Center for Success and Independence

A child's medication was not administered for 3 days due to it being misplaced by operation staff.

Two out of four children's record reviewed were missing preliminary service.

One of four children's records reviewed were missing child's initial service plan.

Two out of four children records reviewed suicide attempts were not reported to Licensing within the required time frame.

Four out of four children's records reviewed were missing protection from unnecessary search information within the child's rights policy.

During the monitoring inspection, it was discovered the operation failed to remove 19 inactive employees from the people's list within required 7 days' timeframe.

Two out of four children's records reviewed were missing immunization record.

Two out of four children's records reviewed were missing proof of two weeks advance notification of service plan meeting.

One out of four child's records reviewed were missing the admission assessment.

A staff unnecessarily grabbed, pulled, and pushed a child as a means to get the child to comply.

During the inspection EBI reports were reviewed. Four of the four EBI reports reviewed were missing post discussions that included what a child can do to avoid EBI in the future and how a caregiver can assist. One child interviewed stated that they did not have a post discussion on ways that EBI can be avoided in the future.

During the walkthrough, it was observed that 1/3 restrooms was out of order for 1 week, leaving 21 residents to utilize 2 occupiable restrooms.

A child's self-harming injuries were not documented and staff were not aware of them. Staff did not follow procedure the operations procedure of checking the sleeves when taking medication.

A child in care was able to obtain a container of medication that was placed within arms reach and subsequently ingested a number of pills from the medication container.

During interviewing, it was found that there are some blind spots in video surveillance when supervising children in care. Children also admitted that staff is not always able to see them when they want their actions to be concealed.

Witness stated that they've overheard staff make statements that she would hit the victim child.

A child in care reported a grievance to the operation and it was not reported to licensing until 4 days later.

The Agency must ensure sufficient staff to address emergency situations where children attempt self-harm and require professional medical attention.

Staff were being allowed to execute procedures that do not align with the policies regarding supervision- specifically, room check policy. This lead to child being able to attempt self-harm.