with a diagnosis of ASD, a service not listed on their permit.

Resolution: Corrected: 2025-10-09

A service plan reviewed did not list the child's Autistic disorder diagnosis.

Resolution: Corrected: 2025-08-15

The operation is providing services to 2 children with a diagnosis of ASD, a service not listed on their permit.

Resolution: Corrected: 2025-10-09

A service plan reviewed did not list the child's Autistic disorder diagnosis.

Resolution: Corrected: 2025-08-15

A service plan reviewed did not list the child's Autistic disorder diagnosis.

Resolution: Corrected: 2025-08-15

Several windows at the operation did not have screens. Note: This was corrected at inspection due to window screens recently being installed on windows.

Resolution: Corrected at inspection

Several windows at the operation did not have screens. Note: This was corrected at inspection due to window screens recently being installed on windows.

Resolution: Corrected at inspection

Several windows at the operation did not have screens. Note: This was corrected at inspection due to window screens recently being installed on windows.

Resolution: Corrected at inspection

Several windows at the operation did not have screens. Note: This was corrected at inspection due to window screens recently being installed on windows.

Resolution: Corrected at inspection

The victim child was seen on 3/6/2025 and was prescribed Clonidine 0.1mg to take 2 tablets in the morning and 1 table in the evening. A psychiatric evaluation was completed at In Touch Psychiatry on 3/11/2025 and reports that Clonidine is to be taken twice daily, once in the morning and once in the evening. However, after the change the medication log shows that clonidine 0.1mg was still given twice in the morning and once in the evening.

Resolution: Corrected: 2025-06-06

The victim child was seen on 3/6/2025 and was prescribed Clonidine 0.1mg to take 2 tablets in the morning and 1 table in the evening. A psychiatric evaluation was completed at In Touch Psychiatry on 3/11/2025 and reports that Clonidine is to be taken twice daily, once in the morning and once in the evening. However, after the change the medication log shows that clonidine 0.1mg was still given twice in the morning and once in the evening.

Resolution: Corrected: 2025-06-06

The victim child was seen on 3/6/2025 and was prescribed Clonidine 0.1mg to take 2 tablets in the morning and 1 table in the evening. A psychiatric evaluation was completed at In Touch Psychiatry on 3/11/2025 and reports that Clonidine is to be taken twice daily, once in the morning and once in the evening. However, after the change the medication log shows that clonidine 0.1mg was still given twice in the morning and once in the evening.

Resolution: Corrected: 2025-06-06

The victim child was seen on 3/6/2025 and was prescribed Clonidine 0.1mg to take 2 tablets in the morning and 1 table in the evening. A psychiatric evaluation was completed at In Touch Psychiatry on 3/11/2025 and reports that Clonidine is to be taken twice daily, once in the morning and once in the evening. However, after the change the medication log shows that clonidine 0.1mg was still given twice in the morning and once in the evening.

Resolution: Corrected: 2025-06-06

The serious incident report provided did not include the required components.

Resolution: Corrected: 2025-04-15

The admissions assessment for the child's file reviewed did not include a signature from the professional level service provider.

Resolution: Corrected: 2025-04-15

The admissions assessment for the child's file reviewed did not include a signature from the professional level service provider.

Resolution: Corrected: 2025-04-15

The serious incident report provided did not include the required components.

Resolution: Corrected: 2025-04-15

The admissions assessment for the child's file reviewed did not include a signature from the professional level service provider.

Resolution: Corrected: 2025-04-15

The serious incident report provided did not include the required components.

Resolution: Corrected: 2025-04-15

The admissions assessment for the child's file reviewed did not include a signature from the professional level service provider.

Resolution: Corrected: 2025-04-15

The serious incident report provided did not include the required components.

Resolution: Corrected: 2025-04-15

The daily count on a child's medication log was observed to be inaccurate.

Resolution: Corrected: 2025-06-05

The daily count on a child's medication log was observed to be inaccurate.

Resolution: Corrected: 2025-06-05

The daily count on a child's medication log was observed to be inaccurate.

Resolution: Corrected: 2025-06-05

The daily count on a child's medication log was observed to be inaccurate.

Resolution: Corrected: 2025-06-05

The employee file viewed for a direct care staff member did not have a copy of the staff's high school diploma or GED.

Resolution: Corrected: 2025-03-27

The employee file viewed for a direct care staff member did not have a copy of the staff's high school diploma or GED.

Resolution: Corrected: 2025-03-27

The employee file viewed for a direct care staff member did not have a copy of the staff's high school diploma or GED.

Resolution: Corrected: 2025-03-27

The employee file viewed for a direct care staff member did not have a copy of the staff's high school diploma or GED.

Resolution: Corrected: 2025-03-27

A bedroom window where a child in care currently resides in has been boarded up (interior) for approximately three months. There is no mechanical ventilation system.

Resolution: Corrected: 2025-03-27

A bedroom window where a child in care currently resides in has been boarded up (interior) for approximately three months. There is no mechanical ventilation system.

Resolution: Corrected: 2025-03-27

A bedroom window where a child in care currently resides in has been boarded up (interior) for approximately three months. There is no mechanical ventilation system.

Resolution: Corrected: 2025-03-27

A bedroom window where a child in care currently resides in has been boarded up (interior) for approximately three months. There is no mechanical ventilation system.

Resolution: Corrected: 2025-03-27

A staff member at the facility has worked with the operation for about two months and never had a completed drug test.

Resolution: Corrected: 2024-12-13

An employee has worked with the facility since September and never received an eligible status stating that he was cleared to work at the facility.

Resolution: Corrected: 2024-12-13

An employee has worked with the facility since September and never received an eligible status stating that he was cleared to work at the facility.

Resolution: Corrected: 2024-12-13

A staff member at the facility has worked with the operation for about two months and never had a completed drug test.

Resolution: Corrected: 2024-12-13

A staff member at the facility has worked with the operation for about two months and never had a completed drug test.

Resolution: Corrected: 2024-12-13

A staff member at the facility has worked with the operation for about two months and never had a completed drug test.

Resolution: Corrected: 2024-12-13

An employee has worked with the facility since September and never received an eligible status stating that he was cleared to work at the facility.

