4Points Family Services (DBA 4PointsKids)

Medications were found unlocked in different areas of the home.

Blankets were observed as being used over the mattress of the bassinet for padding.

In the staff files reviewed, there was no job description documented, one licensing affidavit was not notarized,one did not have a current job description, copy of TB screening, documentation showing minimum age requirements, or hire date documented.

The allergy and chronic condition information was not clearly visible in multiple child records. This was corrected at the inspection when the Administrator changed the information documented on all child records in the online portal during the discussion of the child records.

Three current board members have not been added as a controlling person for the operation.

Four of the four home studies reviewed did not have the method the references were obtained and one did not have the date of the interviews.

During the walk through the bedroom for the children in care appeared too small. Review of the floor plan showed 3 children were sleeping in a room that was 89.18 square ft.

While conducting the inspection the agency sent the Service Plans to the families.

In reviewing the medical documentation it was determined follow-up visits were not conducted according to the doctor's recommendations.

During this investigation, it was found that the agency did not complete initial service plans or reviews for two children in care within the required timeframe according to minimum standards from 2021 to 2022 until this was corrected by the agency on 6/14/22. It was also reported that the agency had not completed service plans for their other homes prior to May 2022.

During a sampling inspection an immediate relative of the FPs was reported to be a regular/frequent visitor in the home on a weekly basis, however this person's background check is still pending. This person cannot visit the home (3 or more times in a 30 day period as reported) until their background check is eligible.