Royal Heritage RTC, LLC

Caregivers failed to provide adequate supervision resulting in inappropriate behaviors amongst youth in care.

Youth in care admitted to possession and use of a tobacco e-cigarette at the operation.

Child was able to utilize an e-cigarette at operation and staff was unaware.

Youth care worker transported children in care with a Provisional background. Conditions stated worker was not allowed to transport children in care.

2/2 child files reviewed did not have documentation that orientation was provided.

A child on 1:1 did not have a staff present at all times.

A child in care was not administered medication timely, for a duration of time.

A bedroom had to cross an "activity room" in order to access a bathroom.

There is no procedures included in the policies regarding how the operation would screen applicants to determine suitability for work.

There is no statement in vaccine preventable policy prohibiting discrimination or retaliatory action against exempt employee.

EBI policies are not complete and must be more detailed in order to meet compliance.

There were no policies regarding weapons, firearms, explosive materials and projectiles.

Policies submitted for review did not include a drug testing policy.

748.125 (c)(1)(B)(i-iv)-748.125(c)(1)(C)(i-iii): The operation?s policy indicates that staff will be required to take the AS+K training which only addresses the curriculum components for the risk factors, protective factors, and warning signs of suicide. Training must also address safety planning (748.125 (c)(1)(B)(i-iv) and screening for risk (748.125(c)(1)(C)(i-iii). Training on these specific curriculum requirements will have to be tailored for each operation as training will have to based on an operation?s own safety planning practices and the specific screening tool the operation will use to screen for risk. The operation will need to include training to address these two areas, the AS+K Gatekeeper training does not provide for these areas within the training. 748.125(c)(2): The operation?s policy does not indicate how they will promote suicide prevention training for non-employees, as appropriate. Will volunteers and non-employees be required to complete training, if yes or no the operation should include it within the policy. 748.125(d)(5): The operations policy does not address how the operation will conduct screening in a manner that protects the child?s privacy. Where will the screening take place? In a private area/office where the child being screened can not be heard.