Azleway, Inc.

Risk level: Medium High : 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions

During a physical site inspection, one gallon of milk in the cottage refrigerator expired on 5/18/2026. A remaining loaf of bread stored in the bread cabinet had mold.

Risk level: Medium High : 748.685(d)(3) - Caregiver responsibility- Child participating in unsupervised activity - caregiver must provide/arrange/ confirm transportation to & from activity

Caregivers at the operation did not communicate or confirm who was going to pick a child up after school. The child was left unattended for approximately three hours.

Risk level: Medium High : 748.685(d)(4) - Supervision caregiver responsibility- Child participating in unsupervised activity - caregiver must give child way to contact him/her in an emergency

A child in care was off campus and did not have a phone number to call to be picked up.

Risk level: High : 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity

A child in care was unaccounted for, for approximately 3 hours after school.

Risk level: Medium High : 748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.

During a review conducted on 04/09/2026 it was determined that: 1. the Administrator failed to ensure compliance with the current HM Plan; and 2. 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific “planned end date” at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of “post plan monitoring”. As a direct result of the administrator’s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation’s “planned end date” must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator’s failure to ensure compliance include the following: • Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and • Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.

Risk level: Low : 748.1703(a) - Menus-must maintain daily menus showing all meals and snacks that the operation prepares and serves

There were no menus in either house on campus. The operation has not been utilizing menus due to grocery changes every week.

Risk level: Medium High : 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions

During a heightened monitoring visit to the operation on 08/14/2025, some donuts, with a best if used by date of 08/04/25, located on the counter in the kitchen were observed to have mold on them.

Risk level: High : 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

Roughhousing between two residents escalated. One resident placed the other in a headlock and transitioned to placing hands around the neck and choking. The caregiver delayed to de-escalate and intervene.

Risk level: Medium : 748.1101(b)(4)(A)(vi) - Children's rights- To be free from being threatened with the loss of placement or shelter as punishment

The residents and staff witnessed a caregiver threatening placements and inappropriate discipline at the operation.

Risk level: Medium High : 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language

An employee at the operation was using profanity towards the residents and in the presence of direct care staff.

Risk level: Medium High : 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times

One of the facility vans had a protruding wire sticking out of the second seat and a sliding door that came off the hinges when the door was opened. This was corrected at the initial inspection, but residents were transported in this vehicle for several weeks before the issues were fixed.

Risk level: Medium : 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.

During a walk-through of the operation, it was observed that conditions of a cabin were not clean. The boy's rooms were observed to be cluttered, the bathroom toilet dispenser was broken off, dirty dishes were observed in the kitchen sink and a liquid was observed on one of the bedroom floors.

Risk level: High : 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being

A child in care reported seeing a caregiver sleeping while on night duty. The child called out to the caregiver while getting a drink of water and initially received no response until being woken. One caregiver reported observing the same caregiver sleeping on duty when coming on shift. This occurred on two separate occasions. One caregiver also reported observing a separate caregiver sleeping in the office.

Risk level: High : 748.685(c)(2) - Caregiver responsibility - provide a safe environment

After a series of events including attempted property destruction, defiance, bullying, and fighting, 3 out of 4 residents reported they did not feel safe at the operation due to a lack of protection from physical altercations and/or bullying.

Risk level: Medium : 748.1269(a) - Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission

An Emergency Admission Assessment was not completed for the victim child in this case.

Risk level: Medium Low : 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission

A preliminary service plan was not provided for the victim child in this case.

Risk level: Low : 748.1349(a)(2) - Initial Service Plan-Give copy or summary of plan to child's parents

During the investigation, I observed a child's service plan failed to record when the plan was provided to the child's parent entity.

Risk level: Low : 748.1337(b)(1)(A)(vii) - Initial Service Plan-Include therapeutic needs, including plans for evals, follow-up treatment, testing and use of psychotropic medications

During the investigation, I observed a child's service plan lacking the results of the most recent Psychological Evaluation or attempts to schedule a new one.

Risk level: Medium : 748.1337(b)(1)(D) - Initial Service Plan-Include specific goals and strategies to meet the child's needs, including instructions to caregivers

During the investigation, I observed six child service plans lacked specific goals in multiple areas.

Risk level: Low : 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign

During the investigation, I observed the service plan for one child did not include his signature or documentation of refusal.

Risk level: Medium High : 748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old

During the investigation, I observed the medication logs for one child's medication failed to document an administration of this medication on 12/21/24.

Risk level: Medium High : 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered

During the investigation, I observed one child's medication log contained an entry for which no time of administration was recorded.

Risk level: Medium High : 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.

During the investigation, I observed two staff failed to take Trauma Informed Care training in 2024.

Risk level: Medium : 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records

During the investigation, I observed the service plans for three children did not include available CAN's results and accurate recommendations.

Risk level: Medium : 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication

One child's medication log did not include the reason the medication was prescribed.