{"idNumber":"F22-93341","name":"Cinnamon Hills Youth Crisis Center","address":{"suggestedAddress":null,"id":null,"addressOne":"770 E St George Blvd","addressTwo":"","city":"Saint George","state":"UT","zipCode":"84770","county":null,"addressString":" 770 E St George Blvd Saint George, UT 84770","valid":true},"phone":"4356740984","type":null,"licenseType":"Residential Treatment","capacity":164,"underAgeTwoCapacity":null,"initialRegulationDate":"2022-07-01","expirationDate":"2027-06-30","conditional":false,"condExpirationDate":null,"status":"REGULATED","occQiReq":null,"licenseTypes":[{"name":"Residential Treatment","licenseExpirationDate":"2027-06-30","status":null,"totalCapacity":164,"underAgeTwoCapacity":null}],"inspections":[{"id":null,"inspectionDate":"2026-08-11","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[1157663],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2026-05-07","inspectionTypes":"Announced, Annual Inspection","checklistIds":[1009411],"findings":[{"ruleId":25674,"ruleNumber":"R501-1-8(3)","ruleDescription":"Medication and hazardous items maintenance and storage","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2026-05-07","cmpAmount":100.0,"warnCmpAmount":100.0,"correctionAction":"On May 7, 2026 - The licensor verified that the Licensee locked up cabinets containing cleaning chemicals as stated in rule.","appealDate":null,"declarativeStatement":"The Licensee was out of compliance with rule R501-1-8(3) by not maintaining hazardous items with consideration of the safety and risk level of the population served. During the inspection, chemicals were not in locked cabinets when not in use.\tThis is a repeat noncompliance as noted on 1/12/24, 7/8/25, 10/2/25. Technical assistance was provided on 9/2/25\t\t\t","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2026-05-07","inspectionTypes":"Announced, Annual Inspection","checklistIds":[1009411],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2026-02-11","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2026-02-05","inspectionTypes":"3rd Unannounced","checklistIds":[859539],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-12-10","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-11-25","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":"11/21/2025","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFICATION_PENDING","value":"Follow-up required to verify compliance/maintenance","active":null},"correctionDate":null,"cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-80-6(1)(b) by a staff member who did not ensure that each client had the right to be treated with dignity and respect. During the investigation inspection, the information gathered substantiated that a staff member used profane language directed at a client and made a threatening statement. The staff member was immediately suspended and no longer works with this provider. This is a noncompliance previously noted on 05/03/2023, 11/16/2023, 02/07/2025, 04/10/2025, 05/06/2025, 05/27/2025, and 10/02/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-11-06","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-10-02","inspectionTypes":"2nd Unannounced","checklistIds":[685295],"findings":[{"ruleId":25674,"ruleNumber":"R501-1-8(3)","ruleDescription":"Medication and hazardous items maintenance and storage","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-10-02","cmpAmount":150.0,"warnCmpAmount":150.0,"correctionAction":"On October 2, 2025 - The licensor verified that the Licensee locked up chemicals as stated in rule.","appealDate":null,"declarativeStatement":"The Licensee was out of compliance with rule R501-1-8(3) by not maintaining hazardous items with consideration of the safety and risk level of the population served. During the inspection, chemicals were not in locked cabinets when not in use. This is a repeat non-compliance as noted on 1/12/24, 7/8/24 and technical assistance was give on 9/2/25.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-10-02","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[685295],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-10-02","inspectionTypes":"Investigation Inspection","checklistIds":[685295],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-10-02","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 11/25/2025, the licensing investigator verified the provider came into compliance by training staff on client rights and seclusion requirements, as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-80-6(1)(b) by staff members not treating clients with dignity, respect, and fairness. During the investigation inspection, multiple staff and client interviews substantiated that some staff members use profane language directed at clients. The evidence also substantiated that some staff engage in unfair actions by singling out certain clients who are not a danger to themselves or others and place them in unnecessary seclusion. This noncompliance was previously noted on 05/27/2025, 05/06/2025, 04/10/2025, 02/07/2025, 11/16/2023, and 05/09/2023.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-09-10","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26133,"ruleNumber":"R380-80-4(2)","ruleDescription":"Report abuse or neglect","complaintDates":"09/04/2025","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFICATION_PENDING","value":"Follow-up required to verify compliance/maintenance","active":null},"correctionDate":null,"cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-80-4(2) by a staff member, who witnessed child abuse, not immediately notifying Child Protective Services intake or law enforcement. During the investigation, the evidence substantiated that a staff member witnessed another staff member forcefully hit a client in the stomach and did not report it to the provider or to CPS.","underAppeal":false},{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFICATION_PENDING","value":"Follow-up required to verify compliance/maintenance","active":null},"correctionDate":null,"cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with R501-1-4(5)(a,b) by not using behavior management techniques that are trauma-informed and defer to the least restrictive method of behavior management available to control a situation; a congregate care program licensee only uses behavior management techniques that emphasize de-escalation and promote self-control, and independence. During the investigation, evidence substantiated that a staff member did not use de-escalation