Promise Rose Residential Care Home, Inc.

Based on a walk-through of the operation's three cottages, it was observed the evacuation plan did not contain a location inside each cottage where staff and children were to locate for shelter in place.

One out of four children's records reviewed did not have a documented TB Skin Test.

Based on review of documents, it was found three out of four children's service plan did not reflect two professionals' participation as well as two professionals' signatures. The three children's service plans reviewed only contained a signature from one professsional.

Based on a walk-through of the operation's three cottages' kitchens, it was observed the daily menu did not contain a daily food substitution for each meal.

Based on an evaluation of documents, it was found four out of four active children's records did not contain documentation supporting a suicide screening was administed every 30 ays after admissionn.

Based on a review of documents, it was found three out of four children's initial service plans did not reflect at least one of the child's current caregivers participation as well as cargivers signature.

One of five staff interviewed failed to provide required constant supervision to a child in care as recommended in safety plan.

A child expressed experiencing physical pain while being restrained.

4 of 4 staff files reviewed were missing 1 hour of the required annual transportation training.

Staff member failed to use prudent judgment by locking a child in care outside of the home.

Operation failed to timely report allegations of abuse to a child.

A child in care did not receive timely medical care for an injury.

One file was observed without any reference to the child's religious preference.

One of four staff files reviewed indicated that they did not receive EBI training every six months.