Divine Children's Care Home

One of the two reviewed employee files revealed that one employee had not completed the emergency intervention training required every six months, and the most recent training was completed over a year ago.

Resolution: Corrected: 2025-08-15

One of the two reviewed employee files revealed that one employee had not completed the emergency intervention training required every six months, and the most recent training was completed over a year ago.

Resolution: Corrected: 2025-08-15

One of the two reviewed employee files revealed that one employee had not completed the emergency intervention training required every six months, and the most recent training was completed over a year ago.

Resolution: Corrected: 2025-08-15

One of the two reviewed employee files revealed that one employee had not completed the emergency intervention training required every six months, and the most recent training was completed over a year ago.

Resolution: Corrected: 2025-08-15

It was observed in Room 1, a hole in the door. Work order was submitted.

Resolution: Corrected: 2024-08-21

In reviewing the personnel records, there was no proof of education for all three staff.

Resolution: Corrected: 2024-08-21

Child files reviewed were missing the required signatures on the service plan.

Resolution: Corrected: 2024-08-21

The operation?s recreation schedule did not provide the required outdoor daily activities.

Resolution: Corrected: 2024-08-21

Agency policy addresses HIPAA rules only. All child information must be kept confidential and accessible only to authorized personnel

Resolution: Corrected: 2024-08-21

Record shows staff received 40 hours of pre-service training in one day.

Resolution: Corrected: 2024-08-21

Missing Pre-Employment Affidavit for Applicants

Resolution: Corrected: 2024-08-21

Drug test results did not specify what the employee was screened.

Resolution: Corrected: 2024-08-21

It was observed that no require training for one staff.

Resolution: Corrected: 2024-08-21

Record shows employee received pre-service training on 7/15/23, with TB test results received on 7/21/13, after contact with children in care

Resolution: Corrected: 2024-08-21

Record indicates employee received Orientation, 40 hours of pre-service training, and 8 hours of EBI training all in one day.

Resolution: Corrected: 2024-08-21

Record shows employee received pre-service training on 7/15/23, with TB test results received on 7/21/13, after contact with children in care

Resolution: Corrected: 2024-08-21

The operation?s recreation schedule did not provide the required outdoor daily activities.

Resolution: Corrected: 2024-08-21

In reviewing the personnel records, there was no proof of education for all three staff.

Resolution: Corrected: 2024-08-21

Drug test results did not specify what the employee was screened.

Resolution: Corrected: 2024-08-21

Missing Pre-Employment Affidavit for Applicants

Resolution: Corrected: 2024-08-21

Child files reviewed were missing the required signatures on the service plan.

Resolution: Corrected: 2024-08-21

It was observed in Room 1, a hole in the door. Work order was submitted.

Resolution: Corrected: 2024-08-21

Record shows staff received 40 hours of pre-service training in one day.

Resolution: Corrected: 2024-08-21

It was observed that no require training for one staff.

Resolution: Corrected: 2024-08-21

Record indicates employee received Orientation, 40 hours of pre-service training, and 8 hours of EBI training all in one day.

Resolution: Corrected: 2024-08-21

Agency policy addresses HIPAA rules only. All child information must be kept confidential and accessible only to authorized personnel

Resolution: Corrected: 2024-08-21

Record shows employee received pre-service training on 7/15/23, with TB test results received on 7/21/13, after contact with children in care

Resolution: Corrected: 2024-08-21

The operation?s recreation schedule did not provide the required outdoor daily activities.

Resolution: Corrected: 2024-08-21

In reviewing the personnel records, there was no proof of education for all three staff.

Resolution: Corrected: 2024-08-21

Drug test results did not specify what the employee was screened.

Resolution: Corrected: 2024-08-21

Missing Pre-Employment Affidavit for Applicants

Resolution: Corrected: 2024-08-21

Child files reviewed were missing the required signatures on the service plan.

Resolution: Corrected: 2024-08-21

It was observed in Room 1, a hole in the door. Work order was submitted.

