Embracing Destiny Foundation GRO

There were no staff initials documented in the Medication Administration Record.

Resolution: Corrected: 2025-03-27

Two of six child files reviewed did not have documentation to support the implementation of the CANS Assessment recommendation.

Resolution: Corrected: 2025-03-27

6 children's files reviewed were not accurate as they did not have required documentation as far as 2403.

Resolution: Corrected: 2025-03-27

4 staff files reviewed did not have current trainings. 5 children's files reviewed did not have required documentation.

Resolution: Corrected: 2025-03-27

The restraint conducted was taken to the ground.

Resolution: Corrected: 2024-05-21

A child resident was not administered his prescribed medicine on time (AM medicine).

Resolution: Corrected: 2023-06-16

A review of the file of a staff authorized to transport children showed that the staff only had 0.15 hours of transportation training.

Resolution: Corrected: 2023-06-22

While reviewing staff record the, Notarized Licensing Affidavit for Applicants for Employment form was not not found in the staff record.

Resolution: Corrected: 2022-06-29

The operation does not currently have a summary log for unauthorized absences.

Resolution: Corrected: 2022-06-29

While reviewing the serious incident report it was found the physical address and telephone was not listed on the report.

Resolution: Corrected: 2022-06-29

While reviewing the Children's rights the right to seek employment was missing from the document. 748.1101(4)(d)(C)-Confidential care was missing however the part regarding keeping medical records and operation records private was not listed. 748.1101(5)(b)- Ombudsman and Youth currently in foster Care was not listed on the children's right document.

Resolution: Corrected: 2022-06-29

While reviewing the EBI report it was found that the de-escalation during the use of EBI was not listed. 748.2855(a)(10)-attempts to explain to the child what was necessary for release from intervention was not listed on the report. 748.2855(a)(12)- the action the caregiver took to facilitate the child's return to normal activities was not listed on the report.

Resolution: Corrected: 2022-06-29

It was determined that the children in care are not allowed to have individualized hair cuts. Children are not provided with the normalcy, when they are not given a choice on their personal care and this is causing emotional distress.

Resolution: Corrected: 2022-05-24

The operation currently does not have a full-time child care administrator.

Resolution: Corrected: 2022-05-06

The operation currently does not have a full-time child care administrator.

Resolution: Corrected: 2022-04-04

The operation currently does not have a full-time child care administrator.

Resolution: Corrected: 2022-02-19

The operation currently does not have a full-time child care administrator.

Resolution: Corrected: 2022-01-13

The operation currently does not have a full-time child care administrator .

Resolution: Corrected: 2021-12-12

One of two child records did not identify any concerns the child may have that could escalate his behavior.

Resolution: Corrected: 2021-06-29

There is no record of a TB test in one resident's file.

Resolution: Corrected: 2021-06-29

One of two records did not specify the child's existing relationship he may have with family.

Resolution: Corrected: 2021-06-30