Laurel Ridge Treatment Center

The operation completed its annual fire inspection on time; however, the operation did not pass the inspection. The operation must address and correct all identified code violations to achieve compliance.

Resolution: Corrected: 2026-03-18

The operation completed its annual fire inspection on time; however, the operation did not pass the inspection. The operation must address and correct all identified code violations to achieve compliance.

Resolution: Corrected: 2026-03-18

The operation completed its annual fire inspection on time; however, the operation did not pass the inspection. The operation must address and correct all identified code violations to achieve compliance.

Resolution: Corrected: 2026-03-18

During an inspection, two therapists were observed to be counted within ratio; however, one therapist did not have a background check on file.

Resolution: Corrected: 2026-02-13

Three out of six staff records reviewed were missing the Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations (Form 2912) in their files.

Resolution: Corrected: 2026-02-13

During an unannounced monitoring inspection, one staff was observed to be responsible for 12 children for an unknown amount of time. Another staff member eventually joined the unit, however, the unit was still out of ratio as the ratio requirements are 1:5. During the inspection, an additional staff member joined the unit, bringing the unit into compliance with the 1:5 ratio requirements. Of note, the operation was counting two therapists within ratio for this group for a period, however, one therapist did not have the appropriate background check on file and would therefore not count in meeting the ratio requirements.

Resolution: Corrected: 2026-02-10

During an inspection, two therapists were observed to be counted within ratio; however, one therapist did not have a background check on file.

Resolution: Corrected: 2026-02-13

During an unannounced monitoring inspection, one staff was observed to be responsible for 12 children for an unknown amount of time. Another staff member eventually joined the unit, however, the unit was still out of ratio as the ratio requirements are 1:5. During the inspection, an additional staff member joined the unit, bringing the unit into compliance with the 1:5 ratio requirements. Of note, the operation was counting two therapists within ratio for this group for a period, however, one therapist did not have the appropriate background check on file and would therefore not count in meeting the ratio requirements.

Resolution: Corrected: 2026-02-10

During an inspection, two therapists were observed to be counted within ratio; however, one therapist did not have a background check on file.

Resolution: Corrected: 2026-02-13

Three out of six staff records reviewed were missing the Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations (Form 2912) in their files.

Resolution: Corrected: 2026-02-13

During an unannounced monitoring inspection, one staff was observed to be responsible for 12 children for an unknown amount of time. Another staff member eventually joined the unit, however, the unit was still out of ratio as the ratio requirements are 1:5. During the inspection, an additional staff member joined the unit, bringing the unit into compliance with the 1:5 ratio requirements. Of note, the operation was counting two therapists within ratio for this group for a period, however, one therapist did not have the appropriate background check on file and would therefore not count in meeting the ratio requirements.

Resolution: Corrected: 2026-02-10

Three out of six staff records reviewed were missing the Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations (Form 2912) in their files.

Resolution: Corrected: 2026-02-13

During an unannounced follow up inspection there were two groups of children requiring a ratio of 1:5 however they were observed at a ratio of 1:7, putting the groups out of ratio.

Resolution: Corrected: 2026-02-04

During a follow-up inspection a wall was obsevred to have a water leak as well as the brick around the shower was warped due to the leak. Shower 413 was observed to be clogged and no draining adequately. The operation is blocking off the room with the wall damage caused by the water leak and will not be used until corrections are approved. ************************************ This was re-cited during a separate follow up inspection as the bathroom remains inoperable while repairs are being completed.

Resolution: Corrected: 2026-02-27

During an unannounced follow up inspection there were two groups of children requiring a ratio of 1:5 however they were observed at a ratio of 1:7, putting the groups out of ratio.

Resolution: Corrected: 2026-02-04

During a follow-up inspection a wall was obsevred to have a water leak as well as the brick around the shower was warped due to the leak. Shower 413 was observed to be clogged and no draining adequately. The operation is blocking off the room with the wall damage caused by the water leak and will not be used until corrections are approved. ************************************ This was re-cited during a separate follow up inspection as the bathroom remains inoperable while repairs are being completed.

