A World for Children

During a review conducted on August 29, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on August 27, 2025, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium weighted citation in a pattern/trend category on August 27, 2025. Specifically, the operation was cited for 749.2453(b) You must update a foster home screening- A foster home screening update may be made by using an addendum. The operation's compliance is currently pending. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements which led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

During a review conducted on February 27, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on February 7, 2025, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a high weighted citation in a pattern/trend category on February 7, 2025. Specifically, the operation was cited for 745.621(a)(7) AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605. The operation's compliance was met on 2/24/2025. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements which led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

A child in care was living in the home with a moderate level of care even though the home is only approved for basic care.

During a review conducted on August 26, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on August 7, 2024, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium weighted citation in a pattern/trend category on August 7, 2024. Specifically, the operation was cited for 749.1541(c)(6) Medication Record-Must include name & signature of person who administered each medication. The operation's compliance is pending. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements which led to heightened monitoring. Finding: 749.635(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

Based on interviews with 1 child and 1 foster parent, it was determined that a foster parent yelled at a child in care.

During a review conducted on February 23, 2024, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on February 17, 2024, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium high weighted citation in a pattern/trend category on February 17, 2024. Specifically, the operation was cited for 749.3041(1) Physical Environment-Foster home must ensure that home is safe for children, kept clean, and in good repair. The operation's compliance is pending. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements which led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations.

The foster parent stated they would make a child in care complete physical exercise as a form of discipline/punishment.

The foster home screening did not address, nor did it assess the foster parent's expectations and capacitates in their ability to adjust in care for children according to their specific needs. It also does not address anything relating to the foster father.

The foster home screening did not address any information regarding the foster father.

Medications were found in the parent's room unlocked.

During a review conducted on August 22, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring.? As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plan, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citation issued on July 19, 2023 your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium weighted citation in a pattern/trend category on July 19, 2023. Specifically, the operation was cited for 749.1461(b)Administration of Medication-Must obtain written, signed, & dated consent, for a new psychotropic medication. The operation met compliance on July 24, 2023. - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements which led to heightened monitoring

It was found that the agency did not properly verify that the foster home was licensed with other agencies and did not address the closure or identified risk within the home screening, prior to verification.

It was found that three of the foster parent?s children have not been contacted or interviewed for the home screening. No contacts of any attempts have been recorded.

Three out of three child records contained service plans that were not complete within timeframe.

During a review conducted on August 19, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific ?planned end date? at the original 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring by the original ?planned end date? necessitating previous extension. Furthermore, due to your recent citations issued on August 4, 2022, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation received a medium-weighted citation in a pattern/trend category on August 4, 2022. Specifically, the operation was cited for 749.2449(a)(5) Foster Home Screening ? Must include at least one group interview will all family members living in the home. The operation met compliance on August 11, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring

When reviewing child records, it was determined that a child in care was recommended for a follow-up visit, but this was not done for 6 months.

The foster parents admitted to using physical exercise as a consequence.

It was identified during the course of this investigation that a caregiver struck a child on their head, and struck another child on their side.

It was identified during the course of this investigation that a caregiver yelled and cursed at children in care.

It was identified during the course of this investigation that children in care were physically directed to sit down in a chair, when the children refused to sit down, and this action was characterized by a caregiver as inherently aggressive.