complaint·December 7, 2023

These actions by the facility show that adequate supervision is provided and that the staff are working with children that display challenging behaviors that may harm other children in care. However, the department was unable to identify all pertinent parties for interviews. It was also reported that staff are not reporting incidents to authorized representative. LPAs received and reviewed documentation of recent incident reports that were signed by the director and parent/authorized representative of the child that was involved in the incident. During interviews, the director and other staff members disclosed the process of reporting incidents to the parent/authorized representative. During these interviews, it was disclosed that when an incident occurs, the staff member will tend to the child, then write up the incident report as soon as possible. Further, it was disclosed that the written incident report will be handed over to the Director, then the Director will review and sign the incident report. Then, the Director will review the incident report with the parent/authorized representative during pick up time, and have them sign it. During interviews, it was also disclosed that if the incident was an injury to the head, or any other serious injury, the authorized representative will be contacted as soon as possible. It is possible that the incident in question was an accident and not significant enough for the child to report to the staff, therefore, no incident was report was written. Based on information obtained during this investigation through interviews conducted, the review of pertinent documentation, and after receiving conflicting information, the allegation is UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Director.