Resolution: Corrected: 2026-02-27

During an unannounced follow up inspection there were two groups of children requiring a ratio of 1:5 however they were observed at a ratio of 1:7, putting the groups out of ratio.

Resolution: Corrected: 2026-02-04

During a follow-up inspection a wall was obsevred to have a water leak as well as the brick around the shower was warped due to the leak. Shower 413 was observed to be clogged and no draining adequately. The operation is blocking off the room with the wall damage caused by the water leak and will not be used until corrections are approved. ************************************ This was re-cited during a separate follow up inspection as the bathroom remains inoperable while repairs are being completed.

Resolution: Corrected: 2026-02-27

During the winter storm the heating system was not operating appropriately and there were multiple reports of heating issues in the units, including children's bedrooms. It was a noted a condenser fan motor failed and needed to be replaced. In addition, the thermostats are locked preventing accessibility by staff.

Resolution: Corrected: 2026-03-05

It was determined on site staff did not have any support or assigned person to respond to the heating system failing in one of the units. In addition, no one with a key was available to unlock the thermostat so temperature could be adjusted.

Resolution: Corrected: 2026-03-05

The provided EBI Report does not include staff members conducting the restraint/containment or the witnesses to the containment.

Resolution: Corrected: 2026-03-09

It was determined on site staff did not have any support or assigned person to respond to the heating system failing in one of the units. In addition, no one with a key was available to unlock the thermostat so temperature could be adjusted.

Resolution: Corrected: 2026-03-05

The provided EBI Report does not include staff members conducting the restraint/containment or the witnesses to the containment.

Resolution: Corrected: 2026-03-09

During the winter storm the heating system was not operating appropriately and there were multiple reports of heating issues in the units, including children's bedrooms. It was a noted a condenser fan motor failed and needed to be replaced. In addition, the thermostats are locked preventing accessibility by staff.

Resolution: Corrected: 2026-03-05

It was discovered staff were conducting inappropriate text conversations where children's behaviors were discussed and described as gossip. In addition, staff were facilitating contact with former employees who were terminated or resigned from the operation.

Resolution: Corrected: 2026-03-05

It was discovered staff were conducting inappropriate text conversations where children's behaviors were discussed and described as gossip. In addition, staff were facilitating contact with former employees who were terminated or resigned from the operation.

Resolution: Corrected: 2026-03-05

It was determined on site staff did not have any support or assigned person to respond to the heating system failing in one of the units. In addition, no one with a key was available to unlock the thermostat so temperature could be adjusted.

Resolution: Corrected: 2026-03-05

During the winter storm the heating system was not operating appropriately and there were multiple reports of heating issues in the units, including children's bedrooms. It was a noted a condenser fan motor failed and needed to be replaced. In addition, the thermostats are locked preventing accessibility by staff.

Resolution: Corrected: 2026-03-05

The provided EBI Report does not include staff members conducting the restraint/containment or the witnesses to the containment.

Resolution: Corrected: 2026-03-09

It was discovered staff were conducting inappropriate text conversations where children's behaviors were discussed and described as gossip. In addition, staff were facilitating contact with former employees who were terminated or resigned from the operation.

Resolution: Corrected: 2026-03-05

A child in care did not receive timely care following requests from nursing staff for X-Rays/an assessment by a Physician's Assistant. Requests/submitted consults from nursing staff were declined leading to the child having to be sent to the ER. In addition, per the Serious Incident Report, a second child did not receive X-Rays until 36 hours after consult was submitted.

Resolution: Corrected: 2026-02-27

The operation failed to inactivate background checks for two staff members who has not been employed by the operation for 16 days and over three weeks respectively.

Resolution: Corrected: 2026-02-25

Serious Incident Report does not contain all required information related to staff/witnesses. In addition, the phone number provided for one staff member is not correct (different employee), and the other direct care staff member stated she was not present at the operation from December 25-27th.

