{"idNumber":"F22-94203","name":"Care Youth Corporation - Falcon Ridge Ranch dba Rite Of Passage Inc/Falcon Ridge Ranch","address":{"suggestedAddress":null,"id":null,"addressOne":"750 East Sr 9","addressTwo":"","city":"Virgin","state":"UT","zipCode":"84779","county":null,"addressString":" 750 East Sr 9 Virgin, UT 84779","valid":true},"phone":"4356355260","type":null,"licenseType":"Residential Treatment","capacity":35,"underAgeTwoCapacity":null,"initialRegulationDate":"2022-01-31","expirationDate":"2027-01-31","conditional":false,"condExpirationDate":null,"status":"REGULATED","occQiReq":true,"licenseTypes":[{"name":"Residential Treatment","licenseExpirationDate":"2027-01-31","status":null,"totalCapacity":35,"underAgeTwoCapacity":null}],"inspections":[{"id":null,"inspectionDate":"2026-09-14","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2026-09-09","inspectionTypes":"3rd Unannounced","checklistIds":[1211084],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2026-08-11","inspectionTypes":"Non On-Site Inspection","checklistIds":[],"findings":[{"ruleId":30150,"ruleNumber":"R380-600-7(16)(a)-(e)","ruleDescription":"Critical incidents reporting requirements","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":null,"cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The Provider was out of compliance with R380-600-7(16)(a) by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 7/29/2026 and was not reported until 8/3/2026.\nThis is a repeat noncompliance.\n","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2026-07-16","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2026-07-16","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":"VERIFICATION_PENDING","value":"Follow-up required to verify compliance/maintenance","active":null},"correctionDate":null,"cmpAmount":0.0,"warnCmpAmount":150.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-80-6(1)(c) for failing to ensure that each client is free from potential harm or acts of violence. During the inspection, evidence gathered from client interviews, staff interviews and facility documentation substantiated that a client placed a peer in a chokehold where she sustained scratches and bruising around her neck. ","underAppeal":false},{"ruleId":35845,"ruleNumber":"26B-2-123(1)(a)-(b)","ruleDescription":"Use of a cruel, severe, unusual, or unnecessary practice on a child","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 26B-2-123(1)(a)(v) for failing to ensure that clients were protected from cruel, severe, unusual or unnecessary practices, including peer restraints. During the investigation, evidence substantiated that staff utilized other clients to physically intervene by pulling a client off a peer and placing her into a physical restraint.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2026-07-16","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2026-05-27","inspectionTypes":"Investigation Inspection, Non On-Site Inspection","checklistIds":[1036183],"findings":[{"ruleId":30150,"ruleNumber":"R380-600-7(16)(a)-(e)","ruleDescription":"Critical incidents reporting requirements","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":null,"cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The Licensee was out of compliance with R380-600-7(16)(a) by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 5/17/2026 and was not reported until 5/19/2026.\nThis was a repeat noncompliance as noted on 03/22/2024, 12/03/2024, 5/27/2025, 7/29/2025 9/16/2025 & 12/10/2025.\n","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2026-05-27","inspectionTypes":"2nd Unannounced","checklistIds":[1036183],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2026-03-11","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[912039],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-12-10","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-12-10","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26140,"ruleNumber":"R380-80-5(10)","ruleDescription":"Services and supervision to meet each clients needs","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-12-10","cmpAmount":400.0,"warnCmpAmount":200.0,"correctionAction":"On 3/25/2026 the licensor verified that staff were trained on watch protocols to ensure that clients are supervised based off of their behaviors, as required by rule. ","appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-80-5(10) by not providing supervision based off a client's behavior and history. During the inspection several clients with a history of unsafe behaviors were able to punch a peers and run away from the program.  This is a repeat rule noncompliance as noted on 12/3/2024. ","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":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-12-10","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 3/25/2026, the licensor verified that staff were trained on incident reporting to ensure that critical incident reports are reported within one business day as required by rule. ","appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-600-7(16)(a) by not reporting a critical incident within a business day. During the inspection a client was in an unauthorized use of restrictive intervention and this was not reported to Licensing within one business day. This is a repeat noncompliance as noted on  03/22/2024, 12/03/2024, and 05/27/2025, and 9/16/2025","underAppeal":false},{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-12-10","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On 3/25/2026 the licensor verified that staff were trained that clients are only to be restrained when they pose a threat to self, others, and property as required by rule. ","appealDate":null,"declarativeStatement":"The provider was out of compliance with R501-1-4(5)(a) by having a staff member not use the least restrictive method of behavior management to control a situation by restraining a client who did not pose an immediate threat to self, others, or property. During the inspection a client was laying on the ground and did not pose an immediate threat. Staff placed the client in a restraint and took her to her room.  ","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-11-17","inspectionTypes":"Announced, Annual Inspection","checklistIds":[764359],"findings":[{"ruleId":30998,"ruleNumber":"R501-14-5(2)(a)-(b)","ruleDescription":"Application submitted within 2 weeks and applicant directly supervised","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-11-17","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On 11/17/2025 the licensor verified documentation of how staff with a supervision required determination from the Office of Background Processing would be supervised during the entirety of their employment until a clearance determination was given as stated in rule.","appealDate":null,"declarativeStatement":"The licensee was out of compliance for R501-1-14-5(2)(ii) for not having documentation of how staff having a supervision required determination in the DACS system remain supervised for the entirety of the applicant's supervised employment term before receiving a clearance determination.","underAppeal":false},{"ruleId":25674,"ruleNumber":"R501-1-8(3)","ruleDescription":"Medication and hazardous items maintenance and storage","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-11-17","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On 11/17/2025 the licensor verified that the two gas cans were put away and locked up in shed not accessible to clients as stated in rule.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R501-1-8(3) by not storing potentially hazardous items on-site with consideration of the safety and risk level of the population served to include locked storage for potentially hazardous chemicals not in active use.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-09-24","inspectionTypes":"3rd Unannounced","checklistIds":[674005],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-09-16","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) by not ensuring any allegation of an incident of abuse of a client was reported to the Division of Child and Family Services and law enforcement. During the investigation inspection, the evidence substantiated that a client submitted a written statement to the provider on August 22, 2025 alleging they were sexually abused by another client. The provider did not report this allegation to Child Protective Services and law enforcement as required by law.","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":300.0,"warnCmpAmount":150.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-600-7(16)(a) by not submitting a critical incident report to the Office of Licensing within one business day. During the investigation inspection, a client made an allegation of client on client sexual abuse. The provider was made aware of the allegation on August 22, 2025 and did not report this critical incident to the Office of Licensing until prompted by an OL representative. This is a repeat noncompliance previously cited on 03/22/2024, 12/03/2024, and 05/27/2025.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-08-12","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-08-12","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-08-12","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-04","inspectionTypes":"2nd Unannounced","checklistIds":[653817],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-06-04","inspectionTypes":"Investigation Inspection","checklistIds":[653817],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-05-27","inspectionTypes":"Complaint, Focus Inspection","checklistIds":[],"findings":[{"ruleId":30150,"ruleNumber":"R380-600-7(16)(a)-(e)","ruleDescription":"Critical incidents reporting requirements","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-05-27","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 6/11/2025 the licensor verified that additional training was received regarding critical incidents being reported within one business day as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R380-600-7(16)(a) by not reporting a critical incident to Licensing within one business day. During the inspection an unjustified restraint was conducted and not reported to licensing. This is a repeat noncompliance as noted on 12/3/2024 and 3/22/2024.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-05-27","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":25872,"ruleNumber":"R501-1-4(5)(a)-(l)","ruleDescription":"Congregate care behavior management policy","complaintDates":"05/22/2025","findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2025-05-27","cmpAmount":null,"warnCmpAmount":150.0,"correctionAction":"On 6/11/2025 the licensor verified that additional training was done with staff to ensure that restraints are only done when clients are in imminent threat of harm to self, others, or property as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R501-1-4(5)(g) by placing a client in a restraint when they were not an immediate threat to themselves, others, or property. During the inspection a client was sitting at a table and was placed into a restraint when it was not warranted. This is a repeat noncompliance as noted on 4/11/2024.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-03-26","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-03-25","inspectionTypes":"Follow-Up Inspection, Non On-Site Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-03-09","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"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":"2025-03-09","cmpAmount":0.0,"warnCmpAmount":150.0,"correctionAction":"On 03/09/2025, the licensing investigator verified the provide came back into compliance by locking a chemical closet door when chemicals were not in use, as required by rule.","appealDate":null,"declarativeStatement":"The licensee was out of compliance with R501-1-8(3) by not maintaining potentially hazardous items on-site safety when not in use. During a follow-up inspection, the investigator observed that a closet used to store cleaning chemicals was left unlocked when chemicals were not in active use.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-02-25","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[637811],"findings":[{"ruleId":25664,"ruleNumber":"R501-1-8(1)(a)-(i)","ruleDescription":"Facility and safety requirements","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-03-25","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On March 25, 2025 the licensor verified the two identified non working bathroom fans in client bathrooms had been fixed and are in working order and the unorganized bedroom now has a mattress on the bedframe as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with R501-1-8(1) by not having working bathroom vents in two of the client bathrooms and having an unorganized client bedroom that had a missing mattress from the bedframe. During the inspection the licensor saw two client bathroom vents that were not working and an unorganized bedroom that had a missing mattress from the bedframe. This is a repeat noncompliance.