The One Discovery RTC

A review of a staff files has no employee reference checks documented.

Licensing arrived at the facility at 9:45 AM to conduct an unannounced monitoring inspection and was not provided records until 2 hours later. Several requested records were unavailable.

A child record reviewed did not have a signature on the preliminary service plan.

Staff did not exhibit prudent judgement when they did not attempt to de-escalate or restrain a child in care ready to harm themselves, property, or others.

Staff did not exhibit accountability or awareness when they allowed a child to elope from the facility.

Multiple children in care stated children are subjected to profane language.

Two of two children interviewed stated that they saw a staff member sleeping at night and one child requires 24-hour supervision.

The children and staff state that the children were given over-the-counter vitamins, but there is no documentation of them.

Two staff members admit that they repeat the curse words that the children use against them.

A child in care required medical attention for allegedly ingesting bleach and the incident was not reported to the parent.

Child in care was able to access chemicals and ingest them.

A child in care required medical attention for allegedly ingesting bleach and the incident was not reported to licensing.

Two serious incidents occurred and where not documented as required by minimum standards.

An unauthorized individual is present at the operation and has direct access to children in care.

Overnight operation staff failed to provide adequate supervision due to the staff sleeping while on duty.

An overnight caregiver did not follow the operation's 24 Hour Continuous Supervision policy when they were found to be asleep while present at the operation.

Regarding IMPACT case # 49930701, information in class stated that the AWOL incident occurred on 12-24-23 but was reported to the hotline on 12-26-23 at 5:40pm. Regarding IMPACT case # 49930963 (Merged), in formation in class stated that the AWOL occurred on 12-23-23 but was reported to the hotline on 12-27-23 at 6:44am

The unauthorized annual summary log does not include the intake report number for the report made to the hotline, it does not have the child's age as required in 748.453(a)(1) in addition does not indicate how long the child was gone for as required in 748.453(a)(3).

Staff open the door and encourage the children to walk out while they are attempting to run away.

Between 9/18/2023 and 11/10/2023, DFPS made multiple requests to obtain operation documents for review. Operation documents were not received until 11/17/2023 and 11/29/2023.

A child in care at an RTC was neglectfully supervised.

CCI requested staff records that were needed for the ANE investigation, on June 29, 2023, and multiple times after. The documents were not received until July 21, 2023.

Two serious incident reports were missing information in regard to what interventions occurred during the incident.

Two serious incident reports reviewed were missing information in regard to the child's gender and the child's age. The report does include the child's date of birth.

Two serious incident reports were missing the time that the incidents occurred.

During an outing there was only one staff member with six kids and one if the children's service plan states that the child but have supervision of one staff to five children.

Two serious incident reports were missing the information as to what staff were present during the incident.

The staff did not have a current valid driver's license..

Witnesses advised that the child was left unattended by the staff member.

Incident report documentation was missing information, such as the correct address, nature of the incident and conclusion of the incident.

It was confirmed that children in care were not wearing seat belts while being transported in a vehicle.

One out of three staff records did not include TB screening documentation in the staff record. The TB record was provided by the administrator once they were notified it was not in the record.

The current treatment director did not have a background chick on file. The treatment director is currently hired as a contractor and is assisting the operation with the treatment services they provide.

During a walk through inspection the freezer in the storage room was at two degrees Fahrenheit. The freezer was brought down to zero degrees after the operation staff was notified.

A caregiver admitted to not completing documentation of serious incident.

Policy must include the scope of those required to be drug tested- perspective employees, current employees, contract employees, and volunteers.

Policy must specify what personnel will be doing the admissions, admissions assessment, 72 hour, and service plans.

Policy must include the applicant or employee's right to appeal process for a positive drug test

745.4151(a) - Operation must adopt the DFPS drug testing policy or have its own that meets or exceeds criteria for model policy

Policy needs to include disciplinary actions regarding noncompliance with policy.

Policy must include the program's goals and services provided. In addition, policy must include descriptions of each program offered.

Policy must include how the operation preserves the privacy and rights of the person tested.

Policy needs to be individualized and not copied verbatim from Minimum Standards. Policy should specify the distance deemed safe for a smoker to partake in tobacco products away from the premises.

Policy must include photographs of restraints permitted by the operation as it pertains to EBI.

A statement is needed to address discrimination against exempt employees

Policy must include detailed plan for additional staff to address frequency of any unforeseen circumstances such as 1-1 supervision.

Policy must include the plan to maintain drug test results of previous employees for one year following the last work day.

An outline is needed to address the maintenance of written/electronic records of employee compliance with policy.

Background checks were not submitted at the time of Application.

Policy must include a clear definition of various drug testing required.