Resolution: Corrected: 2026-02-27

A child in care did not receive timely care following requests from nursing staff for X-Rays/an assessment by a Physician's Assistant. Requests/submitted consults from nursing staff were declined leading to the child having to be sent to the ER. In addition, per the Serious Incident Report, a second child did not receive X-Rays until 36 hours after consult was submitted.

Resolution: Corrected: 2026-02-27

A nurse who worked in the RTC was found to not have a BGC under the RTC as required.

Resolution: Corrected: 2026-02-25

A child in care did not receive timely care following requests from nursing staff for X-Rays/an assessment by a Physician's Assistant. Requests/submitted consults from nursing staff were declined leading to the child having to be sent to the ER. In addition, per the Serious Incident Report, a second child did not receive X-Rays until 36 hours after consult was submitted.

Resolution: Corrected: 2026-02-27

The operation failed to inactivate background checks for two staff members who has not been employed by the operation for 16 days and over three weeks respectively.

Resolution: Corrected: 2026-02-25

Serious Incident Report does not contain all required information related to staff/witnesses. In addition, the phone number provided for one staff member is not correct (different employee), and the other direct care staff member stated she was not present at the operation from December 25-27th.

Resolution: Corrected: 2026-02-27

A nurse who worked in the RTC was found to not have a BGC under the RTC as required.

Resolution: Corrected: 2026-02-25

The operation failed to inactivate background checks for two staff members who has not been employed by the operation for 16 days and over three weeks respectively.

Resolution: Corrected: 2026-02-25

Serious Incident Report does not contain all required information related to staff/witnesses. In addition, the phone number provided for one staff member is not correct (different employee), and the other direct care staff member stated she was not present at the operation from December 25-27th.

Resolution: Corrected: 2026-02-27

A nurse who worked in the RTC was found to not have a BGC under the RTC as required.

Resolution: Corrected: 2026-02-25

During an investigation it was determined that prudent judgment was not used when a staff member brought in a blanket with a ribbon tied around it. Subsequently, a child in care used the ribbon to attempt to hang themselves.

Resolution: Corrected: 2026-01-30

During an investigation inspection it was found that the shower curtain to one bathroom was not installed. The children showered in a shower without a shower curtain the night before. This was corrected at inspection when operation staff replaced the shower curtain.

Resolution: Corrected at inspection

During an investigation it was determined that prudent judgment was not used when a staff member brought in a blanket with a ribbon tied around it. Subsequently, a child in care used the ribbon to attempt to hang themselves.

Resolution: Corrected: 2026-01-30

During an investigation it was determined the children and staff caring for the children in care were not within ratio during an emergency incident. During investigation interviews it was determined this is an ongoing issue at the operation.

Resolution: Corrected: 2026-01-30

During an investigation it was determined the Nursing Staff are being counted in ratio. The Nursing staff do clerical work and do not work directly with the children at all times, as they have other work duties that prevent them from doing so. The Nursing staff remain behind the nurses' station as well.

Resolution: Corrected: 2026-01-30

During an investigation inspection it was found that the shower curtain to one bathroom was not installed. The children showered in a shower without a shower curtain the night before. This was corrected at inspection when operation staff replaced the shower curtain.

Resolution: Corrected at inspection

During an investigation it was determined that prudent judgment was not used when a staff member brought in a blanket with a ribbon tied around it. Subsequently, a child in care used the ribbon to attempt to hang themselves.

Resolution: Corrected: 2026-01-30

During an investigation it was determined the children and staff caring for the children in care were not within ratio during an emergency incident. During investigation interviews it was determined this is an ongoing issue at the operation.

Resolution: Corrected: 2026-01-30

During an investigation it was determined the Nursing Staff are being counted in ratio. The Nursing staff do clerical work and do not work directly with the children at all times, as they have other work duties that prevent them from doing so. The Nursing staff remain behind the nurses' station as well.

Resolution: Corrected: 2026-01-30

During an investigation inspection it was found that the shower curtain to one bathroom was not installed. The children showered in a shower without a shower curtain the night before. This was corrected at inspection when operation staff replaced the shower curtain.