Resolution: Corrected: 2024-12-13

An employee has worked with the facility since September and never received an eligible status stating that he was cleared to work at the facility.

Resolution: Corrected: 2024-12-13

Multiple children in care reported staff sleeping on air mattress.

Resolution: Corrected: 2025-01-07

Multiple children in care are not being allowed to use the phone to call caseworkers and attorneys. Multiple caseworkers are having issues getting ahold of the facility.

Resolution: Corrected: 2025-01-07

A staff member told a child in care they would not make it in the military due to their sexuality.

Resolution: Corrected: 2025-01-07

Multiple children in care reported staff sleeping on air mattress.

Resolution: Corrected: 2025-01-07

A staff member told a child in care they would not make it in the military due to their sexuality.

Resolution: Corrected: 2025-01-07

A staff member told a child in care they would not make it in the military due to their sexuality.

Resolution: Corrected: 2025-01-07

Multiple children in care are not being allowed to use the phone to call caseworkers and attorneys. Multiple caseworkers are having issues getting ahold of the facility.

Resolution: Corrected: 2025-01-07

Multiple children in care reported staff sleeping on air mattress.

Resolution: Corrected: 2025-01-07

A staff member told a child in care they would not make it in the military due to their sexuality.

Resolution: Corrected: 2025-01-07

Multiple children in care are not being allowed to use the phone to call caseworkers and attorneys. Multiple caseworkers are having issues getting ahold of the facility.

Resolution: Corrected: 2025-01-07

Multiple children in care reported staff sleeping on air mattress.

Resolution: Corrected: 2025-01-07

Multiple children in care are not being allowed to use the phone to call caseworkers and attorneys. Multiple caseworkers are having issues getting ahold of the facility.

Resolution: Corrected: 2025-01-07

I was observing the child's safety plan and noticed another child's name documented in it.

Resolution: Corrected: 2024-09-30

The child's service plan is not being followed.

Resolution: Corrected: 2024-09-30

The child's service plan is not being followed.

Resolution: Corrected: 2024-09-30

I was observing the child's safety plan and noticed another child's name documented in it.

Resolution: Corrected: 2024-09-30

I was observing the child's safety plan and noticed another child's name documented in it.

Resolution: Corrected: 2024-09-30

The child's service plan is not being followed.

Resolution: Corrected: 2024-09-30

I was observing the child's safety plan and noticed another child's name documented in it.

Resolution: Corrected: 2024-09-30

The child's service plan is not being followed.

Resolution: Corrected: 2024-09-30

The facility did not have a required no trespassing sign posted.

Resolution: Corrected: 2024-09-20

During a review of personnel files, four employees were missing documentation of reference checks.

Resolution: Corrected: 2024-09-20

During a review of personnel records, four employees were missing proof of request for background checks.

Resolution: Corrected: 2024-09-20

During a review of one of the child's files, a child in care was missing her signature on her child's right form.

Resolution: Corrected: 2024-09-20

During a review of personnel files, four employees were missing documentation of reference checks.

Resolution: Corrected: 2024-09-20

The facility did not have a required no trespassing sign posted.

Resolution: Corrected: 2024-09-20

During a review of personnel records, four employees were missing proof of request for background checks.

Resolution: Corrected: 2024-09-20

The facility did not have a required no trespassing sign posted.

Resolution: Corrected: 2024-09-20

During a review of one of the child's files, a child in care was missing her signature on her child's right form.

Resolution: Corrected: 2024-09-20

During a review of personnel files, four employees were missing documentation of reference checks.

Resolution: Corrected: 2024-09-20

During a review of personnel files, four employees were missing documentation of reference checks.

Resolution: Corrected: 2024-09-20

During a review of one of the child's files, a child in care was missing her signature on her child's right form.

Resolution: Corrected: 2024-09-20

During a review of personnel records, four employees were missing proof of request for background checks.

Resolution: Corrected: 2024-09-20

During a review of personnel records, four employees were missing proof of request for background checks.

Resolution: Corrected: 2024-09-20

The facility did not have a required no trespassing sign posted.

Resolution: Corrected: 2024-09-20

During a review of one of the child's files, a child in care was missing her signature on her child's right form.

Resolution: Corrected: 2024-09-20

Two out of three employee files reviewed did not contain documentation of the reference and employment checks being completed.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain a copy of TB test results or a signed & notarized affidavit for employment.

Resolution: Corrected: 2024-05-01

Two out of three child files reviewed did not contain a copy of the child's immunization record or any documentation indicating attempts to obtain it.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain the required 50 hours for annual training.

Resolution: Corrected: 2024-05-01

The operation's administrator has had an expired LCCA license for almost 2 months.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain all required components for the pre-service training curriculum.

Resolution: Corrected: 2024-05-01

One out of three child files reviewed contained conflicting names with signatures on a medical consenter form. The same child file also did not include the child's signature on the service plan. A few files reviewed contained other documents in them pertaining to other individuals.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain the required 50 hours for annual training.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain the required 50 hours for annual training.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain all required components for the pre-service training curriculum.

Resolution: Corrected: 2024-05-01

Two out of three child files reviewed did not contain a copy of the child's immunization record or any documentation indicating attempts to obtain it.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain a copy of TB test results or a signed & notarized affidavit for employment.

Resolution: Corrected: 2024-05-01

Two out of three employee files reviewed did not contain documentation of the reference and employment checks being completed.

Resolution: Corrected: 2024-05-01

One out of three child files reviewed contained conflicting names with signatures on a medical consenter form. The same child file also did not include the child's signature on the service plan. A few files reviewed contained other documents in them pertaining to other individuals.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain a copy of TB test results or a signed & notarized affidavit for employment.

Resolution: Corrected: 2024-05-01

Two out of three employee files reviewed did not contain documentation of the reference and employment checks being completed.

Resolution: Corrected: 2024-05-01

The operation's administrator has had an expired LCCA license for almost 2 months.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain all required components for the pre-service training curriculum.

Resolution: Corrected: 2024-05-01

Two out of three child files reviewed did not contain a copy of the child's immunization record or any documentation indicating attempts to obtain it.

