New Life Childrens Treatment Center
License Information
- Status
- Licensed
- License #
- 503875
- Expires
- September 16, 2026
- Licensed Capacity
- 60 children
- Licensing Agency
- Texas HHSC
Data from Texas HHSC. Updated 2/24/2026.
State recordsInspection History
608 records- assessment#862394216
No violations found. All areas in compliance.
No violations
- routine#862194734
No violations found. All areas in compliance.
No violations
- routine#862194733
No violations found. All areas in compliance.
No violations
- routine#862194732
No violations found. All areas in compliance.
No violations
- complaint#862343870
No violations found. All areas in compliance.
No violations
- routine#862194731
No violations found. All areas in compliance.
No violations
- routine#862194730
No violations found. All areas in compliance.
No violations
- routine#862194729
No violations found. All areas in compliance.
No violations
- complaint#862343869
No violations found. All areas in compliance.
No violations
- routine#862194728
No violations found. All areas in compliance.
No violations
- routine#862194727
No violations found. All areas in compliance.
No violations
- routine#862194726
No violations found. All areas in compliance.
No violations
- routine#862194725
No violations found. All areas in compliance.
No violations
- routine#862194724
No violations found. All areas in compliance.
No violations
- routine#862194723
No violations found. All areas in compliance.
No violations
- routine#862194722
No violations found. All areas in compliance.
No violations
- routine#862194721
No violations found. All areas in compliance.
No violations
- routine#862194720
No violations found. All areas in compliance.
No violations
- self-report#862343868
No violations found. All areas in compliance.
No violations
- routine#862194719
No violations found. All areas in compliance.
No violations
- routine#862194718
No violations found. All areas in compliance.
No violations
- routine#862194717
No violations found. All areas in compliance.
No violations
- routine#862194716
No violations found. All areas in compliance.
No violations
- assessment#862394215
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on August 19, 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 citations issued on June 6, 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 June 6, 2025. Specifically, the operation was cited for 748.685(a)(4): Caregiver responsibility - During DFPS investigation staff reported having earphones on and admitted to having their eyes closed while working the overnight shift. The purpose of this standard is to protect the health, safety, and well-being of children by ensuring adequate supervision. Supervision is a basic element to the prevention of harm. The operation met compliance on 7/10/2025. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with high weighted licensing citation. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
748.535(2)Corrected 2025-08-20 - routine#862194715
No violations found. All areas in compliance.
No violations
- complaint#862343867
No violations found. All areas in compliance.
No violations
- routine#862194714
No violations found. All areas in compliance.
No violations
- self-report#862343866
No violations found. All areas in compliance.
No violations
- routine#862194713
No violations found. All areas in compliance.
No violations
- routine#862194712
No violations found. All areas in compliance.
No violations
- complaint#862343865
No violations found. All areas in compliance.
No violations
- complaint#862343864
No violations found. All areas in compliance.
No violations
- routine#862194711
No violations found. All areas in compliance.
No violations
- routine#862194710
No violations found. All areas in compliance.
No violations
- routine#862194709
No violations found. All areas in compliance.
No violations
- routine#862194708
No violations found. All areas in compliance.
No violations
- complaint#862343863
No violations found. All areas in compliance.
No violations
- complaint#862343862
No violations found. All areas in compliance.
No violations
- self-report#862343861
No violations found. All areas in compliance.
No violations
- routine#862194707
No violations found. All areas in compliance.
No violations
- self-report#862343860
No violations found. All areas in compliance.
No violations
- routine#862194706
No violations found. All areas in compliance.
No violations
- self-report#862343859
No violations found. All areas in compliance.
No violations
- routine#862194705
No violations found. All areas in compliance.
No violations
- self-report#862343858
No violations found. All areas in compliance.
No violations
- routine#862194704
No violations found. All areas in compliance.
No violations
- routine#862194703
No violations found. All areas in compliance.
No violations
- self-report#862343857
No violations found. All areas in compliance.
No violations
- self-report#862343856
2 violations found (1 high, 1 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumSuicide screening that was provided was denied to have been completed by staff and child in care.
748.151(3)Corrected 2025-07-31Suicide Screening- Must be administered immediately if the child exhibits warning signs that necessitate a suicide screening be conducted.
HighSuicide screening was not completed immediately after child in care was found with a t-shirt around their neck.
748.125(d)(4)(E)Corrected 2025-07-31 - routine#862194702
No violations found. All areas in compliance.
No violations
- routine#862194701
No violations found. All areas in compliance.
No violations
- routine#862194700
No violations found. All areas in compliance.
No violations
- routine#862194699
No violations found. All areas in compliance.
No violations
- routine#862194698
No violations found. All areas in compliance.
No violations
- self-report#862343855
No violations found. All areas in compliance.
No violations
- self-report#862343854
No violations found. All areas in compliance.
No violations
- routine#862194697
1 violation found (1 high severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighThe medication count was documented incorrectly on the med log for a child s prescribed medication.
748.2151(d)Corrected 2025-05-27 - complaint#862343853
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighDuring DFPS investigation staff reported having earphones on and admitted to having their eyes closed while working the overnight shift.
748.685(a)(4)Corrected 2025-07-10 - routine#862194696
No violations found. All areas in compliance.
No violations
- routine#862194695
No violations found. All areas in compliance.
No violations
- self-report#862343852
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighA child in care, with identified high risk behaviors, was not provided 15-minute wellness checks and was left alone in the residence by a staff member.
748.685(a)(4)Corrected 2025-06-13 - complaint#862343851
No violations found. All areas in compliance.
No violations
- routine#862194694
No violations found. All areas in compliance.
No violations
- routine#862194693
No violations found. All areas in compliance.
No violations
- complaint#862343850
No violations found. All areas in compliance.
No violations
- routine#862194692
No violations found. All areas in compliance.
No violations
- self-report#862343849
No violations found. All areas in compliance.
No violations
- routine#862194691
No violations found. All areas in compliance.
No violations
- self-report#862343848
No violations found. All areas in compliance.
No violations
- routine#862194690
No violations found. All areas in compliance.
No violations
- routine#862194689
No violations found. All areas in compliance.
No violations
- routine#862194687
No violations found. All areas in compliance.
No violations
- routine#862194688
No violations found. All areas in compliance.
No violations
- routine#862194686
No violations found. All areas in compliance.
No violations
- complaint#862343847
No violations found. All areas in compliance.
No violations
- routine#862194685
No violations found. All areas in compliance.
No violations
- routine#862194684
1 violation found (1 medium severity).
Fire Extinguisher-Must inspect fire extinguisher(s) monthly
MediumFire extinguisher are NOT being inspected monthly.
748.3115Corrected 2025-03-17 - routine#862194683
No violations found. All areas in compliance.
No violations
- routine#862194682
No violations found. All areas in compliance.
No violations
- routine#862194681
No violations found. All areas in compliance.
No violations
- routine#862194680
No violations found. All areas in compliance.
No violations
- self-report#862343846
No violations found. All areas in compliance.
No violations
- assessment#862394214
No violations found. All areas in compliance.
No violations
- complaint#862343845
No violations found. All areas in compliance.
