summary: Follow-Up Inspection, Non On-Site Inspection (6 findings)

raw_content:
R501-1-16(2)(a)-(q): Program policy and training — The licensee was out of compliance with R501-1-16(2)(a)-(q) by not having all employees trained annually on the required topics. During the file review, it was observed that some employees had not received each of the required annual trainings. This rule non-compliance is a repeat noncompliance as noted on 02/13/2023, 02/29/2024, 03/25/2024, and 2/26/2025.
R501-1-16(1)(a)-(u): Pre-service training requirements — The licensee was out of compliance with R501-1-16(1)(a)-(u) by not ensuring all employees were trained on the required pre-service training topics within 30 days of hire. During the file review, not all employees had received the necessary pre-service trainings and were past 30 days of hire. This rule was previously found out of compliance on 2/26/2025.
R501-1-13(5)(a)-(b): Private placement reporting — The licensee was out of compliance with R501-1-13(5)(a)-(b) by not reporting private placements to the office by the fifth business day of each month. During the file review, the licensor observed that the provider had not reported on all months of the year. This rule non-compliance is a repeat non-compliance as noted on 02/13/2023, 02/29/2024, 03/25/2024, and 2/26/2025.
R501-1-13(1)(a)-(h): Intake assessment requirements — The licensee was out of compliance with R501-1-13(1)(a)-(h) by not having an intake assessment completed for each client surveyed with each of the required items. During the file review, the provider was unable to show that two clients surveyed had an intake assessment from the program, while a third client had an intake assessment that was missing information regarding gender identity and individualized assessment for bedroom and bathroom assignments, cultural background, and family history and dynamics. This rule non-compliance is a repeat non-compliance as noted on 02/29/2024 and 2/26/2025.
R501-1-11(1)(a)-(o): Required client information — The licensee was out of compliance with R501-1-11(1)(a)-(o) by not asking identified gender information on intake paperwork and not having all critical incidents stored with clients’ files. During the file review, identified gender could not be found on the intake paperwork and a client file had a known critical incident involving the client that was not stored with it. This rule non-compliance is a repeat non-compliance as noted on 02/13/2023, 02/29/2024, and 2/26/2025.
R501-1-10(5)(a)-(b): Documented safe food practices training — The licensee was out of compliance with R501-1-10(5)(a)-(b) by not having documentation of employee training on safe food practices. During the file review, the provider was unable to show a way employees had been trained on allowances for nutritious snacks and how to accommodate clients with special dietary needs. This rule was previously found out of compliance on 2/26/2025.


state: UT

facility_name: Catalyst Residential Treatment Center dba Gray House

summary: Announced, Annual Inspection (5 findings)

raw_content:
R501-1-16(2)(a)-(q): Program policy and training — The provider was out of compliance with R501-1-16(2)(a)-(q) by not having all employees trained annually on the required topics. During the file review, it was observed that some employees had not received each of the required annual trainings. This rule non-compliance is a repeat noncompliance as noted on 02/13/2023, 02/29/2024, and 03/25/2024.
R501-1-15(10)(a)-(f): Required personnel information — The provider was out of compliance with R501-1-15(10)(a)-(f) by not storing critical incidents with personnel files. During the file review, the provider had no way to show what critical incidents a given employee had been involved in. This rule non-compliance is a repeat non-compliance as noted on 02/13/2023.
R501-1-13(5)(a)-(b): Private placement reporting — The provider was out of compliance with R501-1-13(5)(a)-(b) by not reporting private placements to the office by the fifth business day of each month. During the file review, the licensor observed that the provider had not reported on all months of the year. This rule non-compliance is a repeat non-compliance as noted on 02/13/2023, 02/29/2024 and 03/25/2024.
R501-1-12(5)(a)-(d): Discharge plan resources — The provider was out of compliance with R501-1-12(5)(a)-(d) by not having a discharge plan completed for a client. During the file review, a client who had left the program over 30 days ago did not have a discharge plan. This rule non-compliance is a repeat non-compliance as noted on 02/13/2023 and 02/29/2024.
R501-1-11(1)(a)-(o): Required client information — The provider was out of compliance with R501-1-11(1)(a)-(o) by not asking identified gender information on intake paperwork and not having all critical incidents stored with clients’ files. During the file review, identified gender could not be found on the intake paperwork and a client file had a known critical incident involving the client that was not stored with it. This rule non-compliance is a repeat non-compliance as noted on 02/13/2023 and 02/29/2024.
Checklist 638034: Census: 6; Capacity: 26; Contact: Seth Gelsler; Licensor: Josilyn Bertrand/Mary Bokinskie

Inspection Type: Announced, Annual Inspection


summary: 3rd Unannounced

raw_content: Checklist 623505: Census: 6; Capacity: 26; Contact: Jacob Loveland; Licensor: Josilyn Bertrand, Mary Bokinskie

Inspection Type: 3rd Unannounced


summary: Follow-Up Inspection

Inspection Type: Follow-Up Inspection


summary: 2nd Unannounced (2 findings)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with the rule by not having all bathrooms stocked with hand soap, not having all prescription medication stored in its original pharmacy packaging, and not ensuring client health and safety regarding vehicle safety at the time of the inspection. This rule non-compliance is a repeat non-compliance.
R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The provider was out of compliance with the rule by not reporting critical incidents to the office. During the inspection, client interviews revealed two critical incidents that had not been reported. This rule non-compliance is a repeat non-compliance.
Checklist 610058: Census: 7; Capacity: 26; Contact: Jacob Loveland; Licensor: Josilyn Bertrand

Inspection Type: 2nd Unannounced


summary: Follow-Up, Additional Follow-Up Inspection

raw_content: Checklist 605375: Census: 26; Contact: Seth Geisler; Licensor: Josilyn Bertrand


summary: Follow-Up Inspection (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with the rule by not having medication stored in original pharmacy packaging. During the inspection, the licensor observed free-floating prescription medications and medications stored in plastic baggies separate from their original pharmacy packaging. This non-compliance is a repeat non-compliance.
Checklist 602138: Census: 26; Contact: Seth Geisler; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with the rule by having three restrooms missing hand soap and medication out of original pharmacy packaging during the inspection. This non-compliance is a repeat non-compliance.
Checklist 598627: Census: 10; Capacity: 26; Contact: Brooks Westover; Licensor: Josilyn Bertrand

Inspection Type: Unannounced, Annual Inspection


summary: Non On-Site Inspection

Inspection Type: Non On-Site Inspection


facility_name: Catalyst Residential Treatment Center dba Red House

summary: Announced, Annual Inspection

raw_content: Checklist 871239: Census: 0; Contact: Seth Geisler; Licensor: Josilyn Bertrand, Mary Bokinskie, Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 712339: Census: 0; Capacity: 24; Contact: Seth Geisler; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 662282: Census: 0; Capacity: 26; Contact: Seth Geisler; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 652499: Census: 0; Capacity: 24; Contact: Seth Geisler; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection

raw_content: Checklist 638045: Census: 0; Capacity: 24; Contact: Seth Gelsler; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 623494: Census: 0; Contact: Jacob Loveland; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 610171: Census: 0; Contact: Jacob Loveland; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 598641: Census: 0; Capacity: 24; Contact: Brooks Westover; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: Announced, Annual Inspection (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with the rule by not ensuring that the appearance & cleanliness of the building/grounds are maintained and free from health/fire hazards and that any appliances, plumbing, electrical, HVAC, and furnishings are maintained in operating order and in a clean and safe condition. During the inspection, the licensor observed multiple items that needed repair, cleaning, or to be addressed before this site started taking on clients again, including a cracked toilet lid, a stair needing repair, a baseboard needing replacement, cleanliness concerns with one of the bathrooms,  and a few holes that needed to be patched.

