Homes In Harmony, Foster And Adoption Agency, LLC

Small dead cockroaches and missing tiles were observed in the living room.

Medical logs were reviewed for 8 children in care and 5 were not documented as required.

Two of the four home files had no documentation regarding Orientation for foster parents.

One of two staff files that were reviewed had missing document regarding the need to report the suspect abuse or neglect of a child.

Two staff files were reviewed and had missing affidavit.

Three of four child's files reviewed were missing CPMS signature and in addition one home study reviewed was not dated.

Two respite care providers admitted the agency did not share information regarding specific needs/care of children being placed in respite.

The Agency staff did not notify the managing conservator prior to moving the foster children into respite care.

During the visit to the home, infant was observed to be fed while strapped in the car seat.

Three children in care were being supervised in the home by an individual who did not have a background check.

There were no life-saving devices in the pool area.

The three cribs mattress were observed with no covers.

There were no life-saving devices in the pool area.

Gate leading to pool area was not locked.

Foster parent confirmed medication was not administered to child in care as prescribed.

Child in care was observed wearing the same clothing to school for three days in a row and was not bathing on a regular basis.

Two medication logs provided had contradicting information as to whether child in care was administered medication as prescribed.

There are 6 children in the foster home including one infant.

During an investigation/inspection it was found that a weapon and ammunition are kept in the same locked storage, when the agency's policy require the weapon and ammunition in stored separately.

The agency did no assess the background information requested and received for the prospective foster family from the transferring agency.

During walk through of to pair of sciccors were observed in the daughter's bedroom Three butter knifes were observed in the kitchen sink along with another pair of scissor.

During the walk through of the home, several food cantainers were observed to be on the floor. Some of the food items were next to the dirty dog pad.

The agency was made aware of 2 frequent visitors that did not have background checks on 10/20/2022, but the agency did not follow through with running background checks.

During walk through of the home, a razor was observed in a restroom that is acessible to a child.

Foster parent was unaware of the specific measures needed to be followed of safety plan implemented.

During review of records, child's file did not address specific services/ plans to minimize risk for high risk behavior in service plan.

During the review of child's medical records, there was no follow up on recommendation by health care proffesional

Home screening did not have the complete documentation for the interviews that were conducted.

Home study did not reflect correct information on the foster family. Child's medical records had inconsistence with the name.

Household member and frequent visitors did not have a background check completed.

During the inspection and reviewing of the home screening, a family group interview was not conducted.

During the inspection and review of child's records the monthly medical records were incomplete.

During the inspection and review of home screening the length of time spent in each address was not documented.

Medical records for child in care, showed that medical recommendation were not followed.

Foster parent failed to provide a safe environment by allowing an individual with a criminal background to have access to the foster home and foster children and not disclosing it to the agency.

Household member did not have a background check completed.

Home study did not reflect correct information on the foster family.

The Form used to document Supervisory Visits was not signed by the Foster Parents for a visit conducted at this particular Foster Home for the Month of May 2022.

Foster parent was missing training in file.

Training certficates were dated same day of the monitoring inspection.

Foster parent obtained emergency behavior intervention training from a staff recently hired who did not meet qualifications.

Staff hired for 4/13/22 was assigned to provide tranings and a case load.

Discharge summary did not include items under 749.1371.

Monthly contact documentation did not describe private conversations or interviews held with children in the home.

Several home trainings were invalid due to unapproved electronic signatures.

Child master case record is not at office where the staff managing the child's placement is located.

Active records were not present at operation.

Caregiver failed to use prudent judgement when denying administrator access to children resulting in police involvement. Additionally, caregiver failed to use self-control while in the presence of children in care. Caregiver failed to use prudent judgement and self control by denying agency staff access to the children at the home and needing police involvement.

Caregiver did not allow inspector to conduct investigation. Several phone call attempts went unanswered. Additionally, I was unable to conduct home inspection. Caregiver did not allow to be interviewed or have the home inspected after several attempts.

In reviewing 2 children files, there was no documentations of contacts made with children in care stating that they felt safe or if needs are being met.

The home was observed to be unkept and clutter through out the most of the rooms.

The child's lower bunk bed was observed with no cover.

Two of three homes reviewed did not have supervisory visits for quarter 2 or 3.

Agency failed to have a staff member conduct a TB test prior to having contact with children.

Child's signature was missing on children rights form.

All staff files reviewed did not have notarized licensing affidavit.

All files reviewed did not have a statement that any abuse, neglect or exploitations will be reported by the employee.

Four children flies were missing the following information: Caregiver signature, child signature, Children rights form, and one file was signed with the wrong child name.