No violations
- complaint#862343844
No violations found. All areas in compliance.
No violations
- complaint#862343843
No violations found. All areas in compliance.
No violations
- routine#862194679
No violations found. All areas in compliance.
No violations
- assessment#862394213
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on February 13, 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 citations issued on December 16th, 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 high weighted citation in a pattern/trend category on December 16, 2024. Specifically, the operation was cited for 748.685(a)(3): Caregiver responsibility - Child in care was left unsupervised inside the dorm. The purpose of this standard is to protect the health, safety, and well-being of children by ensuring adequate supervision. Supervision is a basic element to the prevention of harm. The operation met compliance on 1/01/2025. - Operation failed to satisfy the conditions of the plan. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. - Operation was unable to meet compliance with high weighted licensing citation. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.
748.535(2)Corrected 2025-02-14 - routine#862194678
No violations found. All areas in compliance.
No violations
- routine#862194677
No violations found. All areas in compliance.
No violations
- self-report#862343842
No violations found. All areas in compliance.
No violations
- complaint#862343841
No violations found. All areas in compliance.
No violations
- routine#862194676
No violations found. All areas in compliance.
No violations
- routine#862194675
No violations found. All areas in compliance.
No violations
- complaint#862343840
2 violations found (2 high severity).
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighCaregivers and children provided corroborating information that a staff member behaved inappropriately with children in care.
748.507(1)Corrected 2025-03-04Children's rights-Adhere to the child's right to receive fair treatment
HighIt was confirmed that a staff member gave gifts to a child and showed them preferential treatment.
748.1101(b)(1)(C)Corrected 2025-03-04 - routine#862194674
No violations found. All areas in compliance.
No violations
- assessment#862394212
No violations found. All areas in compliance.
No violations
- routine#862194673
No violations found. All areas in compliance.
No violations
- complaint#862343839
No violations found. All areas in compliance.
No violations
- routine#862194672
No violations found. All areas in compliance.
No violations
- complaint#862343838
No violations found. All areas in compliance.
No violations
- complaint#862343837
No violations found. All areas in compliance.
No violations
- routine#862194671
No violations found. All areas in compliance.
No violations
- routine#862194670
No violations found. All areas in compliance.
No violations
- routine#862194669
No violations found. All areas in compliance.
No violations
- self-report#862343836
1 violation found (1 high severity).
Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HighOn video, a staff member was seen shoving a child to prevent them from going into the room of a peer.
748.2307(1)Corrected 2025-02-17 - routine#862194668
No violations found. All areas in compliance.
No violations
- routine#862194667
No violations found. All areas in compliance.
No violations
- routine#862194666
No violations found. All areas in compliance.
No violations
- routine#862194665
No violations found. All areas in compliance.
No violations
- routine#862194664
No violations found. All areas in compliance.
No violations
- routine#862194663
No violations found. All areas in compliance.
No violations
- self-report#862343835
No violations found. All areas in compliance.
No violations
- self-report#862343834
No violations found. All areas in compliance.
No violations
- routine#862194662
No violations found. All areas in compliance.
No violations
- complaint#862343833
1 violation found (1 high severity).
Caregiver responsibility - being aware of and accountable for each child's on-going activity
HighChild in care was left unsupervised inside the dorm.
748.685(a)(3)Corrected 2024-12-23 - complaint#862343832
No violations found. All areas in compliance.
No violations
- routine#862194661
No violations found. All areas in compliance.
No violations
- routine#862194660
No violations found. All areas in compliance.
No violations
- self-report#862343831
No violations found. All areas in compliance.
No violations
- routine#862194659
No violations found. All areas in compliance.
No violations
- self-report#862343830
No violations found. All areas in compliance.
No violations
- routine#862194658
No violations found. All areas in compliance.
No violations
- complaint#862343829
No violations found. All areas in compliance.
No violations
- self-report#862343828
No violations found. All areas in compliance.
No violations
- routine#862194657
No violations found. All areas in compliance.
No violations
- routine#862194656
No violations found. All areas in compliance.
No violations
- complaint#862343827
No violations found. All areas in compliance.
No violations
- routine#862194655
No violations found. All areas in compliance.
No violations
- routine#862194654
No violations found. All areas in compliance.
No violations
- routine#862194653
No violations found. All areas in compliance.
No violations
- routine#862194652
No violations found. All areas in compliance.
No violations
- routine#862194650
No violations found. All areas in compliance.
No violations
- routine#862194651
No violations found. All areas in compliance.
No violations
- complaint#862343826
No violations found. All areas in compliance.
No violations
- complaint#862343825
1 violation found (1 medium severity).
Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
MediumThe operation did not report a diagnosed communicable disease to licensing.
748.303(a)(11)(A)Corrected 2024-11-13 - routine#862194649
No violations found. All areas in compliance.
No violations
- routine#862194648
No violations found. All areas in compliance.
No violations
- routine#862194647
No violations found. All areas in compliance.
No violations
- self-report#862343824
No violations found. All areas in compliance.
No violations
- routine#862194646
No violations found. All areas in compliance.
No violations
- routine#862194645
No violations found. All areas in compliance.
No violations
- assessment#862394211
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on August 12, 2024, 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 June 03, 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 failure of your operation?s administrator to ensure compliance include the following: The operation received a medium high weighted citation in a pattern/trend category on June 03, 2024. Specifically, the operation was cited for 748.125(d)3: Suicide Screening - Document that any person conducting a suicide screening meets the conditions and training requirements. Compliance of deficiency was met on July 02, 2024. - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring - Operation was unable to meet compliance with medium high weighted licensing citation. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
748.535(2)Corrected 2024-08-13 - routine#862194644
No violations found. All areas in compliance.
No violations
- routine#862194643
No violations found. All areas in compliance.
No violations
- routine#862194642
No violations found. All areas in compliance.
No violations
- complaint#862343823
No violations found. All areas in compliance.
No violations
- complaint#862343822
No violations found. All areas in compliance.
No violations
- routine#862194641
No violations found. All areas in compliance.
No violations
- routine#862194640
No violations found. All areas in compliance.
No violations
- complaint#862343821
No violations found. All areas in compliance.
No violations
- routine#862194639
No violations found. All areas in compliance.
No violations
- self-report#862343820
No violations found. All areas in compliance.
No violations
- self-report#862343819
No violations found. All areas in compliance.
No violations
- routine#862194638
No violations found. All areas in compliance.
No violations
- routine#862194637
No violations found. All areas in compliance.
No violations
- routine#862194636
No violations found. All areas in compliance.
No violations
- routine#862194634
No violations found. All areas in compliance.
No violations
- routine#862194635
No violations found. All areas in compliance.
No violations
- complaint#862343818
No violations found. All areas in compliance.
No violations
- routine#862194633
No violations found. All areas in compliance.
No violations
- routine#862194631
No violations found. All areas in compliance.
No violations
- routine#862194632
No violations found. All areas in compliance.
No violations
- routine#862194630
No violations found. All areas in compliance.
No violations
- routine#862194629
No violations found. All areas in compliance.
No violations
- complaint#862343817
No violations found. All areas in compliance.
