Children's Village and Family Service Agency, Inc.

During the inspection, I observed four of four employee records reviewed lacked Affidavit Form 2912.

During the inspection, I observed one of two first aid kits reviewed lacked a pair of waterproof gloves.

During the inspection, we observed the loose fill under the playground equipment was between 3.5-5 inches in depth.

During the inspection, we observed two of two first aid kits reviewed lacked the first aid guide.

During the inspection, we observed two of four employee records reviewed lacked proof of annual Normalcy training.

During the inspection, I observed the operation has not had a fire inspection in over 1.5 years.

During the inspection, we observed one of the three children's med log records reviewed lacked the signatures of the administering staff.

During the inspection, we observed three of three service plan updates reviewed lacked updates to the estimated length of stay. The children have exceeded the length of stay estimated in the admission assessment.

During the inspection, we observed two of three child's rights reviewed lacked documentation of the date reviewed with the child.

During the inspection, we observed three of three service plan updates lacked evaluations of effective strategies and goals for the children. The service plans also lacked evaluation of Normalcy services.

During the Inspection, we observed two of three children's medication logs lacked documentation of the prescribing doctor's information on the form.

During the after hours walkthrough, I observed three of four prescription medication logs lacked the reason the medication was prescribed.

Three of the four employee files read did not contain certificates for Medication of Administration.

During the inspection, I observed the professional test for the smoke detectors was six days overdue.

During the inspection, I observed the refrigerator and freezer in the cottage to be lacking thermometers. The house parent replaced the thermometers while I was present.

During the inspection, I observed several medication logs to have entries with the initials of an individual administerinig the meds but no full name or signature.

The Health and Sanitation inspection was due earlier this month. The most recent inspection was done on 8/8/2022 .

The main vehicle for the cottage did not have a thermometer in the First Aid Kit.

One of the First Aid Kits had numerous packets of medication, which are required to be locked.

A caregiver yelled at a foster child on more than one occasion. He also put his hand on the younger sibling's neck while guiding him to his bedroom.

None of the child records showed any documentation that the CPS caseworker was notified at least two weeks in advance of the child's plan meeting.

On two of the child plans, the implementation date was marked to be 10 days before signatures, and one plan showed an implementation date that was 28 days before the parties signed the plan.

Three of the four children's records showed that the initial medical exams were done 4, 3, and 2 days late.

On one dental exam, the bill and pictures of teeth were in the file, but there was no explanation of what was done or who the Dentist was.

During the monitoring inspection, it was observed that the freezer in Cottage A did not have a thermometer.

During the monitoring inspection,the operation did not have documentation that the automatic fire alarm system in Cottage A had been tested within the previous 12 months.

During the monitoring inspection, it was observed that the refrigerator in Cottage A did not have a thermometer.

During the inspection five fire drill were reviewed. Out of the five fire drills reviewed one did not have the designated meeting area..

In reviewing the medication logs for Cottage A they did not have a updated medication log for the children in care.

During the inspection of Cottage A medication was found not be stored in a locked container.