This rule non-compliance is a repeat non-compliance.
Checklist 583154: Census: 0; Contact: Seth Geisler; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced


summary: 2nd Unannounced


facility_name: Certs dba Kolob Canyon Residential Treatment Center

summary: Announced, Annual Inspection

raw_content: Checklist 987171: Census: 12; Capacity: 16; Contact: John Buckner; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 855220: Census: 14; Capacity: 16; Contact: Wendi Hunt; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 693775: Census: 12; Capacity: 16; Contact: Maddie Wray; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 659800: Census: 16; Contact: John Buckner; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 647560: Census: 14; Capacity: 16; Contact: John C. Buckner, LMFT; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 630646: Census: 13; Contact: John C. Buckner; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 619156: Census: 13; Contact: Jennifer Bracken; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 602986: Contact: John C. Buckner, LMFT; Licensor: Larry Black


summary: Follow-Up Inspection, Non On-Site Inspection


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 591524: Census: 12; Contact: John Buckner; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 573215: Census: 8; Contact: Larry Black; Licensor: :


summary: Unannounced, Annual Inspection

raw_content: Checklist 548942: Census: 10; Contact: McCabe Peterson; Licensor: :


facility_name: Certs dba Moonridge Academy

summary: Announced, Annual Inspection

raw_content: Checklist 966372: Census: 13; Capacity: 24; Contact: Wendy Pendrod; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 855259: Census: 13; Capacity: 24; Contact: Jewlyann; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 693698: Census: 18; Capacity: 24; Contact: Wendi Penrod; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 659801: Census: 24; Contact: Alexis Linarte; Licensor: Larry Black


Inspection Type: Follow-Up Inspection, Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 644774: Census: 13; Capacity: 24; Contact: Wendy Penrod; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 630822: Census: 13; Contact: Wendy Penrod; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 620247: Census: 12; Contact: Licensor(s) Conducting this Inspection: Larry Black OL Staff Observing Inspection:; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 602985: Census: 16; Contact: Wendy Penrod; Licensor: Larry Black


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 590114: Census: 15; Contact: Wendy Penrod; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 574606: Census: 15; Capacity: 24; Contact: of this; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 542372: Census: 14; Contact: McCabe Peterson; Licensor: :


facility_name: Chateau Health  Wellness

summary: Investigation Inspection

Inspection Type: Investigation Inspection


summary: Non On-Site Inspection


summary: Announced, Annual Inspection, Pre-Inspection

raw_content: Checklist 659821: Contact: of this; Licensor: Hailey Feichko


summary: Announced, Annual Inspection

raw_content: Checklist 602844: Census: 14; Capacity: 18; Contact: of this; Licensor: Nathan Ponis


summary: Announced, Annual Inspection

raw_content: Checklist 540663: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Cinnamon Hills Youth Crisis Center

summary: Investigation Inspection


summary: 3rd Unannounced

raw_content: Checklist 859539: Census: 42; Capacity: 164; Contact: Mary; Licensor: Larry Black


Inspection Type: Follow-Up, Additional Follow-Up Inspection


summary: Complaint, Investigation Inspection (1 finding)

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

Inspection Type: Complaint, Investigation Inspection


summary: Investigation Inspection (1 finding)

raw_content:
R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with R380-80-6(1)(b) by staff members not treating clients with dignity, respect, and fairness. During the investigation inspection, multiple staff and client interviews substantiated that some staff members use profane language directed at clients. The evidence also substantiated that some staff engage in unfair actions by singling out certain clients who are not a danger to themselves or others and place them in unnecessary seclusion. This noncompliance was previously noted on 05/27/2025, 05/06/2025, 04/10/2025, 02/07/2025, 11/16/2023, and 05/09/2023.
Checklist 685295: Census: 39; Capacity: 164; Contact: Mary Taylor; Licensor: Larry Black


summary: Complaint, Investigation Inspection (2 findings)

raw_content:
R380-80-4(2): Report abuse or neglect — The provider was out of compliance with R380-80-4(2) by a staff member, who witnessed child abuse, not immediately notifying Child Protective Services intake or law enforcement. During the investigation, the evidence substantiated that a staff member witnessed another staff member forcefully hit a client in the stomach and did not report it to the provider or to CPS.
R501-1-4(5)(a)-(l): Congregate care behavior management policy — The provider was out of compliance with R501-1-4(5)(a,b) by not using behavior management techniques that are trauma-informed and defer to the least restrictive method of behavior management available to control a situation; a congregate care program licensee only uses behavior management techniques that emphasize de-escalation and promote self-control, and independence. During the investigation, evidence substantiated that a staff member did not use de-escalation techniques when intervening in an incident involving two clients. The staff member hit a client in the stomach, a use of unapproved and non-trauma-informed behavior management. This is a repeat noncompliance that was previously noted on 02/07/2025, 02/26/2025, and 06/05/2025.


summary: Unannounced, Annual Inspection

raw_content: Checklist 661803: Census: 41; Capacity: 164; Contact: Mary Taylor; Licensor: Larry Black


summary: Follow-Up Inspection


summary: Investigation Inspection (3 findings)

raw_content:
R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The provider was out of compliance with R380-600-7(16)(b) for not ensuring an allegation of abuse was reported to law enforcement and CPS within 24 hours. During the investigation inspection, the information gathered substantiated that an allegation of client-on-client abuse was not reported to law enforcement and CPS within 24 hours of the allegation made.
R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The provider was out of compliance with R380-600-7(16)(c) by not notifying a parent or legal guardian of a critical incident involving their child within 24 hrs. During an investigation inspection, the information gathered substantiated that an incident of alleged sexual activity between three clients was alleged on 06/07/2025 and reported to their parents on 06/09/2025. This is a repeat noncompliance previously noted on 01/30/2025, 05/13/2025, and 05/27/2025.
R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with R501-19-3(3)(d)(ii) by a staff member not remaining awake while on duty. During an investigation inspection, the information gathered substantiated that a staff member fell asleep while on duty when they were responsible for supervising clients in a classroom.


summary: Investigation Inspection (1 finding)

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


summary: Investigation Inspection (2 findings)

raw_content:
R380-80-6(1)(a)-(i): Client rights — The licensee was out of compliance with R380-80-6(1)(b) by not ensuring a client had the right to be treated with dignity, respect, and fairness. During the investigation inspection, the information gathered substantiated that a staff member made an inappropriate and disrespectful statement to a client. This is repeat noncompliance that was previously noted on 05/09/2023, 11/16/2023, 02/07/2025, 04/10/2025, and 05/06/2025.
R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The licensee was out of compliance with R380-600-7(16)(c) by not notifying the parent of the involved client within a 24-hour period from the time of the incident. During an investigation inspection, the information gathered from licensee records substantiated that a client rights noncompliance occurred on 05/16/2025 and was not reported to the client’s parent until 05/19/2025. This is a repeat noncompliance previously noted on 05/13/2025.


facility_name: Compass Academy 1 LLC

summary: 3rd Unannounced

raw_content: Checklist 857939: Census: 13; Contact: Jennifer Herring; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 794619: Census: 12; Capacity: 16; Contact: Jennifer Herring; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 663120: Census: 14; Capacity: 16; Contact: Joshua Wilkey; Licensor: MeRee Jacobsen


summary: Investigation Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider is out of compliance with R501-19-3(f) by staff failing to perform direct supervision with line of sight check-ins every 15 minutes.   During inspection interviews, it was reported that the client was allowed to be in the green house alone to calm down; twenty minutes later, the client was nowhere to be found and was considered to be AWOL from the program.


summary: Announced, Annual Inspection

raw_content: Checklist 649062: Census: 12; Capacity: 16; Contact: Josh Wilkey; Licensor: MeRee Jacobsen


summary: Non On-Site Inspection


summary: 3rd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with this rule by having a hole in the wall  leading to client bedrooms. During the inspection the licensor observed a hole in the hallway wall leading to client bedrooms.
Checklist 635505: Census: 13; Capacity: 16; Contact: Jennifer Herring; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 628943: Census: 13; Capacity: 16; Contact: Jennifer Herring; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 606812: Census: 16; Capacity: 16; Contact: Kaleb Bailey; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection


summary: 3rd Unannounced


summary: Investigation Inspection


summary: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content: Checklist 557169: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: Announced, Annual Inspection

raw_content: Checklist 540542: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Copper Hills Youth Center

summary: Follow-Up Inspection


summary: Conditional, Monitoring Inspection

Inspection Type: Conditional, Monitoring Inspection


summary: 3rd Unannounced

raw_content: Checklist 826239: Census: 105; Contact: Max Ah'Quin; Licensor: Rob Jones and Blake Tingey


summary: 2nd Unannounced

raw_content: Checklist 788540: Census: 101; Contact: Ron Tuinei; Licensor: Rob Jones, Blake Tingey


summary: Investigation Inspection


raw_content: R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The provider was out of compliance with rule R380-80-5(4) by compromising the health and safety of a client.  During a planned hiking activity on September 3, 2025 a client required emergency assistance during the hike. The client was returned to the program where the client continued to display illness for two days. The investigator confirmed during the inspection, the client did not receive necessary medical attention until September 5, 2025, despite documented evidence and opinion by medical professionals indicating an earlier need for medical intervention.


