La Maison, LLC

During the review of the investigation, it was determined that an employee was wearing headphones during a night shift preventing auditory awareness of the surroundings.

Two staff files did not include the pre-employment screening.

Three staff did not complete The Preventing and Recognizing Youth Sexual Abuse training, and Trauma Informed Care timely. In addition, four staff did not complete Psychotropic Medication trainings with the 12 months of the previous training.

A child's 72-hour plan does not document information regarding the type of treatment services the child was admitted for, nor does it describe the goal of placement.

A child was prescribed a medication increase of 2 MG of Guanfacine 1 pill tablets on 7/25/2023. The child has 11 pills remaining at today's inspection.

During sleeping hours, a staff member was observed lying on the couch. A child in care crawled past the staff member and went into another child's room.

The backyard fence was in disrepair it had numerous sharp edges, and some parts of the fence were missing.

All the bedroom doors were removed except for 1 room.

During the course of the investigation, it was determined that the documentation in the serious incident report did not match the statements.

During the course of this investigation, it was determined a caregiver used pepper spray against a child as a response to the child's behavior.

Staff member did not demonstrate good judgement and control when they escalated a child's behaviors then responded by using a weapon that put other staff and children in care at risk.

During the course of this investigation, it was determined that a staff use profanity towards a child in care.

A caregiver did not use proper de-escalation techniques with a child in care and continued using profane or other language that escalated the altercation.

A caregiver used profane language with a child in care during an altercation.

Two children that were previously placed in care did not recived a trigger review after 3 unathroized absences with a 60 day timeframe while in care in September 2022.

Two employees did not have their TB test results documented in their file during inspection.

During the course of the investigation, it was determined that the operation did not a resolution documented on the serious incident report.

A child was inappropriately restrained.

Numerous medication logs did not have the year documented on the forms.

Of the six child files reviewed, one had a service plan team meeting invite that was sent out with less than two weeks notice.

Of the six child files reviewed, four were recommended a PCP follow-up per their CANS Assessment but there was no documentation to support that this was completed.

Of the six child files reviewed, three contained service plans that had the wrong effective and start dates documented.

A child's service plan recommended that the child participate in grief therapy and this service is not being provided to the child. Another child's CANS assessment recommended the child see a Developmental Disability Specialist and this was not done.

Of the six child files reviewed, three were not signed by the child.

Two serious incidents were not reported to Licensing.

In June 2021 a staff member violated his conditions of employment and the administrator placed the staff on disciplinary action. The disciplinary action stated the staff would be terminated if the staff violated conditions. In May 2022 the staff again violated the conditions of his employment and the administrator was made aware immediately. As of 06/13/2022 the staff is still present and employed at the operation.

Multiple windows in the facility had damaged and broken blinds.

A staff member transported children in care to the bus stop and this was against the staff member's conditions.

A caregiver shoulder checked a child in care.

A staff members background conditions were not followed.

Child's file did not have a signature in "Child's Rights" section

There are holes in the walls of two rooms. One hole in the wall next to the entry way door. The second hole was on the bathroom door in a seperate bedroom. Blinds have been damaged as well.

One child's medication file was missing dosage.

Staff did not report an incident to the hotline within appropriate time frame.

A child was seen being recorded on staff cell phone and the video assessible to others.

A child was admitted in the program on 04/22/2021. At the time of admission the child was diagnosed with Autism Spectrum Disorder. The permit type does not offer services to handle the child's level of care. The service plan does not indicate services for emotional disorder.

CBCU notified the La Maison on 6-02-2021 that a caregiver may be present at the operation on a provisional basis. On 7-26-2021 it was learned that the caregiver was present at the operation and had unsupervised contact with children in care and transported children.

The serious incedent reports did not include all names of the people restaining a child and the steps taken to deescalate the situation.

A staff member's case file did not have a diploma or High school equivalency.

A child did not receive their psychotropic medication as prescribed.

A staff member told a child in care to ?switch? them with a television cord and ?see what will happen.? Another staff member brought the television and placed it in front of the child.

Two staff members watched a child being abused by a caregiver and did not intervene.

A staff member, while using profanity, threatened to harm a 10 year old child in care. This occurred while the child sat in a corner crying and shaking. After the incident the staff member continue the behavior by calling the child?s parent a prostitute and a whore.