Horizon Project

During a review conducted on November 5, 2025, it was determined that: (1) your operation?s administrator failed to ensure compliance with the current HM Plan; and (2) more than 12 months had elapsed since the effective date of the plan. As you know, the heightened monitoring plan for your operation included a specific ?planned end date? at the original 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 plan, your operation is now unable to successfully move to post-plan monitoring. Furthermore, your operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended again. Further details of the administrator?s failure to ensure compliance include the following: Your operation was issued a corrective action from Residential Contracts, and the corrective action plan was accepted on 6/10/2025. The corrective action contained violations in one or more trend/pattern categories on your Heightened Monitoring Plan. - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the contract requirements that led to heightened monitoring. Finding: 748.535(2) ? The licensed administrator must ensure the operation complies with current heightened monitoring plan.

Corrected: Nov 6, 2025

It was determined that the operation did not follow the doctor's orders when it came to stopping a medication, Trileptal, and starting a second dose of Abilify.

Corrected: Apr 3, 2025

The injury of a child that required medical treatment was not reported to the child's case worker immediately.

Corrected: Mar 7, 2025

One of the children?s incident reports states that the child left through the front door, which contradicts information gathered from staff and resident interviews. According to the interviews, the child left through his bedroom window, and his absence was not discovered until staff conducted a headcount.

Corrected: Mar 17, 2025

It was observed that all beds did not have a required mattress covering or protector.

Corrected: Feb 21, 2025

The child's service plan required a Safety Plan to be implemented to address his aggressive behaviors, particularly his pattern of targeting younger peers. The Safety plan was not created as documented. His supervision plan also mandated 1:1 supervision whenever the youth exhibited verbal or physical aggression. Residents and staff reported multiple incidents where the child hit or called younger peers names without provocation. Despite these behaviors, staff only intervened by separating the youth from peers or removing youth from the situation. However, 1:1 supervision was not implemented as required by the service plan following these incidents.

Corrected: Apr 2, 2025

During the review of one staff file, it was observed that staff annual Truama training has expired. Staff took training last on 7-3-23. Staff took training immediately as such citation was corrected at inspection and copy of the training certificate taken.

Corrected: Sep 5, 2024

1 Bag of Krogger Pinto Beans was found to be open with beans inside in the kitchen cabinet during the walkthrough of the Northeast Building.

Corrected: Aug 19, 2024

During the review of one childs file today, it was noted that the invite to DFPS caseworker for the initial service plan meeting was not sent timely. Initial service plan was completed on 6-2-24 while the invite was sent on 6-3-24 a day after the plan meeting was completed.

Corrected: Jun 17, 2024