summary: Follow-Up Inspection, Unannounced, Annual Inspection

raw_content: Checklist 659414: Census: 121; Capacity: 184; Contact: Max Ah'Quinn; Licensor: Rob Jones


raw_content:
R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The Licensee was out of compliance with R380-600-7(16)(a-d) by not reporting a critical incident to the Office within one business day. During the inspection it was observed that three critical incidents were not reported to the office by the previous Risk Manager. This is a repeat citation as noted on May 1, 2025.
Checklist 656425: Census: 124; Capacity: 184; Contact: Ron Tuinei; Licensor: Rob Jones


summary: Complaint, Investigation Inspection (3 findings)

raw_content:
R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The Licensee was out of compliance with rule R380-600-7(16)(a) by not submitting a critical incident report to the office within one business day.  During the inspection, the investigator verified that a critical incident occurred on February 14, 2025 and was not reported to Licensing until May 07, 2025.
R501-19-4(2)(a)-(b): Intermediate secure treatment ratios — The Licensee was out of compliance with Rule R501-19-4(2)(b) by failing to maintain a staff-to-client ratio of one staff to every five clients.  During the inspections, the investigators observed one unit had one staff member with twelve students and another unit with two staff members and twelve students.
R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The Licensee was out of compliance with rule R380-600-7(16)(a) by not submitting a critical incident report to the office within one business day.  During the inspection, the investigator verified that a critical incident occurred on April 16, 2025 and was not reported to Licensing until April 25, 2025.  This was a repeat noncompliance as noted on March 03, 2023, February 01, 2023, and November 29, 2022.


raw_content: R380-80-4(2): Report abuse or neglect — The Licensee was out of compliance with rule R380-80-4(2) by not immediately submitting a critical incident report to Child Protective Services notifying them of a staff member subjecting clients to abuse, neglect or exploitation. During the inspection, the investigator verified that a critical incident occurred and was not immediately reported to Child Protective Services.


summary: 3rd Unannounced

raw_content: Checklist 639983: Census: 125; Capacity: 184; Contact: Ron Tuinei; Licensor: Rob Jones


facility_name: Crossroads Academy dba CRA Residential Treatment

summary: 3rd Unannounced

raw_content: Checklist 912200: Census: 9; Capacity: 12; Contact: Hunter Taylor; Licensor: Josilyn Bertrand


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(3): Medication and hazardous items maintenance and storage — The licensee was out of compliance with R501-1-8(3) by not having all hazardous chemicals in locked storage when not in use. During the inspection, the facility’s chemical closet door was hanging open. This rule non-compliance is a repeat non-compliance as sited on 8/26/24 and technical assistant was provided on this rule on 9/16/2025.
Checklist 787159: Census: 7; Capacity: 12; Contact: Hunter Taylor; Licensor: Josilyn Bertrand


summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 669274: Census: 7; Capacity: 12; Contact: Hunter Taylor; Licensor: Josilyn Bertrand


raw_content: Checklist 656805: Census: 8; Capacity: 12; Contact: Becky Barrera; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Announced, Annual Inspection

raw_content: Checklist 636659: Census: 5; Capacity: 12; Contact: Becky Barrera, Derek Bowles; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Non On-Site Inspection

raw_content: Checklist 626861: Census: 6; Capacity: 12; Contact: Hunter Taylor; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: 3rd Unannounced

raw_content: Checklist 612082: Census: 9; Capacity: 12; Contact: Derek Bowles; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 600407: Census: 0; Capacity: 12; Contact: Becky Barrera; Licensor: Josilyn Bertrand


raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with the rule by not having all bathrooms properly equipped with hand soap.
Checklist 580884: Census: 4; Capacity: 12; Contact: Kenneth Russell; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection

raw_content: Checklist 565146: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Crossroads Academy dba East House

summary: 3rd Unannounced

raw_content: Checklist 925120: Census: 8; Capacity: 16; Contact: Coultin Porter; Licensor: Josilyn Bertrand


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 787180: Census: 14; Capacity: 16; Contact: Tyson Fielding; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 669119: Census: 13; Capacity: 16; Contact: Coultin Porter; Licensor: Josilyn Bertrand


raw_content: Checklist 656813: Census: 13; Capacity: 16; Contact: Becky Barrera; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 639850: Census: 11; Capacity: 16; Contact: Coultin Porter; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 627694: Census: 13; Capacity: 16; Contact: Coultin Porter; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 612684: Census: 14; Capacity: 16; Contact: Tyler Becker; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 600804: Census: 5; Capacity: 16; Contact: Becky Barrera; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 574423: Contact: Hunter Taylor; Licensor: Josilyn Bertrand


raw_content:
R501-1-17(3)(a)-(c): Nutrition requirements — The provider was out of compliance by not ensuring the dietician approved menu is being followed and served.
Checklist 550810: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: Announced, Annual Inspection

raw_content: Checklist 539023: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Crossroads Academy dba North House

summary: 3rd Unannounced

raw_content: Checklist 927479: Census: 7; Capacity: 14; Contact: Tyler Becker; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 796139: Census: 7; Capacity: 14; Contact: Tyler Becker; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 668964: Contact: Malinda Twede; Licensor: Josilyn Bertrand


raw_content: Checklist 656786: Census: 0; Capacity: 14; Contact: Becky Barrera; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 2nd Unannounced

raw_content: Checklist 626876: Census: 0; Capacity: 14; Contact: Hunter Taylor; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 612671: Census: 0; Capacity: 14; Contact: Becky Barrerra; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 600803: Census: 13; Capacity: 14; Contact: Becky Barrerra; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 574425: Contact: Coultin Porter; Licensor: Josilyn Bertrand


raw_content:
R501-1-15(2): Facility and furnishings maintained — The provider was out of compliance with this rule/regulation by having a bathroom cabinet door hanging off the broken hinge.
Checklist 550589: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: Announced, Annual Inspection

raw_content: Checklist 539041: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Crossroads Academy dba South House

summary: 3rd Unannounced

raw_content: Checklist 935933: Census: 9; Capacity: 16; Contact: KC Russell; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 807479: Census: 1; Capacity: 16; Contact: Kenneth Russell; Licensor: Josilyn Bertrand


summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 668526: Census: 14; Capacity: 16; Contact: Malinda Twede; Licensor: Josilyn Bertrand


raw_content: Checklist 656815: Census: 13; Capacity: 16; Contact: Becky Barrera; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 639854: Census: 14; Capacity: 16; Contact: Jacob Phillips; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 628092: Census: 13; Capacity: 16; Contact: Malinda Twede; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 612051: Census: 13; Capacity: 12; Contact: Melinda Twede; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 600792: Census: 13; Capacity: 16; Contact: Becky Barrera; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Unannounced, Annual Inspection

raw_content: Checklist 584776: Census: 1; Capacity: 12; Contact: Cooper Brown; Licensor: Josilyn Bertrand


summary: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content: Checklist 553376: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: Announced, Annual Inspection

raw_content: Checklist 539024: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Discovery Ranch - Mapleton

summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 958872: Census: 39; Capacity: 60; Contact: Zackary Stewart; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 827779: Census: 52; Capacity: 60; Contact: Clint Dorny; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 704899: Census: 34; Capacity: 60; Contact: Clint Dorny; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 669143: Census: 33; Capacity: 60; Contact: Clint Dorny; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 653947: Census: 60; Contact: Zach Stewart; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 639765: Census: 37; Capacity: 60; Contact: Clinton Dorny; Licensor: Heather Guanajuato


summary: Follow-Up Inspection


summary: Conditional, Monitoring Inspection


summary: Focus, Non On-Site (1 finding)

raw_content: R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The provider was out of compliance with this rule by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 01/11/2025 and was not reported until 01/21/2025.

