summary: Unannounced - 15 findings

raw_content:
Licensed Child Caring Agency Unannounced Site Visit Report
Licensee: Janus Youth Programs
Executive Director: Dennis Morrow
Board Chairperson: Sue Campo
Programs: Buckman, Cordero, Imani, and Rivera
Date of Unannounced: 10/17/22 – 10/19/22
Licensing Coordinator: Ed Wyller
Other Regulatory or Accrediting Agencies: DHS Treatment Services and Oregon Youth Authority (OYA). CARF Accreditation for Imani
Purpose: Per OAR 413-215-0101 (1) (b) Children’s Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Findings
Further Action
Needed
Supplemental Information Provided by Yes☐ No  Buckman, Cordero, Imani, and Rivera programs have completed their
CCA environmental health inspections.
Documents as indicated on the form titled
“Renewal Licensing Required Documents”
Buckman, Cordero, Imani, and Rivera:
missing completed environmental health
inspection
Physical Plant Yes No☐ Repeated Finding: Rivera House
413-215-0511(2)(a) &(c) Buildings are smoke  Roof has tarp with cinder blocks that are not holding tarp in place
free, clean and in good repair  Exterior door leading from kitchen to patio is difficult to open and close due to top
door hinge is not secure. Screws are pulled from door frame.
Buckman House: upstairs bedroom metal  Overall program cleanliness is poor. Floors need cleaning and vacuuming
runner is not secured and could be a tripping throughout entire building
hazard. Linoleum is curling near last stair in  Kitchen was found to be not clean
basement and could be a tripping hazard.
1
(rev. 200115)
Buckman showers have mold in plastic  Bathroom’s toilets have not been cleaned with buildup throughout the entire toilet
interior joints and in corners outside shower bowl
doors.  Showers moldy and need to be deep cleaned
 Yard has not been maintained – One side has blackberry vines covering the
Cordero House: Roof has considerable sidewalk exit. During youth interviews one youth reported that during a fire drill
moss growth and gutters are full of debris with with a simulated blocked exit, using this route with blackberry vines was difficult.
weeds growing.  Youth rooms were messy and would make conducting a room search quite difficult
Rivera House: Upstairs bathroom shower
grout and shower floor in need of cleaning. (These findings were communicated to Dennis Morrow – Executive Director on
10/25/2022)
 Buckman and Cordero House both have addressed physical plant findings.
Room and Space Requirements Yes☐ No
Bathrooms 413-215-0516(4)  Buckman House exhaust vents were observed to be clean and this is no longer a
finding.
(a)(H) Adequate ventilation
Buckman House: Bathroom exhaust vents
need to be cleaned to allow more air flow.
Food Services 413-215-0536(1)&(2) Yes No☐ Repeated Finding: Rivera House did not have menus kept for last 6 months
(1)(b) Menus are kept for at least 6 months
Rivera House: Has recently started to keep
menus however they did not have 6 months.
Safety 413-215-0541 Yes No☐ Repeated Finding: Rivera House for missing required fire drills since the recent renewal
review. This continues to be a repeated finding for Rivera House.
(3)(a) Evacuation drill occurs monthly under
varying conditions, is retained 2 yrs and  Cordero House had monthly fire drills kept for my review and this is no longer a
contains; finding.
(A) identify of person conducting drill
(B) date & time
(C) notification method
(D) staff participating
(E) # of children & staff evacuated
(F) special conditions simulated
(G) problems encountered
(H) time to complete
Cordero: was missing fire drills during the 2-
year time.
(rev. 07/21/2022)
Repeated Finding Rivera House: was
missing fire drills during the 2-year time.
Personnel Files 413-215-0061 Yes No☐
(1)(a) & (3)(c) Background check completed Repeated Finding: Rivera House is missing annual performance evaluations.
and documented
(3)(d) Annual performance evaluations  Janus as an agency now is completing background checks when staff members
are promoted. This is no longer a finding.
Imani and Rivera: Background checks were
not conducted for position changes
Rivera House: Personnel files were missing
annual performance evaluations.
New Employee Orientation – Umbrella Yes☐ No  Buckman, Imani, Cordero, and Rivera programs new employee orientation training
Requirements (30 days) 413-215-0061(4) records were following DHS CCLP standards. This is no longer a finding.
(a) Agency policies and procedures
(c) Organizational lines of authority
(d) Attributes of population served
(e) & (5)(a) to (c) Mandatory reporting that
includes:
(a) legal definition of child abuse ORS
419B.005, Oregon Laws 2016, chapter 106,
section 36
(b) legal responsibility to immediately report
(c) legal responsibility to report is personal to
the employee
(f) Privacy laws
(g) Emergency procedures
Buckman House: When not using orientation
form, new employee orientation was missing
trainings: a, c, d, and g.
Imani House: Missing new employee
orientation trainings: c, and f.
Cordero House: Missing new employee
orientation trainings: a, b, c, d, and f and
training was past the 30 days for c, e, and f.
Rivera House: Missing new employee
orientation trainings: a, c, and d.
(rev. 07/21/2022)
New Employee Orientation – Residential Yes☐ No  Buckman and Cordero programs new employee orientation training records were
(30 days) 413-215-0556 following DHS CCLP standards. This is no longer a finding.
(1)(a) Discipline and behavior management
including de-escalation, crisis prevention,
positive behavior management, and
disciplinary techniques that are non-punitive in
nature
Buckman House and Cordero House:
Missing new employee orientation on (1) (a).
Ongoing Training Yes☐ No  Buckman, Imani, and Rivera program’s staff are receiving ongoing training in
prudent parent standard, and this is no longer a finding.
413-215-0556(4) Designated staff authorized
to apply reasonable and prudent parent
standard are trained in application of the
standard
Repeated Finding – Buckman House, Imani
House, and Rivera House are missing
prudent parent standard training. Reviewers
clearly saw this in the Cordero tracking
system.
Consents 413-215-0576(1) Yes☐ No  I verified in Buckman and Rivera youth charts that missing consents were in youth
charts. This is no longer a finding.
(b) Use the discipline and behavior
management system
(c) Use restraint or seclusion (if applicable).
Must specify the reasons for the intervention
and how staff are trained and supervised
(d) Restrict contact with persons outside of
the agency
(e) Allow access as defined in 413-215-0091
& 0101
(f) Impose a dress code
(g) Apply the reasonable and prudent parent
standard
Buckman House: Consents were missing:
(b), (c), (d), (e), (f) and (g).
(rev. 07/21/2022)
Repeated Finding Rivera House: Consents
were missing (f) impose a dress code.
Disclosures Yes☐ No  I verifi8ed in Buckman and Rivera House youth chars that the corresponding
413-215-0576(2) Parent/guardian has disclosures were given. This is no longer a finding.
acknowledged in writing:
(a) Information regarding personal or room
searches and protocols for confiscation of
contraband
Buckman House and Repeated finding for
Rivera House: Consents are missing (a)
information regarding personal, or room
searches and protocols for confiscation of
contraband.
Authorizations 413-215-0576(3) Yes☐ No  I verified in youth charts the following authorizations are in place for current youth
at Buckman House. This is no longer a finding.
(b) Child specific visitors
(c) Visitation resources are pre-approved
Buckman House: Authorizations were
missing (b) child specific visitors, and (c)
visitation resources are pre-approved.
Additional Findings Related to Yes No☐ Repeated Finding for Rivera House, Cordero House, and Imani House for not
implementing SB 710
SB 710:
413-215-0077 (8)(e): Update Policy regarding  Buckman House has implemented SB 710 items.
restraints and seclusion
413-215-0077 (11)(e): Each child agency
shall provide notice regarding how to access
the quarterly reports to the parents or
guardians of children in care in the program.
The child caring agency shall provide the
notice upon the child in care’s admission and
at least two times each year thereafter.
Additional Findings Related to Yes No☐ Repeated Finding for Rivera House, Cordero House, and Imani House for not
implementing SB 710
SB 710:
(rev. 07/21/2022)
413-215-0078 (1) Each child in care receiving
services from a child caring agency must be  Buckman House has implemented SB 710 items.
given the following:
(a) Instruction regarding how a child in
care may report suspected
inappropriate use of restraint or
seclusion.
(b) Assurance that the child in care will
not experience retaliation for reporting
suspected inappropriate uses of
restraint or involuntary seclusion.
(c) The telephone number for the toll-free
child abuse hotline described in ORS
417.805 and the telephone numbers
and electronic mail addresses for the
program’s licensing agency, the child
in care’s caseworker, and attorney,
the child in care’s court appointed
special advocate and Disability Rights
Oregon.
New Findings from Site Visit Comments
Rivera House – cleanliness findings listed
above with previous findings
Interview Summary
Buckman House: I interviewed two youth separately on the front porch sitting area at Buckman House. On a scale from 0-10 (0=worst program and 10=best
program): one youth reported Buckman to be a 10, while the other reported it to be a 3.5. When asked regarding why a rating of 3.5. Youth reported no
communication at program and the program director “makes up rules as you go”. The youth reported that most staff are respectful however they felt the
program director is disrespectful. The youth that reported a 10 stated they are learning to adapt to the new director and staff are pretty good. Youth reported
feeling safe in program. Both reported food to be “good”. For recreation youth reported the following activities: basketball, skate park, scooter, and watching
tv. Youth commented on Buckman House being short on staff impacting the program. One reported its harder to go to the recreation center and another
pointed out the vacancy of medical coordinator position.
A staff member also disclosed recent difficulties with communication amongst the Buckman House program.
(rev. 07/21/2022)
Cordero House: I interviewed two youth separately in the group room to ensure privacy. On a scale from 0-10 (0=worst program and 10=best program):
Youth reported Cordero House to be a 9 and 9.5 on that scale. One your reported he, “likes the treatment and the values”. One youth reported learning the
following: “how to show empathy, and ways to keep myself on track”. The other youth reported learning the following at Cordero House: “how to handle
myself more appropriately, how to express (communication) without hurting myself or others, and not hurt others for sexual pleasure”. Youth reported feeling
safe in program. One youth reported food to be “really good, and homemade” the other youth reported food to be “okay”. Comments about program staff
included, “they make days better for us”, “staff care about us”, and “staff are great”. For recreation youth reported the following activities: playing on site
basketball and volleyball, going to the park to play softball, playing video games and board games. Youth also spoke about special weekend outings such as
pumpkin patch, movies, and the Japanese Gardens. One youth spoke about the on-site school as very helpful. This youth also reported going half days to
Tigard High School and that they are hoping next term for full days.
Staff members I spoke with reported they enjoy working at Cordero House.
Imani House: I interviewed two youth separately in the group room at Imani House to ensure privacy. On a scale from 0-10 (0=worst program and 10=best
program): Youth reported Imani House to be an 8, and 9 on that scale. Both reported feeling safe in the program. One reported food to not have enough
variety and the other youth reported food to be “bland but healthy”. One youth reported staff are good and ‘likes all of them”. The other youth reported staff
are “fun and most are respectful”. When asked what has been learned at Imani House youth reported the following: learned skills to be straightforward, how
to be a leader, DBT skills, Sex Offense Treatment, and boundaries/accountability. Youth reported the following recreation activities: boardgames, bowling,
pride events, going to the movies, boxing center, baseball, on-site moves, crochet, video games, and reading. When asked if youth could think on how to
improve program both reported that youth that have behaviors that effect the environment for other youth should be removed from program. The other
suggestion was to allow the youth to run the Positive Peer Culture and not the staff.
Rivera House: I interviewed one of the three youth for Rivera House as the other two youth were unavailable. Youth reported being at Rivera House for one
year. Youth reports feeling safe in program and current staff are “really good”. Youth reported program a 7 on a scale from 0-10 (0=worst program and
10=best program). Youth reported they have learned skills while at Imani such as “yelling not a great way to deal with things”. They also reported learning
how to set up their own medical appointments and other life skills. They reported having learned how to cook and especially crock pot meals. Food was
reported to be “alright”. They reported being a vegetarian and the “vegetarian options are lacking and sometimes has to eat meat.” For fun youth reported
watching videos and crocheting. Youth reported if they could improve Rivera House, they would do the following: “1) better veggie options, 2) Replace
bedframe that is sturdier, and 3) Clean bathrooms.
Observations
Buckman House: House was clean.
Cordero House: Was nicely decorated for Halloween and house was clean and orderly.
Imani House: Clean and organized. Program has a DEI board that a rotating staff will take on for a month and present a topic to the clients.
Rivera House: Program was not clean inside and on the outside as well.
Corrective Actions and Timeframes:
Please submit the following to verify compliance.
(rev. 07/21/2022)
Within 45 days of receipt of this report Janus Youth Programs must submit a letter of verification indicating the agency is in compliance with the
specific rules cited above and describing how compliance will be maintained going forward. Along with the letter of verification, the agency must
submit any and all specific documentation requested in the body of this report. The letter of verification and any additional requested documents can
be emailed directly to Ed Wyller Edward.Wyller@dhsoha.state.or.us
Licensing Coordinator’s Signature: ________________________ Date: _ 1_1__/3_/_2_2_ ___________
Manager Review: ______________________________________ Date: _1_1_-3_-_2_0_2_2_ _________
(rev. 07/21/2022)