Resolution: Corrected: 2024-05-01

The operation's administrator has had an expired LCCA license for almost 2 months.

Resolution: Corrected: 2024-05-01

One out of three child files reviewed contained conflicting names with signatures on a medical consenter form. The same child file also did not include the child's signature on the service plan. A few files reviewed contained other documents in them pertaining to other individuals.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain all required components for the pre-service training curriculum.

Resolution: Corrected: 2024-05-01

Two out of three child files reviewed did not contain a copy of the child's immunization record or any documentation indicating attempts to obtain it.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain a copy of TB test results or a signed & notarized affidavit for employment.

Resolution: Corrected: 2024-05-01

Two out of three employee files reviewed did not contain documentation of the reference and employment checks being completed.

Resolution: Corrected: 2024-05-01

One out of three employee files reviewed did not contain the required 50 hours for annual training.

Resolution: Corrected: 2024-05-01

The operation's administrator has had an expired LCCA license for almost 2 months.

Resolution: Corrected: 2024-05-01

One out of three child files reviewed contained conflicting names with signatures on a medical consenter form. The same child file also did not include the child's signature on the service plan. A few files reviewed contained other documents in them pertaining to other individuals.

Resolution: Corrected: 2024-05-01

The fire extinguishers upstairs and downstairs were both last inspected about 14 months ago evidenced by their tags which is over the required inspection timeframe.

Resolution: Corrected: 2024-03-21

The fire extinguishers upstairs and downstairs were both last inspected about 14 months ago evidenced by their tags which is over the required inspection timeframe.

Resolution: Corrected: 2024-03-21

The fire extinguishers upstairs and downstairs were both last inspected about 14 months ago evidenced by their tags which is over the required inspection timeframe.

Resolution: Corrected: 2024-03-21

The fire extinguishers upstairs and downstairs were both last inspected about 14 months ago evidenced by their tags which is over the required inspection timeframe.

Resolution: Corrected: 2024-03-21

The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.

Resolution: Corrected: 2024-02-12

The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.

Resolution: Corrected: 2024-02-12

The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.

Resolution: Corrected: 2024-02-12

The operation has not entered EBI data in their provider portal for Quarter 4 of 2023.

Resolution: Corrected: 2024-02-12

Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.

Resolution: Corrected: 2024-01-12

One out of four youth files reviewed did not contain a discharge summary.

Resolution: Corrected: 2024-01-12

One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.

Resolution: Corrected: 2024-01-12

One out of four youth files reviewed did not contain a discharge summary.

Resolution: Corrected: 2024-01-12

Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.

Resolution: Corrected: 2024-01-12

One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.

Resolution: Corrected: 2024-01-12

One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.

Resolution: Corrected: 2024-01-12

One out of four youth files reviewed did not contain a discharge summary.

Resolution: Corrected: 2024-01-12

Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.

Resolution: Corrected: 2024-01-12

One out of four youth files reviewed did not contain a discharge summary.

Resolution: Corrected: 2024-01-12

Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.

Resolution: Corrected: 2024-01-12

One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.

Resolution: Corrected: 2024-01-12

A caregiver didn't demonstrate prudent judgement when leaving medications unattended which resulted in a youth in care ingesting unprescribed medications.

Resolution: Corrected: 2024-03-04

One medication record reviewed did not include the daily count.

Resolution: Corrected: 2024-03-04

Documentation was not completed for a medication count error.

Resolution: Corrected: 2024-03-04

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

Resolution: Corrected: 2024-03-04

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

Resolution: Corrected: 2024-03-04

A caregiver didn't demonstrate prudent judgement when leaving medications unattended which resulted in a youth in care ingesting unprescribed medications.

Resolution: Corrected: 2024-03-04

Documentation was not completed for a medication count error.

Resolution: Corrected: 2024-03-04

One medication record reviewed did not include the daily count.

Resolution: Corrected: 2024-03-04

Documentation was not completed for a medication count error.

Resolution: Corrected: 2024-03-04

A caregiver didn't demonstrate prudent judgement when leaving medications unattended which resulted in a youth in care ingesting unprescribed medications.

Resolution: Corrected: 2024-03-04

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

Resolution: Corrected: 2024-03-04

One medication record reviewed did not include the daily count.

Resolution: Corrected: 2024-03-04

Documentation was not completed for a medication count error.

Resolution: Corrected: 2024-03-04

One medication record reviewed did not include the daily count.

Resolution: Corrected: 2024-03-04

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

Resolution: Corrected: 2024-03-04

A caregiver didn't demonstrate prudent judgement when leaving medications unattended which resulted in a youth in care ingesting unprescribed medications.

Resolution: Corrected: 2024-03-04

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

Resolution: Corrected: 2023-12-12

During the inspection, there was observed a youth's nasal spray in an unlocked drawer in the kitchen.

Resolution: Corrected at inspection

Three out of three employee files reviewed did not contain documentation of the results of the reference and employment history checks.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed did not contain a discharge summary.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed did not contain documentation to show that the youth had a TB skin test.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed contained a preliminary service plan that was not signed by a treatment director or a PLSP.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.

Resolution: Corrected: 2023-12-12

Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.

Resolution: Corrected: 2023-12-12

Three out of three employee files reviewed did not contain verification of suicide training being completed.

Resolution: Corrected: 2023-12-12

Two out of four youth files reviewed contained a preliminary service plan that was completed more than the required 72 hours after their admission date.

Resolution: Corrected: 2023-12-12

Three out of three youth medication files reviewed contained count errors versus the actual remaining count of medications administered. One out of the three files reviewed had a medication dosage documented incorrectly.

Resolution: Corrected: 2023-12-12

Three out of three youth medication files reviewed contained count errors versus the actual remaining count of medications administered. One out of the three files reviewed had a medication dosage documented incorrectly.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed did not contain a discharge summary.

Resolution: Corrected: 2023-12-12

During the inspection, there was observed a youth's nasal spray in an unlocked drawer in the kitchen.

Resolution: Corrected at inspection

Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.

Resolution: Corrected: 2023-12-12

Three out of three employee files reviewed did not contain verification of suicide training being completed.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed did not contain documentation to show that the youth had a TB skin test.