No violations
- routine#862194627
No violations found. All areas in compliance.
No violations
- routine#862194628
No violations found. All areas in compliance.
No violations
- complaint#862343816
1 violation found (1 high severity).
Suicide Screening- Document that any person conducting a suicide screening meets the conditions and training requirements.
HighThe operation provided an intake suicide screening tool used at admission on a child in care with no documentation of the personnel who administered the tool having the training to do so.
748.125(d)(3)Corrected 2024-06-17 - complaint#862343815
No violations found. All areas in compliance.
No violations
- routine#862194626
No violations found. All areas in compliance.
No violations
- self-report#862343814
1 violation found (1 high severity).
Medical care-A child in care must receive medical care as needed for injury, illness, and pain
HighA child in care did not receive medical treatment for a fracture until two days after their injury.
748.1531(a)(2)Corrected 2024-07-12 - complaint#862343813
No violations found. All areas in compliance.
No violations
- routine#862194625
No violations found. All areas in compliance.
No violations
- routine#862194624
No violations found. All areas in compliance.
No violations
- routine#862194623
No violations found. All areas in compliance.
No violations
- self-report#862343812
No violations found. All areas in compliance.
No violations
- routine#862194622
No violations found. All areas in compliance.
No violations
- routine#862194621
No violations found. All areas in compliance.
No violations
- routine#862194620
No violations found. All areas in compliance.
No violations
- self-report#862343811
No violations found. All areas in compliance.
No violations
- self-report#862343810
No violations found. All areas in compliance.
No violations
- complaint#862343809
No violations found. All areas in compliance.
No violations
- routine#862194619
No violations found. All areas in compliance.
No violations
- routine#862194618
No violations found. All areas in compliance.
No violations
- routine#862194617
1 violation found (1 high severity).
Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HighAccording to an incident report reviewed, a child disclosed of past sexual abuse. A report was not made to licensing until three days after a staff member and therapist became aware.
748.303(a)(3)(A)Corrected 2024-04-16 - complaint#862343808
No violations found. All areas in compliance.
No violations
- self-report#862343807
No violations found. All areas in compliance.
No violations
- complaint#862343806
No violations found. All areas in compliance.
No violations
- self-report#862343805
No violations found. All areas in compliance.
No violations
- routine#862194616
No violations found. All areas in compliance.
No violations
- routine#862194615
No violations found. All areas in compliance.
No violations
- routine#862194614
No violations found. All areas in compliance.
No violations
- self-report#862343804
No violations found. All areas in compliance.
No violations
- routine#862194613
No violations found. All areas in compliance.
No violations
- complaint#862343803
No violations found. All areas in compliance.
No violations
- complaint#862343802
No violations found. All areas in compliance.
No violations
- complaint#862343801
No violations found. All areas in compliance.
No violations
- routine#862194611
No violations found. All areas in compliance.
No violations
- routine#862194612
No violations found. All areas in compliance.
No violations
- routine#862194610
No violations found. All areas in compliance.
No violations
- complaint#862343800
No violations found. All areas in compliance.
No violations
- self-report#862343799
No violations found. All areas in compliance.
No violations
- routine#862194609
No violations found. All areas in compliance.
No violations
- complaint#862343798
No violations found. All areas in compliance.
No violations
- complaint#862343797
No violations found. All areas in compliance.
No violations
- complaint#862343796
1 violation found (1 high severity).
Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
HighMedical consenter was not notified child in care received prescription medication until after the medication was given.
748.2001(a)Corrected 2024-05-03 - routine#862194608
No violations found. All areas in compliance.
No violations
- self-report#862343795
No violations found. All areas in compliance.
No violations
- self-report#862343794
No violations found. All areas in compliance.
No violations
- self-report#862343793
1 violation found (1 high severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HighTwo children in care were involved in a physical altercation. When staff separated the children, this left other residents unsupervised leading to another child in care being assaulted.
748.685(a)(5)Corrected 2024-05-10 - routine#862194607
No violations found. All areas in compliance.
No violations
- routine#862194606
No violations found. All areas in compliance.
No violations
- complaint#862343792
No violations found. All areas in compliance.
No violations
- self-report#862343791
No violations found. All areas in compliance.
No violations
- routine#862194605
No violations found. All areas in compliance.
No violations
- routine#862194603
No violations found. All areas in compliance.
No violations
- routine#862194604
No violations found. All areas in compliance.
No violations
- complaint#862343790
No violations found. All areas in compliance.
No violations
- self-report#862343789
No violations found. All areas in compliance.
No violations
- self-report#862343788
No violations found. All areas in compliance.
No violations
- self-report#862343787
No violations found. All areas in compliance.
No violations
- routine#862194602
No violations found. All areas in compliance.
No violations
- complaint#862343786
No violations found. All areas in compliance.
No violations
- self-report#862343785
No violations found. All areas in compliance.
No violations
- routine#862194601
No violations found. All areas in compliance.
No violations
- complaint#862343784
No violations found. All areas in compliance.
No violations
- complaint#862343783
No violations found. All areas in compliance.
No violations
- self-report#862343782
No violations found. All areas in compliance.
No violations
- routine#862194600
No violations found. All areas in compliance.
No violations
- routine#862194599
No violations found. All areas in compliance.
No violations
- self-report#862343781
No violations found. All areas in compliance.
No violations
- assessment#862394210
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on February 8, 2024, 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 February 1, 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 failure of your operation?s administrator to ensure compliance include the following: The operation received a medium weighted citation in a pattern/trend category on February 1, 2024. Specifically, the operation was cited for 748.2151(c)(6): Medication record - must include name & signature of person who administered each medication. The purpose of the signature is to be able to identify the person who administered a specific medication to a child if a concern arises later about that medication. Compliance of deficiency remains 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 that led to heightened monitoring Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
748.535(2)Corrected 2024-02-09 - routine#862194598
1 violation found (1 medium severity).
Medication record - must include name & signature of person who administered each medication
MediumThe name/sigature of the staff who administered medications to a child in care was missing from the medication log.
748.2151(c)(6)Corrected 2024-02-07 - complaint#862343780
No violations found. All areas in compliance.
No violations
- self-report#862343779
No violations found. All areas in compliance.
No violations
- routine#862194597
No violations found. All areas in compliance.
No violations
- routine#862194596
No violations found. All areas in compliance.
No violations
- complaint#862343778
No violations found. All areas in compliance.
No violations
- routine#862194595
No violations found. All areas in compliance.
No violations
- self-report#862343777
No violations found. All areas in compliance.
No violations
- complaint#862343776
No violations found. All areas in compliance.
No violations
- complaint#862343775
2 violations found (2 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighFive children in care were left unattended on unit for ten minutes. During this time, one child pushes two children.
748.685(a)(4)Corrected 2024-02-16Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HighMultiple staff became aware of indications of neglectful supervision on the day it occurred. An incident report was not written at this time. The incident was called into the hotline 3 days after awareness.
748.303(a)(3)(A)Corrected 2024-02-16 - self-report#862343774
No violations found. All areas in compliance.
No violations
- routine#862194594
No violations found. All areas in compliance.
No violations
- self-report#862343773
No violations found. All areas in compliance.
