Autistic Treatment Center, Inc.

Operation's full controlling person information has been requested multiple times and has not been submitted.

During a heightened monitoring visit, a staff member who transports children did not have a copy of their driver's license or driver's license check in their personnel file.

A child in care was left unsupervised outside the operation home.

The operation's staffing schedule allowed children in care unsupervised time outside the home.

During an HM visit, the operation could not produce a psychological exam completed on 09/2024 and several months have lapsed.

During a walkthrough of the operation it was noted that the front gate to home 25 cannot be closed due to a bent lock. It was also noted home 29 had parts of the fence broken.

A caregiver was hired in October 2021 and there was no psychotropic medication training until 2025.

A caregiver was hired in 10/2021 and there was no trauma informed care training until 09/3/2024.

Three EBI training certificates did not document the number of training hours completed.

The EBI training reviewed for three staff members were not completed within the 6 months' timeframe.

One of the homes where children currently reside has missing or damaged fence pickets. There are also visible nails that are not properly driven in. Also, in this same home the skylight in the porch was damaged. Photographs were obtained.

During the inspection at the operation: House 12 had cleaning supplies that were accessible to youth in care in the kitchen, laundry room, under the boy's bathroom sink, and in the closet in the boy's bathroom. House 29 had cleaning supplies unlocked and accessible to youth in care in the kitchen.

During the walk through of house 12, there were three knives, a screwdriver, and sharp freezer thermometer was unlocked and accessible to children in care.

There is no documented trauma informed care training for a caregiver during 2023 and 2024.

There was no documented psychotropic medication training for a caregiver during 2023 or 2024.

Two employee files were reviewed, and their SAMA training certificates for the previous annual year could not be provided.

During the inspection at the operation, cleaning supplies and other chemicals were observed in the laundry room, kitchen, and closet in the boy's bedroom that were all unlocked and accessible to the youth in care.

Caregivers were not aware of child's on-going activity, which led to inappropriate contact with residents.

When reviewing annual training hours, it was found that two employees had not completed Normalcy training, and one employee's Trauma Informed Care training had expired on June 9, 2023.

An SIR report does not document a debriefing with the child.

One of the two bathrooms did not have toilet paper in the bathroom. This was corrected at Inspection, when staff put toilet paper in the bathroom

Children in care's supervision plan required constant supervision. This plan was not followed by direct care staff.

14- and 16-year-old children in care were left unsupervised by a caregiver. This resulted in a physical altercation, damaged property, and self-harm. At an inspection completed on 1/3/2024, this standard was evaluated for compliance and found to be compliant, the operation terminated the staff member involved in the incident.

Four of the five child files reviewed contained service plans that were not completed every 90 days.

Three of the five child files reviewed contained service plans that did not indicate if the child participated in the service plan.

Five of five child's records reviewed contained service plans that were missing required signatures.

Five of the five child files reviewed contained service plans that did not have two professionals participate.

A child in care touches a caregiver's back. The caregiver turns and gestures as if to hit the child due to this interaction.

The child's prescription required that Pediasure, Risperidone and Clonidine should be given 3 times daily. Methylphenidate was prescribed daily. This recommendation was not being followed.

The operation had not validated their person list in the last 12 months.

The CANS Assessment for 5 children in care recommended that the child participate in Case Management and Skills Training and see a Developmental Disability Specialist these services were not being provided to the child.

There were 2 staff members that did not complete Trauma Informed Care training in 2021.

Of the five child files reviewed, two had a service plan team meeting invite that was not sent out to the CPS worker.

Numerous medication logs did not document the prescribing physician's name, the reason for the medication or the administration of the medication.

Multiple medication logs reviewed did not have the prescribing professional's name or the reason the medication was prescribed documented on the log.

One employee who has been transporting children has an expired drivers license. The agency came into compliance during the inspection by having the employee sign a statement that he would not transport children in care until he provides the facility with a copy of his updated and current driver's license.

There was one prescription medication that was in the refrigerator not locked up. While at the facility, the medication was placed in a locked box and placed back in the fridge.

During the walk through of all four resident homes there were broken blinds, a hole in a closet door, mold in two bathrooms, a broken soap holder in one shower, and numerous used cigarettes butts on ground outside one home.

The facility has not been documenting unauthorized absences.

Of the three child files reviewed, one child's file did not have the Child Right's form signed by the child and one child's file did not have the form.

Serious incident reports were not being documented.

A child in care hit a staff member multiple times. The staff member did not implement a restraint.

Physical discipline was used on a child in care.

A 14 year old child in care sustained injuries to the face from being slapped by a staff member.

A child in care ran out of the room after being slapped. Two staff members observed this incident and did not respond.

In one of the homes it was observed that a child was sleeping on a mattress on the floor.

A child's service plan is not tailored to their individual and specific supervision needs.

A child had a safety plan in place stating he would remain in line of sight supervision but this was not followed by the caregiver which resulted in the child injuring another child in care.

Children in care were left unattended with distributed medication.

A child in care took another child's medication.

A staff member has used inappropriate language around children in care multiple times and has made inappropriate remarks to children in care.

On 06/19/2021 a Direct Care Worker grilled food outside of the home. This act left a 15 year old child in care unattended. The child in care had a history of aggressive behaviors. While unsupervised the child in care engaged in inappropriate sexual contact with an adult in care.

On 06/20/2021 A Direct Care Worker, who recently failed to supervise a child appropriately, left a child in care unattended again. The Direct Care Worker took a shower. The child's service plan required constant supervision to prevent aggressive behaviors and elopement. While unattended the child walked 3 miles away from the facility.

Two employee files did not have a signed statment for reporting suspected abuse or neglect.

Multiple cleaners and chemicals were observed to be accessible to children.

Homes were inspected and were found to have multiple chairs with rips/holes, one door with a hole, and lightswitch plates coming off the wall.

One child's file reviewed did not have the Child's Rights form signed by the child.