Resolution: Corrected: 2023-12-12

Three out of three youth medication files reviewed contained count errors versus the actual remaining count of medications administered. One out of the three files reviewed had a medication dosage documented incorrectly.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed contained a preliminary service plan that was not signed by a treatment director or a PLSP.

Resolution: Corrected: 2023-12-12

Two out of four youth files reviewed contained a preliminary service plan that was completed more than the required 72 hours after their admission date.

Resolution: Corrected: 2023-12-12

Three out of three employee files reviewed did not contain documentation of the results of the reference and employment history checks.

Resolution: Corrected: 2023-12-12

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

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed did not contain a discharge summary.

Resolution: Corrected: 2023-12-12

During the inspection, there was observed a youth's nasal spray in an unlocked drawer in the kitchen.

Resolution: Corrected at inspection

Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.

Resolution: Corrected: 2023-12-12

Three out of three employee files reviewed did not contain verification of suicide training being completed.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed did not contain documentation to show that the youth had a TB skin test.

Resolution: Corrected: 2023-12-12

Three out of three youth medication files reviewed contained count errors versus the actual remaining count of medications administered. One out of the three files reviewed had a medication dosage documented incorrectly.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed contained a preliminary service plan that was not signed by a treatment director or a PLSP.

Resolution: Corrected: 2023-12-12

Two out of four youth files reviewed contained a preliminary service plan that was completed more than the required 72 hours after their admission date.

Resolution: Corrected: 2023-12-12

Three out of three employee files reviewed did not contain documentation of the results of the reference and employment history checks.

Resolution: Corrected: 2023-12-12

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

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.

Resolution: Corrected: 2023-12-12

Three out of three employee files reviewed did not contain verification of suicide training being completed.

Resolution: Corrected: 2023-12-12

Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.

Resolution: Corrected: 2023-12-12

During the inspection, there was observed a youth's nasal spray in an unlocked drawer in the kitchen.

Resolution: Corrected at inspection

One out of four youth files reviewed contained a preliminary service plan that was not signed by a treatment director or a PLSP.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed did not contain a discharge summary.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.

Resolution: Corrected: 2023-12-12

Three out of three employee files reviewed did not contain documentation of the results of the reference and employment history checks.

Resolution: Corrected: 2023-12-12

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

Resolution: Corrected: 2023-12-12

Two out of four youth files reviewed contained a preliminary service plan that was completed more than the required 72 hours after their admission date.

Resolution: Corrected: 2023-12-12

One out of four youth files reviewed did not contain documentation to show that the youth had a TB skin test.

Resolution: Corrected: 2023-12-12

It was determined that a signature on the medical consent form was not signed by person listed.

Resolution: Corrected: 2023-10-30

It was determined that a signature on the medical consent form was not signed by person listed.

Resolution: Corrected: 2023-10-30

It was determined that a signature on the medical consent form was not signed by person listed.

Resolution: Corrected: 2023-10-30

It was determined that a signature on the medical consent form was not signed by person listed.

Resolution: Corrected: 2023-10-30

The medication logs reviewed are prefilled for 7am and 7pm, which is not the time that multiple residence are receiving medication. The date that a resident was given medication at 2pm is still listed as being given at 7pm.

Resolution: Corrected: 2023-03-17

Staff admitted to intentionally giving a child in care medication earlier than the child was supposed to receive the medication.

Resolution: Corrected: 2023-03-17

The medication logs reviewed are prefilled for 7am and 7pm, which is not the time that multiple residence are receiving medication. The date that a resident was given medication at 2pm is still listed as being given at 7pm.

Resolution: Corrected: 2023-03-17

The medication logs reviewed are prefilled for 7am and 7pm, which is not the time that multiple residence are receiving medication. The date that a resident was given medication at 2pm is still listed as being given at 7pm.

Resolution: Corrected: 2023-03-17

The medication logs reviewed are prefilled for 7am and 7pm, which is not the time that multiple residence are receiving medication. The date that a resident was given medication at 2pm is still listed as being given at 7pm.

Resolution: Corrected: 2023-03-17

Staff admitted to intentionally giving a child in care medication earlier than the child was supposed to receive the medication.

Resolution: Corrected: 2023-03-17

Staff admitted to intentionally giving a child in care medication earlier than the child was supposed to receive the medication.

Resolution: Corrected: 2023-03-17

Staff admitted to intentionally giving a child in care medication earlier than the child was supposed to receive the medication.

Resolution: Corrected: 2023-03-17

Two fire extinguishers were observed to have an outdated annual inspection.

Resolution: Corrected: 2023-01-04

Refrigerated medication was observed to be kept unlocked in the refrigerator.

Resolution: Corrected at inspection

During inspection, it was verified that the treatment directdor doesn't work 32 hours per week. The treatment doctor works an average of 20 hours a week.

Resolution: Corrected: 2023-01-04

During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.

Resolution: Corrected: 2023-01-04

During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.

Resolution: Corrected: 2023-01-04

Two fire extinguishers were observed to have an outdated annual inspection.

Resolution: Corrected: 2023-01-04

Refrigerated medication was observed to be kept unlocked in the refrigerator.

Resolution: Corrected at inspection

Two fire extinguishers were observed to have an outdated annual inspection.

Resolution: Corrected: 2023-01-04

Refrigerated medication was observed to be kept unlocked in the refrigerator.

Resolution: Corrected at inspection

Refrigerated medication was observed to be kept unlocked in the refrigerator.

Resolution: Corrected at inspection

Two fire extinguishers were observed to have an outdated annual inspection.

Resolution: Corrected: 2023-01-04

During inspection, it was verified that the treatment directdor doesn't work 32 hours per week. The treatment doctor works an average of 20 hours a week.

Resolution: Corrected: 2023-01-04

During inspection, it was verified that the treatment directdor doesn't work 32 hours per week. The treatment doctor works an average of 20 hours a week.

Resolution: Corrected: 2023-01-04

During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.

Resolution: Corrected: 2023-01-04

During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.