Resolution: Corrected: 2024-08-21

Record shows staff received 40 hours of pre-service training in one day.

Resolution: Corrected: 2024-08-21

It was observed that no require training for one staff.

Resolution: Corrected: 2024-08-21

Record indicates employee received Orientation, 40 hours of pre-service training, and 8 hours of EBI training all in one day.

Resolution: Corrected: 2024-08-21

Agency policy addresses HIPAA rules only. All child information must be kept confidential and accessible only to authorized personnel

Resolution: Corrected: 2024-08-21

The operation?s recreation schedule did not provide the required outdoor daily activities.

Resolution: Corrected: 2024-08-21

Record shows staff received 40 hours of pre-service training in one day.

Resolution: Corrected: 2024-08-21

It was observed in Room 1, a hole in the door. Work order was submitted.

Resolution: Corrected: 2024-08-21

Missing Pre-Employment Affidavit for Applicants

Resolution: Corrected: 2024-08-21

In reviewing the personnel records, there was no proof of education for all three staff.

Resolution: Corrected: 2024-08-21

It was observed that no require training for one staff.

Resolution: Corrected: 2024-08-21

Record indicates employee received Orientation, 40 hours of pre-service training, and 8 hours of EBI training all in one day.

Resolution: Corrected: 2024-08-21

Drug test results did not specify what the employee was screened.

Resolution: Corrected: 2024-08-21

Agency policy addresses HIPAA rules only. All child information must be kept confidential and accessible only to authorized personnel

Resolution: Corrected: 2024-08-21

Child files reviewed were missing the required signatures on the service plan.

Resolution: Corrected: 2024-08-21

Record shows employee received pre-service training on 7/15/23, with TB test results received on 7/21/13, after contact with children in care

Resolution: Corrected: 2024-08-21

Two service plans had unclear information regarding the staff's responsibilities if and when a resident goes AWOL. The AWOL annual summary log listed "NA" for the hotline intake report number and Police report number despite both being applicable.

Resolution: Corrected: 2024-06-26

Two service plans had unclear information regarding the staff's responsibilities if and when a resident goes AWOL. The AWOL annual summary log listed "NA" for the hotline intake report number and Police report number despite both being applicable.

Resolution: Corrected: 2024-06-26

Two service plans had unclear information regarding the staff's responsibilities if and when a resident goes AWOL. The AWOL annual summary log listed "NA" for the hotline intake report number and Police report number despite both being applicable.

Resolution: Corrected: 2024-06-26

Two service plans had unclear information regarding the staff's responsibilities if and when a resident goes AWOL. The AWOL annual summary log listed "NA" for the hotline intake report number and Police report number despite both being applicable.

Resolution: Corrected: 2024-06-26

Operation failed to report a child unathorized absent to lisencing.

Resolution: Corrected: 2023-11-15

Medication records were missing information when the medication was administered and by whom it was administered.

Resolution: Corrected: 2023-11-15

Multiple records at the operation were not true and accurate and had contradicting information.

Resolution: Corrected: 2023-11-15

A child is self administrating medication however the child records did not have documentation from the doctor, or parent that he is allowed to administered this medication .

Resolution: Corrected: 2023-11-15

Operation runaway log did not have the information needed.

Resolution: Corrected: 2023-11-15

A childs discharge did not have the infomartion address, phone to whom he was release to.

Resolution: Corrected: 2023-11-15

Operation runaway log did not have the information needed.

Resolution: Corrected: 2023-11-15

A child is self administrating medication however the child records did not have documentation from the doctor, or parent that he is allowed to administered this medication .

Resolution: Corrected: 2023-11-15

Operation failed to report a child unathorized absent to lisencing.

Resolution: Corrected: 2023-11-15

Operation failed to report a child unathorized absent to lisencing.

Resolution: Corrected: 2023-11-15

Operation runaway log did not have the information needed.

Resolution: Corrected: 2023-11-15

Multiple records at the operation were not true and accurate and had contradicting information.

