Harmony Therapy and Treatment Center LLC

Active employee files reviewed have no record of acknowledgement of operational policies.

An active employee record has an unnotarized Licensing Affidavit for Applicants for Employment form.

A staff member attempting to retrieve a cell phone from a child in care that led to a physical altercation that could have been avoided.

A child in care involved had a fractured hand. A follow-up was needed but the child did not attend his follow up appointment.

A caregiver did not intervene until an injury occurred.

A child in care admitted that himself and two other residents were able to AWOL from the facility without staff noticing it.

The operation did not timely inform Licensing, caseworkers of the temporary change of address due to inclement weather.

The operation failed to inform Licensing about the absence of an Administrator for a certain period and did not designate operational staff for emergencies.

The operation was unable to provide licensing with the requested documents upon request.

During the inspection, it was observed that all three fire extinguishers were not in compliance; only one had a tag with the last inspection identified as April 2023.

Operation vehicles did not have the required insurance verification.

An operation vehicle did not have a current state required registration. Documentation of registration could not be provided upon request.

The operation did not inform Licensing of their administrator's absence, the length of absence or identify a designated staff in the event of an emergency.

Operation failed to provide staff with key access to records/ documents upon Licensing's request.

Fire Extinguishers observed were not current. The last inspection was conduct in May of 2023.

Recreational calendar observed did not have the required indoor and outdoor options.

An employee grabbed a child by the wrist.

A caregiver yelled at a child in care.

A caregiver was using inappropriate language around children in care.

There were several holes in the wall in the second floor bed room. All children's bedroom were missing window screens. The door on a dresser located in a first floor bedroom was broken and a nail exposed.

A child in care runaway on January 4, 2024. The incident was not reported to Licensing until January 7, 2024.

A bedroom window was observed with blinds, shades, or other provisions.

A broke door frame was observed, exposing nails.

Three children in care made statements regarding staff being on their phones while supervising children. The investigator witnessed a staff member playing a game on her phone for 4-5 minutes while she was supposed to be providing one-on-one supervision.

The CPR/First Aid certificate for a staff's file reviewed expired 1/4/2023.

A staff member with an active background check since December 2022 does not have a completed personnel binder on-site or a definitive start date. A staff member who resigned two weeks ago is still listed as active in BGC.

Bleach and Laundry detergent was observed in an unlocked pantry in the kitchen.

Three medication records for a child was observed without documentation of who administered the medication, the date or the time.

A child's medication bottle contained an error, it states there were 60 pills prescribed when it was only 15. This was not addressed with the pharmacy.

Unauthorized Absence Log is missing required information.

Five of eight reviewed medication records to not document the reason the child's medication is prescribed.

Two medications for a child are not being administered according to the instructions on the bottle.

The reason required information and due diligence to obtain it was not documented in the Admission Assessment.

Three children's binders did not document whether or not the child has allergies.

Deep freezer thermometer was observed at 60 degrees.

Administrators drug test did not include testing for cocaine and phencyclidine (PCP).

Shelter in place area was not observed on the Evacuation Diagram.

SIR does not include the operation's contact information or (8)Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions.

Daily recreational calendar was not available for review.

Organization Chart does not depict all job titles for maintaining lines of authority.

Report to document EBI was not available for review at the time of inspection.

Admission Policy does not accurately depict the population the operation will admit.

Budget does not accurately depict necessary items.

Thermometer was not observed in the First Aid Kit.

Record to document EBI debriefing with a child was not available for review at the time of inspection.

Storage for children's clothing was not observed in all bedrooms at the time of inspection.

Pest control has not yet treated the operation.

There are inconsistencies in the operations policies regarding the services to be provided.

The Unauthorized Absence Log does not include the child's DOA.

Drills document does not include length of time for the evacuation or relocation to take place.

Discharge document was not available for review at the time of inspection.