Cinnamon Hills Youth Crisis Center

Out of compliance, complaint, investigation inspection : R380-80-6(1)(a)-(i) Client rights

The provider was out of compliance with R380-80-6(1)(b) by a staff member who did not ensure that each client had the right to be treated with dignity and respect. During the investigation inspection, the information gathered substantiated that a staff member used profane language directed at a client and made a threatening statement. The staff member was immediately suspended and no longer works with this provider. This is a noncompliance previously noted on 05/03/2023, 11/16/2023, 02/07/2025, 04/10/2025, 05/06/2025, 05/27/2025, and 10/02/2025.

Out of compliance, investigation inspection : R380-80-6(1)(a)-(i) Client rights

The provider was out of compliance with R380-80-6(1)(b) by staff members not treating clients with dignity, respect, and fairness. During the investigation inspection, multiple staff and client interviews substantiated that some staff members use profane language directed at clients. The evidence also substantiated that some staff engage in unfair actions by singling out certain clients who are not a danger to themselves or others and place them in unnecessary seclusion. This noncompliance was previously noted on 05/27/2025, 05/06/2025, 04/10/2025, 02/07/2025, 11/16/2023, and 05/09/2023.

Out of compliance, complaint, investigation inspection : R380-80-4(2) Report abuse or neglect

The provider was out of compliance with R380-80-4(2) by a staff member, who witnessed child abuse, not immediately notifying Child Protective Services intake or law enforcement. During the investigation, the evidence substantiated that a staff member witnessed another staff member forcefully hit a client in the stomach and did not report it to the provider or to CPS.

Out of compliance, complaint, investigation inspection : R501-1-4(5)(a)-(l) Congregate care behavior management policy

The provider was out of compliance with R501-1-4(5)(a,b) by not using behavior management techniques that are trauma-informed and defer to the least restrictive method of behavior management available to control a situation; a congregate care program licensee only uses behavior management techniques that emphasize de-escalation and promote self-control, and independence. During the investigation, evidence substantiated that a staff member did not use de-escalation techniques when intervening in an incident involving two clients. The staff member hit a client in the stomach, a use of unapproved and non-trauma-informed behavior management. This is a repeat noncompliance that was previously noted on 02/07/2025, 02/26/2025, and 06/05/2025.

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

The provider was out of compliance with R380-600-7(16)(b) for not ensuring an allegation of abuse was reported to law enforcement and CPS within 24 hours. During the investigation inspection, the information gathered substantiated that an allegation of client-on-client abuse was not reported to law enforcement and CPS within 24 hours of the allegation made.

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

The provider was out of compliance with R380-600-7(16)(c) by not notifying a parent or legal guardian of a critical incident involving their child within 24 hrs. During an investigation inspection, the information gathered substantiated that an incident of alleged sexual activity between three clients was alleged on 06/07/2025 and reported to their parents on 06/09/2025. This is a repeat noncompliance previously noted on 01/30/2025, 05/13/2025, and 05/27/2025.

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

The provider was out of compliance with R501-19-3(3)(d)(ii) by a staff member not remaining awake while on duty. During an investigation inspection, the information gathered substantiated that a staff member fell asleep while on duty when they were responsible for supervising clients in a classroom.

Out of compliance, investigation inspection : R501-1-4(5)(a)-(l) Congregate care behavior management policy

The provider was out of compliance with R501-1-4(5)(g)&(i) by two staff members not using passive physical restraint as an emergency, temporary means of physical containment to protect the persons involved from immediate harm and using a physical restraint as a convenience to staff. During the investigation inspection, the information substantiated that staff conducted an unnecessary physical restraint on a client who was not an immediate harm to themselves or others. This is a repeat noncompliance previously noted on 01/03/2024, 12/30/2024, and 01/30/2025.

Out of compliance, investigation inspection : R380-80-6(1)(a)-(i) Client rights

The licensee was out of compliance with R380-80-6(1)(b) by not ensuring a client had the right to be treated with dignity, respect, and fairness. During the investigation inspection, the information gathered substantiated that a staff member made an inappropriate and disrespectful statement to a client. This is repeat noncompliance that was previously noted on 05/09/2023, 11/16/2023, 02/07/2025, 04/10/2025, and 05/06/2025.

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

The licensee was out of compliance with R380-600-7(16)(c) by not notifying the parent of the involved client within a 24-hour period from the time of the incident. During an investigation inspection, the information gathered from licensee records substantiated that a client rights noncompliance occurred on 05/16/2025 and was not reported to the client’s parent until 05/19/2025. This is a repeat noncompliance previously noted on 05/13/2025.

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

The Licensee was out of compliance with R380-600-7(16)(b) by not notifying the legal guardian of each involved client within a 24-hour period from the time of the incident. During the client file inspection clients parents and or guardians had not been notified of incidents within 24 hours. This is a repeat noncompliance as noted on 1/30/25.