report_type: Unannounced

licensee: Janus Youth Programs

purpose:
Per OAR 413-215-0101 (1) (b) Children's Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Findings
Further Action
Needed
Supplemental Information Provided by Yes[ ] No - Buckman, Cordero, Imani, and Rivera programs have completed their
CCA environmental health inspections.
Documents as indicated on the form titled
"Renewal Licensing Required Documents"
Buckman, Cordero, Imani, and Rivera:
missing completed environmental health
inspection
Physical Plant Yes No[ ] Repeated Finding: Rivera House
413-215-0511(2)(a) &(c) Buildings are smoke - Roof has tarp with cinder blocks that are not holding tarp in place
free, clean and in good repair - Exterior door leading from kitchen to patio is difficult to open and close due to top
door hinge is not secure. Screws are pulled from door frame.
Buckman House: upstairs bedroom metal - Overall program cleanliness is poor. Floors need cleaning and vacuuming
runner is not secured and could be a tripping throughout entire building
hazard. Linoleum is curling near last stair in - Kitchen was found to be not clean
basement and could be a tripping hazard.
1

Buckman showers have mold in plastic - Bathroom's toilets have not been cleaned with buildup throughout the entire toilet
interior joints and in corners outside shower bowl
doors. - Showers moldy and need to be deep cleaned
- Yard has not been maintained - One side has blackberry vines covering the
Cordero House: Roof has considerable sidewalk exit. During youth interviews one youth reported that during a fire drill
moss growth and gutters are full of debris with with a simulated blocked exit, using this route with blackberry vines was difficult.
weeds growing. - Youth rooms were messy and would make conducting a room search quite difficult
Rivera House: Upstairs bathroom shower
grout and shower floor in need of cleaning. (These findings were communicated to Dennis Morrow - Executive Director on
10/25/2022)
- Buckman and Cordero House both have addressed physical plant findings.
Room and Space Requirements Yes[ ] No
Bathrooms 413-215-0516(4) - Buckman House exhaust vents were observed to be clean and this is no longer a
finding.
(a)(H) Adequate ventilation
Buckman House: Bathroom exhaust vents
need to be cleaned to allow more air flow.
Food Services 413-215-0536(1)&(2) Yes No[ ] Repeated Finding: Rivera House did not have menus kept for last 6 months
(1)(b) Menus are kept for at least 6 months
Rivera House: Has recently started to keep
menus however they did not have 6 months.
Safety 413-215-0541 Yes No[ ] Repeated Finding: Rivera House for missing required fire drills since the recent renewal
review. This continues to be a repeated finding for Rivera House.
(3)(a) Evacuation drill occurs monthly under
varying conditions, is retained 2 yrs and - Cordero House had monthly fire drills kept for my review and this is no longer a
contains; finding.
(A) identify of person conducting drill
(B) date & time
(C) notification method
(D) staff participating
(E) # of children & staff evacuated
(F) special conditions simulated
(G) problems encountered
(H) time to complete
Cordero: was missing fire drills during the 2-
year time.

Repeated Finding Rivera House: was
missing fire drills during the 2-year time.
Personnel Files 413-215-0061 Yes No[ ]
(1)(a) & (3)(c) Background check completed Repeated Finding: Rivera House is missing annual performance evaluations.
and documented
(3)(d) Annual performance evaluations - Janus as an agency now is completing background checks when staff members
are promoted. This is no longer a finding.
Imani and Rivera: Background checks were
not conducted for position changes
Rivera House: Personnel files were missing
annual performance evaluations.
New Employee Orientation - Umbrella Yes[ ] No - Buckman, Imani, Cordero, and Rivera programs new employee orientation training
Requirements (30 days) 413-215-0061(4) records were following DHS CCLP standards. This is no longer a finding.
(a) Agency policies and procedures
(c) Organizational lines of authority
(d) Attributes of population served
(e) & (5)(a) to (c) Mandatory reporting that
includes:
(a) legal definition of child abuse ORS
419B.005, Oregon Laws 2016, chapter 106,
section 36
(b) legal responsibility to immediately report
(c) legal responsibility to report is personal to
the employee
(f) Privacy laws
(g) Emergency procedures
Buckman House: When not using orientation
form, new employee orientation was missing
trainings: a, c, d, and g.
Imani House: Missing new employee
orientation trainings: c, and f.
Cordero House: Missing new employee
orientation trainings: a, b, c, d, and f and
training was past the 30 days for c, e, and f.
Rivera House: Missing new employee
orientation trainings: a, c, and d.

New Employee Orientation - Residential Yes[ ] No - Buckman and Cordero programs new employee orientation training records were
(30 days) 413-215-0556 following DHS CCLP standards. This is no longer a finding.
(1)(a) Discipline and behavior management
including de-escalation, crisis prevention,
positive behavior management, and
disciplinary techniques that are non-punitive in
nature
Buckman House and Cordero House:
Missing new employee orientation on (1) (a).
Ongoing Training Yes[ ] No - Buckman, Imani, and Rivera program's staff are receiving ongoing training in
prudent parent standard, and this is no longer a finding.
413-215-0556(4) Designated staff authorized
to apply reasonable and prudent parent
standard are trained in application of the
standard
Repeated Finding - Buckman House, Imani
House, and Rivera House are missing
prudent parent standard training. Reviewers
clearly saw this in the Cordero tracking
system.
Consents 413-215-0576(1) Yes[ ] No - I verified in Buckman and Rivera youth charts that missing consents were in youth
charts. This is no longer a finding.
(b) Use the discipline and behavior
management system
(c) Use restraint or seclusion (if applicable).
Must specify the reasons for the intervention
and how staff are trained and supervised
(d) Restrict contact with persons outside of
the agency
(e) Allow access as defined in 413-215-0091
& 0101
(f) Impose a dress code
(g) Apply the reasonable and prudent parent
standard
Buckman House: Consents were missing:
(b), (c), (d), (e), (f) and (g).

Repeated Finding Rivera House: Consents
were missing (f) impose a dress code.
Disclosures Yes[ ] No - I verifi8ed in Buckman and Rivera House youth chars that the corresponding
413-215-0576(2) Parent/guardian has disclosures were given. This is no longer a finding.
acknowledged in writing:
(a) Information regarding personal or room
searches and protocols for confiscation of
contraband
Buckman House and Repeated finding for
Rivera House: Consents are missing (a)
information regarding personal, or room
searches and protocols for confiscation of
contraband.
Authorizations 413-215-0576(3) Yes[ ] No - I verified in youth charts the following authorizations are in place for current youth
at Buckman House. This is no longer a finding.
(b) Child specific visitors
(c) Visitation resources are pre-approved
Buckman House: Authorizations were
missing (b) child specific visitors, and (c)
visitation resources are pre-approved.
Additional Findings Related to Yes No[ ] Repeated Finding for Rivera House, Cordero House, and Imani House for not
implementing SB 710
SB 710:
413-215-0077 (8)(e): Update Policy regarding - Buckman House has implemented SB 710 items.
restraints and seclusion
413-215-0077 (11)(e): Each child agency
shall provide notice regarding how to access
the quarterly reports to the parents or
guardians of children in care in the program.
The child caring agency shall provide the
notice upon the child in care's admission and
at least two times each year thereafter.
Additional Findings Related to Yes No[ ] Repeated Finding for Rivera House, Cordero House, and Imani House for not
implementing SB 710
SB 710:

413-215-0078 (1) Each child in care receiving
services from a child caring agency must be - Buckman House has implemented SB 710 items.
given the following:
(a) Instruction regarding how a child in
care may report suspected
inappropriate use of restraint or
seclusion.
(b) Assurance that the child in care will
not experience retaliation for reporting
suspected inappropriate uses of
restraint or involuntary seclusion.
(c) The telephone number for the toll-free
child abuse hotline described in ORS
417.805 and the telephone numbers
and electronic mail addresses for the
program's licensing agency, the child
in care's caseworker, and attorney,
the child in care's court appointed
special advocate and Disability Rights
Oregon.
New Findings from Site Visit Comments
Rivera House - cleanliness findings listed
above with previous findings
Interview Summary
Buckman House: I interviewed two youth separately on the front porch sitting area at Buckman House. On a scale from 0-10 (0=worst program and 10=best
program): one youth reported Buckman to be a 10, while the other reported it to be a 3.5. When asked regarding why a rating of 3.5. Youth reported no
communication at program and the program director "makes up rules as you go". The youth reported that most staff are respectful however they felt the

interview_summary:
Buckman House: I interviewed two youth separately on the front porch sitting area at Buckman House. On a scale from 0-10 (0=worst program and 10=best
program): one youth reported Buckman to be a 10, while the other reported it to be a 3.5. When asked regarding why a rating of 3.5. Youth reported no
communication at program and the program director "makes up rules as you go". The youth reported that most staff are respectful however they felt the
program director is disrespectful. The youth that reported a 10 stated they are learning to adapt to the new director and staff are pretty good. Youth reported
feeling safe in program. Both reported food to be "good". For recreation youth reported the following activities: basketball, skate park, scooter, and watching
tv. Youth commented on Buckman House being short on staff impacting the program. One reported its harder to go to the recreation center and another
pointed out the vacancy of medical coordinator position.
A staff member also disclosed recent difficulties with communication amongst the Buckman House program.