Resolution: Corrected at inspection

During an investigation it was determined the Nursing Staff are being counted in ratio. The Nursing staff do clerical work and do not work directly with the children at all times, as they have other work duties that prevent them from doing so. The Nursing staff remain behind the nurses' station as well.

Resolution: Corrected: 2026-01-30

During an investigation it was determined the children and staff caring for the children in care were not within ratio during an emergency incident. During investigation interviews it was determined this is an ongoing issue at the operation.

Resolution: Corrected: 2026-01-30

During an unannounced inspection a shower was observed to have a leak and two showers were observed to not be draining adequately. Note: this was corrected at inspection when the leak was fixed and the showers were unclogged and were able to drain.

Resolution: Corrected at inspection

The emergency evacuation and relocation plan did not specify which employee is responsible for contacting emergency response, which employee is responsible for securing child records and medications, and how staff will account for all children at the relocation spot.

Resolution: Corrected: 2025-12-22

During an unannounced inspection a first aid kit clearly labeled was not found in each living area.

Resolution: Corrected: 2025-12-19

During an unannounced inspection a shower was observed to have a leak and two showers were observed to not be draining adequately. Note: this was corrected at inspection when the leak was fixed and the showers were unclogged and were able to drain.

Resolution: Corrected at inspection

The emergency evacuation and relocation plan did not specify which employee is responsible for contacting emergency response, which employee is responsible for securing child records and medications, and how staff will account for all children at the relocation spot.

Resolution: Corrected: 2025-12-22

During an unannounced inspection a first aid kit clearly labeled was not found in each living area.

Resolution: Corrected: 2025-12-19

During an unannounced inspection a first aid kit clearly labeled was not found in each living area.

Resolution: Corrected: 2025-12-19

During an unannounced inspection a shower was observed to have a leak and two showers were observed to not be draining adequately. Note: this was corrected at inspection when the leak was fixed and the showers were unclogged and were able to drain.

Resolution: Corrected at inspection

The emergency evacuation and relocation plan did not specify which employee is responsible for contacting emergency response, which employee is responsible for securing child records and medications, and how staff will account for all children at the relocation spot.

Resolution: Corrected: 2025-12-22

During a follow-up inspection a wall was obsevred to have a water leak as well as the brick around the shower was warped due to the leak. Shower 413 was observed to be clogged and no draining adequately. The operation is blocking off the room with the wall damage caused by the water leak and will not be used until corrections are approved.

Resolution: Corrected: 2026-01-05

During a follow-up inspection 16/18 bathrooms were found to be without proper ventilation.

Resolution: Corrected: 2025-12-04

During a follow-up inspection a wall was obsevred to have a water leak as well as the brick around the shower was warped due to the leak. Shower 413 was observed to be clogged and no draining adequately. The operation is blocking off the room with the wall damage caused by the water leak and will not be used until corrections are approved.

Resolution: Corrected: 2026-01-05

During a follow-up inspection a wall was obsevred to have a water leak as well as the brick around the shower was warped due to the leak. Shower 413 was observed to be clogged and no draining adequately. The operation is blocking off the room with the wall damage caused by the water leak and will not be used until corrections are approved.

Resolution: Corrected: 2026-01-05

During a follow-up inspection 16/18 bathrooms were found to be without proper ventilation.

Resolution: Corrected: 2025-12-04

During a follow-up inspection 16/18 bathrooms were found to be without proper ventilation.

Resolution: Corrected: 2025-12-04

Eight of the showers had mold in the grout. One shower had mold observed in the ceiling of the shower area. One of the bedrooms was missing part of a baseboard which had small nails sticking out from the wall.

Resolution: Corrected: 2025-10-24

Two rooms did not have paper towels available in the restroom. This was corrected at inspection when the direct care staff placed paper towels in the two restrooms..

Resolution: Corrected at inspection

Two rooms did not have paper towels available in the restroom. This was corrected at inspection when the direct care staff placed paper towels in the two restrooms..