Resolution: Corrected: 2023-01-04

During inspection, it was verified that the treatment directdor doesn't work 32 hours per week. The treatment doctor works an average of 20 hours a week.

Resolution: Corrected: 2023-01-04

During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.

Resolution: Corrected: 2023-01-04

During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.

Resolution: Corrected: 2023-01-04

During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.

Resolution: Corrected: 2023-01-04

During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.

Resolution: Corrected: 2023-01-04

During inspection, it was noticed that 1 of 4 personnel records has only 8 hrs of EBI training completed within a month of hire but lacks the other 8 hrs of EBI training within 90 days.

Resolution: Corrected: 2022-12-20

There was only one fire drill documented as completed in an annual timeframe. There was no severe weather drill documented as completed. The fire drill was indicated to be completed over the required three minutes.

Resolution: Corrected: 2022-12-20

The treatment director was said to only work about 20 hours per week instead of full-time hours.

Resolution: Corrected: 2022-12-20

During the inspection, it was observed that the date on the menu showed 6/06/2021 ? 6/12/2021.

Resolution: Corrected: 2022-12-20

During the inspection, it was discovered a staff who transports children doesn't have a valid driver's license on file.

Resolution: Corrected at inspection

During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.

Resolution: Corrected: 2022-12-20

During inspection, 1 of 4 records indicated personnel's last EBI training had been completed over 6 mths ago.

Resolution: Corrected: 2022-12-20

There was no documentation of the smoke detectors being tested monthly.

Resolution: Corrected: 2022-12-20

During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.

Resolution: Corrected: 2022-12-20

The treatment director was said to only work about 20 hours per week instead of full-time hours.

Resolution: Corrected: 2022-12-20

During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.

Resolution: Corrected: 2022-12-20

There was only one fire drill documented as completed in an annual timeframe. There was no severe weather drill documented as completed. The fire drill was indicated to be completed over the required three minutes.

Resolution: Corrected: 2022-12-20

During inspection, it was noticed that 1 of 4 personnel records has only 8 hrs of EBI training completed within a month of hire but lacks the other 8 hrs of EBI training within 90 days.

Resolution: Corrected: 2022-12-20

During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.

Resolution: Corrected: 2022-12-20

During the inspection, it was discovered a staff who transports children doesn't have a valid driver's license on file.

Resolution: Corrected at inspection

During the inspection, it was observed that the date on the menu showed 6/06/2021 ? 6/12/2021.

Resolution: Corrected: 2022-12-20

During the inspection, it was discovered a staff who transports children doesn't have a valid driver's license on file.

Resolution: Corrected at inspection

During inspection, 1 of 4 records indicated personnel's last EBI training had been completed over 6 mths ago.

Resolution: Corrected: 2022-12-20

During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.

Resolution: Corrected: 2022-12-20

During inspection, it was noticed that 1 of 4 personnel records has only 8 hrs of EBI training completed within a month of hire but lacks the other 8 hrs of EBI training within 90 days.

Resolution: Corrected: 2022-12-20

There was only one fire drill documented as completed in an annual timeframe. There was no severe weather drill documented as completed. The fire drill was indicated to be completed over the required three minutes.

Resolution: Corrected: 2022-12-20

The treatment director was said to only work about 20 hours per week instead of full-time hours.

Resolution: Corrected: 2022-12-20

There was no documentation of the smoke detectors being tested monthly.

Resolution: Corrected: 2022-12-20

During the inspection, it was discovered a staff who transports children doesn't have a valid driver's license on file.

Resolution: Corrected at inspection

During inspection, 1 of 4 records indicated personnel's last EBI training had been completed over 6 mths ago.

Resolution: Corrected: 2022-12-20

During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.

Resolution: Corrected: 2022-12-20

During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.

Resolution: Corrected: 2022-12-20

During the inspection, it was observed that the date on the menu showed 6/06/2021 ? 6/12/2021.

Resolution: Corrected: 2022-12-20

During inspection, it was noticed that 1 of 4 personnel records has only 8 hrs of EBI training completed within a month of hire but lacks the other 8 hrs of EBI training within 90 days.

Resolution: Corrected: 2022-12-20

There was no documentation of the smoke detectors being tested monthly.

Resolution: Corrected: 2022-12-20

During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.

Resolution: Corrected: 2022-12-20

During the inspection, it was observed that the date on the menu showed 6/06/2021 ? 6/12/2021.

Resolution: Corrected: 2022-12-20

There was only one fire drill documented as completed in an annual timeframe. There was no severe weather drill documented as completed. The fire drill was indicated to be completed over the required three minutes.

Resolution: Corrected: 2022-12-20

The treatment director was said to only work about 20 hours per week instead of full-time hours.

Resolution: Corrected: 2022-12-20

During inspection, 1 of 4 records indicated personnel's last EBI training had been completed over 6 mths ago.

Resolution: Corrected: 2022-12-20

There was no documentation of the smoke detectors being tested monthly.

Resolution: Corrected: 2022-12-20

It was discovered in this investigation caregivers forgot a youth alone at an event for about an hour before discovering the youth was missing.

Resolution: Corrected: 2023-01-31

It was discovered during the investigation caregivers were not aware what the service plan stated for the supervision needs of the children.

Resolution: Corrected: 2023-01-31

It was discovered in this investigation caregivers forgot a youth alone at an event for about an hour before discovering the youth was missing.

Resolution: Corrected: 2023-01-31

It was discovered during the investigation caregivers were not aware what the service plan stated for the supervision needs of the children.

Resolution: Corrected: 2023-01-31

It was discovered in this investigation caregivers forgot a youth alone at an event for about an hour before discovering the youth was missing.

Resolution: Corrected: 2023-01-31

It was discovered during the investigation caregivers were not aware what the service plan stated for the supervision needs of the children.

Resolution: Corrected: 2023-01-31

It was discovered in this investigation caregivers forgot a youth alone at an event for about an hour before discovering the youth was missing.

Resolution: Corrected: 2023-01-31

It was discovered during the investigation caregivers were not aware what the service plan stated for the supervision needs of the children.

Resolution: Corrected: 2023-01-31

Two staff members used inappropriate language while performing their assigned tasks.