Cordero House: I interviewed two youth separately in the group room to ensure privacy. On a scale from 0-10 (0=worst program and 10=best program):
Youth reported Cordero House to be a 9 and 9.5 on that scale. One your reported he, "likes the treatment and the values". One youth reported learning the
following: "how to show empathy, and ways to keep myself on track". The other youth reported learning the following at Cordero House: "how to handle
myself more appropriately, how to express (communication) without hurting myself or others, and not hurt others for sexual pleasure". Youth reported feeling
safe in program. One youth reported food to be "really good, and homemade" the other youth reported food to be "okay". Comments about program staff
included, "they make days better for us", "staff care about us", and "staff are great". For recreation youth reported the following activities: playing on site
basketball and volleyball, going to the park to play softball, playing video games and board games. Youth also spoke about special weekend outings such as
pumpkin patch, movies, and the Japanese Gardens. One youth spoke about the on-site school as very helpful. This youth also reported going half days to
Tigard High School and that they are hoping next term for full days.
Staff members I spoke with reported they enjoy working at Cordero House.
Imani House: I interviewed two youth separately in the group room at Imani House to ensure privacy. On a scale from 0-10 (0=worst program and 10=best
program): Youth reported Imani House to be an 8, and 9 on that scale. Both reported feeling safe in the program. One reported food to not have enough
variety and the other youth reported food to be "bland but healthy". One youth reported staff are good and 'likes all of them". The other youth reported staff
are "fun and most are respectful". When asked what has been learned at Imani House youth reported the following: learned skills to be straightforward, how
to be a leader, DBT skills, Sex Offense Treatment, and boundaries/accountability. Youth reported the following recreation activities: boardgames, bowling,
pride events, going to the movies, boxing center, baseball, on-site moves, crochet, video games, and reading. When asked if youth could think on how to
improve program both reported that youth that have behaviors that effect the environment for other youth should be removed from program. The other
suggestion was to allow the youth to run the Positive Peer Culture and not the staff.
Rivera House: I interviewed one of the three youth for Rivera House as the other two youth were unavailable. Youth reported being at Rivera House for one
year. Youth reports feeling safe in program and current staff are "really good". Youth reported program a 7 on a scale from 0-10 (0=worst program and
10=best program). Youth reported they have learned skills while at Imani such as "yelling not a great way to deal with things". They also reported learning
how to set up their own medical appointments and other life skills. They reported having learned how to cook and especially crock pot meals. Food was
reported to be "alright". They reported being a vegetarian and the "vegetarian options are lacking and sometimes has to eat meat." For fun youth reported
watching videos and crocheting. Youth reported if they could improve Rivera House, they would do the following: "1) better veggie options, 2) Replace
bedframe that is sturdier, and 3) Clean bathrooms.

excerpt:
413-215-0078 (1) Each child in care receiving
services from a child caring agency must be - Buckman House has implemented SB 710 items.
given the following:
(a) Instruction regarding how a child in
care may report suspected
inappropriate use of restraint or
seclusion.
(b) Assurance that the child in care will
not experience retaliation for reporting
suspected inappropriate uses of
restraint or involuntary seclusion.
(c) The telephone number for the toll-free
child abuse hotline described in ORS
417.805 and the telephone numbers
and electronic mail addresses for the
program's licensing agency, the child
in care's caseworker, and attorney,
the child in care's court appointed
special advocate and Disability Rights
Oregon.
New Findings from Site Visit Comments
Rivera House - cleanliness findings listed
above with previous findings
Rivera House - cleanliness findings listed
above with previous findings


state: OR

facility_name: Buckman House

summary: Unannounced - 8 findings

raw_content:
Licensed Child Caring Agency Unannounced Site Visit Report
Residential Care
Licensee: Janus Youth Programs
Executive Director: Dennis Morrow
Board Chairperson: Sue Campo
Programs: Buckman, Cordero, Atlas (formerly known as Imani), and Rivera
Date of Unannounced: May 1, 2023 and May 2, 2023
Licensing Coordinator: Ed Wyller
Other Regulatory or Accrediting Agencies: DHS Treatment Services and Oregon Youth Authority (OYA). CARF Accreditation for Imani
Purpose: Per OAR 419-400-0240 (1)(b) Children’s Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Unannounced Site Visit 10-17-2022 Findings
Further
Action
Needed
Physical Plant Yes No☐ Rivera House:
413-215-0511(2)(a) &(c) Buildings are smoke free, clean and in good repair Reviewer found the following areas now addressed:
 Roof has tarp with cinder blocks that are not
holding tarp in place
Repeated Finding: Rivera House  Exterior door leading from kitchen to patio is
 Roof has tarp with cinder blocks that are not holding tarp in place difficult to open and close due to top door hinge
 Exterior door leading from kitchen to patio is difficult to open and close due is not secure. Screws are pulled from door
to top door hinge is not secure. Screws are pulled from door frame. frame.
 Overall program cleanliness is poor. Floors need cleaning and vacuuming  Kitchen was found to be not clean
throughout entire building  Youth rooms were messy and would make
 Kitchen was found to be not clean conducting a room search quite difficult
 Bathroom’s toilets have not been cleaned with buildup throughout the
entire toilet bowl Repeated Finding: Rivera House:
 Showers moldy and need to be deep cleaned  Carpet upstairs is dirty and in need of being
 Yard has not been maintained – One side has blackberry vines covering vacuumed.
the sidewalk exit. During youth interviews one youth reported that during a
1 |P ag e
Form Rev. 01/23/2023
fire drill with a simulated blocked exit, using this route with blackberry vines  Youth upstairs bathroom toilet has not been
was difficult. cleaned and buildup of grim inside the toilet
 Youth rooms were messy and would make conducting a room search quite bowl.
difficult  Youth upstairs bathroom shower moldy and
needs to be deep cleaned.
 Yard is not maintained. Grass not mowed,
leaves from fall and winter have not been
removed. Staff reported just prior to my arrival a
yard maintenance person stopped by Rivera and
reported they could provide services as their
property looked to need care.
Food Services 413-215-0536(1)&(2) Yes No☐ Repeated Finding: Rivera House:
 Reviewer found more menus kept however
(1)(b) Menus are kept for at least 6 months program was missing several weeks and is not
in compliance. Much improved though.
Repeated Finding: Rivera House did not have menus kept for last 6 months
Safety 413-215-0541 Yes No☐ Repeated Finding: Rivera House:
 Reviewer found only one fire drill completed
(3)(a) Evacuation drill occurs monthly under varying conditions, is retained 2 yrs since last unannounced visit (January 2023).
and contains; Missing October 2022, November 2022,
(A) identify of person conducting drill December 2022, February 2023, March 2023,
(B) date & time and April 2023.
(C) notification method
(D) staff participating
(E) # of children & staff evacuated
(F) special conditions simulated
(G) problems encountered
(H) time to complete
Repeated Finding: Rivera House for missing required fire drills since the recent
renewal review. This continues to be a repeated finding for Rivera House.
Personnel Files 413-215-0061 Yes☐ No  Rivera House had completed all missing annual
performance evaluations. (In compliance)
(1)(a) & (3)(c) Background check completed and documented
(3)(d) Annual performance evaluations
Repeated Finding: Rivera House is missing annual performance evaluations.
2 |P ag e
Form Rev. 01/23/2023
Additional Findings Related to SB 710: Yes No Repeated Finding: Rivera House:
 Rivera House will need to update restraint and
seclusion policy and need to implement notice to
413-215-0077 (8)(e): Update Policy regarding restraints and seclusion
youth regarding access to quarterly reports.
413-215-0077 (11)(e): Each child agency shall provide notice regarding how to Reviewer found Cordero House and Imani / Atlas House
access the quarterly reports to the parents or guardians of children in care in the to have successfully implemented these previous
program. The child caring agency shall provide the notice upon the child in care’s findings. (In compliance)
admission and at least two times each year thereafter.
Repeated Finding for Rivera House, Cordero House, and Imani House for not
implementing SB 710
Additional Findings Related to SB 710: Yes No Repeated Finding: Rivera House:
 Rivera House will need to implement 413-215-
0078 (1).
413-215-0078 (1) Each child in care receiving services from a child caring agency
must be given the following: Reviewer found Cordero House and Imani / Atlas House
(a) Instruction regarding how a child in care may report suspected to have successfully implemented these previous
inappropriate use of restraint or seclusion. findings. (In compliance)
(b) Assurance that the child in care will not experience retaliation for reporting
suspected inappropriate uses of restraint or involuntary seclusion.
(c) The telephone number for the toll-free child abuse hotline described in
ORS 417.805 and the telephone numbers and electronic mail addresses
for the program’s licensing agency, the child in care’s caseworker, and
attorney, the child in care’s court appointed special advocate and Disability
Rights Oregon.
Repeated Finding for Rivera House, Cordero House, and Imani House for not
implementing SB 710
New Findings from Site Visit Comments
Physical Plant  Buckman House: Center metal handrail leading to the entrance of Buckman House is loose and
413-215-0511(2)(a) &(c) Buildings are wobbly. Program submitted a maintenance request after my visit and corrected this immediately. (In
smoke free, clean and in good repair compliance)
Interview Summary
3 |P ag e
Form Rev. 01/23/2023
Buckman House: I interviewed two youth separately on the front porch at Buckman House. On a scale from 0-10 (0=worst program and 10=best program):
both youths reported Buckman House to be an 8 on that scale. Youth reported feeling safe in the program. One youth stated, “no abuse here, we all actually
get along”. The other youth reported there is “no bullying here and we accept all genders”. They also stated, “staff check on you a lot very consistent on
supervision.” Food was reported to be “alright” and “good”. For fun both youths reported enjoying skateboarding and going to the local skate park. Both
youth work in the community and one enjoys taking a scooter to work. Staff were described as “cool” and “alright”. When asked if given a magic wand to
improve the program within reason what would you do. One reported improved communication between staff. Inconsistency of rules among staff. The other
youth would like a cell phone as they would be able to communicate better as they work late shift.
I met the new Program Manager for Buckman House. I spoke with various staff through out my site visit. All had good things to report about their experiences
at Buckman House.
Rivera House: I interviewed one of the three youth. One declined, one was at work, and I spoke with the remaining youth. On a scale from 0-10 (0=worst
program, and 10=best program): youth reported Rivera House to be a 5. Youth reported “staff need to engage more than sit in an office.” Youth reported not
learning new skills since being in program. Youth reported nothing fun to do and no outings. Youth reported feeling safe. When asked if they had a magic
wand and could improve program within reason what would they do. Youth reported communicate with youth.
I met with the one staff working who started working February of 2023. This staff member reports there is not enough staff, and they pick up more shifts then
preferred. Staff are all filling numerous open shifts.
Atlas House (formerly Imani House): I interviewed one youth on the front porch at Atlas to ensure privacy. The other youth did not want to participate as
they have recently been surveyed by Oregon Youth Authority. On a scale from 0-10 (0=worst program and 10=best program) youth reported Atlas to be a 6.
Youth was not impressed with the dinners. Youth reported feeling safe in the program. Youth reported make your own breakfast and lunch and liked that.
For fun reported paint balling, bowling, and playing basketball at local park. Other outings include going to Fred Meyers and the Library. Youth reported no
learning independent living skills like they thought they would in the program. When asked if they had a magic wand and could improve the program within
reason what would they do. Youth reported being heard and considering youth’s point of view.
I met and talked with various staff. All were excited about working in a different program model and working with youth to gain independent skills. Staff were
sharing excitement for the new Atlas program and youth.
Cordero House: I interviewed two youth independently in the group room. This room was away from other youth and staff to ensure privacy. I interviewed
one youth from each team. On a scale from 0-10 (0=worst program, 10=best program) youth reported Cordero House to be a 7.5 and 9 on that scale. The
youth that reported a 7.5 when asked why he reported he does not like the USDA meals as they do not meet his expectations for how much food he should
have. He reports the school-based meals are small and not enough. He also does not like the PPC (positive peer culture) model. Youth reported feeling safe
in the program. One youth reported this is the safest he has ever felt in his life. The other youth reported food to be the best it could be. Both youths reported
daily groups and receiving individual counseling. One youth reported best treatment program in the state. “Treatment is top tier”. Youth were able to list their
treatment goals and were able to discuss skills learned at Cordero House. Youth listed the following outings at Cordero House: Trailblazer games, Winter
hawk games, bowling, movies, Oregon Symphony, hiking with Sierra Club, and State Fair. Reported onsite activities include video games, board games,
piano, guitar, Ukulele, basketball, and softball. When asked if they had a magic wand and could improve the program within reason one youth reported no
more USDA regulations and have more food. The other youth reported problems with the positive peer culture and needs to be used effectively or not at all.
He reported it sometimes overused or not used at all.
I was toured and spoke with a couple of staff. Staff are happy in their positions and work. One has been accepted into a MSW program and is looking
forward to this new challenge.
4 |P ag e
Form Rev. 01/23/2023
Observations
Buckman House: I observed the following improvements: new exterior motion lights, new dishwasher/sanitizer, and two new stove/ovens. No more natural
gas appliances in the building. I observed the staff to have positive and constructive conversations with youth in their care.
Rivera House: I observed the following improvements: new bedframes and mattresses. I found youth bedrooms to be clean and organized. Most of the
house was clean including downstairs youth bathroom and the kitchen. The upstairs bathroom was dirty, and the stairs need cleaning and vacuuming. Rivera
House yard needed work and then continued maintenance as this continues to be reoccurring.
Atlas House (formerly Imani House): I observed staff and youth interacting positively upon return from school and later preparing for dinner time. I
observed the program to be clean and orderly.
Cordero House: I observed the youth and staff returning from the on-site school building in an orderly manner and set up for lunch. Interactions were
considerate yet with direction. Yard and grounds were kept up and the house was clean and orderly. Many of the clinical team were attending an Oregon
Conference for treatment interventions for youth they serve.
Corrective Actions and Timeframes:
Please submit the following to verify compliance.
Within 45 days of receipt of this report Janus Youth Programs must submit a letter of verification indicating the agency is in compliance with the
specific rules cited above and describing how compliance will be maintained going forward. Along with the letter of verification, the agency must
submit any and all specific documentation requested in the body of this report. The letter of verification and any additional requested documents can
be emailed directly to Ed Wyller Edward.Wyller@odhsoha.oregon.gov
Licensing Coordinator’s Signature: ________________________ Date: _5_/2__2_/2_3_ ____________
Manager Review: ______________________________________ Date: _5_-_1_8_-2__0_2_3_ ________
5 | P a g e
Form Rev. 01/23/2023