No violations
- routine#862194593
No violations found. All areas in compliance.
No violations
- routine#862194592
No violations found. All areas in compliance.
No violations
- self-report#862343772
No violations found. All areas in compliance.
No violations
- self-report#862343771
No violations found. All areas in compliance.
No violations
- complaint#862343770
No violations found. All areas in compliance.
No violations
- routine#862194591
No violations found. All areas in compliance.
No violations
- complaint#862343769
No violations found. All areas in compliance.
No violations
- routine#862194590
No violations found. All areas in compliance.
No violations
- routine#862194589
No violations found. All areas in compliance.
No violations
- self-report#862343768
No violations found. All areas in compliance.
No violations
- complaint#862343767
No violations found. All areas in compliance.
No violations
- complaint#862343766
No violations found. All areas in compliance.
No violations
- complaint#862343765
No violations found. All areas in compliance.
No violations
- routine#862194588
No violations found. All areas in compliance.
No violations
- routine#862194587
No violations found. All areas in compliance.
No violations
- complaint#862343764
No violations found. All areas in compliance.
No violations
- routine#862194585
No violations found. All areas in compliance.
No violations
- routine#862194586
No violations found. All areas in compliance.
No violations
- complaint#862343763
No violations found. All areas in compliance.
No violations
- complaint#862343762
No violations found. All areas in compliance.
No violations
- routine#862194584
No violations found. All areas in compliance.
No violations
- complaint#862343761
1 violation found (1 high severity).
On Call Staff-A person designated to handle emergencies must be on call and accessible to caregivers
HighTwo children were in a physical altercation and the staff supervising was unable to intervene successfully to prevent harm to a child. Support staff was not available to respond immediately to the incident. The child involved had a history of physical altercations requiring safety precautions.
748.537(a)Corrected 2023-12-28 - routine#862194582
No violations found. All areas in compliance.
No violations
- routine#862194583
No violations found. All areas in compliance.
No violations
- routine#862194581
No violations found. All areas in compliance.
No violations
- routine#862194580
No violations found. All areas in compliance.
No violations
- assessment#862394209
1 violation found (1 high severity).
Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
HighDuring a walkthrough of the cottage, hair and other debris was found on the bathroom sink counter and the floor.
748.3351(1)Corrected 2023-11-22 - self-report#862343760
No violations found. All areas in compliance.
No violations
- self-report#862343759
No violations found. All areas in compliance.
No violations
- routine#862194579
No violations found. All areas in compliance.
No violations
- complaint#862343758
No violations found. All areas in compliance.
No violations
- complaint#862343757
No violations found. All areas in compliance.
No violations
- complaint#862343756
No violations found. All areas in compliance.
No violations
- routine#862194578
No violations found. All areas in compliance.
No violations
- routine#862194577
No violations found. All areas in compliance.
No violations
- routine#862194576
1 violation found (1 high severity).
Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
HighEmergency evacuation signs did not notate a designated relocation area outside the operation.
748.3233(b)(2)Corrected 2023-11-10 - complaint#862343755
No violations found. All areas in compliance.
No violations
- routine#862194575
No violations found. All areas in compliance.
No violations
- routine#862194574
No violations found. All areas in compliance.
No violations
- complaint#862343754
No violations found. All areas in compliance.
No violations
- complaint#862343753
No violations found. All areas in compliance.
No violations
- complaint#862343752
No violations found. All areas in compliance.
No violations
- routine#862194573
No violations found. All areas in compliance.
No violations
- routine#862194572
No violations found. All areas in compliance.
No violations
- routine#862194571
No violations found. All areas in compliance.
No violations
- complaint#862343751
No violations found. All areas in compliance.
No violations
- routine#862194570
2 violations found (2 high severity).
Protective Surfacing-If loose-fill surfacing materials are used, the operation must install 9 inches or more of uncompressed loose-fill material
HighLicensing observed and photographed the surfacing material under the swings to be worn to down to the earth and the surrounding surfacing material to be compacted.
748.3563(c)Corrected 2023-10-18Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighTwo direct care staff admitted to using profane language in the presence of children in care.
748.507(1)Corrected 2023-11-03 - complaint#862343750
No violations found. All areas in compliance.
No violations
- complaint#862343749
No violations found. All areas in compliance.
No violations
- routine#862194569
No violations found. All areas in compliance.
No violations
- complaint#862343748
1 violation found (1 high severity).
Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighA child was escorted by police to a psychiatric hospital. Operation staff did not accompany the child. At the hospital, the child filled out the admission's paperwork and listed an unauthorized parent. The individual was able to gain knowledge of the incident and child?s whereabouts.
748.507(1)Corrected 2023-11-10 - self-report#862343747
2 violations found (2 high severity).
Nutrition-Provide food of adequate variety, quality, and in sufficient quantity to supply the nutrients needed for proper growth and development
HighDuring face to face interviews of the victim and collateral children, all five children in care stated they do not receive a sufficient quantity of food at meal times and are not allowed seconds even if they state they are hungry. All five also stated alternatives are not provided.
748.1693(a)(1)Corrected 2023-10-25EBI Release-Child released from personal restraint as soon as child is not a danger to self or others
HighDuring the second restraint the child was observed being quiet and still for several minutes. Staff did not provide an opportunity for the child to be released.
748.2553(2)(C)Corrected 2023-10-25 - routine#862194568
No violations found. All areas in compliance.
No violations
- complaint#862343746
No violations found. All areas in compliance.
No violations
- complaint#862343745
No violations found. All areas in compliance.
No violations
- routine#862194567
No violations found. All areas in compliance.
No violations
- complaint#862343744
No violations found. All areas in compliance.
No violations
- routine#862194566
No violations found. All areas in compliance.
No violations
- routine#862194565
No violations found. All areas in compliance.
No violations
- routine#862194564
No violations found. All areas in compliance.
No violations
- routine#862194562
No violations found. All areas in compliance.
No violations
- routine#862194563
No violations found. All areas in compliance.
No violations
- self-report#862343743
No violations found. All areas in compliance.
No violations
- routine#862194561
No violations found. All areas in compliance.
No violations
- routine#862194560
No violations found. All areas in compliance.
No violations
- routine#862194559
No violations found. All areas in compliance.
No violations
- complaint#862343742
No violations found. All areas in compliance.
No violations
- routine#862194558
No violations found. All areas in compliance.
No violations
- self-report#862343741
No violations found. All areas in compliance.
No violations
- self-report#862343740
1 violation found (1 high severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HighVideo footage showed that staff allowed resident to walk past them while at the same time a dispute between residents in their room was happening and another staff was trying to handle the situation behind them. Staff in the hallway didn't attempt to prevent the resident from running into the other resident's dorm which led to punching the victim.
748.685(a)(5)Corrected 2023-10-18 - assessment#862394208
1 violation found (1 high severity).
AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on August 8, 2023, 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 3, 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 failure of your operation?s administrator to ensure compliance include the following: The operation received a high weighted citation in a pattern/trend category on August 3,2023. Specifically, the operation was cited for 748.685(a)(4) Caregiver responsibility - being able to intervene when necessary to ensure child's safety. The operation has until August 16, 2023, to meet compliance on. - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring - Operation was unable to meet compliance with High weighted licensing citations Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
748.535(2)Corrected 2023-08-09 - self-report#862343739
No violations found. All areas in compliance.
