Eden's Place, Inc.

A child was able to self-harm with razors. Protocols to retrieve razors after use was not completed allowing the child to store razors over time.

During the inspection it was observed that the medication for a child was stored in a weekly medication organizer.

At the time of the inspection, the last annual fire inspection was conducted on 12/30/2022.

During the inspection it was observed that the medication logs did not document the count of the medications administered to children.

The unauthorized absence of a 14-year-old child was not reported timely on 10/19/23 and 10/23/23.

One out of two children files reviewed had the medical consenter form completed with the GRO staff and not the child's worker.

The operation did not have an unauthorized absence log.

One out of two children's files reviewed did not document that the operation discussed orientation with the child.

The Drug test results were not available to review in one staff record.

The TB test results were not available for review in one staff record.

The operation does not have an administrator currently.

The admission polices did not include the goals or services provided by the operation.

The emergency diagrams did not contain areas outside the operation for staff and children meet.

The operation's discipline policies did not address Guide caregivers and employees in the methods used for the discipline of children, integrate trauma informed care into the care, treatment, and management of each child, measures for positive responses to appropriate behavior, or the importance of nurturing behavior, stimulation, and promptly meeting the child?s needs.

The operation does not have a written plan for their indoor or outdoor recreation for children.

The operation did not address the admission services for emergency care.

The organizational chart did not include all the positions for the operation. Also, the policies did not include all the written descriptions for all the positions listed on the chart.

The agency did not have policies to address the abuse and neglect standard.