agency_name: Janus Youth Programs (JYP)

program_name: Buckman House

program_type: (RC) Residential Care Programs

view_code: RC

facility_type: Residential Care

executive_director: Dennis Morrow

licensing_coordinator: Ed Wyller

purpose:
Per OAR 419-400-0240 (1)(b) Children's Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Unannounced Site Visit 10-17-2022 Findings
Further
Action
Needed
Physical Plant Yes No[ ] Rivera House:
413-215-0511(2)(a) &(c) Buildings are smoke free, clean and in good repair Reviewer found the following areas now addressed:
- Roof has tarp with cinder blocks that are not
holding tarp in place
Repeated Finding: Rivera House - Exterior door leading from kitchen to patio is
- Roof has tarp with cinder blocks that are not holding tarp in place difficult to open and close due to top door hinge
- Exterior door leading from kitchen to patio is difficult to open and close due is not secure. Screws are pulled from door
to top door hinge is not secure. Screws are pulled from door frame. frame.
- Overall program cleanliness is poor. Floors need cleaning and vacuuming - Kitchen was found to be not clean
throughout entire building - Youth rooms were messy and would make
- Kitchen was found to be not clean conducting a room search quite difficult
- Bathroom's toilets have not been cleaned with buildup throughout the
entire toilet bowl Repeated Finding: Rivera House:
- Showers moldy and need to be deep cleaned - Carpet upstairs is dirty and in need of being
- Yard has not been maintained - One side has blackberry vines covering vacuumed.
the sidewalk exit. During youth interviews one youth reported that during a

fire drill with a simulated blocked exit, using this route with blackberry vines - Youth upstairs bathroom toilet has not been
was difficult. cleaned and buildup of grim inside the toilet
- Youth rooms were messy and would make conducting a room search quite bowl.
difficult - Youth upstairs bathroom shower moldy and
needs to be deep cleaned.
- Yard is not maintained. Grass not mowed,
leaves from fall and winter have not been
removed. Staff reported just prior to my arrival a
yard maintenance person stopped by Rivera and
reported they could provide services as their
property looked to need care.
Food Services 413-215-0536(1)&(2) Yes No[ ] Repeated Finding: Rivera House:
- Reviewer found more menus kept however
(1)(b) Menus are kept for at least 6 months program was missing several weeks and is not
in compliance. Much improved though.
Repeated Finding: Rivera House did not have menus kept for last 6 months
Safety 413-215-0541 Yes No[ ] Repeated Finding: Rivera House:
- Reviewer found only one fire drill completed
(3)(a) Evacuation drill occurs monthly under varying conditions, is retained 2 yrs since last unannounced visit (January 2023).
and contains; Missing October 2022, November 2022,
(A) identify of person conducting drill December 2022, February 2023, March 2023,
(B) date & time and April 2023.
(C) notification method
(D) staff participating
(E) # of children & staff evacuated
(F) special conditions simulated
(G) problems encountered
(H) time to complete
Repeated Finding: Rivera House for missing required fire drills since the recent
renewal review. This continues to be a repeated finding for Rivera House.
Personnel Files 413-215-0061 Yes[ ] No - Rivera House had completed all missing annual
performance evaluations. (In compliance)
(1)(a) & (3)(c) Background check completed and documented
(3)(d) Annual performance evaluations
Repeated Finding: Rivera House is missing annual performance evaluations.

Additional Findings Related to SB 710: Yes No Repeated Finding: Rivera House:
- Rivera House will need to update restraint and
seclusion policy and need to implement notice to
413-215-0077 (8)(e): Update Policy regarding restraints and seclusion
youth regarding access to quarterly reports.
413-215-0077 (11)(e): Each child agency shall provide notice regarding how to Reviewer found Cordero House and Imani / Atlas House
access the quarterly reports to the parents or guardians of children in care in the to have successfully implemented these previous
program. The child caring agency shall provide the notice upon the child in care's findings. (In compliance)
admission and at least two times each year thereafter.
Repeated Finding for Rivera House, Cordero House, and Imani House for not
implementing SB 710
Additional Findings Related to SB 710: Yes No Repeated Finding: Rivera House:
- Rivera House will need to implement 413-215-
0078 (1).
413-215-0078 (1) Each child in care receiving services from a child caring agency
must be given the following: Reviewer found Cordero House and Imani / Atlas House
(a) Instruction regarding how a child in care may report suspected to have successfully implemented these previous
inappropriate use of restraint or seclusion. findings. (In compliance)
(b) Assurance that the child in care will not experience retaliation for reporting
suspected inappropriate uses of restraint or involuntary seclusion.
(c) The telephone number for the toll-free child abuse hotline described in
ORS 417.805 and the telephone numbers and electronic mail addresses
for the program's licensing agency, the child in care's caseworker, and
attorney, the child in care's court appointed special advocate and Disability
Rights Oregon.
Repeated Finding for Rivera House, Cordero House, and Imani House for not
implementing SB 710
New Findings from Site Visit Comments
Physical Plant - Buckman House: Center metal handrail leading to the entrance of Buckman House is loose and
413-215-0511(2)(a) &(c) Buildings are wobbly. Program submitted a maintenance request after my visit and corrected this immediately. (In
smoke free, clean and in good repair compliance)
Interview Summary

