Buckner Children and Family Services, Inc.

Toddlers were left in the care of underage babysitter.

Case management did not provide foster parent support and therefore they had to use the daughter to care for the children, the agency delayed being there to assist with the care of the children.

The caregiver failed to provide adequate supervision for toddlers in care.

Cameras were being used to supervise children in care prior to the foster parents obtaining consent to do so.

Home visit is missing signature of foster parent present during the agency visit.

There is missing medical information regarding a medical visit to the doctor.

Child in care was asleep in foster parents bed.

There was food uncovered and left out on the counter and in the refrigerator.

Four agency homes' quarterly reports were missing foster parent's signature.

One child medication records has no documentation of the reason for admnistering medication.

There was no documentation that demonstrates the date of the reference.

When interviewing case manger it was discovered conditions weren't being met for the variance requested by foster parent documenting the amount of hours the child use in the baby walker and docummentation by case manager regarding the variance on the monthly notes.

There was no documatation on two floor plans reviewed that identifies children's area in the house.

There was no documentation of the health status regarding the other household mebers present at the home.

There was no documentation on the placemnet agreement regarding the reason for placement.

The adoption service plan review doesn't include the needs of the adoptive family.

Foster parent was giving prescribed medication from another child to child care.

There was no medication log for the over-the-counter medication that was given to a child in care.

Three boxes of medication were observed on top of the dining room table.

Prescribed medication was not being administered to the child in care.

There was no service plan for two of the children in care.

Child in care was not provided with medical attention on the day of the injury that required snitches.

Child was not interviewed regarding the placement.

Four children's initial service plan were nor completed within the forty-five days.

Foster parent grabbed child from the arm causing pain.

The agency staff failed to provide the appropriate support to foster parents and children in care after witnessing a disagreement between the two.

Instructions for the supervision of the children was not being followed as indicated on the initial service plan.

Information was obtained of foster parent yelling and belittling the foster children.

One employee annual training for trauma informed care has expired on August 06, 2022.

One employee annual training for normalcy has expired on August 06, 2022.

Supervisory visit documentation was not signed by foster parents.

Serious injury resulting in need for medical attention was not reported to licensing.

Caregiver admitted to co-sleeping with child in care.

Caregiver failed to administer medication as prescribed by a health care professional.

Files reviewed were missing 2 unannounced supervisory visits in the year period. Additionally, supervisory visit documentation was missing signatures.

There were no child's rights in the file for 2 children in care.

Upon reviewing home files, quarterly visit was foster parent's signatures were missing.

Cleaning supplies were observed in the home to be accessible to children in care.

The child was placed on child work table where the infant car seat tilted forward and the child sustained a head injury.

When interviewing foster parent, they admitted that their CPR had expired since January 2022. At the point of the interview in March, foster dad had not taken CPR yet, and his certification had expired January 2022. Documentation agency provided corroborated with this information.

Intake on 2.2.22, SWI#75934234, is a report for child with COVID-19 positive results. This intake does not mention any hospitalization or admission. No other intakes at a later time for hospitalizations/admissions.

4/8 child records reviewed reveaed that admission assessments were not preformed before child was assigned placement. Documentation revealed assesments were completed approximatey a month after child was placed in assigend home.

The foster home screening did not have information on a specific person to support the foster family. The home screening did not included a verification of any person identified.

2 year old child in care was left in the care of an unapproved individual by the foster parent. The foster parent was aware that individual was not approved for unsupervised contact with children in care. The child was placed at an increased risk of significant harm when left unsupervised with the individual.

The foster parent did not adhere to a safety plan when a child in care was left at the home of an individual who was restricted from being unsupervised or providing care for the child.

Inspector with RCCR performed a sampling inspection at the home on 8/17/21. Inspector was not given access to all areas of the home. A citation will be issued due to the non-compliance with Minimum Standards.

When I arrived at the residence to perform a follow up for a previous investigation the children opened the front by themselves with no adults present. It took approximately 3 minutes before an adult was present at the front door.

Two of the young children voiced that they were spanked with a brown belt but later said that no one at the home had hurt them. When interviewing foster dad he stated that CPS worker told him that the children were bad and that it was ok to threaten the children with spankings but denied that he had actually spanked them and his bio children (adults) denied being spanked as children and denied seeing the foster children be spanked.

The medications were in a kitchen cabinet out of reach to the children in a locked box. The children are also taking psychotropic medications that were not double locked. The foster parents stated that they had them double locked and used a tool box as the double lock but the tool box was moved to the shed and the medication box was then stored in the kitchen cabinet.

Children in care stated they had been spanked with belt and hands by foster parents.

Precription medications for child in carew as not stored properly in lock box. Additionally there were several OTC medications around the home accessible to children.

During the inspection foster parents files were reviewed. The four foster parents had only completed the on line portion of the training.