AT LAST!, Inc.

A child in care was self administering an inhaler and there was no documentation.

Child admission assessment did not have immunization record and other important information.

The operation allowed a caregiver to have contact with the children in their admission assessment program prior to the caregiver having a TB screening completed.

The operation had designated a volunteer to be reponsible when the administrator was not at the facility.

Two lighters were located in a drawer in the common living area.

Bunkbeds in all bedrooms were missing the ladder.

At Last! does not have written relocation plan.

AtLast! policy does not document the information needed when conducting a monthly smoke alarm detecter.

Bunkbeds in all bedrooms were missing the ladder.

At Last! medication policies does not document requirements regarding administering epinephrine auto-injectors

4 out 4 Children's bedroom did not have a designated space to store clothing for their belonging.

At Last! discipline policies does not document that making a child do physical exercise as discipline is prohibited.

At Last! safety policies does not document what documentation is required for gas inspections.

At Last! does not have policies and procedures regarding volunteers contracting with other organizations.

At Last! safety policies does not document who must conduct a gas inspection for the operation.

The operation admission policy did not specify the gender they will provide services for.

Grass at the facility was overgrown.

At Last! safety polices does not include these additional safety provisions

The operation?s policy does not indicate which suicide prevention training curriculum staff/volunteers/non-employees will be required to take.

At Last! policies and procedures does not document that a personnel record will be kept for volunteers for the operations.

Childrens bedrooms did have appropritate window covers to provide privacy.

The Suicide Prevention Intervention and Postvention Policy submitted by the operation does not indicate when Suicide Risk Screenings will be completed for specified ages of the children admitted to the operation.

The operation's Suicide Prevention, Intervention, and Postvention Policy does not include a detailed plan for Postvention plans and protocol.

At Last! psychotropic medication policies does not include the following information: a description of any accompanying discomforts and risks, including those which could result from long-term use of the medication, and possible side effects, including side effects that are known to frequently occur in persons, side effects to which the child may be predisposed, and the nature and possible occurrence of irreversible symptoms; a statement of whether the medication is habituating in nature; alternative interventions to the use of psychotropic medication that have been attempted and that have been unsuccessful; other alternative treatments or procedures to the use of the psychotropic medication; risks and benefits of the alternative treatments or procedures; and risks and benefits of not receiving or undergoing a treatment or procedure.

At Last! safety policies does not document when the operation needs to be inspected for gas leaks.

The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate.

Operation policy did not specified who has acess to the records.

The policy does not address all areas of the Addressing Suicide Attempts.

The operation does not indicate the ages of the children they will screen. The operations states they will screen quarterly, however, the standards indicate that a child should be screened every 90 days.