Clear Vision Youth Center, LLC

A caregiver used excessive physical force by hitting a 9-year-old child with a shoe approximately three times.

A child in care was struck three times with a shoe as a form of punishment.

An employee failed to maintain self-control when disciplining a child in care.

A potential staff was present and involved in an incident prior to the operation receiving the eligible background results. The incident occurred at the operation on 4/10/24 but the BGC results were not received until 4/12/24.

Children in care stated that an employee used profanity towards them as a form of discipline.

It was observed in one of the four medication records reviewed that a daily medication administered on the morning of 11/20/2023 was not documented.

The health inspection is out of date for the operation which poses a safety concern for children in care.

One of the four files reviewed was not observed to have a completed Initial Service Plan for a child admitted on 07/07/2023.

One of the four Service Plan's reviewed was observed to be missing a child's signature on a plan completed on 07/05/2023.

Three of the four files reviewed did not include suicide screenings in Admission Documentation.

Submitted Discipline Policy does not address corporal punishment and other prohibited forms of punishment.

Discharge Summary not available for review at the time of inspection.

Storage for refrigerated medications was not available for observation.

SIR documentation missing (1) telephone number of the operation, (3) age of the child or children involved, and (8) Interventions made during and after the incident, such as medical interventions, contacts made, and other follow-up actions.

Medication Record does not include a space for (c)(4) dosage or (c)(7) child's refusal.

The Recreational Calendar does not include daily indoor and outdoor activities.

Evacuation diagram does not include outside meeting place.

The operation's Policy contains inaccurate information regarding a Case Manager, the ages of youth admitted, and job descriptions for the LCCA, Treatment Director, and PLSP.

The Preliminary Service Plan does not address (b)(3) how the operation will meet the child's needs or (b)(5) who will be responsible for meeting each of the child's needs.

Admissions documentation is missing: (a)(2) the managing conservator's address, (b)(6) Current dental status, including the available results of any medical and dental examinations, and (b)(7) Current substance abuse status.