Armanis House Inc. Residential Care

One child's date of admission is missing in the Unauthorized absence log

3 children service plan reviewed did not have the date the service plan was developed.

Operation staff present at the operation does not a drug screen in employee file.

Operation staff files do not include correct drug screens to show the required screening areas and did not include how operation confirmed false positives below 2% and false negatives below 8% on all drugs screened.

Child File had a medication log that was not completely filled out and did not list the reason why medication was given.

Operation staff informed licensing they did not have debriefing documentation for children who eloped from care.

Operation staff files reviewed did not have completed references for staff and volunteers present at the operation.

Operation staff/volunteer present at the operation with access to children in care did not have a completed TB screening. Another staff file did not have a TB test completed within 30 days before or after hire date.

Operation staff files do not include correct drug screens to show the required screening areas and did not include how operation confirmed false positives below 2% and false negatives below 8% on all drugs screened.

Operation staff present at the operation does not have notarized affidavit but was signed by employee in May, 2024.

Operation staff present at the operation does not a drug screen in employee file.

Operation used a form for serious incident reporting that did not include required information per minimum standards.

Staff present at the operation did not have a current job description to indicate their role as well as official date of hire for type of position.

Operation staff files reviewed did not show employment history for the last five years and did not indicate if staff did not have employment history prior to working at the operation.

During the inspection, it was observed that multiple items in the freezer were not properly labeled with expiration dates after being removed from its original packaging.

During the inspection, in the bathroom down the hallway near the living room on the left side, the left knob on the first bathroom sink turns, but does not produce any water.

One employee file did not have transportation training.

Operation used a form for serious incident reporting that did not include required information per minimum standards.

A child file did not have a documentation of notice being provided to their guardian of service plan meeting.

One employee file had psychotropic medication training that expired in January 2024.

One employee file did not have a CPR/First Aid certification.

A child file had identified high risk behaviors, however there was no documented safety plan that would be implemented on how to address the behaviors.

One employee file had expired normalcy training.

A child file did not have a preliminary service plan completed within the required time frame.

A person identified by the Administrator as a peer-to-peer support/volunteer was present at the operation on 2/11/24 and one other time prior, without a background check. Another citation related to this deficiency within the next 6 months may result in an additional penalty and other enforcement actions.

A service plan that identified a child as having high risk behaviors for AWOL, self-harm, and harm to others stated she did not require supervision outside the home and included no supervision requirements for the child while outside the home.

Two employee files did not have reference check screening.

Operation has not had an unannounced severe weather drill in the last 6 months.

Operation has not had an unannounced fire drill in the last 6 months.

A volunteer was observed to be at the operation did not have a personnel file.

Operation has 50 % of their population as treatment services and do not have a treatment director.

A serious incident in which a resident became physically aggressive towards other staff and sustained an injury was not documented on a serious incident report.

Two employee files did not have required 40 hrs of experience or supervised experience.

A volunteer did not have a signed and dated statement to report abuse and neglect.

Serious incident report did not contain necessary information required on form regarding child's gender and date of admission.

Two staff files did not have a current TB test.

Staff hired at the operation currently does not have a pre-employment drug screen for the operation related to application.

Updated background check policy was not completed and approved at time of inspection.

Fence was observed to have exposed nails.

Operation did not have a current health inspection.

2 of 2 staff files reviewed did not include in the signed statement for abuse, neglect and exploitation to include specific instructions for hotline and notifying operation.

Staff hired at the operation currently does not have a pre-employment drug screen for the operation related to application.