Inspection Type: Focus, Non On-Site


summary: Conditional, Monitoring Inspection

raw_content: Checklist 628167: Census: 41; Capacity: 60; Contact: Clinton Dorny; Licensor: Heather Guanajuato


facility_name: Discovery Ranch South

summary: Follow-Up Inspection


summary: Investigation Inspection


summary: 3rd Unannounced

raw_content: Checklist 814179: Census: 22; Capacity: 60; Contact: Mackenzie Hall; Licensor: Larry Black


summary: Investigation Inspection (1 finding)

raw_content: R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with R380-80-6(1)(c) by exposing a client to potential harm. During the inspection a client was able to climb onto a shed roof and jump. The client sustained significant injuries. This is a repeat rule noncompliance as noted on 1/21/2025.


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The Licensee was out of compliance with R501-1-8 (1)(a)(b) by not maintaining  the appearance and cleanliness of the building and grounds so they are free from health and fire hazards-. During the walkthrough inspection there was no-functional light in client bedroom, and client shower had mold on ceiling. This is a repeat noncompliance as noted on 7/6/23, 7/9/24, 12/31/24, . Technical assistance was provided on 9/4/25
Checklist 737843: Census: 18; Capacity: 60; Contact: Mackenzie Hall; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 667679: Census: 18; Capacity: 60; Contact: Licensor(s) Conducting this Inspection: Larry Black OL Staff Observing Inspection:; Licensor: Larry Black


summary: Announced, Annual Inspection (4 findings)

raw_content:
R501-1-16(1)(a)-(u): Pre-service training requirements — The Licensee was out of compliance with R501-1-16(1)(o)(u) by not completing preservice training within 30 days. During the employee file inspection 1 staff member had not completed the preservice training within 30 days of hire. 	This is a repeat noncompliance as noted on 12/31/24.
R501-1-15(4): Residential program unsupervised staff requirements — The Licensee was out of compliance with R501-1-15 (4) by allowing a direct care staff to work unsupervised before they have an approved background clearance. During the employee file inspection one staff member was found to have worked unsupervised before the had an approved background clearance.
R501-1-13(1)(a)-(h): Intake assessment requirements — The Licensee was out of compliance with R501-1-13(1)(b)(c) by not having required information in intake screening. During the client file inspection the intake screening assessment was missing cultural background and  mode of communication. This is a repeat noncompliance as noted on 7/6/23.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The Licensee was out of compliance with R501-14-5(2)(a) by not submitting an application for an initial background screening no later than two weeks from the applicant becoming associated with the licensee. During the employee file review inspection a staff member hadn't had a background check associated with licensee.
Checklist 655252: Census: 21; Capacity: 60; Contact: Andrea Burgess; Licensor: Larry Black


raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with R501-19-3(3)(d)(ii) by having a direct care staff sleeping while on shift. During the investigation interviews were conducted that revealed that a night shift staff was found sleeping while on duty. This is a repeat noncompliance as noted on 1/21/2025.


summary: Investigation Inspection (3 findings)

raw_content:
R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The licensee was out of compliance with R380-600-7(16)(a) by not reporting a critical incident within 1 business day. During the inspection it was learned that 2 clients went missing. This was not reported to licensing. This is a repeat noncompliance as noted on 4/3/2024, 3/4/2024, 12/19/20023, 12/6/2025, and 12/6/2025
R501-19-3(3)(a)-(j): Supervision and ratio requirements — The licensee was out of compliance with R501-19-3(3)(f) by not performing line of sight check-ins every 15 minutes. During the inspection 2 clients left staff supervision without staff being aware. Staff marked them present even though the clients were missing. This is a repeat noncompliance as noted on 9/18/2024 and 5/16/2023
R380-80-5(10): Services and supervision to meet each clients needs — The licensee was out of compliance with R380-80-5(10) by not providing supervision commensurate with a clients behavior. During the investigation a client with a history of recent self harm was not supervised in a way that addressed the risk of self harm. This is a repeat noncompliance as noted on 2/12/2025 and 12/6/2023.


facility_name: Division of Juvenile Justice Services dba Salt Lake

summary: 3rd Unannounced

raw_content: Checklist 959372: Census: 2; Capacity: 12; Contact: Erica Reeves; Sherrie Arnold; Licensor: Mary Bokinskie


summary: 2nd Unannounced

raw_content: Checklist 847659: Census: 1; Capacity: 12; Contact: Erica Reeves;Tami Joiner; Licensor: Mary Bokinskie


summary: Unannounced, Annual Inspection

raw_content: Checklist 698328: Census: 2; Capacity: 12; Contact: Erica Reeves;Tami Joiner; Licensor: Mary Bokinskie


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 666717: Census: 12; Contact: Erica Reeves; Licensor: Mary Bokinskie; Josilyn Bertrand


summary: 3rd Unannounced

raw_content: Checklist 651775: Census: 3; Capacity: 12; Contact: Erica Reeves; Licensor: Mary Bokinskie


summary: 2nd Unannounced

raw_content: Checklist 630903: Census: 3; Capacity: 12; Contact: Erica Reeves/Cody Prosser; Licensor: Mary Bokinskie


summary: Unannounced, Annual Inspection

raw_content: Checklist 622268: Census: 2; Capacity: 12; Contact: Erica Reeves/Cody Prosser; Licensor: Mary Bokinskie


summary: Non On-Site Inspection


raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with this rule by not having each bathroom ventilated by mechanical means or equipped with a window. At the time of inspection the bathrooms located in the portables did not have functioning ventilation by mechanical means. This is a repeat noncompliance.
Checklist 611488: Census: 2; Capacity: 12; Contact: Erica Reeves/Cody Prosser; Licensor: Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 599974: Census: 2; Capacity: 12; Contact: Erica Reeves/Cody Prosser; Licensor: Mary Bokinskie


facility_name: Eagle Ranch Academy, Inc

summary: Announced, Annual Inspection

raw_content: Checklist 939251: Census: 44; Capacity: 57; Contact: Paul; Licensor: Larry Black


summary: Investigation Inspection


summary: 3rd Unannounced

raw_content: Checklist 725719: Census: 47; Capacity: 57; Contact: Paul; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 664428: Census: 44; Capacity: 57; Contact: Paul Arslainian; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 650301: Census: 48; Capacity: 57; Contact: Eric Pomeroy; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 642844: Census: 43; Capacity: 57; Contact: Paul Arslanian; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 618096: Census: 40; Contact: Paul Arslanian; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 610072: Census: 35; Contact: Eric Pomeroy; Licensor: Larry Black


summary: Follow-Up Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 596912: Census: 36; Contact: J.Annie Weippert; Licensor: Larry Black


summary: Non On-Site Inspection


summary: Non On-Site Inspection (1 finding)

raw_content: R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The provider was out of compliance with this rule by failing to report a critical incident by the next business day.  During review of critical incidents it was identified that the incident occurred on 5/4/2024 and was not reported until 5/7/2024.  This is a repeat noncompliance.


