Special Parent Advocacy Group A NJ Nonprofit Corporation

The operation failed to get a child in care medical care for a wound on the foot for six days. Once medical care was received during a prescheduled appointment, the child required medication, a referral to the ER, and then a referral to wound care.

A child that was required 1:1 supervision was left unsupervised with another child resulting in inappropriate contact between the children. The children were also allowed to be on the couch together under blankets.

One report reviewed indicated two restraints were used on a child and both restraints did not have a time documented for how long the restraints lasted.

EBI Quarterly reports were not submitted for the 1st, 2nd and 3rd quarters.

Condition 1- Compliant Condition 2- The operation's timeframe to implement this condition has not expired. Pending Review. Condition 3- Compliant Condition 4-The operation's timeframe to implement this condition has not expired. Pending Review. Condition 5- Deficient-. The observation forms did not include the signature of the Governing Body within 48 hours of the observation. The observation log did ensure that all observations were conducted by the Administrator, Designee on record, or Designated person in Management (not to include Direct Staff or Direct Care Supervisors). The observation did not evaluate the interactions of the Direct Care Supervisors, Caregivers, and Children in Care

The entry/exit doors to a room have child locking devices on the doorknobs. This room was used to isolate a child while escalated. The child was left alone in the room without a method to supervise. The operation is not permitted to provide seclusion services as a behavior intervention.

A caregiver restrained a child by placing both arms behind the back.

A child in care was not given his prescription eye drops as instructed by the doctor.

The medication log did not have a specific time as to when the medication was given.

A staff member did not complete annual trainings in a timely manner nor by the required time frame.

A child did not receive their medication for 03/13/25 and there was not a documentation addressing the error completed.

The child in care did not receive his insulin according to the management plan.

Multiple medication logs reviewed did not have the reason medication was prescribed.

A staff member provided medications to a child in care without being trained.

A child in care requires 1:1 supervision. The child is being provided line of sight supervision.

Two children files did not have TB Test results

On January 12, 2024 medical documentation indicates that a child should take Ondansetron and fluocinolone to manage their medical condition. These prescriptions were not filled by the operation.

The three children files reviewed did not have vision or hearing exams.

Personnel file support that trainings were completed online through DFPS. The instructor lead portion is not being completed by a medical professional.

1 out 3 staffs files didnt have thier First Aid completed.

The Treatment Director's case file does not support a hire date. The case file also is missing numbers 3, 4, 6-9, and 11-14 of this rule.

Child in care was hit by a staff member.

The caregiver did not use prudent judgement when distributing medication to two non-verbal children in care, resulting in the children receiving the wrong medication.

Prescription medication for two siblings was administered incorrectly which resulted in one sibling being given the other siblings medication.

A staff member with a provisional status is not following all the conditions of the restrictions by administering medication to children.

A staff member who was using EBI on a child in care was assisted by a staff member who was not trained in EBI.

Two staff members were not properly supervising a child who was attempting to cause harm to own wrist and was able to gain access to an item and place around the neck.

Employee records missing ceritifcations or memorandum of training completed per minimum standard requirement.