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2025-01-30","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2025-01-06","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-23","inspectionTypes":"Non On-Site Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-12-03","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26196,"ruleNumber":"R501-19-3(3)(a)-(j)","ruleDescription":"Supervision and ratio requirements","complaintDates":"12/01/2024","findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-03-09","cmpAmount":2000.0,"warnCmpAmount":200.0,"correctionAction":"On 03/09/2025, the licensing investigator verified the licensee came back into compliance by observing they were in compliance, as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance by not maintaining a staff-to-client ratio of one staff to every four clients. During an investigation, provider documentation verified that on Sunday, November 10, 2024 the provider was not compliant with the required staff to student ratio for multiple hours that day.","underAppeal":false},{"ruleId":26140,"ruleNumber":"R380-80-5(10)","ruleDescription":"Services and supervision to meet each clients needs","complaintDates":"12/01/2024","findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-03-09","cmpAmount":400.0,"warnCmpAmount":200.0,"correctionAction":"On 03/09/2025, the licensing investigator verified the licensee came back into compliance by observing they were in compliance, as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not providing supervision commensurate with the behaviors of each client. During an inspection, multiple interviews disclosed and facility video coverage recorded a client with a history of impulsive behaviors was not adequately supervised while in possession of hazardous chemicals. This is a repeat citation.","underAppeal":false},{"ruleId":25534,"ruleNumber":"R380-600-7(16)(a)-(d)","ruleDescription":"Critical incidents reporting requirements","complaintDates":"12/01/2024","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-03-09","cmpAmount":300.0,"warnCmpAmount":150.0,"correctionAction":"On 03/09/2025, the licensing investigator verified the licensee came back into compliance by training staff members, as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not reporting a critical incident to the Office of Licensing within one business day. During a complaint investigation inspection, the complaint being reviewed was identified as a critical incident that was not reported to the Office of Licensing by the provider. This is a repeat citation.","underAppeal":false},{"ruleId":26137,"ruleNumber":"R380-80-5(4)","ruleDescription":"Provider shall protect clients from abuse, prevent abuse","complaintDates":"12/01/2024","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-03-09","cmpAmount":400.0,"warnCmpAmount":200.0,"correctionAction":"On 03/09/2025, the licensing investigator verified the licensee came back into compliance by observing they were in compliance, as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by compromising the health and safety of clients and failing to protect clients from harm. During the investigation inspection, a staff member provided a client with chemicals to clean a water bottle and two additional staff failed to supervise clients using cleaning chemicals. A client intentionally added chemicals to another client’s water bottle with the intent to harm them. A third client drank from the water bottle and reported their stomach hurt. This is a repeat citation.","underAppeal":false},{"ruleId":26133,"ruleNumber":"R380-80-4(2)","ruleDescription":"Report abuse or neglect","complaintDates":"12/01/2024","findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-03-09","cmpAmount":200.0,"warnCmpAmount":200.0,"correctionAction":"On 03/09/2025, the licensing investigator verified the licensee came back into compliance by training staff members, as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not immediately reporting allegations of child abuse to Child Protective Services intake or law enforcement. During a complaint investigation inspection, the information gathered supported that an alleged child abuse incident occurred on 11/10/2024 and the provider reported the allegations to Child Protective Services on 11/15/2024.","underAppeal":false},{"ruleId":26573,"ruleNumber":"R501-14-5(2)(a)-(f)","ruleDescription":"Submitting application for an initial background screening","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"High","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-03-09","cmpAmount":0.0,"warnCmpAmount":200.0,"correctionAction":"On 03/09/2025, the licensing investigator verified the licensee came back into compliance by observing they were in compliance, as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by allowing a staff member without a conditional or eligible background clearance to work without being directly supervised. During an investigation, facility video coverage recorded a staff member who required direct supervision and was not being directly supervised.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-11-12","inspectionTypes":"Announced, Annual Inspection","checklistIds":[623295],"findings":[{"ruleId":25715,"ruleNumber":"R501-1-16(1)(a)-(u)","ruleDescription":"Pre-service training requirements","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-12-23","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On 12/23/2024 the licensor verified through an email from the provider that included current Provider Code of Conduct with staff signatures. An updated preservice training schedule was included adding documentation of training for staff response to client leaving the program without permission as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not having current Provider Code of Conduct or documentation of training for staff response to client leaving program without permission in staff files within 30 days of hire. During staff file review the licensor observed that the Provider Code of Conduct was not the current form and there was no documentation of training for staff response to client leaving the program without permission.