Resolution: Corrected at inspection

Eight of the showers had mold in the grout. One shower had mold observed in the ceiling of the shower area. One of the bedrooms was missing part of a baseboard which had small nails sticking out from the wall.

Resolution: Corrected: 2025-10-24

Two rooms did not have paper towels available in the restroom. This was corrected at inspection when the direct care staff placed paper towels in the two restrooms..

Resolution: Corrected at inspection

Eight of the showers had mold in the grout. One shower had mold observed in the ceiling of the shower area. One of the bedrooms was missing part of a baseboard which had small nails sticking out from the wall.

Resolution: Corrected: 2025-10-24

A reportable incident occurred 09/01/2025 at 2:40 pm; however, the operation did not report the incident to Statewide Intake until 09/04/2025 at 11:52 pm.

Resolution: Corrected: 2025-10-24

A reportable incident occurred 09/01/2025 at 2:40 pm; however, the operation did not report the incident to Statewide Intake until 09/04/2025 at 11:52 pm.

Resolution: Corrected: 2025-10-24

A reportable incident occurred 09/01/2025 at 2:40 pm; however, the operation did not report the incident to Statewide Intake until 09/04/2025 at 11:52 pm.

Resolution: Corrected: 2025-10-24

During the investigation, staff confirmed they gave a child permission to punch a chair, and the child ended up fracturing their arm.

Resolution: Corrected: 2025-10-31

During the investigation, staff confirmed they gave a child permission to punch a chair, and the child ended up fracturing their arm.

Resolution: Corrected: 2025-10-31

During the investigation, staff confirmed they gave a child permission to punch a chair, and the child ended up fracturing their arm.

Resolution: Corrected: 2025-10-31

Emergency evacuation plan was not posted in 3 of the 4 areas.

Resolution: Corrected at inspection

Emergency evacuation plan was not posted in 3 of the 4 areas.

Resolution: Corrected at inspection

Emergency evacuation plan was not posted in 3 of the 4 areas.

Resolution: Corrected at inspection

During the walkthrough of the operation multiple safety hazards were identified to include walkways, mold on an exterior walls and glass shards on the outside back deck.

Resolution: Corrected: 2025-03-05

When reviewing four out of four records reviewed did not have required educational plans.

Resolution: Corrected: 2025-03-31

During the walkthrough of the operation multiple safety hazards were identified to include walkways, mold on an exterior walls and glass shards on the outside back deck.

Resolution: Corrected: 2025-03-05

Emergency Evacuation Diagram was found to not have all the required information.

Resolution: Corrected: 2025-03-05

During the walkthrough the showers in the residential areas were found to be without warm and hot water.

Resolution: Corrected: 2025-03-05

During the walkthrough the showers in the residential areas were found to be without warm and hot water.

Resolution: Corrected: 2025-03-05

When reviewing four out of four records reviewed did not have required educational plans.

Resolution: Corrected: 2025-03-31

During the walkthrough of the operation multiple safety hazards were identified to include walkways, mold on an exterior walls and glass shards on the outside back deck.

Resolution: Corrected: 2025-03-05

Emergency Evacuation Diagram was found to not have all the required information.

Resolution: Corrected: 2025-03-05

During the walkthrough the showers in the residential areas were found to be without warm and hot water.

Resolution: Corrected: 2025-03-05

When reviewing four out of four records reviewed did not have required educational plans.

Resolution: Corrected: 2025-03-31

Emergency Evacuation Diagram was found to not have all the required information.

Resolution: Corrected: 2025-03-05

A child in care was not taken to a follow up appointment pertaining to an injury.

Resolution: Corrected: 2025-04-11

A child in care was not taken to a follow up appointment pertaining to an injury.

Resolution: Corrected: 2025-04-11

A child in care was not taken to a follow up appointment pertaining to an injury.

Resolution: Corrected: 2025-04-11

Operation has not obtained required yearly fire inspection.

Resolution: Corrected: 2025-02-28

Operation has not obtained required yearly fire inspection.