facility_name: Elements Wilderness Program dba Huntington

summary: Announced, Annual Inspection

raw_content: Checklist 910719: Census: 26; Capacity: 50; Contact: Karen Scrafford; Licensor: Rob Jones, Larry Black


summary: 3rd Unannounced

raw_content: Checklist 736779: Census: 19; Contact: Karen Scrafford; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 664853: Census: 30; Capacity: 50; Contact: Karen Scrafford; Licensor: Rob Jones, Kacee Arrington


summary: Unannounced, Annual Inspection

raw_content: Checklist 655771: Census: 26; Capacity: 50; Contact: Bill Wimberg; Licensor: Rob Jones


summary: Announced, Annual Inspection


summary: Investigation Inspection


summary: 3rd Unannounced

raw_content: Checklist 628789: Census: 18; Capacity: 50; Contact: Sarah Gallimore; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 628788: Census: 16; Capacity: 50; Contact: Sarah Gallimore; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 602363: Census: 39; Capacity: 50; Contact: Karen Scrafford; Licensor: Rob Jones


summary: Follow-Up Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 566169: Census: 19; Capacity: 50; Contact: Karen Scrafford; Licensor: Rob Jones


facility_name: Elevations RTC

summary: Announced, Annual Inspection

raw_content: Checklist 931451: Census: 36; Capacity: 90; Contact: Jennifer Wilde, Ryan Mortensen, Judi Jacques; Eric Flores; Licensor: Mary Bokinskie; Josilyn Bertrand


summary: Investigation Inspection


summary: 3rd Unannounced

raw_content: Checklist 698227: Census: 17; Capacity: 90; Contact: Licensor(s) Conducting this Inspection: Mary Bokinskie; Josilyn Bertrand OL Staff Observing Inspection:; Licensor: Mary Bokinskie; Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 668049: Census: 36; Capacity: 90; Contact: Licensor(s) Conducting this Inspection: Mary Bokinskie; Josilyn Bertrand OL Staff Observing Inspection:; Licensor: Mary Bokinskie; Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 648581: Census: 44; Capacity: 90; Contact: Jennifer Wilde, Ryan Mortensen, Judi Jacques; Eric Flores; Licensor: Mary Bokinskie, Josilyn Bertrand


summary: Announced, Annual Inspection (7 findings)

raw_content:
R501-1-16(2)(a)-(q): Program policy and training — The Licensee was out of compliance with R501-1-16(2)(l) by not ensuring each staff completes all required training topics each year. At the time of inspection, the staff files reviewed did not have documentation of yearly training on the signs and symptoms of abuse and neglect. This was a repeat noncompliance as noted on 03/28/2024.
R501-1-16(1)(a)-(u): Pre-service training requirements — The Licensee was out of compliance with R501-1-16(1)(k)(n) by not ensuring that each staff receives all required training before being left unsupervised and within 30-days of hire. At the time of inspection, the staff files reviewed did not have documentation of training on the signs and symptoms of abuse and neglect nor documentation of training on client grievance procedures. This was a repeat noncompliance as noted on 03/28/2024 and 08/01/2024.
R501-1-15(4): Residential program unsupervised staff requirements — The Licensee was out of compliance with R501-1-15(4) by not ensuring direct care staff have an approved background check clearance before allowing staff to work unsupervised. During the inspection, it was observed that direct care staff had a background clearance determination that was no longer eligible.
R501-1-8(1)(a)-(i): Facility and safety requirements — The Licensee was out of compliance with R501-1-8(1)(f) by not ensuring each bathroom is properly equipped with soap. During the inspection, It was observed that a client bathroom did not contain soap. This was a repeat noncompliance as noted on 05/11/2023, 08/21/2023, 12/14/2023, 03/28/2024, and 08/01/2024.
R501-1-15(4): Residential program unsupervised staff requirements — The Licensee was out of compliance with R501-1-15(4) by not ensuring direct care staff have an approved background check clearance before allowing staff to work unsupervised. During the inspection, it was observed that direct care staff had a background clearance determination that was no longer eligible.
R501-1-15(4): Residential program unsupervised staff requirements — The Licensee was out of compliance with R501-1-15(4) by not ensuring direct care staff have an approved background check clearance before allowing staff to work unsupervised. During the inspection, it was observed that direct care staff had a background clearance determination that was no longer eligible.
R501-1-15(4): Residential program unsupervised staff requirements — The Licensee was out of compliance with R501-1-15(4) by not ensuring direct care staff have an approved background check clearance before allowing staff to work unsupervised. During the inspection, it was observed that direct care staff had a background clearance determination that was no longer eligible.
Checklist 642871: Census: 37; Capacity: 90; Contact: Jennifer Wilde, Ryan Mortensen, Judi Jacques; Licensor: Mary Bokinskie, Josilyn Bertrand, Rob Jones


summary: Follow-Up Inspection


facility_name: Embark Behavioral Health dba Embark At Hobble Creek

summary: Unannounced, Annual Inspection

raw_content: Checklist 998071: Census: 16; Capacity: 19; Contact: Amir Rafiei; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 886279: Census: 16; Capacity: 19; Contact: Amie Rafiei; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 751380: Census: 11; Capacity: 19; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection:; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 663700: Census: 15; Capacity: 19; Contact: Amir Rafiei; Licensor: Heather Guanajuato


summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 650933: Census: 19; Capacity: 19; Contact: Amir Rafiei; Licensor: Heather Guanajuato


summary: Investigation Inspection (1 finding)

raw_content: R380-80-5(10): Services and supervision to meet each clients needs — The provider is out of compliance with R380-80-5(10) by staff failing to provide supervision that is commensurate with the needs of the client. During an inspection on 4/28/2025 it was reported that a staff left line of sight supervision of the clients and a client was able to obtain benadryl, which they later ingested with the result of being taken to the hospital.


summary: Announced, Annual Inspection

raw_content: Checklist 637492: Census: 15; Capacity: 19; Contact: Ameri Rafiei; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 618916: Census: 21; Capacity: 17; Contact: Amir Rafiei; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 614532: Census: 18; Capacity: 23; Contact: Amir Rafiei; Licensor: Heather Guanajuato


summary: Non On-Site Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 601203: Census: 17; Contact: Jade Bailey; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection

raw_content: Checklist 587771: Census: 20; Capacity: 20; Contact: Amir Rafiei; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection


facility_name: Embark Behavioral Health- Solacium Sunrise, LLC (Hurricane)

summary: 2nd Unannounced

raw_content: Checklist 955691: Census: 14; Capacity: 28; Contact: Shelly; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 886099: Census: 13; Capacity: 28; Contact: Billy; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 756421: Census: 22; Capacity: 28; Contact: Daniel Cox; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 661368: Census: 14; Capacity: 28; Contact: Licensor(s) Conducting this Inspection: Larry Black OL Staff Observing Inspection:; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 644431: Census: 11; Capacity: 28; Contact: Shelly Clark; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 634875: Census: 13; Contact: Shelly Clark


summary: Investigation Inspection


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 624332: Census: 11; Contact: Daniel Cox; Licensor: Larry Black


summary: Follow-Up Inspection


summary: 3rd Unannounced (1 finding)

raw_content:
R501-1-15(4): Residential program unsupervised staff requirements — The provider was out of compliance with this rule by not providing supervision to staff requiring supervision due to background check status. During the inspection on 7/18/24, the licensor observed that staff who required supervision weren't being supervised.
Checklist 605892: Contact: Shelly Clark; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 598991: Census: 0; Contact: Wendi Hunt; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 575042: Census: 31; Capacity: 44; Contact: of this; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 543401: Licensor: :


facility_name: Eva Carlston Academy dba Covecrest House

summary: Unannounced, Annual Inspection

raw_content: Checklist 898399: Census: 12; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 787361: Census: 14; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 669110: Census: 12; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 654981: Census: 13; Capacity: 16; Contact: Kristy Ragsdale; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 639999: Census: 13; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 626373: Census: 12; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 613434: Census: 10; Capacity: 16; Contact: Kristy Ragsdale; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 595937: Census: 11; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 585356: Census: 13; Capacity: 16; Contact: Kristi Ragsdale and Sue Hoffman; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 568738: Contact: Heather Holbrook Josie Bertrand; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 551975: Census: 14; Contact: Heather Holbrook; Licensor: :


summary: Investigation Inspection


facility_name: Eva Carlston Academy dba Main House

summary: Unannounced, Annual Inspection

raw_content: Checklist 898439: Census: 11; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 787379: Census: 12; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 669112: Census: 10; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 654796: Census: 11; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 640008: Census: 10; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 626492: Census: 14; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 613708: Contact: Kristy Ragsdale; Licensor: Heather Holbrook


summary: Follow-Up Inspection


summary: 2nd Unannounced

raw_content: Checklist 595938: Census: 14; Capacity: 16; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 585344: Census: 16; Capacity: 16; Contact: Kristi Ragsdale and Sue Hoffman; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 568780: Contact: Heather Holbrook Josie Bertrand; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 551977: Census: 10; Contact: Heather Holbrook; Licensor: :


