Graceful New Beginnings, LLC

The orientation document currently being utilized does not encompass all of the necessary subject matters such as the grievance policy and gifts.

Out of 3 child files reviewed, one child file is missing the child's signature on the service plan form indicating that the information was not shared with the child.

Out of 3 staff files reviewed, 2 staff are missing their Tuberculosis Skin Test Results. Staff must have their TB test completed and a record of the test results must be located in the staff file.

During a walkthrough of operation, it was found that the fire inspection certificate was expired.

Out of 5 child discharge records reviewed, they are all missing the discharge summaries.

Out of 3 child files reviewed, one child file did not contain information that the child's rights were reviewed with the child and properly documented in the child file.

In reviewing the Resident AWOL Log, it was found that the AWOL log was missing the child's date of admission, gender, amount of time child is gone, staff present.

Records related to an investigation was requested from the operation by Licensing three times via email, and twice verbally. Records were not provided.

After reviewing documentation, it was found that one resident was never administered a suicide screening.

During review of records, there was no summary log for unauthorized absence documented for two children in care. In addition, there were no debriefs documented for unauthorized absences.

Medication logs were reviewed and revealed that a child in care was missing dosages and was not documented on the medication log after the child in care's medications had been filled.

During the course of the investigation it was determined that a caregiver did not exhibit prudent judgement when they gave a child a cigarette.

During the course of the investigation, it was determined that children were not properly supervised.

It was determined that the operation failed to report a serious incident..

There were bed bugs found at the operation.

During the inspection it was found that two staff records are missing TB skin test results.

During the inspection it was found that a child's record did not have a completed initial service plan. The child was admitted on 8/28/2023.

Two of two staff records did not contain a statement for employees to immediately report ANE.

The preliminary plan did not include the possible side effects for medication and no information about supervision.

The assessment didn't contain information on what services the operation plans to provide. It was also missing information about specific behaviors, trauma, as well as short and long-term goals.

Orientation provided did not contain information about visitations, mail, internal grievances, how to make complaints outside of operation, EBI, or personal possessions.

During the inspection, the first aid kit only contained cotton balls, a thermometer and a first aid guide.

The incident report is missing an area to document any child and adult witnesses. It is also missing the physical address and phone number of the facility. The form is also missing the age, gender, and date of admission.

Fire inspection expired in February.

During the inspection the reason for the prescription given was missing.

During the inspection the staff file was missing the current drug test. The agency sent the staff to be drug tested as of last week.

During the inspection the prescribing doctor name was missing.

During the inspection the staff file was missing the TB exam results. The agency sent the staff out as of last week to be tested,

During the inspection the third row seating needs to be maintenance so it can go up and down to accommodate the future capacity.

During the inspection the staff file was missing the date of hire.

During the inspection the child records and logs were missing the refusal section.