Buckman House: I interviewed two youth separately on the front porch at Buckman House. On a scale from 0-10 (0=worst program and 10=best program):
both youths reported Buckman House to be an 8 on that scale. Youth reported feeling safe in the program. One youth stated, "no abuse here, we all actually
get along". The other youth reported there is "no bullying here and we accept all genders". They also stated, "staff check on you a lot very consistent on
supervision." Food was reported to be "alright" and "good". For fun both youths reported enjoying skateboarding and going to the local skate park. Both
youth work in the community and one enjoys taking a scooter to work. Staff were described as "cool" and "alright". When asked if given a magic wand to
improve the program within reason what would you do. One reported improved communication between staff. Inconsistency of rules among staff. The other
youth would like a cell phone as they would be able to communicate better as they work late shift.
I met the new Program Manager for Buckman House. I spoke with various staff through out my site visit. All had good things to report about their experiences
at Buckman House.
Rivera House: I interviewed one of the three youth. One declined, one was at work, and I spoke with the remaining youth. On a scale from 0-10 (0=worst
program, and 10=best program): youth reported Rivera House to be a 5. Youth reported "staff need to engage more than sit in an office." Youth reported not
learning new skills since being in program. Youth reported nothing fun to do and no outings. Youth reported feeling safe. When asked if they had a magic
wand and could improve program within reason what would they do. Youth reported communicate with youth.
I met with the one staff working who started working February of 2023. This staff member reports there is not enough staff, and they pick up more shifts then
preferred. Staff are all filling numerous open shifts.
Atlas House (formerly Imani House): I interviewed one youth on the front porch at Atlas to ensure privacy. The other youth did not want to participate as
they have recently been surveyed by Oregon Youth Authority. On a scale from 0-10 (0=worst program and 10=best program) youth reported Atlas to be a 6.
Youth was not impressed with the dinners. Youth reported feeling safe in the program. Youth reported make your own breakfast and lunch and liked that.
For fun reported paint balling, bowling, and playing basketball at local park. Other outings include going to Fred Meyers and the Library. Youth reported no
learning independent living skills like they thought they would in the program. When asked if they had a magic wand and could improve the program within
reason what would they do. Youth reported being heard and considering youth's point of view.
I met and talked with various staff. All were excited about working in a different program model and working with youth to gain independent skills. Staff were
sharing excitement for the new Atlas program and youth.
Cordero House: I interviewed two youth independently in the group room. This room was away from other youth and staff to ensure privacy. I interviewed
one youth from each team. On a scale from 0-10 (0=worst program, 10=best program) youth reported Cordero House to be a 7.5 and 9 on that scale. The
youth that reported a 7.5 when asked why he reported he does not like the USDA meals as they do not meet his expectations for how much food he should
have. He reports the school-based meals are small and not enough. He also does not like the PPC (positive peer culture) model. Youth reported feeling safe
in the program. One youth reported this is the safest he has ever felt in his life. The other youth reported food to be the best it could be. Both youths reported
daily groups and receiving individual counseling. One youth reported best treatment program in the state. "Treatment is top tier". Youth were able to list their
treatment goals and were able to discuss skills learned at Cordero House. Youth listed the following outings at Cordero House: Trailblazer games, Winter
hawk games, bowling, movies, Oregon Symphony, hiking with Sierra Club, and State Fair. Reported onsite activities include video games, board games,
piano, guitar, Ukulele, basketball, and softball. When asked if they had a magic wand and could improve the program within reason one youth reported no
more USDA regulations and have more food. The other youth reported problems with the positive peer culture and needs to be used effectively or not at all.
He reported it sometimes overused or not used at all.
I was toured and spoke with a couple of staff. Staff are happy in their positions and work. One has been accepted into a MSW program and is looking
forward to this new challenge.

Observations
Buckman House: I observed the following improvements: new exterior motion lights, new dishwasher/sanitizer, and two new stove/ovens. No more natural
gas appliances in the building. I observed the staff to have positive and constructive conversations with youth in their care.
Rivera House: I observed the following improvements: new bedframes and mattresses. I found youth bedrooms to be clean and organized. Most of the
house was clean including downstairs youth bathroom and the kitchen. The upstairs bathroom was dirty, and the stairs need cleaning and vacuuming. Rivera
House yard needed work and then continued maintenance as this continues to be reoccurring.
Atlas House (formerly Imani House): I observed staff and youth interacting positively upon return from school and later preparing for dinner time. I
observed the program to be clean and orderly.
Cordero House: I observed the youth and staff returning from the on-site school building in an orderly manner and set up for lunch. Interactions were
considerate yet with direction. Yard and grounds were kept up and the house was clean and orderly. Many of the clinical team were attending an Oregon
Conference for treatment interventions for youth they serve.

excerpt:
413-215-0511(2)(a) &(c) Buildings are wobbly. Program submitted a maintenance request after my visit and corrected this immediately. (In
smoke free, clean and in good repair compliance)
Physical Plant - Buckman House: Center metal handrail leading to the entrance of Buckman House is loose and