Resolution: Corrected: 2022-12-02

Two staff members used inappropriate language while performing their assigned tasks.

Resolution: Corrected: 2022-12-02

Two staff members used inappropriate language while performing their assigned tasks.

Resolution: Corrected: 2022-12-02

Two staff members used inappropriate language while performing their assigned tasks.

Resolution: Corrected: 2022-12-02

The child/caregiver ratio is currently 1:6 for children receiving treatment services.

Resolution: Corrected: 2022-07-07

The child/caregiver ratio is currently 1:6 for children receiving treatment services.

Resolution: Corrected: 2022-07-07

The child/caregiver ratio is currently 1:6 for children receiving treatment services.

Resolution: Corrected: 2022-07-07

The child/caregiver ratio is currently 1:6 for children receiving treatment services.

Resolution: Corrected: 2022-07-07

The operation failed to inactivate several employees no longer associated with the operation in the portal within the required timeframe.

Resolution: Corrected: 2022-06-23

Three out of three employee records reviewed did not indicate a date of employment.

Resolution: Corrected: 2022-06-23

One out of three employee records reviewed did not include a TB skin test, a signed affidavit for employment, nor a signed acknowledgment for operational policies as well as reporting abuse/neglect.

Resolution: Corrected: 2022-06-23

The operation has not reported any data regarding EBI's to Licensing.

Resolution: Corrected: 2022-06-23

The operation's current employee list in the portal has not been validated in over three months.

Resolution: Corrected: 2022-06-23

The operation's current employee list in the portal has not been validated in over three months.

Resolution: Corrected: 2022-06-23

Three out of three employee records reviewed did not indicate a date of employment.

Resolution: Corrected: 2022-06-23

The operation has not reported any data regarding EBI's to Licensing.

Resolution: Corrected: 2022-06-23

The operation failed to inactivate several employees no longer associated with the operation in the portal within the required timeframe.

Resolution: Corrected: 2022-06-23

One out of three employee records reviewed did not include a TB skin test, a signed affidavit for employment, nor a signed acknowledgment for operational policies as well as reporting abuse/neglect.

Resolution: Corrected: 2022-06-23

One out of three employee records reviewed did not include a TB skin test, a signed affidavit for employment, nor a signed acknowledgment for operational policies as well as reporting abuse/neglect.

Resolution: Corrected: 2022-06-23

The operation failed to inactivate several employees no longer associated with the operation in the portal within the required timeframe.

Resolution: Corrected: 2022-06-23

The operation has not reported any data regarding EBI's to Licensing.

Resolution: Corrected: 2022-06-23

Three out of three employee records reviewed did not indicate a date of employment.

Resolution: Corrected: 2022-06-23

The operation's current employee list in the portal has not been validated in over three months.

Resolution: Corrected: 2022-06-23

Three out of three employee records reviewed did not indicate a date of employment.

Resolution: Corrected: 2022-06-23

The operation has not reported any data regarding EBI's to Licensing.

Resolution: Corrected: 2022-06-23

The operation failed to inactivate several employees no longer associated with the operation in the portal within the required timeframe.

Resolution: Corrected: 2022-06-23

One out of three employee records reviewed did not include a TB skin test, a signed affidavit for employment, nor a signed acknowledgment for operational policies as well as reporting abuse/neglect.

Resolution: Corrected: 2022-06-23

The operation's current employee list in the portal has not been validated in over three months.

Resolution: Corrected: 2022-06-23

A youth in care was on an unauthorized absence from the operation for more than 6 hours, and it had failed to be reported to Licensing.

Resolution: Corrected: 2022-06-10

A youth in care was on an unauthorized absence from the operation for more than 6 hours, and it had failed to be reported to Licensing.

Resolution: Corrected: 2022-06-10

A youth in care was on an unauthorized absence from the operation for more than 6 hours, and it had failed to be reported to Licensing.

Resolution: Corrected: 2022-06-10

A youth in care was on an unauthorized absence from the operation for more than 6 hours, and it had failed to be reported to Licensing.

Resolution: Corrected: 2022-06-10

A youth in care was on an unauthorized absence from the operation for more than 6 hours, and it had failed to be reported to Licensing.

Resolution: Corrected: 2022-05-26

A youth in care was on an unauthorized absence from the operation for more than 6 hours, and it had failed to be reported to Licensing.

Resolution: Corrected: 2022-05-26

A youth in care was on an unauthorized absence from the operation for more than 6 hours, and it had failed to be reported to Licensing.

Resolution: Corrected: 2022-05-26

A youth in care was on an unauthorized absence from the operation for more than 6 hours, and it had failed to be reported to Licensing.

Resolution: Corrected: 2022-05-26

The child/caregiver ratio was 1:7 for children receiving treatment services which resulted in runaways from the operation.

Resolution: Corrected: 2022-06-28

The child/caregiver ratio was 1:7 for children receiving treatment services which resulted in runaways from the operation.

Resolution: Corrected: 2022-06-28

The child/caregiver ratio was 1:7 for children receiving treatment services which resulted in runaways from the operation.

Resolution: Corrected: 2022-06-28

The child/caregiver ratio was 1:7 for children receiving treatment services which resulted in runaways from the operation.

Resolution: Corrected: 2022-06-28

The pantry which has food for the residence, also has cleaning supply, which should be kept seperate from food.

Resolution: Corrected: 2022-04-15

The pantry which has food for the residence, also has cleaning supply, which should be kept seperate from food.

Resolution: Corrected: 2022-04-15

The pantry which has food for the residence, also has cleaning supply, which should be kept seperate from food.

Resolution: Corrected: 2022-04-15

The pantry which has food for the residence, also has cleaning supply, which should be kept seperate from food.

Resolution: Corrected: 2022-04-15

Medication counts were off on two different prescribed medications.

Resolution: Corrected: 2022-04-21

Medication counts were off on two different prescribed medications.

Resolution: Corrected: 2022-04-21

Medication counts were off on two different prescribed medications.

Resolution: Corrected: 2022-04-21

Medication counts were off on two different prescribed medications.

Resolution: Corrected: 2022-04-21

Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.

Resolution: Corrected: 2022-02-25

Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.