techniques when intervening in an incident involving two clients. The staff member hit a client in the stomach, a use of unapproved and non-trauma-informed behavior management. This is a repeat noncompliance that was previously noted on 02/07/2025, 02/26/2025, and 06/05/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-09-02","inspectionTypes":"Follow-Up, Additional Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-08-11","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-07-30","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[661803],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-07-30","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[661803],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-07-22","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-23","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-23","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":30150,"ruleNumber":"R380-600-7(16)(a)-(e)","ruleDescription":"Critical incidents reporting requirements","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFICATION_PENDING","value":"Follow-up required to verify compliance/maintenance","active":null},"correctionDate":null,"cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-600-7(16)(b) for not ensuring an allegation of abuse was reported to law enforcement and CPS within 24 hours. During the investigation inspection, the information gathered substantiated that an allegation of client-on-client abuse was not reported to law enforcement and CPS within 24 hours of the allegation made.","underAppeal":false},{"ruleId":30150,"ruleNumber":"R380-600-7(16)(a)-(e)","ruleDescription":"Critical incidents reporting requirements","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFICATION_PENDING","value":"Follow-up required to verify compliance/maintenance","active":null},"correctionDate":null,"cmpAmount":150.0,"warnCmpAmount":150.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-600-7(16)(c) by not notifying a parent or legal guardian of a critical incident involving their child within 24 hrs. During an investigation inspection, the information gathered substantiated that an incident of alleged sexual activity between three clients was alleged on 06/07/2025 and reported to their parents on 06/09/2025. This is a repeat noncompliance previously noted on 01/30/2025, 05/13/2025, and 05/27/2025.","underAppeal":false},{"ruleId":29633,"ruleNumber":"R501-19-3(3)(a)-(j)","ruleDescription":"Supervision and ratio requirements","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFICATION_PENDING","value":"Follow-up required to verify compliance/maintenance","active":null},"correctionDate":null,"cmpAmount":150.0,"warnCmpAmount":150.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with R501-19-3(3)(d)(ii) by a staff member not remaining awake while on duty. During an investigation inspection, the information gathered substantiated that a staff member fell asleep while on duty when they were responsible for supervising clients in a classroom.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-05","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":400.0,"warnCmpAmount":200.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff trainings, as required by rule. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-6(1)(c) by a staff member not ensuring a client had the right to be free from potential harm or acts of violence. During an investigation, the information substantiated that a staff physically mistreated a client. This is a repeat noncompliance previously noted on 03/19/2024, 01/30/2025, 02/26/2025, and 03/19/2025.","underAppeal":false},{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 07/18/2025, and 07/25/2205, the licensing investigator verified the provider came into compliance by conducting behavior management staff trainings. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R501-1-4(5)(b) by a staff member not using behavior management techniques that emphasize de-escalation and promote self-control, self-esteem, and independence. During an investigation, the information substantiated escalated that a staff member’s inappropriate comments and actions escalated an incident.  This is a repeat noncompliance previously noted on 02/07/2025 and 02/26/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-05","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":150.0,"warnCmpAmount":150.0,"correctionAction":"On 07/18/2025, and 07/25/2205, the licensing investigator verified the provider came into compliance by conducting behavior management staff trainings. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R501-1-4(5)(g)&(i) by two staff members not using passive physical restraint as an emergency, temporary means of physical containment to protect the persons involved from immediate harm and using a physical restraint as a convenience to staff. During the investigation inspection, the information substantiated that staff conducted an unnecessary physical restraint on a client who was not an immediate harm to themselves or others. This is a repeat noncompliance previously noted on 01/03/2024, 12/30/2024, and 01/30/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-02","inspectionTypes":"Follow-Up Inspection, Non On-Site Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-05-27","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff trainings, as required by rule. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-6(1)(b) by not ensuring a client had the right to be treated with dignity, respect, and fairness. During the investigation inspection, the information gathered substantiated that a staff member made an inappropriate and disrespectful statement to a client. This is repeat noncompliance that was previously noted on 05/09/2023, 11/16/2023, 02/07/2025, 04/10/2025, and 05/06/2025.","underAppeal":false},{"ruleId":30150,"ruleNumber":"R380-600-7(16)(a)-(e)","ruleDescription":"Critical incidents reporting requirements","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":0.0,"warnCmpAmount":150.0,"correctionAction":"On 07/22/2025, the licensing investigator verified the provider came into compliance by conducting staff training on reporting requirements, as required by rule.