summary: License Renewals - 16 findings

raw_content:
Licensed Child Caring Agency Site Visit Report
Residential Care
Licensee: Janus Youth Programs Date of site visit: 04/22/2024 – 04/24/2024
Executive Director: Dennis Morrow Licensing Coordinator: Aubrey Kelly; Assisted by Todd Cooley,
Board Chairperson: Todd Allais Robin DuVal, Jeff Minden and Tianna Burmester
Other Regulatory or Accrediting Agencies: ODHS Treatment Services and the Oregon Youth Authority
Program Compliance: The program was found to be compliant or will be compliant with OAR 419-400-0005 to 419-400-0310, Licensing Umbrella
Rules, and OAR 419-470-0010 to 419-470-0180, Licensing Residential Care Agencies Rules. Personnel records were reviewed and compliance
with required background checks was documented for employees in all programs.
Program Description(s) provided by Janus Youth Programs:
Buckman: Buckman House is a residential treatment program working with youth since 1976. Buckman House and the Oregon Youth Authority
pioneered the design and delivery of highly specialized services specifically for 17-24 year old adjudicated males in 1992. Now ranked one of the
most effective treatment programs of its types in Oregon and among the highest rated in the country for use of Evidence-Based Practice,
Buckman’s ongoing partnerships with the Oregon Youth Authority have seen the development of a constellation of additional services that are
unmatched in the state. This includes providing the latest technological and employment training/job search coaching and support for Buckman
clients and other Oregon Youth Authority youth living in the community who need independent living and employment support.
Cordero: Cordero has contracted with the Oregon Youth Authority to provide 24 hour, seven days a week Residential services to up to 14 sexually
harmful youth since 1996. The mission of Cordero House is to provide effective and innovative services that rehabilitate youth offenders and reduce
the incidence of sexual abuse. Cordero staff attend the Annual Oregon Adolescent Sex Offending Treatment Network (OASOTN) Conference and
training and regularly review new research studies to keep current with best practices and evidence-based treatment for sexual offenders.
Atlas ILP: Atlas is an Enhanced Independent Living Program serving males ages 16-21 who are referred by the Oregon Youth Authority and the
Department of Human Services. Atlas is located in North Portland in a residential neighborhood close to bus lines and many work and recreational
opportunities. The program partners with the Clinton School to provide high school completion and GED services. The Atlas program was designed
to provide services to young persons who need additional support as they transition to adulthood and live on their own. The length of placement is
thought to be about one year but will be adjusted to each resident’s needs. Emphasis is placed on assisting residents identify and strengthen the
protective factors they will need to be successful. These can include high school completion, self-regulation, mental health stability, sobriety,
probation and parole compliance and supportive relationships with family and friends. As residents strengthen and establish their protective factors
they will participate in Life Skill and Vocational instruction and practice. Each Resident’s vocational participation will be dependent on their ability to
demonstrate time management and job readiness. Residents will receive ongoing support from their case Manager and Vocational Advocate as
P a g e 1 | 21
Form Rev. 1/2/2024
they navigate their increased independence in their community. The Atlas program model is centered on the principles of Positive Youth
Development and strives to provide services and create a community where young people can grow to their full potential. We want residents to be
actively involved in shaping their own development and future.
Program type and services:
Buckman: Buckman provides residential treatment services to males 17-24 years old adjudicated for sexual offense under the Oregon Youth
Authority.
Cordero: Cordero is a long-term residential program providing Behavior Rehabilitative Services, including comprehensive assessment and service
planning, individual, group and family therapy, counseling and skill building services to youth and their families.
Atlas ILP: Atlas provides an enhanced independent living program for Oregon Youth Authority and Oregon Department of Human Services youth.
Capacity and Age Range:
Buckman: 14; 17-24 years of age
Cordero: 14; 13-19 years of age
Atlas ILP: 9; 16-20 years of age
Funding sources:
Buckman: Oregon Youth Authority and Portland Public Schools
Cordero: Oregon Youth Authority and Oregon School Nutrition Program
Atlas ILP: Oregon Youth Authority and Oregon Department of Human Services
Contracts and sources for referrals:
Buckman: Oregon Youth Authority
Cordero: Oregon Youth Authority
Atlas ILP: Oregon Youth Authority and Oregon Department of Human Services
P a g e 2 | 21
Form Rev. 1/2/2024
Average length of stay:
Buckman: 12 months
Cordero: 2 years and 2 months
Atlas ILP: 9 months
Average daily population served:
Buckman: 10
Cordero: 13.5
Atlas ILP: 4
Number of children served annually:
Buckman: 30
Cordero: 18
Atlas ILP: 9
Use of seclusion or restraint:
Buckman: No
Cordero: No
Atlas ILP: No
Interviews, Observations:
P a g e 3 | 21
Form Rev. 1/2/2024
Buckman: Two clients were interviewed in private. Both clients reported they feel safe at Buckman. Both clients report they like the staff at Buckman
and they get along with the other clients. The clients reported staff are supportive and the clients feel safe to go to staff when they need help. The
clients reported they both have goals they are working on.
Cordero: Two clients were interviewed in private. Both clients had been in the program for approximately three years. Both clients reported they feel
safe at Cordero. The clients reported staff do a good job, they listen to the clients and understand the clients’ problems. Both clients reported the
food is good, they get enough to eat and snacks and water are available.
Atlas ILP: One client was interviewed in private. They reported it’s interesting living here, there are some new program quirks they are still trying to
work out, but it’s a solid program. They love the staff, and regarding the program manager they said, “Everything fun happens here because of
Taylor.” They reported feeling safe at the program and wishes the rules weren’t so strict.
Program Strengths identified by Janus Youth Programs:
Buckman: Buckman offers a trauma-informed, supportive environment for youth to focus on their Sex Offender (SO) treatment, learn independent
living skills, and integrate into the community with staff supervision and support. Buckman program is individualized to each youth and their specific
needs, goals, and risks. Youth are offered in-house SO treatment through a stable contract with Higher Ground counseling. Youth are also offered
SUD and addictions counseling through Quiet Mind Counseling, and vocational and educational coaching. Youth are also offered community
recreation opportunities throughout the week. Youth successfully graduating from the Buckman program are typically equipped with a sizable
savings account to support their transition, and independent living skills in varying topics including money management, residential tenancy, healthy
relationships, health and fitness, and employment.
Cordero: Cordero provides a safe and structured environment for clients to receive Sex Offender Treatment therapy and other mental health
counseling and skill building. The program has a high success rate and works to rebuild family relationships whenever possible.
Atlas ILP: Atlas offers a supportive ILP experience for youth who are attending school and who require increased support as they work towards
independence.
Program Challenges identified by Janus Youth Programs:
Buckman: Changes in Buckman management, specifically a new Program Director and Program Manager, led to program instability at the end of
2022. Since January 2023, the Buckman leadership team has been stable, and the program is meeting compliance standards. Buckman continues
to struggle with finding qualified applicants for both social service staff, like Case Managers, and direct care staff. Staffing also becomes difficult for
overnight shifts, during the holidays, and during inclement weather, like during the ice storms in 2023 and 2024. Buckman facility has faced several
challenges throughout the past year. In mid 2023, Buckman faced a plumbing emergency in the main sewage line that needed immediate and
costly repair. During the ice storm in January 2024, an eroded pipe began to heavily leak, and the delay in finding a plumber during the emergency
weather limited bathroom access for staff and clients. Referrals to Buckman are limited. Buckman can fill the program with 11-13 youth but does not
have enough staffing or eligible referrals to reach 14-16 youth. In addition, the lack of access to qualified treatment providers in OYA facilities
means many Buckman referrals have not completed their core SO treatment, a necessity for community integration at Buckman. Buckman youth
P a g e 4 | 21
Form Rev. 1/2/2024
also continue to face challenges in the program and community, including the accessibility of cell phones, internet, pornography, and substances.
Youth are consistently offered marijuana, social media usage, and cell phones at their places of employment.
Cordero: The program’s biggest program challenge is maintaining staffing. Since before COVID, staffing has been difficult. Many new staff entering
this field do not want to work nights, evenings, or weekends and want lengthy vacations, which results in the majority of our managers' time being
spent hiring, training, and covering shifts.
Atlas ILP: The program is less than one year old and are still making adjustments to most aspects of our program structure. In addition, the referrals
the program receives are not always suitable for Atlas.
Changes identified by Janus Youth Programs that have occurred in the last 2 years:
Buckman: Buckman facility has undergone several improvements. With an OYA grant, Buckman purchased a new dishwasher, new electric stoves,
and new flooring in the offices, dining room, and kitchen. Buckman also received enough funding to get several new pieces of workout equipment
for youth to use, including a treadmill, elliptical, barbell, dumbbell, abdominal machines, and benches. Buckman staff received various training
throughout the past year. Program Supervisors attended the Oregon Adolescent Sex Offense Treatment Network conference in May 2023. All of
Buckman's staff received a Trauma Informed Care training from the Trauma Healing Project, also funded by the OYA grant.
Cordero: The biggest change has been the lifting of COVID restrictions and the BRS rate increases that allowed a significant increase in staff
wages.
Atlas ILP: The program opened less than a year ago.
Lawsuits:
Buckman: None
Cordero: None
Atlas ILP: None
Grievances and complaints filed in the last two years:
Buckman: None
Cordero: None
Atlas ILP: None
P a g e 5 | 21
Form Rev. 1/2/2024
Corrective Actions and Timeframes: Please submit the following to verify compliance.
Within 45 days of receipt of this report Janus Youth Programs must submit a letter of verification indicating the agency is in compliance with the
specific rules cited above and describing how compliance will be maintained going forward. Along with the letter of verification, the agency must
submit any and all specific documentation requested in the body of this report. The letter of verification and any additional requested documents can
be emailed directly to Aubrey Kelly at Aubrey.J.Kelly@odhsoha.oregon.gov
Recommendations: None
Exceptions: None
Changes in License: None
Summary of Review
Program and Services
Yes No N/A Corrective Actions/Comments
419-400-0020 (2)
Program and services are in scope of license X
Governance of the Agency
Yes No N/A Corrective Actions/Comments
419-400-0040
(1)(a) Minimum of 5 board members X
(2)(f) Formally evaluate the exec. Director’s
X
performance annually
(2)(g) Approves annual budget X
(2)(h) Obtain and review an annual
independent financial review or audit of X
financial records.
(2)(k) Written quality improvement program X
(2)(l) Meeting minutes X
Executive Director or Program Director
Yes No N/A Corrective Actions/Comments
419-400-0040
(3)(a) knowledge of requirements for
providing care and treatment appropriate to X
programs
(3)(g) Approval from BCU X
Installation and Use of Video Equipment
Used to Monitor or Record Children in
Yes No N/A Corrective Actions/Comments
Care
419-400-0145
(1) If a child-caring agency installs video
X
equipment to monitor or record a child in
P a g e 6 | 21
Form Rev. 1/2/2024
care, all employees, volunteers, parents or
guardians, and children in care must be
informed about the intended use and
locations of the equipment.
Discipline, Behavior Management, and
Suicide Prevention Yes No N/A Corrective Actions/Comments
419-400-0150
(3) Agency uses appropriate and positive
methods of behavior management and
X
nationally recognized non-violent crisis
intervention
(3)(b)(C) Agency does not use chemical and
mechanical restraint (excluding medically X
necessary devices/prescriptions)
(3)(c) Agency uses appropriate time-out
rooms (adequate space, heat, light and
ventilation and is not capable of locking) and X
documents use in child’s record when
applicable
(3)(e) Agency uses seclusion
X
appropriately/consistent with policy
(4) Agency has adequate plan in place to
X
respond to suicidal behavior/warning signs
Contractors (if applicable)
Yes No N/A Corrective Actions/Comments
419-400-0120(6)
(a) Agency ensures the contractor meets the
requirements of this rule and Chapter 413 X
division 215
(b)(B) Contract includes the following:
(i) Services provided
(ii) Contractor fees
(iii) Disclosure of information from contractor
to agency
(iv) Lines of authority X
(v) Adherence to rules, including background
check
(vi) Any liability of the agency for acts of the
contractor, rights of indemnity and limitations
on liability
Restraints and Involuntary Seclusion
Yes No N/A Corrective Actions/Comments
419-400-0180
(13)(d) Each child caring agency that
submits a report under this section shall
X
make its quarterly report available to the
public upon request at the Child Caring
P a g e 7 | 21
Form Rev. 1/2/2024
Agency’s main office and on the child caring
agency’s website if applicable.
Supplemental Information Provided by
Yes No N/A Corrective Actions/Comments
CCA
Documents as indicated on the form titled Cordero: The program does not have documentation of a fire marshal or environmental
“Renewal Licensing Required Documents” X health inspection being completed. The program shall ensure the inspections are
completed.
Documents as indicated on form titled
“Required Financial Documents and X
Information”
All required policies and procedures as
X
identified in the “Umbrella Rules”
All required policies and procedures as
X
identified in “Agency Type Specific Rules”
Physical Plant
Yes No N/A Corrective Actions/Comments
419-400-0090(3)(a) Foster Rights Posted (if
X
children in DHS custody)
419-400-0100(1) Sufficient safe space,
X
equipment, and office equipment
419-400-0230(12) License is posted in
X
common area at each facility
419-470-0020(2)(a) &(c) Buildings are Buckman: The inside of the house needs to be completely repainted. There are holes in
smoke free, clean and in good repair X the walls from nails and screws sticking out of the walls. The program shall ensure all
parts of the house are in good repair.
419-470-0020 (2)(d) Rooms are free of
X
harmful drafts, odors, and excessive noise
419-470-0020 (2)(e) Rooms are adequate in
X
size and arrangement
419-470-0020 (2)(f) System provides a
continuous supply of hot and cold water to X
taps located throughout the facility
419-470-0020 (2)(h) Building is well
ventilated and room temperature is within a X
normal comfort range
419-470-0030 (1) All parts of the facility
ensure the safety of children
Room and Space Requirements
Yes No N/A Corrective Actions/Comments
419-470-0030
(2) There is a separate living room or lounge X
area – 15 SF minimum per child
(5) There is a separate dining room with X
capacity for ½ of children in care and 15 SF
per child in care
P a g e 8 | 21
Form Rev. 1/2/2024
(7) Laundry is separate from living, kitchen, X
and dining areas
(8) Separate storage areas are provided for X
food, kitchen supplies, utensils, clean linens,
soiled linens and clothing, cleaning supplies
and equip, poisons, chemicals, outdoor
recreational and maintenance equipment.
(Hazardous materials are properly labeled, in
original container and locked)
(9) Outdoor activity area is protected from X
vehicles and other hazards and of a size and
availability appropriate to the age and needs
of children in care
(11) Time-out rooms: Rooms used for time X
out or quiet time must have adequate space,
heat, light and ventilation and must not be
capable of locking.
Room and Space Requirements
Bedrooms Yes No N/A Corrective Actions/Comments
419-470-0030(3)
(a) Adequate furnishings and personal items X
(b) Separate from rooms used for dining,
X
living, laundry, kitchen, and storage
(c) Meet Oregon Fire Code Requirements X
(d) Be an outside room, with a window that
operates as designed. If the window is
modified from its original design, the fire
X
marshal must approve the modification and
indicate this room still meets applicable
Oregon Fire Code.
(d) Ceiling at least 90 inches X
(e) Minimum 60 SF per occupant X
(f) No more than 25 if dorm style X
(g) Permanently wired fixtures X
(h) Window covering X
Room and Space Requirements
Bathrooms Yes No N/A Corrective Actions/Comments
419-470-0030(4)
(a)(A)&(B) 1:8 ratio for toilets and sinks X
(a)(D) Hot and cold running water, soap, and
X
approved hand drying options
(a)(E) 1:10 ratio for shower or bathtub X
(a)(E) Individual privacy X
(a)(F) Window covering X
(a)(G) Permanently wired fixtures X
P a g e 9 | 21
Form Rev. 1/2/2024
(a)(H) Adequate ventilation X
(b)&(c) Wooden racks on floors are
prohibited and impervious shower mats are
X
disinfected & dried daily be in good condition
and free of mold
Room and Space Requirements
Kitchen Yes No N/A Corrective Actions/Comments
419-470-0030(6)
(a) Used exclusively for storage, food
preparation, dishwashing, and activities
X
related to eating and food preparation
activities
(b) Walls, floors are easily cleanable X
(c) Equipment and utensils are easily
X
cleanable, durable, nontoxic, and kept clean
(e) Equipment is easy to clean beneath,
X
between and behind
Furnishings and Personal Items
Yes No N/A Corrective Actions/Comments
419-470-0040
