Kismet Residential Treatment Center

Child in care was not given 6 a.m. medication until after 11 a.m. and was not given a different prescription medication for 4 days due to operation error.

Resolution: Corrected: 2026-04-09

Child in care was not given 6 a.m. medication until after 11 a.m. and was not given a different prescription medication for 4 days due to operation error.

Resolution: Corrected: 2026-04-09

Child in care was not given 6 a.m. medication until after 11 a.m. and was not given a different prescription medication for 4 days due to operation error.

Resolution: Corrected: 2026-04-09

Child in care was not given 6 a.m. medication until after 11 a.m. and was not given a different prescription medication for 4 days due to operation error.

Resolution: Corrected: 2026-04-09

Staff confirmed a child fell, and while the child was kicking them, they crossed the child's arm around the child's chest.

Resolution: Corrected: 2026-04-17

Staff confirmed a child fell, and while the child was kicking them, they crossed the child's arm around the child's chest.

Resolution: Corrected: 2026-04-17

Staff confirmed a child fell, and while the child was kicking them, they crossed the child's arm around the child's chest.

Resolution: Corrected: 2026-04-17

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

Three fire extinguishers observed at the operations were last serviced in May of 2024.

Resolution: Corrected: 2025-10-02

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that all personnel file reviewed were missing Form 2912, The pre-employment affidavit

Resolution: Corrected: 2025-02-07

During the monitoring inspection it was discovered that 2 of the serious incidents reviewed were missing the informed care strategy to avoid future occurences.

Resolution: Corrected: 2025-02-06

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's order.

Resolution: Corrected: 2024-11-12

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's order.

Resolution: Corrected: 2024-11-12

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.

Resolution: Corrected: 2024-11-26

Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's order.

Resolution: Corrected: 2024-11-12

During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's order.

Resolution: Corrected: 2024-11-12

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's order.

Resolution: Corrected: 2024-11-12

Three out of four children medication records reviewed indicated a child was administered a prescribed medication at the wrong time contrary to the health care professional's order.

Resolution: Corrected: 2024-11-12

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.

Resolution: Corrected: 2024-11-26

During the inspection reviewing child records 1 out of the 4 active records reviewed did not contain the child's preferred de-escalation techniques that caregivers can use to assist the child in the process.

Resolution: Corrected: 2024-11-26

During the inspection 4 of the 4 child records reviewed medication log was inaccurate. Dates that the medication was administered did not match the medication instructions provided by the physician. Date typos for dates. on several medications.

Resolution: Corrected: 2024-11-26

Two out of four active youth files reviewed contained inaccurate names and non-personalized information in the preliminary service plan.

Resolution: Corrected: 2024-11-26

During the inspection while receiving child records 1 out of 4 active child records reviewed was not signed.

Resolution: Corrected: 2024-11-26

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

The child's service plan advises that she would be monitored in close proximity due to her behaviors, however the child was allowed to be outside alone, while staff watched her from inside of the facility.

Resolution: Corrected: 2024-10-01

Two residence were able to jump the gate and elope from the operation due to lack of proper supervision.

Resolution: Corrected: 2024-10-01

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

It was found that only one previous employer was contacted for three current staff.

Resolution: Corrected: 2024-06-05

Three staff did not have any unrelated reference checks in their file.

Resolution: Corrected: 2024-06-05

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

Resolution: Corrected: 2023-12-15

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Resolution: Corrected: 2023-10-09

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Resolution: Corrected: 2023-10-09

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

One out of five child files are missing signed child's rights.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

Resolution: Corrected: 2023-07-13

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

Resolution: Corrected at inspection

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

Resolution: Corrected at inspection

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

Resolution: Corrected: 2023-05-19

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

Resolution: Corrected: 2023-04-20

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

Resolution: Corrected: 2023-06-23

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

The current Administrator was employed at another-non-contiguous operation.

Resolution: Corrected: 2022-10-21

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11

Bedroom windows did not have a covering for privacy.

Resolution: Corrected: 2022-10-11

Debriefing form not available for review.

Resolution: Corrected: 2022-10-11