Resolution: Corrected: 2023-11-15

A child is self administrating medication however the child records did not have documentation from the doctor, or parent that he is allowed to administered this medication .

Resolution: Corrected: 2023-11-15

Operation failed to report a child unathorized absent to lisencing.

Resolution: Corrected: 2023-11-15

A child is self administrating medication however the child records did not have documentation from the doctor, or parent that he is allowed to administered this medication .

Resolution: Corrected: 2023-11-15

Medication records were missing information when the medication was administered and by whom it was administered.

Resolution: Corrected: 2023-11-15

Operation runaway log did not have the information needed.

Resolution: Corrected: 2023-11-15

Multiple records at the operation were not true and accurate and had contradicting information.

Resolution: Corrected: 2023-11-15

A childs discharge did not have the infomartion address, phone to whom he was release to.

Resolution: Corrected: 2023-11-15

A childs discharge did not have the infomartion address, phone to whom he was release to.

Resolution: Corrected: 2023-11-15

Multiple records at the operation were not true and accurate and had contradicting information.

Resolution: Corrected: 2023-11-15

Medication records were missing information when the medication was administered and by whom it was administered.

Resolution: Corrected: 2023-11-15

A childs discharge did not have the infomartion address, phone to whom he was release to.

Resolution: Corrected: 2023-11-15

Medication records were missing information when the medication was administered and by whom it was administered.

Resolution: Corrected: 2023-11-15

A child service plan did not document appropriated school goals.

Resolution: Corrected: 2023-07-13

child preliminary service plan was not completed.

Resolution: Corrected: 2023-07-13

A child's discharge did not document when he was informed of the non-emergency discharge.

Resolution: Corrected: 2023-07-13

A child's discharge did not document when he was informed of the non-emergency discharge.

Resolution: Corrected: 2023-07-13

A child's discharge did not document when he was informed of the non-emergency discharge.

Resolution: Corrected: 2023-07-13

A child service plan did not document appropriated school goals.

Resolution: Corrected: 2023-07-13

child preliminary service plan was not completed.

Resolution: Corrected: 2023-07-13

A child's discharge did not document when he was informed of the non-emergency discharge.

Resolution: Corrected: 2023-07-13

A child service plan did not document appropriated school goals.

Resolution: Corrected: 2023-07-13

A child service plan did not document appropriated school goals.

Resolution: Corrected: 2023-07-13

child preliminary service plan was not completed.

Resolution: Corrected: 2023-07-13

child preliminary service plan was not completed.

Resolution: Corrected: 2023-07-13

Two out of two records were missing instructor led training regarding administration of psychotropic medication.

Resolution: Corrected: 2023-05-26

Two out of two records were missing instructor led training regarding administration of psychotropic medication.

Resolution: Corrected: 2023-05-26

Two out of two records were missing instructor led training regarding administration of psychotropic medication.

Resolution: Corrected: 2023-05-26

Two out of two records were missing instructor led training regarding administration of psychotropic medication.

Resolution: Corrected: 2023-05-26

One child record did not have high risk behaviors identified and how the operation will implement the safety of the chilld.

Resolution: Corrected: 2023-04-19

Medication log was missing information regarding the reason for the medication, signatures of caregiver and side effects.

Resolution: Corrected: 2023-04-19

Childs discharge documentation records did not have the time or the person whom he was discharge to.

Resolution: Corrected: 2023-04-19

One child record did not have high risk behaviors identified and how the operation will implement the safety of the chilld.

Resolution: Corrected: 2023-04-19

Childs discharge documentation records did not have the time or the person whom he was discharge to.

Resolution: Corrected: 2023-04-19

Medication log was missing information regarding the reason for the medication, signatures of caregiver and side effects.

Resolution: Corrected: 2023-04-19

One child record did not have high risk behaviors identified and how the operation will implement the safety of the chilld.

Resolution: Corrected: 2023-04-19

One child record did not have high risk behaviors identified and how the operation will implement the safety of the chilld.

Resolution: Corrected: 2023-04-19

Childs discharge documentation records did not have the time or the person whom he was discharge to.

