Discovery Practice Management

A child attempted suicide twice in May and June. The operation did not report the suicide attempt to RCCR.

Data was not reported within 15 days of the end of the 2nd quarter.

Rules for pool area were not present.

Two child files were reviewed. Questions posed to make a determination for suicidality was not available in the child's files. The suicide assessment documents results as "not present." The operation submitted policies that indicate a rating of High to Low risk.

2 children were presribed new psychotrophic medications without medical consent. Documentation does not support consent was provided for new psychotrophic medications.

Two fence doors were observed to be broken.

Severe weather drills were not completed in 2025.

1 of 4 fire extinguishers was not serviced in 2025.

The operation stated their policy is to release individual documents via email. The operation did not provide access to the EMR for the inspection.

Fire inspection was completed 13 months after the previous inspection.

Four Employees were missing their annual training for Normalcy.

Operation failed to report a serious incident timely.

The operation administration placed children at risk when they fail to increase staff when additional supervision was needed.

Two children in care files did not have a dental exam.

Children in care were not dispensed prescribed medication according to instructions.

Multiple children indicated that they do not have any hot water in the shower. in addition, there was no hot water in the sinks.

The agency did not report to Licensing when staff contracted a communicable disease.

Several children that were interview stated that they are yelled at by staff.

Two children in care preliminary service plans did not address any supervision needs.

The facility does not currently have a full time licensed administrator.