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-11-07","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26196,"ruleNumber":"R501-19-3(3)(a)-(j)","ruleDescription":"Supervision and ratio requirements","complaintDates":"11/01/2024","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2025-03-09","cmpAmount":900.0,"warnCmpAmount":150.0,"correctionAction":"On 03/09/2025, the licensing investigator verified the licensee came back into compliance by observing they were in compliance, as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not maintaining the required staff-to-client one to four client ratio. During the inspection the information gathered from interviews and provider documentation substantiated that staff did not provide clients with required staff to client ratio mandated for client safety during an outing on 10/26/2024. This is a repeat citation.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-09-18","inspectionTypes":"2nd Unannounced","checklistIds":[615755],"findings":[{"ruleId":25772,"ruleNumber":"R501-1-13(5)(a)-(b)","ruleDescription":"Private placement reporting","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Low","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2024-09-18","cmpAmount":null,"warnCmpAmount":100.0,"correctionAction":"On 09/18/2024 the licensor verified that private placements were reported to the office as by following up with program director and also through QuickSight reporting as stated in rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not reporting private placements to the Office by the fifth business day of the month for August and September 2024. During the inspection the licensor verified through QuickSight reporting that the provider had not reported private placements to the office by the fifth business day of the month for August and September 2024. This is a repeat non compliance.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-31","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-30","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-07-23","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-06-28","inspectionTypes":"Focus Inspection","checklistIds":[],"findings":[{"ruleId":26196,"ruleNumber":"R501-19-3(3)(a)-(j)","ruleDescription":"Supervision and ratio requirements","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-07-23","cmpAmount":1200.0,"warnCmpAmount":150.0,"correctionAction":"On 7/23/2024 the licensor verified that the provider was staffed at one staff to four clients as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not maintaining required staff ratios. During the inspection the provider was observed to be out of staff to client ratio on 1 group staffed at 1 staff  to 8 clients. This is a repeat noncompliance.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-06-06","inspectionTypes":"Non On-Site Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-05-30","inspectionTypes":"Unannounced, Annual Inspection","checklistIds":[598857],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-04-11","inspectionTypes":"Investigation Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-03-22","inspectionTypes":"Focus, Non On-Site","checklistIds":[],"findings":[{"ruleId":25534,"ruleNumber":"R380-600-7(16)(a)-(d)","ruleDescription":"Critical incidents reporting requirements","complaintDates":null,"findingCategory":"CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":null,"cmpAmount":150.0,"warnCmpAmount":150.0,"correctionAction":null,"appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by failing to report a critical incident by the next business day.  During review of critical incidents it was identified that the incident occurred on 3-22-24, was not reported until 3-26-24. This is a repeat noncompliance.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-02-24","inspectionTypes":"Complaint, Investigation Inspection","checklistIds":[],"findings":[{"ruleId":26196,"ruleNumber":"R501-19-3(3)(a)-(j)","ruleDescription":"Supervision and ratio requirements","complaintDates":"02/15/2024","findingCategory":"REPEAT_CITED","noncomplianceLevel":"Moderate","correctionVerification":{"key":"VERIFIED","value":"Correction Verified","active":null},"correctionDate":"2024-02-24","cmpAmount":5700.0,"warnCmpAmount":150.0,"correctionAction":"On 04/22/2024, the licensing investigator verified the provider was in compliance as required by rule. Documentation was provided to show the provider is fully staffed and the ratio requirement is being met.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by failing to maintain a staff-to-client ratio of one staff to every four clients. The information gathered throughout the investigation substantiated that the provider was out of staff to student ratio throughout multiple shifts between 02/09/2024 and 02/22/2024.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2024-02-24","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-02-06","inspectionTypes":"Non On-Site Inspection","checklistIds":[],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-01-18","inspectionTypes":"Announced, Annual Inspection","checklistIds":[575301],"findings":[],"underAppeal":false},{"id":null,"inspectionDate":"2024-01-10","inspectionTypes":"Complaint, Focus Inspection","checklistIds":[],"findings":[{"ruleId":20891,"ruleNumber":"R501-19-3(4)","ruleDescription":"Maintain 1 staff to every 4 client ratio","complaintDates":null,"findingCategory":"REPEAT_CITED","noncomplianceLevel":"High","correctionVerification":{"key":"MANAGER_APPROVAL","value":"Manager approval, no follow up needed","active":null},"correctionDate":"2024-01-10","cmpAmount":1600.0,"warnCmpAmount":200.0,"correctionAction":"On 1/11/2024 the licensor verified that the provider was within ratio as required by rule.","appealDate":null,"declarativeStatement":"The provider was out of compliance with this rule by not having enough staff to meet the required 1:4 ratio. During the inspection it was observed that the provider was out of ratio on 12/17/2023 and 12/18/2023. This is a repeat noncompliance.","underAppeal":false}],"underAppeal":false},{"id":null,"inspectionDate":"2023-11-02","inspectionTypes":"Follow-Up Inspection","checklistIds":[],"findings":[],"underAppeal":false}],"dcount":0,"icount":0,"ccount":0,"specialties":"Congregate Care","cmsCertNumber":null}