summary: 2nd Unannounced


facility_name: Eva Carlston Academy dba Vivid House

summary: Unannounced, Annual Inspection

raw_content: Checklist 898440: Census: 2; Capacity: 12; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 787360: Census: 0; Capacity: 12; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 669116: Census: 1; Capacity: 12; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 654794: Census: 6; Capacity: 12; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 640011: Census: 2; Capacity: 12; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 626374: Census: 12; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 613437: Census: 2; Capacity: 12; Contact: Kristy Ragsdale; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 595935: Census: 1; Capacity: 12; Contact: Kristi Ragsdale; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 585346: Census: 2; Capacity: 12; Contact: Kristi Ragsdale and Sue Hoffman; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 568782: Contact: Heather Holbrook Josie Bertrand; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 551978: Census: 3; Contact: Heather Holbrook; Licensor: :


facility_name: Gateway Academy, LLC dba Draper Residential

summary: 2nd Unannounced

raw_content: Checklist 876781: Census: 25; Capacity: 35; Contact: Millie Buttterfield; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 772999: Census: 22; Capacity: 35; Contact: Millie Butterfield; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 666548: Census: 19; Capacity: 35; Contact: Millie Butterfield; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 649944: Census: 27; Capacity: 35; Contact: Joshua Tao; Licensor: Rob Jones


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 632223: Census: 28; Capacity: 35; Contact: Rebecca Garfield; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 619392: Census: 27; Capacity: 35; Contact: Millie Butterfield; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 608115: Census: 25; Capacity: 35; Contact: Rebecca Garfield; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 591340: Census: 21; Capacity: 35; Contact: Rebecca Garfield; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 575966: Census: 22; Capacity: 35; Contact: Rebecca Garfield; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 563421: Census: 35; Contact: Rebecca Garfield; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 550109: Census: 23; Contact: Heather Holbrook; Licensor: :


facility_name: Gateway Academy, LLC dba Gateway House

summary: 2nd Unannounced

raw_content: Checklist 880259: Census: 7; Capacity: 11; Contact: Millie Butterfield; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 772740: Census: 7; Capacity: 11; Contact: Mille Butterfield; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 666462: Census: 2; Capacity: 11; Contact: Millie Butterfield; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 649945: Census: 8; Capacity: 11; Contact: Joshua Tao; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 632222: Census: 5; Capacity: 11; Contact: Rebecca Garfield; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 619390: Census: 0; Capacity: 11; Contact: Millie Butterfield; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 608098: Census: 7; Capacity: 11; Contact: Rebecca Garfield; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 591335: Census: 7; Capacity: 11; Contact: Rebecca Garfield; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 575963: Census: 3; Capacity: 11; Contact: Nicole Miller; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 563400: Census: 5; Capacity: 11; Contact: Rebecca Garfield; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 550111: Census: 0; Contact: Heather Holbrook; Licensor: :


facility_name: Heritage Schools Inc - Homestead

summary: Announced, Annual Inspection

raw_content: Checklist 878659: Census: 11; Capacity: 16; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 697087: Census: 11; Capacity: 16; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection:; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 660287: Census: 7; Capacity: 16; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 647547: Census: 8; Capacity: 16; Contact: Elicia Schwendiman; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 634227: Census: 5; Capacity: 16; Contact: Chester Powelson; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 620363: Census: 16; Capacity: 16; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection:; Licensor: Heather Guanajuato


summary: Conditional, Monitoring Inspection


summary: Follow-Up Inspection

raw_content: Checklist 610290: Census: 5; Capacity: 16; Contact: Lynetta Martindale; Licensor: Heather Guanajuato


summary: Investigation Inspection


summary: Focus Inspection (2 findings)

raw_content:
R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with this rule by not ensuring the client was free from potential harm. At the facility, the client was out of supervision of staff and was later found unresponsive.
R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with this rule by not checking in on the client every 15 minutes. At the facility, 24 minutes passed before a staff member left to check in on the client.

Inspection Type: Focus Inspection


summary: Pre-Inspection

raw_content: Checklist 587519: Census: 16; Contact: Chester Powelson; Licensor: Heather Holbrook

Inspection Type: Pre-Inspection


facility_name: Heritage Schools Inc,  Spark

summary: 2nd Unannounced

raw_content: Checklist 917879: Census: 64; Capacity: 178; Contact: Brad Fry; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 791261: Census: 57; Capacity: 88; Contact: Cindy Gagon; Licensor: Heather Guanajuato


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 669575: Census: 45; Capacity: 178; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 644508: Census: 39; Capacity: 178; Contact: Cynthia A Gagon; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 632581: Census: 66; Capacity: 178; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: Follow-Up Inspection, Investigation Inspection

raw_content: Checklist 628942: Census: 178; Capacity: 178; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 613859: Census: 76; Capacity: 178; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: Follow-Up Inspection


summary: Focus Inspection (1 finding)

raw_content: R380-80-6(1)(a)-(i): Client rights — The provider is out of compliance with this rule, by the provider failing to prevent mistreatment of a client by a teacher. During the inspection, it was reported by witnesses that a teacher mistreated a client by pushing the client when the client was acting out in their class. This is a repeat noncompliance.


summary: Non On-Site Inspection


summary: 2nd Unannounced

raw_content: Checklist 601453: Census: 93; Capacity: 178; Contact: Chester Powelson; Licensor: Josilyn Bertrand


facility_name: Heritage Schools Inc, Balance

summary: 2nd Unannounced

raw_content: Checklist 917619: Census: 26; Contact: Brad Fry; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 791140: Census: 4; Capacity: 26; Contact: Cindy Gagon; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 669576: Census: 5; Capacity: 26; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 644509: Census: 3; Capacity: 26; Contact: Cynthia A Gagon; Licensor: Heather Guanajuato


summary: Pre-Inspection

raw_content: Checklist 634226: Census: 26; Contact: Chester Powelson; Licensor: Heather Guanajuato


facility_name: Heritage Schools Inc, Elevate Academy

summary: 2nd Unannounced

raw_content: Checklist 917822: Census: 19; Capacity: 88; Contact: Brad Fry; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 791259: Census: 20; Capacity: 88; Contact: Cindy Gagon; Licensor: Heather Guanajuato


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 669579: Census: 18; Capacity: 88; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 644513: Census: 21; Capacity: 88; Contact: Cynthia A Gagon; Licensor: Heather Guanajuato


summary: Pre-Inspection

raw_content: Checklist 634220: Contact: Chester Powelson; Licensor: :


facility_name: Heritage Schools Inc. Wasatch

summary: 2nd Unannounced

raw_content: Checklist 917599: Census: 8; Contact: Brad Fry; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 791199: Census: 8; Capacity: 8; Contact: Cindy Gagon; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 669573: Census: 7; Capacity: 8; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 644515: Census: 8; Capacity: 8; Contact: Cynthia A Gagpn; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 633684: Census: 7; Capacity: 8; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: Follow-Up Inspection

raw_content: Checklist 621676: Census: 6; Capacity: 8; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 613856: Census: 6; Capacity: 8; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: Non On-Site Inspection


summary: 2nd Unannounced

raw_content: Checklist 601494: Census: 6; Capacity: 8; Contact: Chester Powelson; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 584312: Census: 8; Contact: Chester Powelson; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 566019: Census: 0; Contact: Licensor(s) Conducting this Inspection: Jennifer Buss OL Staff Observing Inspection: Rusty Hendrickson; Licensor: Jennifer Buss


summary: 3rd Unannounced

raw_content: Checklist 551562: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 541569: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Heritage Schools Inc. Yosemite

summary: Unannounced, Annual Inspection

raw_content: Checklist 791359: Census: 3; Capacity: 8; Contact: Cindy Gagon; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 669557: Census: 4; Capacity: 8; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 644516: Census: 8; Capacity: 8; Contact: Cynthia A Gagon; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 633681: Census: 4; Capacity: 8; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: Investigation Inspection, Non On-Site Inspection