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-600-7(16)(c) by not notifying the parent of the involved client within a 24-hour period from the time of the incident. During an investigation inspection, the information gathered from licensee records substantiated that a client rights noncompliance occurred on 05/16/2025 and was not reported to the client’s parent until 05/19/2025. This is a repeat noncompliance previously noted on 05/13/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-05-13","inspectionTypes":"Announced, Annual Inspection","checklistIds":[650658],"findings":[{"ruleId":25534,"ruleNumber":"R380-600-7(16)(a)-(d)","ruleDescription":"Critical incidents reporting requirements","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-06-02","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On June 2, 2025- The licensor verified that the Licensee is reporting critical incidents to parents within 24 hours as stated in rule.","appealDate":null,"declarativeStatement":"The Licensee was out of compliance with R380-600-7(16)(b) by not notifying the legal guardian of each involved client within a 24-hour period from the time of the incident. During the client file inspection clients parents and or guardians had not been notified of incidents within 24 hours. This is a repeat noncompliance as noted on 1/30/25.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-05-06","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":150.0,"warnCmpAmount":150.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff trainings, as required by rule. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-6(1)(b) by a staff member not ensuring that a client was treated with dignity and respect. During an investigation, the information gathered substantiated that a staff member yelled at and used profanity directed at a client. This is a repeat noncompliance previously noted on 05/11/2023, 11/16/2023, and 02/07/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-04-21","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26137,"ruleNumber":"R380-80-5(4)","ruleDescription":"Provider shall protect clients from abuse, prevent abuse","complaintDates":"04/18/2025","findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":400.0,"warnCmpAmount":200.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting Provider Code of Conduct staff training, as required by rule, Additionally, multiple clients and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-5(4) by a staff member acting in a way that harmed and compromised the health and safety of multiple clients. During an investigation, the information gathered substantiated that a staff member provided and used electronic vaping devices with multiple clients, allowed a client to view sexually inappropriate photos of a minor, video recorded multiple clients engaged in physical altercations and did not intervene, and allowed clients to record themselves engaging in simulated lewd acts and other licensee prohibited actions on that staff’s cell phone. This is a repeat noncompliance previously noted on 12/26/2023 and 02/07/2024.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-04-10","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff trainings, as required by rule. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-6(1)(b) by a staff member not ensuring a client’s right to dignity and respect. During an investigation, the information gathered substantiated that a staff member yelled at and told a client to shut up. This is a repeat noncompliance previously noted on 05/09/2023, 11/16/2023, and 02/07/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-03-19","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-03-19","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-03-19","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff trainings, as required by rule. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-6(1)(c) by not ensuring a client’s right to be free from harm or acts of violence. During the investigation, the information gathered substantiated that a client was physically harmed and injured by two clients. This is a repeat noncompliance previously noted on 03/19/2024, 01/30/2025, 01/30/2025, 02/07/2025, and 02/26/2025.","underAppeal":false},{"ruleId":26140,"ruleNumber":"R380-80-5(10)","ruleDescription":"Services and supervision to meet each clients needs","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff training, as required by rule, Additionally, multiple clients and staff interviews verified compliance as well as provider records documenting increased oversight of staff members.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-5(10) by not ensuring services and supervision that is commensurate with the behaviors and needs or each client. During the investigation, the information gathered substantiated that a staff did not provide services and supervision proportionate with clients behaviors and needs. During this time, a client was physically harmed and injured by two other clients. This is a repeat noncompliance previously noted on 04/05/2023 and 02/07/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-03-06","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-02-26","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":"02/20/2025","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff trainings, as required by rule. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-6(1)(c) by a staff member not ensuring a client was free from potential harm or acts of violence. During an investigation, the information gathered substantiated that a staff attempted to physically confront a client and threw a flip flop at a client’s head. This is a repeat noncompliance previously noted on 03/19/2024, 01/30/2025, 01/30/2025, and 02/07/2025.","underAppeal":false},{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":"02/20/2025","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":0.0,"warnCmpAmount":150.0,"correctionAction":"On 07/18/2025, and 07/25/2205, the licensing investigator verified the provider came into compliance by conducting behavior management staff trainings. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R501-1-4(5)(b) by a staff member not using behavior management techniques that emphasize de-escalation and promote self-control. During an investigation, the information gathered substantiated that a staff member engaged in confrontational behavior with a client rather than using de-escalation techniques. This is a repeat noncompliance previously noted on 02/07/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-02-07","inspectionTypes":"Complaint, Investigation Inspection, Non On-Site Inspection","checklistIds":[],"findings":[{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":"02/07/2025","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-02-07","cmpAmount":0.0,"warnCmpAmount":150.0,"correctionAction":"On 02/26/2025, the licensing investigator verified the licensee came into compliance by training staff on behavior management de-escalation, as required by rule.