Resolution: Corrected: 2022-02-25

Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.

Resolution: Corrected: 2022-02-25

Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.

Resolution: Corrected: 2022-02-25

A youth in care did not receive a prescribed medication for three months.

Resolution: Corrected: 2022-04-15

A youth in care did not receive a prescribed medication for three months.

Resolution: Corrected: 2022-04-15

A youth in care did not receive a prescribed medication for three months.

Resolution: Corrected: 2022-04-15

A youth in care did not receive a prescribed medication for three months.

Resolution: Corrected: 2022-04-15

Staff file reviewed is missing education required documentation .

Resolution: Corrected: 2022-02-07

Child records did not provide easy access to known allergies and chronic health conditions.

Resolution: Corrected: 2022-02-07

Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.

Resolution: Corrected: 2022-02-07

Child's file did not contain indication that an orientation was provided as no signed documentation was located in the file verifying this.

Resolution: Corrected: 2022-02-07

Daily medication log was not documented to include the remaining count.

Resolution: Corrected: 2022-02-07

Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.

Resolution: Corrected: 2022-02-07

Child's file did not contain indication that an orientation was provided as no signed documentation was located in the file verifying this.

Resolution: Corrected: 2022-02-07

Child records did not provide easy access to known allergies and chronic health conditions.

Resolution: Corrected: 2022-02-07

Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.

Resolution: Corrected: 2022-02-07

Daily medication log was not documented to include the remaining count.

Resolution: Corrected: 2022-02-07

Staff file reviewed is missing education required documentation .

Resolution: Corrected: 2022-02-07

Child's file did not contain indication that an orientation was provided as no signed documentation was located in the file verifying this.

Resolution: Corrected: 2022-02-07

Child records did not provide easy access to known allergies and chronic health conditions.

Resolution: Corrected: 2022-02-07

Daily medication log was not documented to include the remaining count.

Resolution: Corrected: 2022-02-07

Staff file reviewed is missing education required documentation .

Resolution: Corrected: 2022-02-07

Child's file did not contain indication that an orientation was provided as no signed documentation was located in the file verifying this.

Resolution: Corrected: 2022-02-07

Staff file reviewed is missing education required documentation .

Resolution: Corrected: 2022-02-07

Daily medication log was not documented to include the remaining count.

Resolution: Corrected: 2022-02-07

Child records did not provide easy access to known allergies and chronic health conditions.

Resolution: Corrected: 2022-02-07

Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.

Resolution: Corrected: 2022-02-07

Staff file reviewed is missing education required documentation .

Resolution: Corrected: 2022-01-25

Staff file reviewed is missing the required trainings.

Resolution: Corrected: 2022-01-25

Child's file did not have signed orientation.

Resolution: Corrected: 2022-01-25

Medication log daily log was not documented.

Resolution: Corrected: 2022-01-25

Child's file was missing immunizations records.

Resolution: Corrected: 2022-01-25

Child records did not provide easy access to known allergies and chronic health conditions.

Resolution: Corrected: 2022-01-25

Child's file was missing immunizations records.

Resolution: Corrected: 2022-01-25

Staff file reviewed is missing the required trainings.

Resolution: Corrected: 2022-01-25

Child's file was missing immunizations records.

Resolution: Corrected: 2022-01-25

Staff file reviewed is missing education required documentation .

Resolution: Corrected: 2022-01-25

Child records did not provide easy access to known allergies and chronic health conditions.

Resolution: Corrected: 2022-01-25

Medication log daily log was not documented.

Resolution: Corrected: 2022-01-25

Child's file did not have signed orientation.

Resolution: Corrected: 2022-01-25

Staff file reviewed is missing the required trainings.

Resolution: Corrected: 2022-01-25

Staff file reviewed is missing education required documentation .

Resolution: Corrected: 2022-01-25

Child records did not provide easy access to known allergies and chronic health conditions.

Resolution: Corrected: 2022-01-25

Medication log daily log was not documented.

Resolution: Corrected: 2022-01-25

Child's file did not have signed orientation.

Resolution: Corrected: 2022-01-25

Child's file was missing immunizations records.

Resolution: Corrected: 2022-01-25

Child's file did not have signed orientation.

Resolution: Corrected: 2022-01-25

Child records did not provide easy access to known allergies and chronic health conditions.

Resolution: Corrected: 2022-01-25

Staff file reviewed is missing education required documentation .

Resolution: Corrected: 2022-01-25

Medication log daily log was not documented.

Resolution: Corrected: 2022-01-25

Staff file reviewed is missing the required trainings.

Resolution: Corrected: 2022-01-25

Staff threaten to use corporal punishment to child in care.

Resolution: Corrected: 2022-02-10

Staff member used profane language to a child in care.

Resolution: Corrected: 2022-02-10

Staff threaten to use corporal punishment to child in care.

Resolution: Corrected: 2022-02-10

Staff member used profane language to a child in care.

Resolution: Corrected: 2022-02-10

Staff member used profane language to a child in care.

Resolution: Corrected: 2022-02-10

Staff threaten to use corporal punishment to child in care.

Resolution: Corrected: 2022-02-10

Staff member used profane language to a child in care.

Resolution: Corrected: 2022-02-10

Staff threaten to use corporal punishment to child in care.

Resolution: Corrected: 2022-02-10

One out of two child files reviewed had an acknowledgement of the child's rights signed by operational staff but not the child.

Resolution: Corrected: 2021-12-03

One out of two child files reviewed had an acknowledgement of the child's rights signed by operational staff but not the child.

Resolution: Corrected: 2021-12-03

One out of two child files reviewed had an acknowledgement of the child's rights signed by operational staff but not the child.

Resolution: Corrected: 2021-12-03

One out of two child files reviewed had an acknowledgement of the child's rights signed by operational staff but not the child.

Resolution: Corrected: 2021-12-03

One out of three employee records reviewed did not contain verification of a TB skin test completed.

Resolution: Corrected: 2021-10-27

One out of three employee records reviewed did not contain a signed Affidavit for Employment.

Resolution: Corrected: 2021-10-27

One out of three employee records reviewed did not contain verification that a drug test was completed.

