The Pride Lands Center of Hope

Medications were observed prepackaged in a zip lock bag.

Medications prepared the day prior, were observed prepackaged in a zip lock bag.

The operation did not follow the supervision outlined in a child's service plan.

A staff with an ineligible background check was present at the operation & in contact with children in care.

Child/Caregiver ratio was not in compliance during waking hours.

Records reviewed were not consistent with verbal reports.

It was found that the operation sanitation inspection has expired.

During inspection it was observed unauthorized absence log did not generate the proper information to document unauthorized absence correctly. Director provided the correct unauthorized absence log sheet.

During Inspection 1 out of 3 staff did not have transportation training. Corrected at inspection. The operation director was able to print staff transportation certification.

During inspection 2 of the 3 of the First Aid kit were missing safety items.. one first aid was missing tweezer, and Thermometer. The second first aid kits was missing tweezer.

During inspection it was observed emergency evacuation and relocation diagram did not have the required outside and inside designated safe meeting area.

During inspection 1 out of 3 children in care records was missing signature for child rights. Corrected at inspection. Staff was able to have child in care sign child rights

Upon inspection it was observed, the annual unauthorized absence log does not contain all of the required components such as date of admission, the time of incident, and when the absence was discovered,

Upon inspection it was observed that trauma informed strategies section of the required debriefing was not completed in child in care files.

Three of three caregivers did not have qualifications of education in the personnel files.

One of three files were observed without the known allergies and chronic conditions indicated.

Three of three employees did not have documentation of attempted reference checks for previous employment experience.

The child list provided listed a child?s first name completely inaccurate, the staff list had inactive staff as active, and the service plans dates of admission were inconsistent.

It was found that the operation sanitation inspection has expired.

Three of three personnel files did not contain the required first aid training.

A restraint was conducted on a child and there is no notification documentation.

Four of four child medications were reviewed and counted. One of the child's pill count did not match the medication log.

The restraint report reviewed did not state what type of EBI was used. The form is also missing the person who performed the restraint, attempts to explain to the child what behaviors were necessary for release from the intervention, the actions the caregiver(s) took to facilitate the child?s return to normal activities following the end of the intervention, If personal restraint is used, documentation must also include the specific restraint techniques used, including a prone or supine restraint used as a transitional hold.

Two staff files were reviewed. One staff file affidavit was not notarized.

During the physical walkthrough the freezer was observed to not have a thermometer. This was corrected at site by a staff member going to purchase a thermometer.

1 out of 3 child files reviewed did not have an admission assessment.

1 out of 2 staff files reviewed did not have the affidavit notarized.

3 out 3 child files reviewed did not have a place to document allergies or chronic conditions.

1 out of 3 child files reviewed did not have a preliminary service pan.

The operation needs a place to store cold medication.

Emergency evacuation and relocation diagram must include designated location inside the operation to take shelter.

Serious incident report did not contain the physical address or telephone number.

The evacuation plan was missing who the operation will make responsible for securing medical consents and medications.

EBI policy did not contain the specific EBI technique caregivers will use.

Multiple criteria for the abuse/neglect policy was missing.