Bayes Achievement Center

Risk level: Medium High : 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

Medication logs for two children in care were observed to have an inaccurate count of medications remaining.

Risk level: High : HRC42.056(g) - BGC-persons cannot provide direct care/have direct access to children without all required background checks unless they meet certain criteria.

A staff member who has direct access to residence in care does not have an active background check.

Risk level: Medium High : 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

An individual in care expressed having back pain and staff failed to adequately offer relief or contact other available source of directives.

Risk level: Medium High : 748.685(b)(3) - Caregiver responsibility - when deciding how close to supervise, takes into account the indoor and outdoor layout of the operation

Children in care were not provided adequate supervision resulting in two children engaging in sexually inappropriate behavior with one another.

Risk level: High : 745.8641 - Requirements during probation

Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Not Met Condition #6-Met

Risk level: Medium High : 748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children.

References for an employee hired on 02/09/26 were not contacted until 02/18/26.

Risk level: Low : 748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event

A review of records indicated that documentation of dental examinations for two children in care was not present in their files.

Risk level: High : 745.8641 - Requirements during probation

Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Not Met Condition #6-Met

Risk level: Medium : 748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history.

Pre-employment screenings were observed to be completed after employees were hired.

Risk level: High : 745.8641 - Requirements during probation

Condition #1-Not Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Met Condition #6-Met

Risk level: High : 745.8641 - Requirements during probation

Condition #1-Met Condition #2-Met Condition #3-Not Met Condition #4-Met Condition #5-Met Condition #6-Met

Risk level: High : 745.8641 - Requirements during probation

Condition #1-Met Condition #2-Met Condition #3-Met Condition #4-Met Condition #5-Not Met-Employee observations were not conducted in accordance with the conditions that have been imposed. Condition #6-Met

Risk level: Medium Low : 748.753(c)(2) - Pre-Employment Screening-You must document your diligent efforts to contact the reference, which must include more than one attempt to contact.

Employee files were observed to be missing documentation of attempts to contact references, and in some cases, there was an insufficient number of attempts made.

Risk level: Medium Low : 748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.

Results of pre-employment screening were not documented in an employee's file.

Risk level: Medium Low : 748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility

Child files were observed to be missing TB exam documentation.

Risk level: Medium : 748.1501(a)(1) - Dental care-Children in care must receive dental care initially according to the requirements in 748.1225

A child who was admitted into care on 02/15/2022 did not receive dental care until 01/10/2024.

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

Children in the staff reported that one or more staff members have been observed sleeping during the overnight shift.

Risk level: High : 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment

Both the victim and the other collateral children in care that were interviewed made similar outcries that a staff member used a cell phone to tap them on their heads to redirect them.

Risk level: Medium High : 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks

During the investigation, it was reported through multiple interviewees that multiple staff were overheard using profanity.

Risk level: High : 748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training.

Neither of the four employee files reviewed were observed to have an annual Suicide Training.

Risk level: Medium High : 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child

A staff member documented that a staff bent a child's fingers back causing the child pain, but the incident was not reported to the abuse/neglect hotline within the time frame required by minimum standards.

Risk level: Medium High : 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child

A child made an outcry of abuse by staff and the staff that it was reported to did not report it for several weeks.

Risk level: Medium High : 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model

Six medication logs for four children in care were observed to have an inaccurate count of medication remaining documented on the log compared to the actual count.

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

A medication log reviewed for one of six children did not show a documented amount of medication administered or remaining count from September 1st through 22nd.

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

One of five employee pre-employment reference documents was observed to be missing dates of previous employment.