(1) There is a bed with frame, X
(1)(b) clean mattress in good condition,
X
with a minimum thickness of five inches
(1)(c) a pillow in good condition X
(1)(d) a private dresser, closet, or similar
storage area for personal belongings that X
is readily accessible
(2) Linens are in good repair. There is a
waterproof mattress cover or mattress.
X
Linens are appropriate and towels and
washcloths are provided
(3) Bedding is changed weekly or when
X
soiled
(4)&(5) Personal hygiene supplies and
X
appropriate clothing are provided
Food Services
Yes No N/A Corrective Actions/Comments
419-470-0070
(1)(a) Meals are arranged daily, consistent
with normal mealtimes that occur during the
X
hours of operation and provide snacks
between mealtimes
(1)(b) Menus are prepared in advance in
accordance with USDA guidelines, provide a
X
variety of foods and are adjusted for
seasonal changes including snacks
P a g e 10 | 21
Form Rev. 1/2/2024
(1)(b) Menus are kept for at least 6 months
(1)(c) Drinking water is freely available X
(2)(a) Food is stored, prepared & served in a
X
sanitary manner
(2)(c) & (d) Food products are obtained from
commercial suppliers (exception of fruits &
vegetables), unpasteurized juice is X
prohibited, and only Grade A pasteurized
and fortified milk in appropriate container.
Residential Care Safety
Yes No N/A Corrective Actions/Comments
419-470-0080
(2) Written emergency plan that includes X
(a) Identifying the types of emergencies most
likely to happen where the residential care
agency is located
(b) Identifying a place to meet for each type
X
of emergency identified
(c) Identifying an alternate shelter if
X
necessary
(d) Ensuring access to necessary
X
medications or medical equipment
(e) How to help each child in care recover
X
after a disaster
(3) Telephone numbers for local police, fire
department, poison control, after hours
medical advice and other appropriate X
emergency numbers must be posted near all
telephones.
(4) Operative flashlights sufficient in number
x
are readily available to staff
(5)(a) Evacuation drill occurs monthly under
varying conditions, is retained 2 years and
contains:
(A) identify of person conducting drill
(B) date & time Buckman: The program was missing evacuation drills in February 2023 and May 2023.
(C) notification method X The program shall ensure evacuation drills are conducted on a monthly basis and
(D) staff participating documented.
(E) # of children & staff evacuated
(F) special conditions simulated
(G) problems encountered
(H) time to complete
Umbrella Safety
Yes No N/A Corrective Actions/Comments
419-400-0200
(5)(b) Vehicle has insurance policy, is smoke X
free, safe operating condition, and has first
aid kit and fire extinguisher 2-A:10-BC
P a g e 11 | 21
Form Rev. 1/2/2024
(1)(b)(A) Each vehicle used to transport a X
child in care must be: properly registered,
covered by an insurance policy in full force
and effect, maintained in safe operating
condition, and smoke-free.
(3) If a child-caring agency has a swimming X
pool on the premises that is accessible to
children in care or if a child-caring agency
plans to have children in care engage in
swimming, the child-caring agency must
have and adhere to policies and procedures
that address, at a minimum, providing
disclosures and obtaining consents,
assessing swimming ability of children in
care, and ensuring the safety of pool access.
(4)(a) The program protects children from X
potentially harmful items and materials.
(4)(b) Direct supervision of children who do X
not have the ability to adjust and control
water temperature
(4)(c) Light fixtures have protective covers X
unless designed to be used without one
Medication
Yes No N/A Corrective Actions/Comments
419-470-0100
(3)&(7)(e) Medications have a prescription
and are stored in the original container with X
prescription label
(4)&(5) Herbal supplements and remedies,
medical treatments, special diets, physical
therapy, physical aides or limitations have a
written order signed by a physician or
qualified medical professional. A written X
order, signed by a physician or qualified
medical professional, is also required before
a restriction on diet or physical activity is
imposed.
(7)(c) Medications are inaccessible to
children and stored behind at least two
X
locking mechanisms. This does not apply to
Naloxone.
(8) Medications are disposed in accordance
X
with state and federal law
(9) Written record of the disposal of
medications is maintained and includes:
X
(a) description and amount
(b) name
P a g e 12 | 21
Form Rev. 1/2/2024
(c) reason
(d) method
(e) staff & witness signature
(10) Written record of the administration of
medication includes:
(a) name
(b) description
(c) dates and times
(d) missed doses X
(e) medication disposed
(f) method of administration
(g) ID of person administering
(h) possible adverse reactions
(i) medication taken outside facility
Extracurricular, Enrichment, Cultural &
Social Activities Yes No N/A Corrective Actions/Comments
419-470-0110
(2) Children have ongoing opportunities to X
participate in at least one age-appropriate or
developmentally appropriate activity
Minimum Staffing Requirements
Yes No N/A Corrective Actions/Comments
419-470-0130
(1)&(2) Supervision is adequate for the type X
of program, location, age and type of
children, ability of supervisor to respond,
electronic back-up systems.
Minimum ratios are maintained:
Under 30 months of age: 1:4
30 months to ˃ 6 years or non-ambulatory:
1:6
Ages 6 and older: 1:7
Overnight (staff awake)
1:10
(4)(a) When one staff on duty, there is X
additional staff immediately available with
max response time of 30 minutes
(5) There is at least one on-site employee X
authorized to apply the reasonable and
prudent parent standard
Sleeping Arrangements
Yes No N/A Corrective Actions/Comments
419-470-0140
(1) Children are in separate bedrooms than X
adults, unless parent and child, or there is
P a g e 13 | 21
Form Rev. 1/2/2024
written approval from guardian/parent and
licensing coordinator
(2) There is adequate supervision of children X
when sleeping
(3) When assigning bedrooms a residential X
care agency must consider all of the
following:
(a) Chronological age
(b) Developmental age
(c) Gender identity
(d) Personal history, including medical,
mental health, behavioral health, and past
adverse experiences including any physical
or sexual abuse
Personnel Files
Yes No N/A Corrective Actions/Comments
419-400-0120
Staff Name/Position X
(3)(g) Date of Hire X
(3)(a) record of education, training, and
X
previous employment
(1)(b) & (3)(b) reference checks completed
X
and documented
(1)(a) & (3)(c) Background check completed
X
and documented
(3)(d) Annual performance evaluations X
(3)(f) Record of personnel actions X
(3)(g) Termination date, reason for
X
termination
(3)(h) Current job description (1)(c)
Employee meets minimum qualifications X
stated in current job description
New Employee Orientation – Umbrella
Requirements (30 days) Yes No N/A Corrective Actions/Comments
419-400-0120(4)
(a) Agency policies and procedures X
Buckman: Orientation trainings were either not completed or were completed after the
(b) Ethical and professional guidelines X
first 30 days of hire for trainings b, c, d, f and g.
(c) Suicide prevention and intervention X
Cordero: Orientation trainings were either not completed or were completed after the first
30 days of hire for trainings a, b, c, and d.
(d) Attributes of population served X
Atlas: Orientation trainings were either not completed or were completed after the first 30
days of hire for trainings d and f.
P a g e 14 | 21
Form Rev. 1/2/2024
The programs shall ensure all orientation trainings are completed within 30 days of hire
and documented in each staff’s personnel file.
(e) & (5)(a) to (c) Mandatory reporting that
includes:
(a) legal definition of child abuse in ORS
418.257 and 419B.005 X
(b) legal responsibility to immediately report
(c) legal responsibility to report is personal to
the employee
(f) Privacy laws X
(g) Emergency procedures X
New Employee Orientation
Residential (Prior to working alone and
Yes No N/A Corrective Actions/Comments
within 30 days)
419-470-0120(1)
(a) Discipline and behavior management Buckman: Orientation trainings were either not completed or were completed after the
including de-escalation, crisis prevention, first 30 days of hire for trainings a, b and c.
positive behavior management, and X
disciplinary techniques that are non-punitive Cordero: Orientation trainings were either not completed or were completed after the first
in nature 30 days of hire for trainings b and d.
Atlas: Orientation trainings were either not completed or were completed after the first 30
(b) CPR and First Aid sufficient to retain a
X days of hire for trainings b and d.
current certification
(c) Universal precautions and hygiene X
(d) Application of the reasonable and The programs shall ensure all orientation trainings are completed within 30 days of hire
X
prudent parent standard and documented in each staff’s personnel file.
(e) Training on the agency’s policy on
suicide prevention and suicide risk X
assessment tool
Crisis Intervention Training Standards
and Certification Yes No N/A Corrective Actions/Comments
419-400-0160(4) (as applicable)
(a)Complete a minimum of 12 hours of initial
training in person from a certified instructor,
including but not limited to a minimum of six
hours of training focused on positive
X Janus Youth Programs does not use seclusion or restraint.
behavior support, nonviolent crisis
intervention and other methods of
nonphysical intervention to support children
in care during a crisis
(d) Receive a certificate that states: X
P a g e 15 | 21
Form Rev. 1/2/2024
(A) The dates during which the certification
is current
(B) The type of restraint which the individual
is certified to perform if applicable
(C) The type of training the individual is
certified to conduct if applicable
(D) Any special endorsements earned by the
individual
(E) The level of training
(F) The name of the certified instructor who
conducted the training and administered the
assessment of proficiency.
(e) A certification issued:
(A) Must be personal to the individual
certified by the training provider X
(B) May be valid for no more than two years
with recertification
Ongoing Training Yes No N/A Corrective Actions/Comments
419-470-0070(2)(b) Employees who handle
food served to children have a valid food X
handler’s card
419-400-0200 (1) Employees transporting
children have: current driver’s license,
insurance, trained in emergency procedures X
and behavior management, and training for
15+ passenger vans if applicable)
419-470-0120 (2)(a) Environmental
X
emergencies
419-470-0120 (2)(b) Universal Precautions X
Atlas: Two of the staff personnel files reviewed did not contain documentation discipline
and behavior management ongoing trainings were completed.
419-470-0120 (2)(c) Discipline and Behavior
X
Management
The program shall ensure all staff have completed trainings on discipline and behavior
management on an ongoing basis.
Atlas: Three of the staff personnel files reviewed did not contain documentation the
agency’s policy on suicide prevention and risk assessment tool trainings were completed
419-470-0120 (2)(d) Agency’s policy on on an ongoing basis.
X
suicide prevention and risk assessment tool
The program shall ensure all staff have completed trainings on the agency’s policy on
suicide prevention and risk assessment tool on an ongoing basis.
P a g e 16 | 21
Form Rev. 1/2/2024
Cordero: Three of the staff personnel files reviewed did not contain documentation of
419-470-0120 (3) Staff providing direct care
current CPR/First Aid certifications.
must maintain current CPR/First Aid X
certification
The program shall ensure all staff have current CPR/First Aid certifications.
419-470-0120 (4) Designated staff
authorized to apply reasonable and prudent
X
parent standard are trained in application of
the standard
419-400-0120(5) Mandatory reporting
(annually) that includes:
(a) legal definition of child abuse in ORS
418.257 and 419B.005 X
(b) legal responsibility to immediately report
(c) legal responsibility to report is personal to
the employee
419-400-0160(4)(b) Receive continuing
education (as applicable on crisis
X
intervention training) from a certified
instructor on an annual basis
Children’s Records Yes No N/A Corrective Actions/Comments
Health Services
419-470-0090
(2) Medical history obtained within 30 days
(significant findings, current immunizations,
history of surgical procedures-health issues- X
injuries, allergies, dental, vision, hearing,
behavioral health, and physician orders)
(4)(a) to (f) Medical exams (3 in first year of
life, 2,4,6,9,14) X
(g) Have a physical examination within the
first 60 days after admission of a child in
care. Documentation of a physical X
examination having occurred within the
calendar year will meet this requirement.
Consents
Yes No N/A Corrective Actions/Comments
419-470-0160(1)
(a) Provide routine and emergency medical
X
care
(b) Use the discipline and behavior
X
management system
P a g e 17 | 21
Form Rev. 1/2/2024
(c) Use restraint or seclusion (if applicable).
Must specify the reasons for the intervention X
and how staff are trained and supervised
(d) Restrict contact with persons outside of
X
the agency
Atlas: Three of the client files reviewed were missing consents regarding allowing
(e) Allow access as defined in 419-400-0230 access.
X
& 0240
The program shall ensure all required consents are signed by the legal guardian.
(f) Impose a dress code X
(g) Apply the reasonable and prudent parent
X
standard
Disclosures
419-470-0160(2) Yes No N/A Corrective Actions/Comments
Parent/guardian has acknowledged in writing:
(a) Information regarding personal or room
searches and protocols for confiscation of X
contraband
(b) Statement of Rights of Children and
X
Parents/Guardians
(c) Any policies and procedures upon request X
Authorizations
Yes No N/A Corrective Actions/Comments
419-470-0160(3)
Buckman: Two of the client files reviewed were missing authorizations to disclose or
(a) Disclose or exchange information with exchange information with others.
X
others
The program shall ensure all required disclosures are signed by the legal guardian.
(b) Child specific visitors X
Buckman: Two of the client files reviewed were missing authorizations for pre-approving
visitation resources.
(c) Visitation resources are pre-approved X
The program shall ensure all required disclosures are signed by the legal guardian.
(d) Activity specific authorizations are pre-
approved to allow children to participate in
potentially hazardous activities, including but X
not limited to using motorized yard
equipment, swimming, and horseback riding.
Information about Children in Care
419-400-0190(1) Yes No N/A Corrective Actions/Comments
Summary sheet contains the following:
(a)The name, gender, date of birth, religious
X
preference, and previous address
(b) Name and location of previous and
X
current school
(c) Date of admission X
P a g e 18 | 21
Form Rev. 1/2/2024
(d) Legal custody X
(e) The name, address, and telephone
number of:
(A) The child in care's parents.
(B) The child in care's legal guardian, if
different than the parents, and a copy of
X
the document that provides for his or her
authority over the child in care.
(C) Other persons significant to child
(D) Other professionals to be involved in
service planning (if applicable)
Service Planning
Yes No N/A Corrective Actions/Comments
419-470-0170(2)
(b) Intake document is completed the date
child accepted into care (emergency X
placement 48 hours)
(d) Assessment is completed within 30 days
and contains relevant historical info., current
behavioral observations, identified need for X
services, and how agency will provide
services
(e) (A)&(B) Service plan within 60 days
(parent, guardian and child actively involved).
Describes how child’s issues will be X
addressed, anticipated outcomes, and
reviewed by child and guardian/parent.
(e)(C)&(D) Service plan is reviewed quarterly
and revised when information indicates other X
services should be provided
Case Management
Yes No N/A Corrective Actions/Comments
419-470-0170(3)
(a) Services are documented, progress
X
toward achieving goals is tracked
(c) Discharge summary must include:
(A)Current medications
(B)Name of the physician or qualified medical
professional who prescribed each medication
(C)Any outstanding medical or other
appointments X
(D)Summary of the child’s participation in the
program and progress achieved
(E)Results of evaluations
(F)Recommendations regarding services
(G)Discharge destination
P a g e 19 | 21
Form Rev. 1/2/2024
(e) Follow up services X
(f) Incident Reports X
Records Relating to Restraint &
Yes No N/A Corrective Actions/Comments
Involuntary Seclusion
419-400-0180 (12) Records X
419-400-0180(13)(e) Each child caring
agency shall provide notice regarding how to
access the quarterly reports to the parents or
guardians of children in care in the program. X
The child caring agency shall provide the
notice upon the child in care’s admission and
at least two times each year thereafter.
419-400-0190(1) Information provided to
children in care relating to Restraint & X
Involuntary Seclusion
Financial Records
Yes No N/A Corrective Actions/Comments
419-470-0170(4)
Records contain date, amount, source,
X
purpose, signatures
Personal Possessions Records
Yes No N/A Corrective Actions/Comments
419-470-0170 (5)
Individual written inventory of all personal
possessions is maintained and updated as X
needed
Records and Documentation
Yes No N/A Corrective Actions/Comments
419-400-0140
(1) Stored safely X
(2) Permanent, legible, dated, and signed X
(3)&(4) Uniform in organization, readily
identifiable and accessible, current, and
X
complete, containing all required info. No
eraser tape or white out.
(7) Permanent registry for each child
includes:
Name
Gender
X
Birth date
Names, addresses of parents or guardians
Dates of admission
Placement upon discharge
Additional findings:
P a g e 20 | 21
Form Rev. 1/2/2024
419-400-0090 (2)(a)(D)(i) Grievance Procedures. (a) A child-caring agency must enact and adhere to written procedures for the children in care and
families the child-caring agency serves to submit a grievance. The procedures must include all of the following: (D) The name, address and phone
number of: (i) A Department licensing coordinator.
Janus Youth Programs shall ensure the grievance procedure is updated to include the following information:
Licensing Coordinator Aubrey Kelly
ODHS Office of Training, Investigations and Safety
201 High St SE, Suite 500
Salem, OR 97301
(503) 602-8913
Licensing Coordinator’s Signature: ________________________ Date: ____5_/2_2_/_2_0_2_4_ _______
Manager Review: ______________________________________ Date: _5_-_1_5_-2_0__2_4_ ________
P a g e 21 | 21
Form Rev. 1/2/2024