Out of compliance, investigation inspection : R380-80-6(1)(a)-(i) Client rights

The licensee was out of compliance with R380-80-6(1)(b) by a staff member not ensuring that a client was treated with dignity and respect. During an investigation, the information gathered substantiated that a staff member yelled at and used profanity directed at a client. This is a repeat noncompliance previously noted on 05/11/2023, 11/16/2023, and 02/07/2025.

Out of compliance, complaint, investigation inspection : R380-80-5(4) Provider shall protect clients from abuse, prevent abuse

The licensee was out of compliance with R380-80-5(4) by a staff member acting in a way that harmed and compromised the health and safety of multiple clients. During an investigation, the information gathered substantiated that a staff member provided and used electronic vaping devices with multiple clients, allowed a client to view sexually inappropriate photos of a minor, video recorded multiple clients engaged in physical altercations and did not intervene, and allowed clients to record themselves engaging in simulated lewd acts and other licensee prohibited actions on that staff’s cell phone. This is a repeat noncompliance previously noted on 12/26/2023 and 02/07/2024.

Out of compliance, investigation inspection : R380-80-6(1)(a)-(i) Client rights

The licensee was out of compliance with R380-80-6(1)(b) by a staff member not ensuring a client’s right to dignity and respect. During an investigation, the information gathered substantiated that a staff member yelled at and told a client to shut up. This is a repeat noncompliance previously noted on 05/09/2023, 11/16/2023, and 02/07/2025.

Out of compliance, investigation inspection : R380-80-6(1)(a)-(i) Client rights

The licensee was out of compliance with R380-80-6(1)(c) by not ensuring a client’s right to be free from harm or acts of violence. During the investigation, the information gathered substantiated that a client was physically harmed and injured by two clients. This is a repeat noncompliance previously noted on 03/19/2024, 01/30/2025, 01/30/2025, 02/07/2025, and 02/26/2025.

Out of compliance, investigation inspection : R380-80-5(10) Services and supervision to meet each clients needs

The licensee was out of compliance with R380-80-5(10) by not ensuring services and supervision that is commensurate with the behaviors and needs or each client. During the investigation, the information gathered substantiated that a staff did not provide services and supervision proportionate with clients behaviors and needs. During this time, a client was physically harmed and injured by two other clients. This is a repeat noncompliance previously noted on 04/05/2023 and 02/07/2025.

Out of compliance, complaint, investigation inspection : R380-80-6(1)(a)-(i) Client rights

The licensee was out of compliance with R380-80-6(1)(c) by a staff member not ensuring a client was free from potential harm or acts of violence. During an investigation, the information gathered substantiated that a staff attempted to physically confront a client and threw a flip flop at a client’s head. This is a repeat noncompliance previously noted on 03/19/2024, 01/30/2025, 01/30/2025, and 02/07/2025.

Out of compliance, complaint, investigation inspection : R501-1-4(5)(a)-(l) Congregate care behavior management policy

The licensee was out of compliance with R501-1-4(5)(b) by a staff member not using behavior management techniques that emphasize de-escalation and promote self-control. During an investigation, the information gathered substantiated that a staff member engaged in confrontational behavior with a client rather than using de-escalation techniques. This is a repeat noncompliance previously noted on 02/07/2025.

Out of compliance, complaint, investigation inspection, non on-site inspection : R501-1-4(5)(a)-(l) Congregate care behavior management policy

The licensee was out of compliance with R501-1-4(5)(b) by a staff member not using behavior management techniques that emphasized de-escalation and promoted self-control. During the investigation, the information gathered substantiated that a staff member’s negative conduct exacerbated an incident that other staff members were working to de-escalate.

Out of compliance, complaint, investigation inspection, non on-site inspection : R380-80-5(10) Services and supervision to meet each clients needs

The licensee was out of compliance with R380-80-5(10) by a staff member not providing supervision with the skills, behaviors, and needs of each client. During the investigation, the information gathered substantiated that a staff member was focused on a cell phone while two clients engaged in a confrontation that escalated to a physical assault. This is a repeat noncompliance as previously noted on 04/05/2023, 08/16/2023, and 12/26/2023.

Out of compliance, complaint, investigation inspection, non on-site inspection : R380-80-6(1)(a)-(i) Client rights

The licensee was out of compliance with R380-80-6(1)(b) by a staff member not ensuring a client had the right to be treated with dignity and respect and to be free from potential harm or acts of violence. During the inspection, the information gathered substantiated a staff member engaged in a verbal and physical confrontation with a client. This is a repeat noncompliance previously noted on 05/09/2023, 11/16/2023, 03/19/2024, 01/30/2025, and 01/30/2025.

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

The licensee was out of compliance with R380-600-7(6) by withholding information that affected the office’s information gathering process. During the investigation, a review of an incident report submitted by the licensee was conducted. It was observed that the licensee omitted information pertinent to the context of the incident. This is a repeat noncompliance as previously noted on 01/30/2025.