No violations
- routine#862194557
No violations found. All areas in compliance.
No violations
- routine#862194556
No violations found. All areas in compliance.
No violations
- self-report#862343738
No violations found. All areas in compliance.
No violations
- routine#862194555
No violations found. All areas in compliance.
No violations
- routine#862194554
No violations found. All areas in compliance.
No violations
- routine#862194553
No violations found. All areas in compliance.
No violations
- routine#862194552
No violations found. All areas in compliance.
No violations
- self-report#862343737
No violations found. All areas in compliance.
No violations
- complaint#862343736
No violations found. All areas in compliance.
No violations
- routine#862194551
No violations found. All areas in compliance.
No violations
- self-report#862343735
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighDirect care staff admitted a child in care was left behind in a residential area for 30 minutes. The child in care was not supposed to be alone for more than 15 minutes as per the child in care's service plan. Video footage also confirms this.
748.685(a)(4)Corrected 2023-08-16 - routine#862194549
No violations found. All areas in compliance.
No violations
- routine#862194550
No violations found. All areas in compliance.
No violations
- routine#862194548
No violations found. All areas in compliance.
No violations
- routine#862194547
No violations found. All areas in compliance.
No violations
- self-report#862343734
No violations found. All areas in compliance.
No violations
- routine#862194546
No violations found. All areas in compliance.
No violations
- routine#862194545
1 violation found (1 high severity).
Medication record - must include date (day/month/year) & time each medication was administered
HighMedication administration was observed between 8:40 am and 8:51 am. The medication record was not updated from the scheduled medication administration time of 8 am. The time was not documented with the correct time of administration.
748.2151(c)(5)Corrected 2023-06-16 - routine#862194544
No violations found. All areas in compliance.
No violations
- self-report#862343733
No violations found. All areas in compliance.
No violations
- routine#862194543
No violations found. All areas in compliance.
No violations
- complaint#862343732
No violations found. All areas in compliance.
No violations
- routine#862194542
No violations found. All areas in compliance.
No violations
- routine#862194541
No violations found. All areas in compliance.
No violations
- self-report#862343731
No violations found. All areas in compliance.
No violations
- routine#862194540
No violations found. All areas in compliance.
No violations
- complaint#862343730
5 violations found (5 high severity).
Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
HighThe incident was witnessed by two staff members and not reported by either. One staff interviewed states a supervisor and manager were also made aware of the incident on the day it occurred. An incident report was not completed at the time of the incident.
748.303(a)(3)(A)Corrected 2023-07-03Emergency Behavior Intervention-Never used as a means to get a child to comply
HighA child was restrained by plugging of the nose by one staff while the nurse held the child in place in an attempt to have the child swallow their medication.
748.2463(3)Corrected 2023-07-03Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
HighA child's nose was plugged by staff which restricted the child's breathing.
748.2461(b)(3)Corrected 2023-07-03Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HighIn observing video footage, the staff slaps the child's hand.
748.1101(b)(4)(A)(ii)Corrected 2023-07-03Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
HighFrom witness interviews and video footage, a staff states, "it works on dogs to hold their nose closed." after plugging a child's nose.
748.2307(1)Corrected 2023-07-03 - routine#862194539
No violations found. All areas in compliance.
No violations
- complaint#862343729
No violations found. All areas in compliance.
No violations
- complaint#862343728
2 violations found (1 high, 1 medium severity).
Caregiver responsibility - ensure continuity of care by sharing information concerning each child with incoming caregivers
HighCaregivers and Medical staff were unaware of child's self-harming incident reported on 5/3/23 per interviews. Medical information was not shared from shift to shift according to interviews with nursing staff and caregivers. This information was also not documented in shift communication or progress notes observed.
748.685(c)(5)Corrected 2023-07-17Implement and follow the children's service plans.
MediumA child's service plan was not followed when the child self-harmed and a safety plan was not put in place. The child's service plan states due to the child's high risk of self-harming behaviors a safety plan should be implemented following this type of incident.
748.685(c)(6)Corrected 2023-07-17 - self-report#862343727
No violations found. All areas in compliance.
No violations
- self-report#862343726
No violations found. All areas in compliance.
No violations
- routine#862194538
No violations found. All areas in compliance.
No violations
- self-report#862343725
No violations found. All areas in compliance.
No violations
- routine#862194537
No violations found. All areas in compliance.
No violations
- complaint#862343724
1 violation found (1 medium severity).
No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
MediumA child in care was restrained and caseworker was not notified in a timely manner.
748.2857(a)Corrected 2023-06-23 - routine#862194536
No violations found. All areas in compliance.
No violations
- self-report#862343723
No violations found. All areas in compliance.
No violations
- routine#862194535
No violations found. All areas in compliance.
No violations
- routine#862194534
No violations found. All areas in compliance.
No violations
- routine#862194532
No violations found. All areas in compliance.
No violations
- routine#862194533
No violations found. All areas in compliance.
No violations
- routine#862194531
No violations found. All areas in compliance.
No violations
- complaint#862343722
No violations found. All areas in compliance.
No violations
- complaint#862343721
No violations found. All areas in compliance.
No violations
- complaint#862343720
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighOne staff member fell asleep while counted in ratio. Video footage shows the staff's alarm sounding and children waking her. The incident was confirmed in child interviews.
748.685(a)(4)Corrected 2023-04-12 - complaint#862343719
No violations found. All areas in compliance.
No violations
- routine#862194530
No violations found. All areas in compliance.
No violations
- routine#862194529
No violations found. All areas in compliance.
No violations
- routine#862194528
No violations found. All areas in compliance.
No violations
- routine#862194527
No violations found. All areas in compliance.
No violations
- complaint#862343718
No violations found. All areas in compliance.
No violations
- complaint#862343717
No violations found. All areas in compliance.
No violations
- assessment#862394207
No violations found. All areas in compliance.
No violations
- self-report#862343716
No violations found. All areas in compliance.
No violations
- routine#862194526
No violations found. All areas in compliance.
No violations
- routine#862194525
No violations found. All areas in compliance.
No violations
- self-report#862343715
2 violations found (2 high severity).
Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HighTwo staff interviewed made statements that the staff to child ratio exceeded 1:5 during the incident. One staff said there were eight children. Another said there were at least six children. Interviews confirm two staff were present, however, one staff was in observations and not counted into ratio on the day of the incident. Management confirms the staff was not counted into ratio during their interview.
748.1003(a)Corrected 2023-03-15Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighThe child was not supervised in the staff only area allowing access to a craft knife which was later used for self-harming.
748.685(a)(4)Corrected 2023-03-15 - self-report#862343714
No violations found. All areas in compliance.
No violations
- self-report#862343713
No violations found. All areas in compliance.
No violations
- routine#862194524
1 violation found (1 medium severity).
Administration of prescription medication-Administer each child's medication within one hour of preparation
MediumMedication was prepared four hours before time of administration.