Resolution: Corrected: 2025-02-28

Operation has not obtained required yearly fire inspection.

Resolution: Corrected: 2025-02-28

Operation staff did not provide immediate care or treatment after seeing child was injured and unresponsive.

Resolution: Corrected: 2025-03-07

Child in care was injured during an unnecessary restraint when excessive physical force was used.

Resolution: Corrected: 2025-03-07

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

Resolution: Corrected: 2025-03-07

Staff member administered an unnecessary restraint to get a child to comply.

Resolution: Corrected: 2025-03-07

Operation staff did not provide immediate care or treatment after seeing child was injured and unresponsive.

Resolution: Corrected: 2025-03-07

Child in care was injured during an unnecessary restraint when excessive physical force was used.

Resolution: Corrected: 2025-03-07

Operation staff did not provide immediate care or treatment after seeing child was injured and unresponsive.

Resolution: Corrected: 2025-03-07

Staff member administered an unnecessary restraint to get a child to comply.

Resolution: Corrected: 2025-03-07

Child in care was injured during an unnecessary restraint when excessive physical force was used.

Resolution: Corrected: 2025-03-07

Staff member administered an unnecessary restraint to get a child to comply.

Resolution: Corrected: 2025-03-07

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

Resolution: Corrected: 2025-03-07

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

Resolution: Corrected: 2025-03-07

It was confirmed that a child did not receive their prescription medications for two days.

Resolution: Corrected: 2024-12-24

It was confirmed by operation staff and a child that medication was kept in a child's backpack and not in a locked container.

Resolution: Corrected: 2024-12-24

A child was told that they should not smile because they should not be happy to be at the operation.

Resolution: Corrected: 2024-12-24

It was confirmed that a child did not receive their prescription medications for two days.

Resolution: Corrected: 2024-12-24

A child was denied access to a bible.

Resolution: Corrected: 2024-12-24

It was confirmed by operation staff and a child that medication was kept in a child's backpack and not in a locked container.

Resolution: Corrected: 2024-12-24

A child was told that they should not smile because they should not be happy to be at the operation.

Resolution: Corrected: 2024-12-24

A child was denied access to a bible.

Resolution: Corrected: 2024-12-24

It was confirmed that a child did not receive their prescription medications for two days.

Resolution: Corrected: 2024-12-24

A child was told that they should not smile because they should not be happy to be at the operation.

Resolution: Corrected: 2024-12-24

A child was denied access to a bible.

Resolution: Corrected: 2024-12-24

It was confirmed by operation staff and a child that medication was kept in a child's backpack and not in a locked container.

Resolution: Corrected: 2024-12-24

Staff were unaware that a child was in the shower leading to a maintenance worker walking in on the child while they were using the bathroom.

Resolution: Corrected: 2024-12-02

Staff were unaware that a child was in the shower leading to a maintenance worker walking in on the child while they were using the bathroom.

Resolution: Corrected: 2024-12-02

It was confirmed that a caregiver threatened to deny a child hygiene time if they did not comply.

Resolution: Corrected: 2024-12-02

It was confirmed that a caregiver threatened to deny a child hygiene time if they did not comply.

Resolution: Corrected: 2024-12-02

Staff were unaware that a child was in the shower leading to a maintenance worker walking in on the child while they were using the bathroom.

Resolution: Corrected: 2024-12-02

It was confirmed that a caregiver threatened to deny a child hygiene time if they did not comply.

Resolution: Corrected: 2024-12-02

Allegations involving inappropriate sexual comments made by a staff member were not reported timely to Licensing.

Resolution: Corrected: 2024-12-06

Allegations involving inappropriate sexual comments made by a staff member were not reported timely to Licensing.

Resolution: Corrected: 2024-12-06

Allegations involving inappropriate sexual comments made by a staff member were not reported timely to Licensing.

Resolution: Corrected: 2024-12-06

Operation did not have yearly fire inspection conducted timely.

