Lutheran Social Services of the South, Inc.

While reviewing one (1) foster home record, it was found neither foster parent has completed the annual normalcy training.

During an RCC HM home visit propane and oxygen tanks were observed outside.

During a RCC HM home visit the outdoors area was observed with hazardous and dangerous materials.

During an RCC home visit the bathtub and tile had mold and mildew stains.

During a review conducted on March 24, 2025 it was determined that: (1)the Administrator failed to ensure compliance with the current HM Plan; and (2)12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the 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 the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -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; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having open investigations.

The agency failed to provide basic information to the respite provider, such as last names, DOB, and previous history of the two (2) children.

During a review conducted on September 24, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the 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 the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - 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; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

During a review conducted on March 22, 2024, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the 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 the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - 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, including having an open investigation.

A child in care reported being threatened by the foster dad with a gun. Reporting foster dad stated he has the right to kill anyone if they come into his house and steal from him.

During a review conducted on September 15, 2023, it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the 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 the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - 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, including having an open investigation.

While reviewing a staff record whose start date was 03.28.23, the record did not contain a notarized licensing affidavit. One was later provided during the inspection with the notariezd date of 05.24.23.

The agency home recieved a Home screening addenum on 04.25.22 due to a change in the ages of children the home is authorized to care for. A new verfication certificate was provided however, it does not contain the correct date to reflect updates.

After reviewing an admission assessment provided by the agency, it was determined that it did not document information pertinent to the child in care.

It was reported and confirmed that the foster parents did not receive a copy of the child?s service plan.

It was reported and confirmed that the child?s foster parents did not participate in developing in the child?s service planning.

The child service plan provided did not document any specific plans, goals, interventions and/or plans to minimize risk of harm due to the child?s history of high-risk behaviors.

During a review conducted on March 17th, 2023 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the 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 the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - 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, including having an open investigation.

Through interviews it was determined that the FP's were not filling out and submitting medication logs timely.

Through interviews, it was determined that infants did not have cribs and were in bassinets for 3 months.

During the course of this investigation, two children confirmed the foster parents would yell at a child in care.

During the course of this investigation, two children confirmed the foster parents utilized inappropriate physical discipline on a child in care.

Through an investigation inspection it was determined that the foster parents were allowing the infant child in care to sleep in their bed.

While reviewing the foster home record, it was observed that for apporximatly nine (9) months, there was no unannounced supervisory visit conducted at the home.

During a review conducted on 09/16/2022 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plans; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plans for this operation included a specific ?planned end date? at the 12-month mark by which the 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, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - 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, including having an open investigation.

Two of four child records did not have a dental examination documented and one child record was noted to have occurred late.

Three of the four child records were missing documents and information such as race, religion, monthly visits, medical, dental, psychological evaluation, pre-placement visit, incorrect child's documents uploaded, documents uploaded to incorrect tabs, and documents noted with incorrect child name.

Two of the child records did not have medication records for several months.

During the inspection, it was found that 2 prescription medications were not locked. This was corrected at inspection.

After reviewing records, it was found that 2 of 3 home screening addendums were completed after the 30 day required time frame of a "major life change" such as a move to another location or marriage.

During the walk through medication was being stored in a draw in one of the adults rooms, but were not locked.

During the walkthrough of the residence, it was noted that there were several broken toys in the back yard.

Durng the inspection, it was determined that foster parents did not have the medication record for the child in care.

During the course of the investigation, it was determined that a child in care was subjected to corporal punishment following a verbal altercation with foster parent.

A household member that was not currently up to date on their First-aid/CPR training was left to babysit a child in care with primary medical needs.