748.2003(b)(4)Corrected 2023-01-24 - complaint#862343712
No violations found. All areas in compliance.
No violations
- complaint#862343711
No violations found. All areas in compliance.
No violations
- routine#862194523
No violations found. All areas in compliance.
No violations
- routine#862194522
No violations found. All areas in compliance.
No violations
- routine#862194521
No violations found. All areas in compliance.
No violations
- complaint#862343710
2 violations found (2 high severity).
Caregiver responsibility - being able to intervene when necessary to ensure child's safety
HighIn video footage reviewed, the caregiver exhibits a lack of urgency and fails to protect the child from harm. Body positioning was not positioned to protect the child from injury. The aggressive child was not restrained, and the targeted child was not removed.
748.685(a)(5)Corrected 2023-02-03Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
HighAfter reviewing video footage, EBI curriculum, and staff statements, Emergency Behavioral Intervention training was not utilized on the aggressive child as required by the extent of possible physical injury. The child's hair was pulled twice, and she was kicked four times prior to the caregiver pulling out phone to call for assistance. The decision was made not to restrain the aggressive child without assistance despite the behaviors needing further management.
748.507(1)Corrected 2023-02-03 - routine#862194520
1 violation found (1 high severity).
Bathrooms-Must be maintained in good repair & kept clean
HighShower was dirty and coming apart from wall.
748.3391(a)Corrected 2022-12-30 - routine#862194519
No violations found. All areas in compliance.
No violations
- self-report#862343709
No violations found. All areas in compliance.
No violations
- routine#862194518
No violations found. All areas in compliance.
No violations
- routine#862194517
No violations found. All areas in compliance.
No violations
- self-report#862343708
1 violation found (1 high severity).
Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
HighStaff member used profanity and yelled at children in care.
748.2307(8)Corrected 2023-01-13 - routine#862194516
No violations found. All areas in compliance.
No violations
- routine#862194515
No violations found. All areas in compliance.
No violations
- routine#862194514
No violations found. All areas in compliance.
No violations
- self-report#862343707
No violations found. All areas in compliance.
No violations
- routine#862194513
No violations found. All areas in compliance.
No violations
- routine#862194512
No violations found. All areas in compliance.
No violations
- self-report#862343706
No violations found. All areas in compliance.
No violations
- routine#862194511
No violations found. All areas in compliance.
No violations
- routine#862194510
No violations found. All areas in compliance.
No violations
- self-report#862343705
No violations found. All areas in compliance.
No violations
- routine#862194509
No violations found. All areas in compliance.
No violations
- self-report#862343704
No violations found. All areas in compliance.
No violations
- routine#862194508
No violations found. All areas in compliance.
No violations
- routine#862194507
1 violation found (1 high severity).
Evacuation-Emergency evacuation & relocation diagram includes at least 2 exit routes that are not blocked in any way
HighDuring the walk through a wooden picnic table was seen blocking the side door.
748.3233(b)(4)(B)Corrected 2022-09-12 - complaint#862343703
No violations found. All areas in compliance.
No violations
- routine#862194506
No violations found. All areas in compliance.
No violations
- routine#862194505
No violations found. All areas in compliance.
No violations
- routine#862194504
No violations found. All areas in compliance.
No violations
- complaint#862343702
No violations found. All areas in compliance.
No violations
- routine#862194503
No violations found. All areas in compliance.
No violations
- complaint#862343701
No violations found. All areas in compliance.
No violations
- routine#862194502
No violations found. All areas in compliance.
No violations
- routine#862194501
No violations found. All areas in compliance.
No violations
- routine#862194500
No violations found. All areas in compliance.
No violations
- routine#862194499
No violations found. All areas in compliance.
No violations
- self-report#862343700
No violations found. All areas in compliance.
No violations
- assessment#862394206
1 violation found (1 high severity).
Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
HighDuring a review conducted on August 5, 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 July 20, 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 failure of your operation?s administrator to ensure compliance include the following: The operation received a medium and medium-high weighted citation in a pattern/trend category on July 20, 2022. Specifically, the operation was cited for 748.2151(c)(6) and 748.2151(d) related to medication documentation. The operation met compliance on July 25, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plans.
748.535(2)Corrected 2022-08-06 - routine#862194498
No violations found. All areas in compliance.
No violations
- routine#862194497
No violations found. All areas in compliance.
No violations
- routine#862194496
2 violations found (1 high, 1 medium severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
High1 out of 3 child s medication record reviewed it was discovered that a psychotropic medication count was documented incorrectly on the medication log.
748.2151(d)Corrected 2022-07-27Medication record - must include name & signature of person who administered each medication
MediumDuring the review of three child medication records if was noticed that two staff who administered medication to a child in care had not written their name and/or signature in the section provided on the bottom of the medication log to identify their initials.
748.2151(c)(6)Corrected 2022-07-27 - complaint#862343699
No violations found. All areas in compliance.
No violations
- routine#862194495
No violations found. All areas in compliance.
No violations
- routine#862194494
No violations found. All areas in compliance.
No violations
- routine#862194493
No violations found. All areas in compliance.
No violations
- routine#862194492
2 violations found (2 medium severity).
TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility
MediumTwo of the three child records reviewed did not have the child s TB test results located in the child s records. However the operation was able to request one child's TB test results and placed it in the child's file.
748.1583(b)Corrected 2022-06-23TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
MediumOne of the three child records reviewed did not have an up to date TB test.
748.1583(a)Corrected 2022-07-08 - complaint#862343698
No violations found. All areas in compliance.
No violations
- self-report#862343697
No violations found. All areas in compliance.
No violations
- routine#862194491
No violations found. All areas in compliance.
No violations
- routine#862194490
No violations found. All areas in compliance.
No violations
- routine#862194489
No violations found. All areas in compliance.
No violations
- routine#862194488
No violations found. All areas in compliance.
No violations
- complaint#862343696
No violations found. All areas in compliance.
No violations
- complaint#862343695
No violations found. All areas in compliance.
No violations
- self-report#862343694
No violations found. All areas in compliance.
No violations
- routine#862194487
No violations found. All areas in compliance.
No violations
- complaint#862343693
No violations found. All areas in compliance.
No violations
- routine#862194486
No violations found. All areas in compliance.
No violations
- routine#862194485
No violations found. All areas in compliance.
No violations
- routine#862194484
1 violation found (1 medium severity).
Annual Training Timeline-Each person must complete the required annual training within 12 months from the date of hire
MediumDuring the review of employee records, it was discovered that two direct care staff had not completed their required annual trainings.
748.935(a)(1)Corrected 2022-05-25 - routine#862194483
No violations found. All areas in compliance.
No violations
- routine#862194482
No violations found. All areas in compliance.
No violations
- self-report#862343692
No violations found. All areas in compliance.
No violations
- complaint#862343691
No violations found. All areas in compliance.
No violations
- self-report#862343690
No violations found. All areas in compliance.
No violations
- routine#862194481
No violations found. All areas in compliance.
No violations
- routine#862194480
No violations found. All areas in compliance.
No violations
- complaint#862343689
No violations found. All areas in compliance.
No violations
- complaint#862343688
No violations found. All areas in compliance.