Resolution: Corrected: 2024-11-04

Two staff supervising children in care did not have active background checks.

Resolution: Corrected: 2024-09-13

Outdoor area in Lavaca Unit had animal feces, a cracked plastic weight stand and broken wooden bench head rest.

Resolution: Corrected: 2024-09-09

Operation did not have yearly fire inspection conducted timely.

Resolution: Corrected: 2024-11-04

Lavaca Unit had 3 staff for 16 children in care.

Resolution: Corrected: 2024-09-09

Two staff supervising children in care did not have active background checks.

Resolution: Corrected: 2024-09-13

Outdoor area in Lavaca Unit had animal feces, a cracked plastic weight stand and broken wooden bench head rest.

Resolution: Corrected: 2024-09-09

Lavaca Unit had 3 staff for 16 children in care.

Resolution: Corrected: 2024-09-09

Lavaca Unit had 3 staff for 16 children in care.

Resolution: Corrected: 2024-09-09

Two staff supervising children in care did not have active background checks.

Resolution: Corrected: 2024-09-13

Operation did not have yearly fire inspection conducted timely.

Resolution: Corrected: 2024-11-04

Outdoor area in Lavaca Unit had animal feces, a cracked plastic weight stand and broken wooden bench head rest.

Resolution: Corrected: 2024-09-09

Date of admission is not present in the annual summary log.

Resolution: Corrected: 2024-02-02

Time of the incidents listed in the annual log is not present.

Resolution: Corrected: 2024-02-02

Date of admission is not present in the annual summary log.

Resolution: Corrected: 2024-02-02

Date of admission is not present in the annual summary log.

Resolution: Corrected: 2024-02-02

Time of the incidents listed in the annual log is not present.

Resolution: Corrected: 2024-02-02

Time of the incidents listed in the annual log is not present.

Resolution: Corrected: 2024-02-02

During an interview with former staff member, it was stated they have not been employed by the operation since 10/17/2023. The staff member's background is showing active as of 11/13/2023.

Resolution: Corrected: 2023-11-27

During an interview with former staff member, it was stated they have not been employed by the operation since 10/17/2023. The staff member's background is showing active as of 11/13/2023.

Resolution: Corrected: 2023-11-27

During an interview with former staff member, it was stated they have not been employed by the operation since 10/17/2023. The staff member's background is showing active as of 11/13/2023.

Resolution: Corrected: 2023-11-27

Operation did not have a documented Child Care Policy.

Resolution: Corrected: 2023-10-12

Operation did not have a documented Child Care Policy.

Resolution: Corrected: 2023-10-12

Operation did not have a documented Child Care Policy.

Resolution: Corrected: 2023-10-12

Children in care were told they would be put in Seclusion for not obeying directives given by staff memer.

Resolution: Corrected: 2023-06-01

Children in care were told they would be put in Seclusion for not obeying directives given by staff memer.

Resolution: Corrected: 2023-06-01

Children in care were told they would be put in Seclusion for not obeying directives given by staff memer.

Resolution: Corrected: 2023-06-01

During the investigation it was determined a caregiver did not demonstrate prudent judgement when they failed to redirect inappropriate comments made towards them from a child in care.

Resolution: Corrected: 2023-03-13

During the investigation it was determined that caregivers are caring for more than five children with treatment services at a time.

Resolution: Corrected: 2023-03-13

During the investigation it was determined that caregivers yelled directly at children in care.

Resolution: Corrected: 2023-03-13

During the investigation it was determined a caregiver did not demonstrate prudent judgement when they failed to redirect inappropriate comments made towards them from a child in care.

Resolution: Corrected: 2023-03-13

During the investigation it was determined that caregivers yelled directly at children in care.

Resolution: Corrected: 2023-03-13

During the investigation it was determined that caregivers are caring for more than five children with treatment services at a time.

Resolution: Corrected: 2023-03-13

During the investigation it was determined a caregiver did not demonstrate prudent judgement when they failed to redirect inappropriate comments made towards them from a child in care.

