Paradigm of Excellence

The closing summary reviewed was missing the copy of the verification certificate, the foster home addresses for the past two years, the length of time the foster parents have been fostering with this agency, information about the children in the last two years, any pending investigations or unresolved deficiencies and any pending corrective actions.

It was determined that the agency did not provide a transfer summary to another agency.

A caregiver stated that they discipline children by making them squat for two minutes.

The people list was reviewed, and background checks for two foster parents were showing as active for a foster home that was closed on 04/30/2025. In addition, the treatment director did not have their background check inactivated within seven days of leaving the operation.

One out of one employee file reviewed did not have documentation for this training.

A caregiver in one out of one home files reviewed was over the 12-month period for completing medical consent,psychotropic medication, normalcy, trauma informed care, runaway prevention and recognizing, reporting and preventing child abuse trainings.

One out of one employee file reviewed did not have documentation for this training.

One out of one home files reviewed did not document the group interview conducted with all the household members.

One out of one employee files reviewed had their annual training certificates past due by a month.

There were ants observed inside the foster home.

A child was observed to have bite marks on their hand, shoulder, foot, leg and ankle.

It was discovered that a biological child living in the home turned 14 and a background check was not conducted.

Medication was left on the nightstand in the caregiver's bedroom.

During the course of the investigation, it was determined that a video camera was being used in a bedroom of a child who was above five years old, and this was not justified in their service plan.

Medication errors were not recorded in one of two child files reviewed.

During a sampling inspection, a three-year old was found to be sharing a room with a caregiver living in the foster home.

Durig a sampling inspection, the living area of a foster home was found to be used as a bedroom, and the same living area was also on a passageway to access the backyard.

During a sampling inspection, medication was observed to be accessible to children in care in both the kitchen and one of the bedrooms.

Supervisory visits were not filed within 30 days.

Employee affidavit was not notarized.

Documents were not in staff files and had to be requested from agency staff.

The operation suicide policies do not show where a child will meet with an MH Professional

Operation did not provide Abuse and Neglect policies.

Professional Staffing Plan was not included as part of the personnel policies.

The operation suicide policies do not show that FP's verified to care for children five years of age or older must complete the training within a year of verification.

Information provided does not meet Minimum standard requirements.

Standard used in policies is incorrect.

Information provided does not meet Minimum standards.

The operation suicide policies do not address the lessons learned from a suicide attempt

Definition of Treatment Services is incorrect.

Standard used in polices is incorrect.

The operation suicide policies must be understood by those taking the training.

The operation does not have liability insurance.

Supervisory visit from does not include names of all present during the visit.

Operation plan did not include location of operation and phone number for operation.

Standard used in policies is incorrect.

Information provided for conflict-of-interest polices is not accurate to 749.107.

The operation suicide policies do not Show a plan to update the service plan if the child is Suicidal

The operation suicide policies do not show that the training must understand the safety planning.

The operation suicide policies do not show that Foster Parents must complete the training every two years.

Standard used in policies is incorrect.

Standard used in policies is incorrect.

Standard used in polices is incorrect.

Policies in place are a reflection of minimum standards and do not include procedures in place.

Operation did not provide plan/policies and procedure how the operation will protect operation records.

Standard used in polices is incorrect.