No violations
- self-report#862343687
No violations found. All areas in compliance.
No violations
- routine#862194479
1 violation found (1 high severity).
Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
HighDuring the review of a child's medication record it was discovered that a psychotropic medication count was documented incorrectly on the medication log.
748.2151(d)Corrected 2022-04-11 - routine#862194478
No violations found. All areas in compliance.
No violations
- routine#862194477
No violations found. All areas in compliance.
No violations
- routine#862194476
No violations found. All areas in compliance.
No violations
- routine#862194475
1 violation found (1 high severity).
Medication record - update cumulative record within 2 hours of administering medication
HighOne prescription medication was not documented as administered within the two hour timeframe.
748.2151(b)(1)Corrected 2022-03-28 - self-report#862343686
No violations found. All areas in compliance.
No violations
- routine#862194474
No violations found. All areas in compliance.
No violations
- self-report#862343685
No violations found. All areas in compliance.
No violations
- complaint#862343684
No violations found. All areas in compliance.
No violations
- routine#862194473
No violations found. All areas in compliance.
No violations
- routine#862194472
No violations found. All areas in compliance.
No violations
- self-report#862343683
No violations found. All areas in compliance.
No violations
- routine#862194471
No violations found. All areas in compliance.
No violations
- self-report#862343682
No violations found. All areas in compliance.
No violations
- self-report#862343681
No violations found. All areas in compliance.
No violations
- self-report#862343680
No violations found. All areas in compliance.
No violations
- complaint#862343679
No violations found. All areas in compliance.
No violations
- routine#862194470
No violations found. All areas in compliance.
No violations
- routine#862194469
No violations found. All areas in compliance.
No violations
- routine#862194468
No violations found. All areas in compliance.
No violations
- self-report#862343678
No violations found. All areas in compliance.
No violations
- routine#862194467
No violations found. All areas in compliance.
No violations
- routine#862194466
No violations found. All areas in compliance.
No violations
- routine#862194465
No violations found. All areas in compliance.
No violations
- routine#862194464
No violations found. All areas in compliance.
No violations
- routine#862194463
No violations found. All areas in compliance.
No violations
- routine#862194462
No violations found. All areas in compliance.
No violations
- self-report#862343677
No violations found. All areas in compliance.
No violations
- routine#862194461
No violations found. All areas in compliance.
No violations
- complaint#862343676
No violations found. All areas in compliance.
No violations
- routine#862194460
No violations found. All areas in compliance.
No violations
- complaint#862343675
No violations found. All areas in compliance.
No violations
- routine#862194459
No violations found. All areas in compliance.
No violations
- routine#862194458
No violations found. All areas in compliance.
No violations
- routine#862194457
No violations found. All areas in compliance.
No violations
- complaint#862343674
No violations found. All areas in compliance.
No violations
- routine#862194456
No violations found. All areas in compliance.
No violations
- routine#862194455
No violations found. All areas in compliance.
No violations
- complaint#862343673
No violations found. All areas in compliance.
No violations
- routine#862194454
No violations found. All areas in compliance.
No violations
- self-report#862343672
No violations found. All areas in compliance.
No violations
- routine#862194453
No violations found. All areas in compliance.
No violations
- routine#862194452
No violations found. All areas in compliance.
No violations
- complaint#862343671
No violations found. All areas in compliance.
No violations
- self-report#862343670
No violations found. All areas in compliance.
No violations
- complaint#862343669
No violations found. All areas in compliance.
No violations
- routine#862194451
No violations found. All areas in compliance.
No violations
- routine#862194450
No violations found. All areas in compliance.
No violations
- routine#862194449
No violations found. All areas in compliance.
No violations
- routine#862194448
No violations found. All areas in compliance.
No violations
- self-report#862343668
No violations found. All areas in compliance.
No violations
- self-report#862343667
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighA youth in care was left alone in the unit unsupervised.
748.685(a)(4)Corrected 2022-01-11 - routine#862194447
No violations found. All areas in compliance.
No violations
- routine#862194446
No violations found. All areas in compliance.
No violations
- routine#862194445
No violations found. All areas in compliance.
No violations
- self-report#862343666
No violations found. All areas in compliance.
No violations
- complaint#862343665
No violations found. All areas in compliance.
No violations
- routine#862194444
No violations found. All areas in compliance.
No violations
- routine#862194443
No violations found. All areas in compliance.
No violations
- routine#862194442
No violations found. All areas in compliance.
No violations
- routine#862194441
No violations found. All areas in compliance.
No violations
- complaint#862343664
No violations found. All areas in compliance.
No violations
- routine#862194440
No violations found. All areas in compliance.
No violations
- routine#862194439
No violations found. All areas in compliance.
No violations
- routine#862194438
No violations found. All areas in compliance.
No violations
- self-report#862343663
No violations found. All areas in compliance.
No violations
- routine#862194437
No violations found. All areas in compliance.
No violations
- routine#862194436
No violations found. All areas in compliance.
No violations
- complaint#862343662
No violations found. All areas in compliance.
No violations
- complaint#862343661
No violations found. All areas in compliance.
No violations
- routine#862194435
No violations found. All areas in compliance.
No violations
- routine#862194434
No violations found. All areas in compliance.
No violations
- complaint#862343660
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighA resident was on a safety plan and staff did not check on resident while showering. Resident got ahold of her hygiene and ingested her bottle of shampoo.
748.685(a)(4)Corrected 2021-10-20 - routine#862194433
No violations found. All areas in compliance.
No violations
- routine#862194432
1 violation found (1 high severity).
Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
HighThere was only one caregiver for 9 children for 30 minutes during the morning shift. The other staff memeber that was supposed to be on the unit had called in, and a replacement for the staff was not sent to the unit.
748.1003(a)Corrected 2021-08-24 - routine#862194431
No violations found. All areas in compliance.
No violations
- complaint#862343659
1 violation found (1 high severity).
Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HighThe operation staff discouraged children in care from writing grievances.
748.1101(b)(4)(A)(vii)Corrected 2021-10-22 - complaint#862343658
No violations found. All areas in compliance.
No violations
- routine#862194430
No violations found. All areas in compliance.
No violations
- routine#862194429
No violations found. All areas in compliance.
No violations
- routine#862194428
No violations found. All areas in compliance.
No violations
- routine#862194427
No violations found. All areas in compliance.
No violations
- complaint#862343657
No violations found. All areas in compliance.
No violations
- routine#862194426
No violations found. All areas in compliance.
No violations
- routine#862194425
1 violation found (1 high severity).
Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
HighLast health inspection was completed on 4/30/2019. Therefore, operation did not complete the annual required health inspection.
748.3001(a)(2)Corrected 2021-07-29 - self-report#862343656
No violations found. All areas in compliance.
No violations
- routine#862194424
1 violation found (1 medium severity).
Medication record - must include name & signature of person who administered each medication
MediumThe med log in the Olsen unit did not have staff's initials who administered meds for the PM shift on 7/6/21.
748.2151(c)(6)Corrected 2021-07-12 - complaint#862343655
No violations found. All areas in compliance.
No violations
- complaint#862343654
2 violations found (2 high severity).
Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
HighA light fixture wires were hanging down where residents could reach and pull down and a light bulb was broken.
748.3301(a)Corrected 2021-09-07Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HighResident was standing on a table and staff moved the table causing resident to fall onto the ground, resulting in a fractured shoulder.
748.1101(b)(1)(B)Corrected 2021-09-07 - self-report#862343653
No violations found. All areas in compliance.
No violations
- routine#862194423
No violations found. All areas in compliance.
No violations
- routine#862194422
No violations found. All areas in compliance.
No violations
- complaint#862343652
No violations found. All areas in compliance.
No violations
- complaint#862343651
No violations found. All areas in compliance.
No violations
- routine#862194421
No violations found. All areas in compliance.
No violations
- routine#862194420
No violations found. All areas in compliance.
No violations
- routine#862194419
No violations found. All areas in compliance.
No violations
- self-report#862343650
No violations found. All areas in compliance.
No violations
- self-report#862343649
1 violation found (1 high severity).
Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
HighOperation staff left a resident at the cottage by herself when staff and residents went on outing. Resident was by herself for two hours.
748.685(a)(4)Corrected 2021-07-30 - routine#862194418
No violations found. All areas in compliance.
No violations
- routine#862194417
No violations found. All areas in compliance.
No violations
- routine#862194416
No violations found. All areas in compliance.
No violations
- routine#862194415
No violations found. All areas in compliance.
No violations
- routine#862194414
No violations found. All areas in compliance.
No violations
- complaint#862343648
No violations found. All areas in compliance.
No violations
- self-report#862343647
No violations found. All areas in compliance.
No violations
- routine#862194413
No violations found. All areas in compliance.
No violations
- self-report#862343646
No violations found. All areas in compliance.
No violations
- complaint#862343645
No violations found. All areas in compliance.
No violations
- complaint#862343644
No violations found. All areas in compliance.
No violations
- complaint#862343643
2 violations found (2 high severity).
Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
HighStaff did not give resident appropriate space and resident became more dysregulated. Verbal de-escalation techniques were also not used.
748.2455(a)(1)Corrected 2021-07-17Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HighStaff threw a water bottle and struck resident in the face.
748.1101(b)(1)(B)Corrected 2021-07-17 - complaint#862343642
No violations found. All areas in compliance.
No violations
- complaint#862343641
No violations found. All areas in compliance.
No violations
- routine#862194412
No violations found. All areas in compliance.
No violations
- complaint#862343640
1 violation found (1 high severity).
Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
HighInvestigation documentation reveals operation staff had a note from a child in care expressing intention to commit suicide and shortly after the child in care was seen with a jacket around their neck and would not remove the jacket until staff threatened to cut the jacket off with scissors. The operation admits they did not count this as a suicide attempt and didn't report it.
748.303(a)(11)(A)Corrected 2021-06-18 - complaint#862343639
No violations found. All areas in compliance.
No violations
- complaint#862343638
1 violation found (1 high severity).
Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting
HighA staff member shoved a resident in between restraints.
748.1101(b)(4)(A)(ii)Corrected 2021-06-29 - complaint#862343637
No violations found. All areas in compliance.
No violations
- routine#862194411
No violations found. All areas in compliance.
No violations
- routine#862194410
No violations found. All areas in compliance.
No violations
- routine#862194409
No violations found. All areas in compliance.
No violations
- complaint#862343636
1 violation found (1 high severity).
Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
HighStaff supervise all children in care when calls are made, resulting in calls not remaining private.
748.1101(b)(7)Corrected 2021-07-01 - complaint#862343635
No violations found. All areas in compliance.
No violations
- routine#862194408
No violations found. All areas in compliance.
No violations
- complaint#862343634
No violations found. All areas in compliance.
No violations
- complaint#862343633
No violations found. All areas in compliance.
No violations
- complaint#862343632
2 violations found (2 high severity).
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HighStaff pushed resident down on the ground, causing bruising.
748.1101(b)(1)(B)Corrected 2021-07-22Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
HighStaff pushed resident with both hands with force back into her room, isolating her in her room with the door closed.
748.1101(b)(4)(A)(vii)Corrected 2021-07-22 - routine#862194407
No violations found. All areas in compliance.
No violations
- complaint#862343631
1 violation found (1 high severity).
Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
HighStaff failed to properly maintain control of resident while attempting to de-escalate a situation. Staff struck child in the face with her fist.
748.1101(b)(1)(B)Corrected 2021-06-01 - complaint#862343630
No violations found. All areas in compliance.
No violations
- routine#862194406
No violations found. All areas in compliance.
No violations
- complaint#862343629
No violations found. All areas in compliance.
No violations
- routine#862194405
No violations found. All areas in compliance.
No violations
- routine#862194404
No violations found. All areas in compliance.
No violations
- complaint#862343628
No violations found. All areas in compliance.
No violations
- self-report#862343627
No violations found. All areas in compliance.
No violations
- routine#862194403
1 violation found (1 medium severity).
Operational responsibilities - Maintain current, true, accurate, and complete records
MediumTrue and accurrate information was not reported in a complete timely manner.
748.151(3)Corrected 2021-03-23 - self-report#862343626
No violations found. All areas in compliance.
No violations
- complaint#862343625
1 violation found (1 high severity).
Administration of prescription medication-Ensure the child has taken the medication as prescribed
HighMedication records, a professional medical collateral, medical care staff, direct care staff and child in care interviews together confirm a child in care missed one dose on one evening of a medication causing the child in care to feel upset and tired.
748.2003(b)(5)Corrected 2021-05-21 - complaint#862343624
No violations found. All areas in compliance.
No violations
- routine#862194402
No violations found. All areas in compliance.
No violations
- routine#862194401
No violations found. All areas in compliance.
No violations
- routine#862194400
No violations found. All areas in compliance.
No violations
- routine#862194399
No violations found. All areas in compliance.
No violations
- complaint#862343623
No violations found. All areas in compliance.
No violations
- complaint#862343622
No violations found. All areas in compliance.
No violations
- routine#862194398
No violations found. All areas in compliance.
No violations
- routine#862194397
No violations found. All areas in compliance.
No violations
- self-report#862343621
No violations found. All areas in compliance.
No violations
- complaint#862343620
1 violation found (1 high severity).
Triggered Reviews-Must occur as soon as possible, but no later than 30 days after the review is triggered
HighChild in care was restrained multiple times during on week.
748.2903(a)Corrected 2021-04-10 - complaint#862343619
No violations found. All areas in compliance.
No violations
- complaint#862343618
No violations found. All areas in compliance.
No violations
- complaint#862343617
No violations found. All areas in compliance.
No violations
- complaint#862343616
No violations found. All areas in compliance.
No violations
- complaint#862343615
1 violation found (1 high severity).
Administration of prescription medication-Ensure the child has taken the medication as prescribed
HighThree residents were "cheeking" their medication and storing them in their room.
748.2003(b)(5)Corrected 2021-03-24 - complaint#862343614
No violations found. All areas in compliance.
No violations
- complaint#862343613
No violations found. All areas in compliance.
No violations
- self-report#862343612
No violations found. All areas in compliance.
No violations
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Estimated Tuition
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