Resolution: Corrected: 2021-10-27

One out of two child files reviewed did not contain an immunization record or documented attempts to obtain.

Resolution: Corrected: 2021-10-27

Four out of five first aid kits did not contain a thermometer.

Resolution: Corrected at inspection

Three out of five first aid kits did not contain scissors.

Resolution: Corrected at inspection

Three out of five first aid kits did not contain cotton balls.

Resolution: Corrected at inspection

One out of two child files reviewed did not contain an immunization record or documented attempts to obtain.

Resolution: Corrected: 2021-10-27

Three out of five first aid kits did not contain cotton balls.

Resolution: Corrected at inspection

Four out of five first aid kits did not contain a thermometer.

Resolution: Corrected at inspection

One out of three employee records reviewed did not contain a signed Affidavit for Employment.

Resolution: Corrected: 2021-10-27

One out of three employee records reviewed did not contain verification that a drug test was completed.

Resolution: Corrected: 2021-10-27

Three out of five first aid kits did not contain scissors.

Resolution: Corrected at inspection

One out of three employee records reviewed did not contain verification of a TB skin test completed.

Resolution: Corrected: 2021-10-27

One out of two child files reviewed did not contain an immunization record or documented attempts to obtain.

Resolution: Corrected: 2021-10-27

Three out of five first aid kits did not contain cotton balls.

Resolution: Corrected at inspection

Four out of five first aid kits did not contain a thermometer.

Resolution: Corrected at inspection

One out of three employee records reviewed did not contain a signed Affidavit for Employment.

Resolution: Corrected: 2021-10-27

One out of three employee records reviewed did not contain verification of a TB skin test completed.

Resolution: Corrected: 2021-10-27

One out of three employee records reviewed did not contain verification that a drug test was completed.

Resolution: Corrected: 2021-10-27

Three out of five first aid kits did not contain cotton balls.

Resolution: Corrected at inspection

One out of two child files reviewed did not contain an immunization record or documented attempts to obtain.

Resolution: Corrected: 2021-10-27

One out of three employee records reviewed did not contain a signed Affidavit for Employment.

Resolution: Corrected: 2021-10-27

Three out of five first aid kits did not contain scissors.

Resolution: Corrected at inspection

Four out of five first aid kits did not contain a thermometer.

Resolution: Corrected at inspection

One out of three employee records reviewed did not contain verification that a drug test was completed.

Resolution: Corrected: 2021-10-27

Three out of five first aid kits did not contain scissors.

Resolution: Corrected at inspection

One out of three employee records reviewed did not contain verification of a TB skin test completed.

Resolution: Corrected: 2021-10-27

Two of the staff files reviewed did not contain information to verify educational requirements for the job positions.

Resolution: Corrected: 2021-09-20

The operational Admissions Assessment document does not state if the child is on medication and what medication the child is taking, if any.

Resolution: Corrected: 2021-09-20

Two of the staff files reviewed did not contain information to verify educational requirements for the job positions.

Resolution: Corrected: 2021-09-20

Two of the staff files reviewed did not contain information to verify educational requirements for the job positions.

Resolution: Corrected: 2021-09-20

The operational Admissions Assessment document does not state if the child is on medication and what medication the child is taking, if any.

Resolution: Corrected: 2021-09-20

Two of the staff files reviewed did not contain information to verify educational requirements for the job positions.

Resolution: Corrected: 2021-09-20

The operational Admissions Assessment document does not state if the child is on medication and what medication the child is taking, if any.

Resolution: Corrected: 2021-09-20

The operational Admissions Assessment document does not state if the child is on medication and what medication the child is taking, if any.

Resolution: Corrected: 2021-09-20

Discharge form is missing the date and time child was informed.

Resolution: Corrected: 2021-06-11

In one record reviewed it was missing the proof of education.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document that service plans were given.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document any medical follow needed.

Resolution: Corrected: 2021-06-11

No statement indicating discipline of infants in the discipline policy.

Resolution: Corrected: 2021-06-11

No policy on exempt employees for vaccine preventable diseases.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document the information of who the child is being discharged to.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document for an emergency discharge/transfer.

Resolution: Corrected: 2021-06-11

The current discipline policy includes EBI as a discipline measure which is prohibited discipline.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document that service plans were given.

Resolution: Corrected: 2021-06-11

Discharge form is missing the date and time child was informed.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document that service plans were given.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document any medical follow needed.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document for an emergency discharge/transfer.

Resolution: Corrected: 2021-06-11

The current discipline policy includes EBI as a discipline measure which is prohibited discipline.

Resolution: Corrected: 2021-06-11

No statement indicating discipline of infants in the discipline policy.

Resolution: Corrected: 2021-06-11

No policy on exempt employees for vaccine preventable diseases.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document the information of who the child is being discharged to.

Resolution: Corrected: 2021-06-11

In one record reviewed it was missing the proof of education.

Resolution: Corrected: 2021-06-11

Discharge form is missing the date and time child was informed.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document that service plans were given.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document any medical follow needed.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document for an emergency discharge/transfer.

Resolution: Corrected: 2021-06-11

The current discipline policy includes EBI as a discipline measure which is prohibited discipline.

Resolution: Corrected: 2021-06-11

No statement indicating discipline of infants in the discipline policy.

Resolution: Corrected: 2021-06-11

No policy on exempt employees for vaccine preventable diseases.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document the information of who the child is being discharged to.

Resolution: Corrected: 2021-06-11

In one record reviewed it was missing the proof of education.

Resolution: Corrected: 2021-06-11

No statement indicating discipline of infants in the discipline policy.

Resolution: Corrected: 2021-06-11

In one record reviewed it was missing the proof of education.

Resolution: Corrected: 2021-06-11

No policy on exempt employees for vaccine preventable diseases.

Resolution: Corrected: 2021-06-11

The current discipline policy includes EBI as a discipline measure which is prohibited discipline.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document for an emergency discharge/transfer.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document the information of who the child is being discharged to.

Resolution: Corrected: 2021-06-11

Discharge form is missing the date and time child was informed.

Resolution: Corrected: 2021-06-11

Discharge form is missing a place to document any medical follow needed.

Resolution: Corrected: 2021-06-11