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 620367: Census: 3; Capacity: 8; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 613857: Census: 3; Capacity: 8; Contact: Chester Powelson; Licensor: Heather Guanajuato


summary: Non On-Site Inspection


summary: 2nd Unannounced

raw_content: Checklist 601495: Census: 7; Capacity: 8; Contact: Chester Powelson; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 584311: Census: 8; Capacity: 8; Contact: Chester Powelson; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 562133: Census: 3; Contact: Jennifer Buss Rusty Hendrickson; Licensor: :


summary: 3rd Unannounced

raw_content: Checklist 551539: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 541524: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Horseshoe Mountain Academy dba Hope House/Courage House

summary: 3rd Unannounced

raw_content: Checklist 898499: Census: 10; Capacity: 26; Contact: Whitlee Winters; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 720379: Census: 9; Capacity: 26; Contact: Jen Cook; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 665677: Census: 10; Capacity: 26; Contact: Jenn Cobb; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 651621: Census: 13; Capacity: 26; Contact: Jen Cook; Licensor: Rob Jones


summary: Investigation Inspection


summary: 3rd Unannounced

raw_content: Checklist 636067: Census: 11; Capacity: 26; Contact: Justice Roberts; Licensor: Rob Jones


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with this rule by not having a faceplate on the electrical outlet that was accessible to clients. During the unannounced onsite inspection this licensor observed one electrical outlet was missing its faceplate.
Checklist 626658: Census: 11; Capacity: 26; Contact: Jennifer Cook; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 609296: Census: 9; Capacity: 26; Contact: Nick Burton; Licensor: Rob Jones


summary: Follow-Up Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 597362: Census: 13; Capacity: 26; Contact: Jen Cook; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 583625: Census: 10; Capacity: 26; Contact: Jennifer Cook; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 570692: Census: 8; Capacity: 26; Contact: Victoria Forbes; Licensor: Rob Jones


summary: Investigation Inspection, Unannounced, Annual Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 549298: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 541363: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: House of Hope - Provo (OT, & RT)

summary: Announced, Annual Inspection

raw_content: Checklist 942574: Census: 42; Contact: Lori Weaver; Licensor: Elizabeth Hoffmann


summary: Announced, Annual Inspection

raw_content: Checklist 636826: Contact: Lori Weaver; Licensor: Melissa Bouttavong


summary: Announced, Annual Inspection

raw_content: Checklist 590181: Census: 42; Contact: of this; Licensor: Rusty Hendrickson


summary: Follow-Up Inspection


facility_name: Huntsman Mental Health Institute dba Youth Residential Treatment

summary: Unannounced, Annual Inspection

raw_content: Checklist 991631: Census: 13; Capacity: 16; Contact: Amanda Miller; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 926179: Census: 11; Capacity: 16; Contact: Amanda Miller, Jordan Kilpack; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 695595: Census: 7; Capacity: 16; Contact: Jordan Kilpack; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 668190: Census: 3; Capacity: 16; Contact: Dr. Amanda Miller; Licensor: Rob Jones


summary: Follow-Up Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 659200: Census: 9; Capacity: 16; Contact: Jordan Kilpack; Licensor: Rob Jones


raw_content:
R501-1-12(4)(a)-(c): Required signed agreements — The Licensee was out of compliance with R501-1-12(4) by not having the client acknowledgement of the program rules in their file. During the inspection it was observed that one of the client files contained the acknowledgement form, however it had not been signed by the client.
Checklist 643248: Census: 7; Capacity: 16; Contact: Camille Russell; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 621522: Census: 12; Capacity: 16; Contact: Amanda Miller; Licensor: Kacee Arrington


summary: 2nd Unannounced

raw_content: Checklist 615894: Census: 6; Capacity: 16; Contact: Camille Russell; Licensor: Kacee Arrington


summary: Unannounced, Annual Inspection

raw_content: Checklist 598525: Census: 7; Capacity: 16; Contact: Tiffany Nielsen; Licensor: Kacee Arrington


summary: Announced, Annual Inspection

raw_content: Checklist 587031: Census: 10; Capacity: 16; Contact: Tiffany Nielsen; Licensor: Kacee Arrington


summary: 2nd Unannounced

raw_content: Checklist 571933: Licensor: :


summary: Unannounced, Annual Inspection


facility_name: Imperial Healing Estate

summary: Announced, Annual Inspection

raw_content: Checklist 910600: Census: 18; Contact: Amy Whittaker; Licensor: Heather Holbrook


summary: Investigation Inspection


summary: 3rd Unannounced

raw_content: Checklist 778119: Census: 15; Capacity: 18; Contact: Cassandra Howell; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 668507: Census: 16; Capacity: 18; Contact: Amy Whitaker; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 653791: Census: 13; Capacity: 18; Contact: Amy Whitaker; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 639165: Census: 18; Contact: Amy Whitaker; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 625664: Census: 17; Capacity: 18; Contact: Amy Whitaker; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 614049: Census: 9; Capacity: 18; Contact: Amy Whittaker; Licensor: Heather Holbrook


summary: Follow-Up Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 601128: Census: 16; Capacity: 18; Contact: Amy Whitaker; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 587550: Census: 16; Capacity: 18; Contact: Amy Whittaker; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 562417: Contact: Heather Holbrook; Licensor: :


summary: Unannounced, Annual Inspection

raw_content: Checklist 542655: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Juniper Haven

summary: 3rd Unannounced

raw_content: Checklist 980911: Census: 14; Capacity: 16; Contact: Dalton Videla; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 836379: Census: 15; Capacity: 16; Contact: Melissa Keller Adamson; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 752561: Census: 12; Capacity: 16; Contact: Dalton Videla; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection

raw_content: Checklist 663326: Census: 16; Contact: Melissa Keller Adamson; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 647182: Census: 5; Capacity: 8; Contact: Melissa Keller Adamson; Licensor: Josilyn Bertrand


summary: Follow-Up Inspection


summary: 2nd Unannounced

raw_content: Checklist 633888: Census: 8; Capacity: 8; Contact: Dalton Videla; Licensor: Josilyn Bertrand


summary: Focus, Non On-Site (1 finding)

raw_content: R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The provider was out of compliance with this rule by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 11/30/2024 and was not reported until 12/4/2024.


summary: Non On-Site Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 622290: Census: 8; Capacity: 8; Contact: Melissa Adamson; Licensor: Josilyn Bertrand


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 610269: Census: 5; Capacity: 8; Contact: Melissa Keller Adamson; Licensor: Josilyn Bertrand


summary: Focus Inspection (1 finding)

raw_content: R380-80-4(2): Report abuse or neglect — The provider was out of compliance with this rule by not notifying Child Protective Services (CPS) immediately about suspected child abuse between clients at the facility.  During an inspection on 06/11/2024, Licensing inquired about the 06/06/2024 incident with the provider and discovered that CPS had not been notified about the suspected abuse.


summary: 2nd Unannounced

raw_content: Checklist 592368: Census: 8; Capacity: 8; Contact: Melissa Adamson; Licensor: Josilyn Bertrand


facility_name: Kiva Treatment Center

summary: 3rd Unannounced

raw_content: Checklist 980771: Census: 21; Capacity: 24; Contact: Dr. Adams; Licensor: Larry Black


raw_content: R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with R380-80-6(1)(e) by mistreating a client. During the inspection a client suffered physical harm by having a ligament torn during a restraint. This is a repeat noncompliance as noted on 1/18/2024.