Resolution: Corrected: 2023-03-13

During the investigation it was determined that caregivers yelled directly at children in care.

Resolution: Corrected: 2023-03-13

During the investigation it was determined that caregivers are caring for more than five children with treatment services at a time.

Resolution: Corrected: 2023-03-13

Operation did not report a serious incident to licensing involving inappropriate behaviors between children in care.

Resolution: Corrected: 2022-07-13

Operation did not report a serious incident to licensing involving inappropriate behaviors between children in care.

Resolution: Corrected: 2022-07-13

Operation did not report a serious incident to licensing involving inappropriate behaviors between children in care.

Resolution: Corrected: 2022-07-13

Upon inspection, it was observed that medications counted did not match the amount recorded in the medciation log.

Resolution: Corrected: 2022-05-20

Upon inspection, it was observed that medications counted did not match the amount recorded in the medciation log.

Resolution: Corrected: 2022-05-20

Upon inspection, it was found that child's rights provided to children are missing many of the rights as provided by the standards.

Resolution: Corrected: 2022-05-20

Upon review of background checks, it was found that staff statuses for one person are not accurate.

Resolution: Corrected: 2022-05-20

Severe weather drills are not being conducted every six months.

Resolution: Corrected: 2022-05-20

Upon inspection, it was found that child's rights provided to children are missing many of the rights as provided by the standards.

Resolution: Corrected: 2022-05-20

Upon inspection, it was observed that medications counted did not match the amount recorded in the medciation log.

Resolution: Corrected: 2022-05-20

Severe weather drills are not being conducted every six months.

Resolution: Corrected: 2022-05-20

Upon review of background checks, it was found that staff statuses for one person are not accurate.

Resolution: Corrected: 2022-05-20

Upon inspection, it was found that child's rights provided to children are missing many of the rights as provided by the standards.

Resolution: Corrected: 2022-05-20

Severe weather drills are not being conducted every six months.

Resolution: Corrected: 2022-05-20

Upon review of background checks, it was found that staff statuses for one person are not accurate.

Resolution: Corrected: 2022-05-20

Staff did not have the required pre-service training hours regarding EBI or trauma informed care.

Resolution: Corrected: 2021-12-03

Staff did not have the required annual emergency behavioral intervention training, normalcy training or trauma informed care training.

Resolution: Corrected: 2021-12-03

Staff did not have the required pre-service training hours regarding EBI or trauma informed care.

Resolution: Corrected: 2021-12-03

Staff did not have the required pre-service training regarding psychotropic medications.

Resolution: Corrected: 2021-12-03

Staff did not have the required annual psychotropic medication training.

Resolution: Corrected: 2021-12-03

Staff did not have the required pre-service training regarding psychotropic medications.

Resolution: Corrected: 2021-12-03

Staff did not have the required annual psychotropic medication training.

Resolution: Corrected: 2021-12-03

Staff did not have the required annual emergency behavioral intervention training, normalcy training or trauma informed care training.

Resolution: Corrected: 2021-12-03

Staff did not have the required annual psychotropic medication training.

Resolution: Corrected: 2021-12-03

Staff did not have the required pre-service training regarding psychotropic medications.

Resolution: Corrected: 2021-12-03

Staff did not have the required pre-service training hours regarding EBI or trauma informed care.

Resolution: Corrected: 2021-12-03

Staff did not have the required annual emergency behavioral intervention training, normalcy training or trauma informed care training.

Resolution: Corrected: 2021-12-03

Staff were aware of allegations made by child in care regarding alleged inappropriate touching from a staff member. Staff were aware of the outcry and did not report to licensing.

Resolution: Corrected: 2021-05-05

Staff were aware of allegations made by child in care regarding alleged inappropriate touching from a staff member. Staff were aware of the outcry and did not report to licensing.

Resolution: Corrected: 2021-05-05

Staff were aware of allegations made by child in care regarding alleged inappropriate touching from a staff member. Staff were aware of the outcry and did not report to licensing.

Resolution: Corrected: 2021-05-05