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R501-1-4(5)(b) by a staff member not using behavior management techniques that emphasized de-escalation and promoted self-control. During the investigation, the information gathered substantiated that a staff member’s negative conduct exacerbated an incident that other staff members were working to de-escalate.","underAppeal":false},{"ruleId":26140,"ruleNumber":"R380-80-5(10)","ruleDescription":"Services and supervision to meet each clients needs","complaintDates":"02/07/2025","findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff training, as required by rule, Additionally, multiple clients and staff interviews verified compliance as well as provider records documenting increased oversight of staff members.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-5(10) by a staff member not providing supervision with the skills, behaviors, and needs of each client. During the investigation, the information gathered substantiated that a staff member was focused on a cell phone while two clients engaged in a confrontation that escalated to a physical assault. This is a repeat noncompliance as previously noted on 04/05/2023, 08/16/2023, and 12/26/2023.","underAppeal":false},{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":"02/07/2025","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-02-07","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 02/26/2025, the licensing investigator verified the licensee came into compliance by training staff on Client Rights, as required by rule.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-6(1)(b) by a staff member not ensuring a client had the right to be treated with dignity and respect and to be free from potential harm or acts of violence. During the inspection, the information gathered substantiated a staff member engaged in a verbal and physical confrontation with a client. This is a repeat noncompliance previously noted on 05/09/2023, 11/16/2023, 03/19/2024, 01/30/2025, and 01/30/2025.","underAppeal":false},{"ruleId":25516,"ruleNumber":"R380-600-7(6)","ruleDescription":"No withholding or manipulating sources","complaintDates":"02/07/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":0.0,"warnCmpAmount":150.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff training on reporting requirements including not falsifying or manipulating information. as required by rule.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-600-7(6) by withholding information that affected the office’s information gathering process. During the investigation, a review of an incident report submitted by the licensee was conducted. It was observed that the licensee omitted information pertinent to the context of the incident. This is a repeat noncompliance as previously noted on 01/30/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-01-30","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 07/18/2025, and 07/25/2205, the licensing investigator verified the provider came into compliance by conducting behavior management staff trainings. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by staff members using a physical restraint as a convenience to staff. During the investigation inspection, facility video coverage and multiple interviews substantiated that a client who was not an immediate danger to themselves or others was placed in an unnecessary physical restraint. This is a repeat citation.","underAppeal":false},{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-07-22","cmpAmount":150.0,"warnCmpAmount":150.0,"correctionAction":"On 07/18/2025 and 07/25/2025, the licensing investigator verified the provider came into compliance by conducting staff trainings, as required by rule. Additionally, multiple client and staff interviews verified compliance.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by violating the client’s right to be free from potential harm and acts of violence. During the investigation inspection, the information gathered substantiated that a staff member acted outside the scope of their training, and was physically aggressive with a client while conducting a physical restraint. This is a repeat citation.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-01-30","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-01-30","cmpAmount":0.0,"warnCmpAmount":150.0,"correctionAction":"On 02/03/2025, the licensing investigator verified the licensee came into compliance by providing behavior management and code of conduct training to a staff member, as required by rule.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R380-80-6(1)(c) by a staff member not ensuring a client’s right to be free from potential harm and acts of violence. During the investigation inspection, the information gathered substantiated that a staff member acted outside the scope of their training, and was physically aggressive with a client while conducting a physical restraint.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-01-14","inspectionTypes":"3rd Unannounced","checklistIds":[631826],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-01-03","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-01-03","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-30","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-12-30","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 01/03/2024, the licensing investigator verified the provider came into compliance by training staff involved in this incident on provider code of conduct and client rights and behavior management rules, as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by a staff member initiating a physical restraint that was not used as a temporary means of physical containment to protect the consumer, other persons, or property from immediate harm. During the inspection, facility video coverage and administrative/staff interviews substantiated that a staff member acted outside the scope of their training and initiated an unnecessary restraint on a client who was being uncooperative but was not an immediate danger to themself or others. This is a repeat citation.