Kismet Residential Treatment Center

The facility was contacted & unresponsive for over an hour during an emergent situation involving a child in care.

4 of 4 admissions assessments did not include any recommendations for further testing or assessments.

Records were not in the files after 30 days of occurrence. The Inspector arrived at the facility at 1030am, completed file records were not provided to the Inspector until 3pm.

Medications are located in a locked closet. However, the black file cabinet containing Schedule II medications was unlocked with the key inside the lock.

One out of five child files are missing signed child's rights.

Three out of five children's files were unavailable at the time of inspection. They were on site, but in a locked room in which present staff did not have a key.

A walk through of the facility revealed that there is an unpleasant odor emanating from the toilet and bathrooms in the girl's quarters. There is a need to regularly the grass in the backyard. A leaning pole at the backyard, behind the admin building, needs to be fixed.

No fire extinguisher was placed in the hallway area where a fire extinguisher should have been placed. The fire extinguisher was eventually placed in the designated area and was inspected to be in good working condition.

A medication error that occurred on 4/6/23 was not documented until 4/13/23.

1 of 1 medication logs had two medications, Aripiprazole and Hydroxyzine, with medication log counts and actual pill counts that didn?t match.

The incident that warranted medical treatment for the children on 3/31/23 was not reported to licensing until 4/2/23

The current Administrator was employed at another-non-contiguous operation.

Debriefing form not available for review.

Bedroom windows did not have a covering for privacy.