Resolution: Corrected: 2023-04-19

Medication log was missing information regarding the reason for the medication, signatures of caregiver and side effects.

Resolution: Corrected: 2023-04-19

Childs discharge documentation records did not have the time or the person whom he was discharge to.

Resolution: Corrected: 2023-04-19

Medication log was missing information regarding the reason for the medication, signatures of caregiver and side effects.

Resolution: Corrected: 2023-04-19

The operation's search document form does not include fields or prompts for the reason for the search, what was searched, the results of the search, or the resolution of the search.

Resolution: Corrected: 2023-01-20

The operation's search document form does not include fields or prompts for the reason for the search, what was searched, the results of the search, or the resolution of the search.

Resolution: Corrected: 2023-01-20

The operation's search document form does not include fields or prompts for the reason for the search, what was searched, the results of the search, or the resolution of the search.

Resolution: Corrected: 2023-01-20

The operation's search document form does not include fields or prompts for the reason for the search, what was searched, the results of the search, or the resolution of the search.

Resolution: Corrected: 2023-01-20

The orientation documentation does not include information regarding the operation's policies regarding family visitations, gifts, or the education program.

Resolution: Corrected: 2022-10-17

The operation did not have an Admission Assessment form developed in their record. Admission Assessment must be completed prior to a nonemergency admission.

Resolution: Corrected: 2022-10-17

Employee file did not have a copy of its driver s license in the personnel file.

Resolution: Corrected: 2022-10-17

Employee record did not have a notarized employment affidavit in their file.

Resolution: Corrected: 2022-10-17

The orientation documentation does not include information regarding the operation's policies regarding family visitations, gifts, or the education program.

Resolution: Corrected: 2022-10-17

Employee record did not have a notarized employment affidavit in their file.

Resolution: Corrected: 2022-10-17

The operation did not have an Admission Assessment form developed in their record. Admission Assessment must be completed prior to a nonemergency admission.

Resolution: Corrected: 2022-10-17

The orientation documentation does not include information regarding the operation's policies regarding family visitations, gifts, or the education program.

Resolution: Corrected: 2022-10-17

Employee file did not have a copy of its driver s license in the personnel file.

Resolution: Corrected: 2022-10-17

The operation did not have an Admission Assessment form developed in their record. Admission Assessment must be completed prior to a nonemergency admission.

Resolution: Corrected: 2022-10-17

Employee record did not have a notarized employment affidavit in their file.

Resolution: Corrected: 2022-10-17

Employee file did not have a copy of its driver s license in the personnel file.

Resolution: Corrected: 2022-10-17

The operation did not have an Admission Assessment form developed in their record. Admission Assessment must be completed prior to a nonemergency admission.

Resolution: Corrected: 2022-10-17

Employee record did not have a notarized employment affidavit in their file.

Resolution: Corrected: 2022-10-17

Employee file did not have a copy of its driver s license in the personnel file.

Resolution: Corrected: 2022-10-17

The orientation documentation does not include information regarding the operation's policies regarding family visitations, gifts, or the education program.

Resolution: Corrected: 2022-10-17

The operation's policy and procedures regarding records and record keeping does not specify a records retention timeframe. Additionally the policy and procedure indicates records will be provided to the managing conservator and/or guardian upon request.

Resolution: Corrected: 2022-07-21

The operation's policy and procedures regarding records and record keeping does not specify a records retention timeframe. Additionally the policy and procedure indicates records will be provided to the managing conservator and/or guardian upon request.

Resolution: Corrected: 2022-07-21

The operation's policy and procedures regarding records and record keeping does not specify a records retention timeframe. Additionally the policy and procedure indicates records will be provided to the managing conservator and/or guardian upon request.

Resolution: Corrected: 2022-07-21

The operation's policy and procedures regarding records and record keeping does not specify a records retention timeframe. Additionally the policy and procedure indicates records will be provided to the managing conservator and/or guardian upon request.

Resolution: Corrected: 2022-07-21