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-13","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-10","inspectionTypes":"Investigation Inspection, Non On-Site Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-10-10","inspectionTypes":"2nd Unannounced","checklistIds":[618834],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-09-06","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":"09/05/2024","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2024-09-06","cmpAmount":0.0,"warnCmpAmount":150.0,"correctionAction":"On 09/10/2024, the licensing investigator verified the provider came into compliance by training all staff involved on behavior management , as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by a staff member using unnecessary painful stimuli during a necessary physical restraint that caused a client undue pain. During the investigation inspection, an interview disclosed and facility video coverage recorded a staff member that acted outside the scope of their training by hyperextending a client's arm and wrist during a physical restraint.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-23","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-15","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-10","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-08","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[603793],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-02","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-06-03","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-05-21","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-05-21","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-05-09","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-05-07","inspectionTypes":"Follow-Up Inspection","checklistIds":[599035],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-05-07","inspectionTypes":"Announced, Annual Inspection","checklistIds":[599035],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-05-02","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-04-04","inspectionTypes":"Investigation Inspection, Non On-Site Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-03-28","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-03-19","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":"03/18/2024","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-03-19","cmpAmount":150.0,"warnCmpAmount":150.0,"correctionAction":"On 04/09/2024, the licensing investigator verified the provider came into compliance, as required by rule, by training the staff involved in this incident.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by a staff member failing to comply with Section 26B-2-123 and the provider’s behavior management policy and procedure. Throughout the investigation inspection, interviews were conducted, provider documentation was reviewed, and facility video coverage was observed. The information gathered substantiated that a staff member acted outside the scope of their training, acted in a way that was not trauma-informed, and conducted an unapproved physical restraint technique.<br/>This is a repeat noncompliance.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-03-19","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-03-19","inspectionTypes":"Focus Inspection","checklistIds":[],"findings":[{"ruleId":26150,"ruleNumber":"R380-80-6(1)(a)-(i)","ruleDescription":"Client rights","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-03-19","cmpAmount":0.0,"warnCmpAmount":150.0,"correctionAction":"On 03/14/2024, the licensing investigator verified the provider came into compliance as required by rule. The provider staff intervened in order to keep the client safe and end the physical altercation. The provider chose to terminate the staff's employment.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by a staff member acting violently towards a client. During the inspection, the information gathered from client and staff interviews and provider documentation substantiated that a staff member initiated and engaged in a physical altercation with a client.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-02-07","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-02-07","inspectionTypes":"Focus Inspection","checklistIds":[],"findings":[{"ruleId":26137,"ruleNumber":"R380-80-5(4)","ruleDescription":"Provider shall protect clients from abuse, prevent abuse","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-02-07","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 02/07/2024, the licensing investigator verified the provider was in compliance as required by rule. The provider immediately terminated the staff member responsible for mistreating a client.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by a staff member mistreating a client. During the investigation inspection, the evidence substantiated that a staff member physically and verbally mistreated and harmed a client. A second staff member intervened and the licensee immediately terminated the staff member. This is a repeat noncompliance.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-02-05","inspectionTypes":"Non On-Site Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-01-12","inspectionTypes":"3rd Unannounced","checklistIds":[574168],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-01-03","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2023-12-26","inspectionTypes":"Focus Inspection","checklistIds":[],"findings":[{"ruleId":20771,"ruleNumber":"R495-876-5(1)(a)-(m)","ruleDescription":"Code of conduct","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-01-03","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On 01/03/2024, the licensing investigator verified the provider came into compliance as required by rule. Retraining was provided to the staff involved.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by a staff member mistreating a client. During an investigation inspection, staff and client interviews and provider documentation substantiated  that a staff yelled at a client, grabbed the client by their shirt, shook the client, and hit the client in the forehead with an open palm.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2023-12-19","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2023-11-15","inspectionTypes":"2nd Unannounced, Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false}],"dcount":0,"icount":0,"ccount":0,"specialties":"Congregate Care","cmsCertNumber":null}