New Beginnings

A child in care requires intense level of care and 1:1 supervision according to his service plan but he eloped from the facility and returned without staff being unaware.

No record of documented fire and severe weather drills was available during 6/23/2025 monitoring inspection.

Files reviewed show an active employee that transports youth has a driver's license that expired 8/3/2023.

Multiple staff files reviewed have no record of annual training. The operation reports they were unaware staff was required to complete an annual suicide prevention training.

The medication log advises that a child was given medication on at 7:40pm on 5/12/25, however that time have not come. The medication log also advises that the remaining pill count is 25 as on 5/12/25, however there are only 24 pills in the pill pack.

A child in care is being administered non prescription medication and there is no medication record for given medication,

One staff record reviewed was missing the TB screening result.

Background checks for an employee who was hired on 10/04/24 was not active at the time of inspection. His background checks were inactive as of 06/03/24.

Psychotropic medications were not locked during the visit.

Two staff record viewed did not include documentation of verifying the applicant's employment history.

One child record reviewed found medication count does not match with medication documentation.

The operation currently does not have a full-time Treatment Director.

One staff record reviewed was missing proof of education required for the position.

During interviews with operation staff, residents and school personnel, it was determined the residents are not being dropped off at the school, but instead are being dropped off at the McDonalds located next to the school.

There are planks of wood in the backyard with multiple nails sticking out of them.

Fire Extinguisher inspection expired March 2023.

The serious incident report did not contain the date of admission for the child or the names of the staff members involved in the incident.

Bleach and other cleaning supplies were observed in an unlocked pantry in the kitchen that also stores food.

Multiple food items were observed not properly stored.

Staff member did not follow operation's policy.

Staff member was preoccupied while caring for children.

During the course of the investigation it was determined that a caregiver was using profane language towards the children.

A mattress that a child in care is sleeping on does not have a mattress cover. This was observed on the bottom bunk in bedroom number three.

The couch in the living room where children in care congregate and watch television is broken and poses a safety concern for children in care.

Staff were not aware that the children were engaging in inappropriate behaviors.

While a safety plan was in place, stating that a staff member would not perform any restraints on any children, the named staff member did perform a restraint on a child.

During an altercation between a staff member and a child in care, the staff member reacted to the child's behavior by verbally threatening harm to the child.

During an altercation between a staff member and a child in care, the staff member responded to the child posturing up to them by pushing them away from them.

During the inspection, I observed that 2 of the three records reviewed did not include documentation of the administered suicide screening in the child's record at the time of non-emergency admission.

During the inspection, I observed that the operation lacks the required No Trespassing signs posted.

During the inspection, I observed that the posted evacuation diagrams do not include a designated meeting place outside the building in case of emergency egress.

During the inspection, I observed that two of the three child records reviewed lacked immunization records obtained prior to non-emergency admission.

One staff members stated residents are restrained with arms behind the back. Another staff member stated for restraints, they put their hands on the kids and puts the kids on the floor; they stated restraints are not black and white, and there is no standard method of restraint. EBI trainer stated staff are not taught to control the child by any means necessary, nor do they teach any restraints against the wall or on the floor.

Two children in care were notified of discharge due to implementation of safety plan prohibiting the use of restraints on the residents during investigation.

Two children confirmed victim was restrained on the floor. Staff member confirmed victim was restrained on the floor and stated for restraints, they put their hands on the kids and puts the kids on the floor. Staff member also stated victim was on their back during this time. EBI trainer stated staff are not taught to control the child by any means necessary, nor do they teach any restraints against the wall or on the floor.

Staff member stated during LE interview they held their weight down on victim until victim calmed down. This is documented in the offense report.

Staff member stated during interview they did push victim prior to restraint and did not accept the apology victim offered them. Two children confirmed staff member pushed victim to the floor.

3 of the 3 staff records reviewed did not include instructor led training for administration of psychotropic medication.

2 of the 3 children medication records reviewed had incorrect medication counts. The medication counts did not match the medication documentation.

2 of the 2 children records reviewed did not include individualized recreation plans for either child.

The operation has not had a Gas Inspection conducted.

The volunteer policy does not specify the volunteers contact with the children.

The operations discipline policy fails to integrate trauma informed care information.

The operation currently does not have a licensed child care administrator.