Center for Discovery

Risk level: Medium Low : 748.1337(b) - Initial Service Plan-Document in child's record and include preliminary service plan requirements

Two child files did not include information related to 748.1337(b)(1)(E ), 748.1337(b)(1)(F ) or 748.1337(b)(1)(G ).

Risk level: Medium : 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.

EBI 4h quarter reports were not submitted.

Risk level: Medium : 748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren)

Two of three serious incident reports reviewed did not have the staff members name listed.

Risk level: High : 748.3603(m) - Swimming-all indoor/outdoor areas within 50ft outside of pool fence must be free of furniture/equipment a child could use to enter pool area

One bench and one pool toy storage box is within 50 feet of the pool gate.

Risk level: High : 745.8411(a) - Responsibilities - Not interfere with an inspection or investigation

RCCR attempted to start reviewing records at 10:30 am, by 1:00pm records were not provided for review.

Risk level: Medium High : 748.1205(a)(7) - Admission Documentation-Includes child's immunization record

One of two child files did not have an immunization record.

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

A television remote with batteries inside was left out on the fireplace accessible to children.

Risk level: Medium Low : 748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission

One out of two child files did not have an initial service plan.

Risk level: Medium : 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction

One personnel record was requested at 10:30 and by 4:30pm the record was not released.

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

Remote batteries were observed to be accessible to children in care following a suicide attempt by using remote batteries.

Risk level: High : 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation

2 employees did not have a background check completed while supervising children in care.

Risk level: Medium High : 748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child

A child attempted suicide twice in May and June. The operation did not report the suicide attempt to RCCR.

Risk level: Medium : 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.

Data was not reported within 15 days of the end of the 2nd quarter.

Risk level: Medium : 748.399(b) - Records Available for Licensing - reasonable access to storage and file areas

The operation stated their policy is to release individual documents via email. The operation did not provide access to the EMR for the inspection.

Risk level: High : 748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication

2 children were presribed new psychotrophic medications without medical consent. Documentation does not support consent was provided for new psychotrophic medications.

Risk level: Low : 748.1205(a)(14) - Admission Documentation- Includes the results of the suicide screening at admission, if required.

Two child files were reviewed. Questions posed to make a determination for suicidality was not available in the child's files. The suicide assessment documents results as "not present." The operation submitted policies that indicate a rating of High to Low risk.

Risk level: Medium : 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill

Severe weather drills were not completed in 2025.

Risk level: High : 748.3603(g) - Swimming-Fence gates must open outward away from the pool & must not be propped open

Two fence doors were observed to be broken.

Risk level: Medium : 748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing

1 of 4 fire extinguishers was not serviced in 2025.

Risk level: High : 748.3601(9) - Swimming Pool-swimming area rules & emergency procedures must be posted at the swimming area & explained to the children

Rules for pool area were not present.

Risk level: Medium High : 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection

Fire inspection was completed 13 months after the previous inspection.

Risk level: Medium High : 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.

Four Employees were missing their annual training for Normalcy.

Risk level: Medium High : 748.303(a)(4)(A) - Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child

Operation failed to report a serious incident timely.

Risk level: Medium High : 748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children

The operation administration placed children at risk when they fail to increase staff when additional supervision was needed.

Risk level: Medium Low : 748.1225(b) - Admission-Dental exam for child 3 years old or older scheduled in 30 days and done in 90 days unless documentation of one within past year on file

Two children in care files did not have a dental exam.