New Hope Youth Center

It was determined that child was left outside unsupervised for about 10 to 15 minutes while staff was inside the facility.

It was determined that a child grabbed a pair of scissors that were unattended from the kitchen counter and threatened to stab staff.

It was determined that staff was pinching a child's nose to get the child get off of him.

It was observed during the walkthrough of the facility that the Air Conditioner in the Day room is leaking water from the unit to the ground. It appears the leak has been going on for some days which has resulted to some part of the wall appeared to be soaked from the leaking water from the A/C Unit.

It was observed during the review of a childs file that the admission assessment form Part 1 has wrong date of admission for the child. Child correct date of admission was 6-16-23 but the date of admission in the admission assessment form Part 1 has 3-8-21. The Administrator corrected the information to reflect the correct date of admission which was 6-16-23.

During the review of a childs initial service plan, it was observed that the DOB for the child in the initial Service plan is different from the correct DOB which is in the childs DFPS placement authorization.

The administrator confirmed that the incident went on for several hours. Licensing was not made aware of the incident until the following day.

During a review conducted on April 10, 2023, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-low weighted citation in a pattern/trend category on February 15, 2023. Specifically, the operation was cited for 748.2857(b) A copy of EBI documentation provided to the parent must be maintained in the child?s record. The operation met compliance on February 16, 2023. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring. -Operation was unable to meet compliance with Medium-High or High weighted licensing citations.

Three out of five children interviewed stated a staff member calls them names.

One out of four child records reviewed did not include an immunization record or documented attempts to obtain the record.

Four out of four EBI documentation reviewed did not document that the youth's parent was notified.

3 children stated that staff are sleeping while on shift. The operation currently has 11 children in care with one staff during overnight shift.

Both the victim child and the Caregiver who performed a restraint, stated the child's arms was placed behind his back.

The victim child and the Caregiver supervising the group stated the Caregiver had stepped away to help another resident when a physical altercation happened.

During a review conducted on October 7, 2022, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan(s); and (2) 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plans for your operation included a specific "planned end date? at the 12-month mark by which your operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring." As a direct result of the administrator?s failure to ensure timely compliance with heightened monitoring plans, your operation was unable to successfully move to post-plan monitoring necessitating extension. Furthermore, your operation?s ?planned end date? must now be revised again, and the period of heightened monitoring must be extended again. Further details of the failure of your operation?s administrator to ensure compliance include the following: Your operation received a medium-weighted citation in a pattern/trend category on September 6, 2022. Specifically, the operation was cited for 748.3301(a)(2) Physical Site- Buildings must be clean and in good repair. The operation met compliance on September 22, 2022. - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring.

One of the bathrooms was observed to be clogged and had fecal matter in it. A window was observed not to be in good repair and was pushed out on one side.

6 children reported that profane language and belittling remarks were made by the staff.

Restraint was initiated due to child refusing to follow directives from staff.

Staff engaged in physical discipline by slamming child on a table due to child refusing to follow instructions.

Restraint was initiated in a non-emergency situation due to child refusing to release a lego.

Staff member engaged in a power struggle with a child in care due child refusing to release a lego. Staff member slammed child on a table during the incident.

The operation is not sharing any information regarding the child's needs such as coping skills and triggers there is also no documentation available that anything has been shared to the caregivers. The last documentation reviewed and available for caregivers was from 12/14/2020.

During walkthrough, it was observed that sofa chair in dayroom spring was broken, causing the chair to lean.

During walkthrough, it was observed that a staff that is not counted in ratio was watching a group of children.

Staff member was overheard telling the resident that he was a liar and not credible. In the interview with staff member, staff member stated there was a pattern forming with the child having an attraction to his older roommates. Staff member even admits to bringing in the children and putting them against one another. However, he continued to put him with similar roommates, and failed to tell his therapist.

Documentation shows a child was held in a prone position for 2 minutes.

It is determined that a child was found outside the home, close to the street with no supervision.

Children that were interviewed stated that a staff member talks to them rudely and at time uses profane language.

There was a black-two drawer file cabinet in the medication closet without a lock; preventing the "overflow" medication from being double locked.

There were three packages of chicken fajitas with a use by date of 02/17/2022.

There were several areas on the physical grounds that require attention such as the fence being broken in several areas, large trash that include furniture, trash, ant beds, and large rocks.

The emergency evacuation & relocation diagrams observed do no include a designated shelter inside location nor an identified meeting place on the outside of the operation.

Most of the first aid kits were observed missing several of the required supplies such as: cotton balls, adhesive tape, and thermometers.

Five out of five children interviewed stated staff members curse at them.

Upon reviewing child's file, the TB test was missing from immunization list.

Two bottles of medication was observed in the staff room; not in the medication container where medication is kept.

An altercation between two children that resulted in LE being called, was not reported to licensing.

Four of six children interviewed stated staff used profanity to or around them. Three of six children stated Supervisory Staff use abusive, profane and threatening language towards children in care.

Two medication record logs were missing pills that are not accounted for. One Log has 20 pills listed but only 18 pills were found and the second log had 23 pills listed and only 22 pills accounted for.

Two of three bathrooms contained no hand washing soap. Three of three bathrooms did not contain any approved hand drying agent.

One child record reviewed did not include the priliminary service plan.

A bed board was broken on the bottom bunk in bedroom 1 creating a risk to children in care.

The operation was observed to have a broken broken stove top.

It was observed and photographed that the operation had loose bricks scattered throughout the property grounds in four (4) areas and a pile of damaged wood on the grounds. At the front entrance, the porch light was observed to have damaged glass (outside). The front entrance outlet cover was observed to be damanged and have exposed metal area that needs to be replaced.

It was determined that staff use profanity around children at the operation; which exposes residents to inappropriate language while in care.