Inspirational Hope House

A staff member performed emergency behavior intervention immediately on a child in care before attempting de-escalation.

A child in care was physically assaulted by staff member at the operation.

Child in care was not released by staff member from emergency behavior intervention when the child stated it hurt them.

A staff member at the operation did not complete the post emergency behavior intervention with the child whom they performed the intervention on.

A child in care was physically assaulted by staff member at the operation.

A staff member used emergency behavior intervention to get a child in care to return a missing MP3 player.

A staff member at the operation performed an inappropriate restraint on a child in care, restricting the child's ability to breathe and causing pain.

A staff member performed emergency behavior intervention on child in care about a MP3 player to have the child return a MP3 player.

Interviews with children and staff yielded consistent and corroborated statements that a staff member used profanity while on duty in the presence of children in care.

A staff member allowed children in care to pick fleas off dogs belonging to the staff member while on an outing.

A staff member was observed attempting to intimidate and/or encourage a child in care to engage in a physical altercation with her.

A staff member directed profanity towards children in care.

The incident that lead to the report and subsequent investigation was not documented accurately and correctly. The incident report is missing the child's age, date of admission, name of child witness, and staff signature.

Based on the interviews with residents and staff, there is only one staff member supervising up to 8 children on Side B between 5am, when the children wake up, and 6:20am, when they leave for bus stop.

Out of 4 children files reviewed for compliance, 2 child records are missing the child's signature on their admission assessment.

The operation did not report quarterly EBI information within 15 days following the end of the quarter.

A staff member made inappropriate comments and showed unsuitable videos to children in care.

A 12-year-old child in care was allowed to watch a rated R movie, which contained strong violence, language, and disturbing imagery. This child reported nightmares and hallucinations after viewing this movie.

During the inspection it was observed that two bathroom showers contained mold.

During the inspection it was found that one bathroom sink had a broken knob. It was also found in another bathroom that the sink was backed up and not draining properly.

The investigator was unable to review some of the incident reports on the children, as they were illegible.

Multiple medication logs reviewed did not contain the year the medication was administered. One child's medication log did not contain the time the medication was administered. One child's medication log reviewed did not contain the signature of the staff member who administered it.

Multiple medication logs reviewed contained the incorrect pill count.

Upon review of a service plan there was inaccurate information regarding the child's recent behaviors.

There was only one evacuation posting posted downstairs in the whole operation.

The operation does not have any documented weather drills.

There are 3 previous employees still listed as active in CLASS.

It was observed staff was arguing with residents and staff was also arguing amongst each other in front of the residents.

Children in care were not appropriately supervised. There were multiple children both upstairs and downstairs in different areas of the operation with one staff member present downstairs cooking upon my arrival.

One staff member with a condition on her background check stating she cannot be left in charge at the operation was the only staff member present with the children upon my arrival.

Upon my arrival to the operation there was one staff member present with eight children who are receiving treatment services.

Multiple children in care were neglectfully supervised.

Staff members were not providing the level of supervision required per their service plans.

A staff member at the operation was not providing adequate supervision to children in care due to sleeping.

One child receiving treatment services service plan did not contain any signatures.

Upon review of documents received from IHH, Unauthorized log was not maintained for the month of March for child in care

One child's file reviewed did not contain the child's right's documentation.

One staff's file reviewed did not contain a signed statement saying they have read a copy of the operational policies.

Child in care was not taking medication as prescribed.

Service plan did not have medication listed for a child in care.

The laundry room where cleaning supplies was stored was not locked.

Documentation received from the operation contained inaccurate information and incomplete forms.

Two out of three child files reviewed contained preliminary service plans that were not signed.

One staff member's file showed conflicting information regarding their high school education. One staff members high school diploma was believed to be unauthentic.

Form is missing that a general daily schedule will be reviewed.

The operation does not currently have a designated administrator.

Form is missing a place for how they would meet immediate needs.

Form is missing a section regarding suicide screening and safety plans if needed.

Form is missing a place for reasons for choosing.

The operation needs a small medication fridge or a lock for the large fridge to store cold medications.

Form is missing a place for an initial evaluation of the placement. A place for the child's understanding and a place for whether and how they will meet the needs.

There is no inventory form for discontinued or expired meds.

Policy did not include how the operation will explain to a child in care the way to report an inappropriate EBI.

Discipline policy did not include positive measures for positive responses to appropriate behaviors. Does not include the importance of nurturing behavior, stimulation, and promptly meeting the child?s needs.