report_type: License Renewals

licensee: Janus Youth Programs Date of site visit: 04/22/2024 - 04/24/2024

licensing_coordinator: Aubrey Kelly; Assisted by Todd Cooley,

average_daily_population_served: Buckman: 10 Cordero: 13.5 Atlas ILP: 4

number_of_children_served_annually: Buckman: 30 Cordero: 18 Atlas ILP: 9

use_of_seclusion_or_restraint: Buckman: No Cordero: No Atlas ILP: No

interviews_observations:
P a g e 3 | 21

Buckman: Two clients were interviewed in private. Both clients reported they feel safe at Buckman. Both clients report they like the staff at Buckman
and they get along with the other clients. The clients reported staff are supportive and the clients feel safe to go to staff when they need help. The
clients reported they both have goals they are working on.
Cordero: Two clients were interviewed in private. Both clients had been in the program for approximately three years. Both clients reported they feel
safe at Cordero. The clients reported staff do a good job, they listen to the clients and understand the clients' problems. Both clients reported the
food is good, they get enough to eat and snacks and water are available.
Atlas ILP: One client was interviewed in private. They reported it's interesting living here, there are some new program quirks they are still trying to
work out, but it's a solid program. They love the staff, and regarding the program manager they said, "Everything fun happens here because of
Taylor." They reported feeling safe at the program and wishes the rules weren't so strict.

excerpt:
Documents as indicated on the form titled
“Renewal Licensing Required Documents” Cordero: The program does not have documentation of a fire marshal or environmental
health inspection being completed. The program shall ensure the inspections are
completed.

excerpt:
&(c) Buildings are
smoke free, clean and in good repair Buckman: The inside of the house needs to be completely repainted. There are holes in
the walls from nails and screws sticking out of the walls. The program shall ensure all
parts of the house are in good repair.

excerpt:
(5)(a) Evacuation drill occurs monthly under
varying conditions, is retained 2 years and
contains:
(A) identify of person conducting drill
(B) date & time
(C) notification method
(D) staff participating
(E) # of children & staff evacuated
(F) special conditions simulated
(G) problems encountered
(H) time to complete Buckman: The program was missing evacuation drills in February 2023 and May 2023.
The program shall ensure evacuation drills are conducted on a monthly basis and
documented.

excerpt: (a) Agency policies and procedures

excerpt: (b) Ethical and professional guidelines

excerpt: (c) Suicide prevention and intervention

excerpt: (d) Attributes of population served

excerpt: (f) Privacy laws

excerpt: (g) Emergency procedures

excerpt:
(a) Discipline and behavior management
including de-escalation, crisis prevention,
positive behavior management, and
disciplinary techniques that are non-punitive
in nature Buckman: Orientation trainings were either not completed or were completed after the
first 30 days of hire for trainings a, b and c.
Cordero: Orientation trainings were either not completed or were completed after the first
30 days of hire for trainings b and d.
Atlas: Orientation trainings were either not completed or were completed after the first 30
days of hire for trainings b and d.
The programs shall ensure all orientation trainings are completed within 30 days of hire
and documented in each staff’s personnel file.

excerpt:
(b) CPR and First Aid sufficient to retain a
current certification

excerpt: (c) Universal precautions and hygiene

excerpt:
(d) Application of the reasonable and
prudent parent standard

excerpt:
(e) Allow access as defined in 419-400-0230
& 0240 Atlas: Three of the client files reviewed were missing consents regarding allowing
access.
The program shall ensure all required consents are signed by the legal guardian.

excerpt:
(a) Disclose or exchange information with
others Buckman: Two of the client files reviewed were missing authorizations to disclose or
exchange information with others.
The program shall ensure all required disclosures are signed by the legal guardian.

excerpt:
(c) Visitation resources are pre-approved Buckman: Two of the client files reviewed were missing authorizations for pre-approving
visitation resources.
The program shall ensure all required disclosures are signed by the legal guardian.