Cedar Valley Ranch

Out of compliance, non on-site technical assistance : R380-600-7(16)(a)-(e) Critical incidents reporting requirements

Critical incidents reporting requirements

Out of compliance, investigation inspection : R380-600-7(6) No withholding or manipulating sources

The provider was out of compliance with R380-600-7(6) by withholding information to OL. During the inspection a client was punched during a restraint and this was not reported to Licensing.

Out of compliance, unannounced, annual inspection : R501-1-8(1)(a)-(i) Facility and safety requirements

The Licensee was out of compliance with R501-1-8 (a, b) by not maintaining the appearance and cleanliness of the building so it's free from health and safety concerns. During the inspection, the building was in disrepair with broken window, holes in walls, and missing electrical outlet covers. This is a repeat noncompliance as noted on 10/22/25, 4/1/25, 1/16/25, 7/23/24, 4/8/24, 2/8/24, 10/5/23, 5/3/23. On-Site Technical Assistance was given on 7/21/25.

Out of compliance, focus, non on-site : R380-600-7(16)(a)-(e) Critical incidents reporting requirements

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 2/17/2026 and was not reported until 2/23/2026. This is a repeat noncompliance.

Out of compliance, 3rd unannounced : R501-1-8(1)(a)-(i) Facility and safety requirements

The Licensee was out of compliance with R501-1-8 (a)(b)(f) by not maintaining the appearance and cleanliness of the building and grounds so they are free from health hazards; electrical, HVAC, and furnishings are maintained in operating order and in a clean and safe condition. During the walkthrough inspection broken light fixtures, holes in wall of buildings, furnishing broken and unsafe. This is a repeat noncompliance as noted on 4/1/25, 1/16/25, 7/23/24, 4/8/24, 2/8/24, 10/5/23, 5/3/23. On-Site Technical Assistance was given on 7/21/25.

Out of compliance, complaint, follow-up inspection : R501-19-3(3)(a)-(j) Supervision and ratio requirements

The provider was out of compliance with R501-19-3(3)(f) by not conducting line of sight check-ins every 15 minutes. During the inspection two clients left the facility, without the provider being aware, even though staff was checking the bedroom. This is a repeat noncompliance as noted on 2/18/2025.

Out of compliance, investigation inspection : R501-14-5(2)(a)-(f) Submitting application for an initial background screening

The licensee was out of compliance with R501-14-5(2)(b) by not directly supervising a staff member without a cleared background. During the inspection a staff member whose determination had not been made was left unsupervised with clients.

Out of compliance, unannounced, annual inspection : R501-1-8(1)(a)-(i) Facility and safety requirements

The Licensee was out of compliance with R501-1-8 (a, b) by not maintaining the appearance and cleanliness of the building so it's free from health and safety concerns. During the inspection, the building was in disrepair with multiple broken windows, holes in walls, and client areas were not clean.

Out of compliance, investigation inspection : R380-600-7(16)(a)-(d) Critical incidents reporting requirements

The licensee was out of compliance with R380-600-7(16)(a) by not reporting a critical incident within one business day. During the inspection the licensee was aware of a critical incident on 3/3/2025 but did not submit a report until 3/7/2025. This was a repeat noncompliance as noted on 7/3/2024, 10/5/2023, 8/22/2023, and 8/21/2023.

Out of compliance, investigation inspection : R501-19-3(3)(a)-(j) Supervision and ratio requirements

The provider was out of compliance with this rule by not conducting physical 15-minute check-ins with clients. During the inspection a client was able to leave the facility without staffing being aware. This is a repeat noncompliance.