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The Licensee was out of compliance with R501-1-8(1)(a) by not maintaining building and grounds so they are free from health and safety hazards. During the inspection the licensor observed building maintaince issues. This is a repeat noncompliance as noted on 11/10/25 11//7/24, 8/6/24, 1/11/24, 9/26/23. Technical assistance was provided on 9/23/25
Checklist 868100: Census: 21; Capacity: 24; Contact: Ruben; Licensor: Larry Black


raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The Licensee was out of compliance with R501-1-8(1)(a) by not maintaining building and grounds so they are free from health and safety hazards. During the inspection the licensor observed building maintaince issues. This is a repeat noncompliance as noted on 11//7/24, 8/6/24, 1/11/24, 9/26/23. Technical assistance was provided on 9/23/25
Checklist 747759: Census: 18; Capacity: 24; Contact: Ruben; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 670257: Census: 20; Capacity: 24; Contact: Brian Pace; Licensor: Larry Black


summary: Investigation Inspection


raw_content: R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The provider was out of compliance with R380-600-7(16)(a) by not reporting an allegation of abuse within one business day. During the investigation the provider was made aware of an allegation of abuse and did not report this allegation as required by rule. This is a repeat noncompliance as noted on 2/7/2024 and 1/18/2024.


summary: 3rd Unannounced (1 finding)

raw_content:
R501-1-8(3): Medication and hazardous items maintenance and storage — The Licensee was out of compliance with rule R501-1-8(3) by not maintaining hazardous items with consideration of the safety and risk level of the population served. During the inspection, chemicals were not in locked cabinets when not in use.
Checklist 645992: Census: 21; Capacity: 24; Contact: Tirzah Mojica; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 635649: Census: 20; Contact: Ruben Togisala; Licensor: Larry Black


summary: Follow-Up Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 622609: Census: 20; Contact: Brian Pace; Licensor: Larry Black


summary: Focus Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with this rule by not conducting line of sight check-ins every 15 mintues. During the inspection 2 clients were able to leave the facility for a period of at lest 2 hours before the absence was detected. This is a repeat noncompliance.


summary: Non On-Site Inspection


summary: Focus Inspection (2 findings)

raw_content:
R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The provider was out of compliance with this rule by a staff member harming a client and compromising the health and safety of clients. During the investigation inspection, facility video coverage documented that during an altercation between a staff member and a client, the staff member physically mistreated the client.
R501-1-4(5)(a)-(l): Congregate care behavior management policy — The provider was out of compliance with this rule by a staff member failing to use behavior management techniques that are trauma-informed and that emphasize de-escalation and promote self-control. During the investigation inspection, facility video coverage documented a staff member that acted outside of the scope of their behavior management training by acting in a confrontational manner with a dysregulated client.


raw_content:
R501-1-15(4): Residential program unsupervised staff requirements — The provider was out of compliance with this rule by allowing a direct care staff to work
unsupervised before they have an approved background clearance. During the inspection on 8/6/24, the licensor observed that 2 staff members didn't have background checks prior to working unsupervised.
Checklist 608643: Census: 20; Contact: Ruben Togisala; Licensor: Larry Black


facility_name: Legacy Treatment Center, LLC (RT)

summary: Announced, Annual Inspection

raw_content: Checklist 928699: Contact: Gil Hallows; Licensor: PattiJo Hopes


summary: Announced, Annual Inspection (6 findings)

raw_content:
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(a) by not submitting applications for initial background screenings no later than two weeks from applicants becoming associated with the licensee. During the inspection, 1 staff had been associated with the licensee for longer than 2 weeks, and did not have an initial background screening application submitted.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(b) by not documenting how individuals remained supervised throughout the entirety of their supervised employment terms before receiving clearance determinations. During the inspection, the licensee did not have documentation of how an employee requiring supervision was being supervised.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(a) by not submitting applications for initial background screenings no later than two weeks from applicants becoming associated with the licensee. During the inspection, 1 staff had been associated with the licensee for longer than 2 weeks, and did not have an initial background screening application submitted.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(a) by not submitting applications for initial background screenings no later than two weeks from applicants becoming associated with the licensee. During the inspection, 1 staff had been associated with the licensee for longer than 2 weeks, and did not have an initial background screening application submitted.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(b) by not documenting how individuals remained supervised throughout the entirety of their supervised employment terms before receiving clearance determinations. During the inspection, the licensee did not have documentation of how an employee requiring supervision was being supervised.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(b) by not documenting how individuals remained supervised throughout the entirety of their supervised employment terms before receiving clearance determinations. During the inspection, the licensee did not have documentation of how an employee requiring supervision was being supervised.
Checklist 640297: Census: 47; Contact: of this; Licensor: Izabelle Arnold


summary: Announced, Annual Inspection

raw_content: Checklist 586311: Census: 16; Capacity: 48; Contact: of this; Licensor: Rusty Hendrickson


facility_name: Liahona Academy For Youth dba Liahona Treatment Center East Campus

summary: 3rd Unannounced

raw_content: Checklist 979532: Census: 48; Capacity: 48; Contact: Angel; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 868059: Census: 48; Capacity: 48; Contact: Angel; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 712879: Census: 41; Capacity: 48; Contact: Stacie Warren; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 679535: Census: 42; Capacity: 48; Contact: Stacie Warren; Licensor: Larry Black


summary: Follow-Up Inspection


raw_content: R380-80-6(1)(a)-(i): Client rights — The licensee was out of  compliance with R380-80-6(1)(b) for a staff member not ensuring a client had the right to be treated with dignity and respect. During an investigation inspection, the information gathered substantiated that a staff member yelled at and used profane language directed at a client.


summary: 3rd Unannounced

raw_content: Checklist 645988: Census: 44; Capacity: 48; Contact: Angel Orpinela; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 635615: Census: 42; Contact: angel orpinela; Licensor: Larry Black


summary: Non On-Site Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 621586: Census: 43; Contact: angel orpinela; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 613461: Census: 39; Contact: Stacie Warren; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 592591: Census: 42; Contact: Angel Ropinela; Licensor: :


summary: Announced, Annual Inspection

raw_content: Checklist 577574: Census: 41; Contact: Stacie Warren; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 553820: Census: 42; Contact: McCabe Peterson; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 539662: Census: 44; Contact: McCabe Peterson; Licensor: :


facility_name: Liahona Academy For Youth dba Liahona Treatment Center West Campus

summary: Unannounced, Annual Inspection

raw_content: Checklist 979551: Census: 35; Capacity: 48; Contact: Stacie Warren; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 855361: Census: 43; Capacity: 48; Contact: Stacie Warren; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 709179: Census: 32; Capacity: 48; Contact: Stacie Warren; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 665253: Census: 34; Capacity: 48; Contact: Stacie Warren; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 645989: Census: 41; Capacity: 48; Contact: Anthony Ruelas; Licensor: Larry Black


summary: Non On-Site Inspection


summary: Follow-Up Inspection

raw_content: Checklist 635290: Census: 37; Contact: Stacie Warren; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 621584: Census: 42; Contact: Stacie Warren; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 605099: Census: 38; Contact: Stacie Warren; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 592594: Census: 42; Contact: Stacie Warren; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 584081: Census: 43; Contact: Stacie Warren; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 572914: Census: 42; Contact: Larry Black; Licensor: :


summary: Unannounced, Annual Inspection

raw_content: Checklist 549833: Census: 44; Contact: McCabe Peterson; Licensor: :


summary: Investigation Inspection


facility_name: Live For Life dba Live For Life Cypress, LLC

summary: Investigation Inspection (2 findings)

raw_content:
R380-80-5(10): Services and supervision to meet each clients needs — The provider was out of compliance with R380-80-5(10) for not providing supervision that is commensurate with the behaviors of each client. During the inspection, the investigator learned through interviews and incident report verification, that three clients had unauthorized departures three days in a row. Despite the repeated unauthorized departures, the provider failed to implement changes to the supervision of these clients, resulting in their ability to leave the premises, obtain firearms, and bring them back to the property.
R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with R380-80-6(1)(c) for failing to ensure that each client has the right to be free from potential harm or acts of violence. During the inspection, the investigator interviewed staff and law enforcement. It was reported that three clients and one staff were driving back to the home when one of the clients pointed a loaded handgun at the staff member and threatened to kill him and his family.


summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 888204: Census: 7; Capacity: 13; Contact: Mike Salerno; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 730701: Census: 5; Capacity: 13; Contact: Troy Shaw; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 667447: Census: 7; Capacity: 13; Contact: Troy Shaw; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 658456: Census: 2; Capacity: 13; Contact: Justin Grenz; Licensor: Rob Jones


summary: Investigation Inspection, Non On-Site Inspection (1 finding)

raw_content:
R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The Licensee was out of compliance with R380-600-7(16)(a-d) by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 03/14/2025 and was not reported until 03/20/2025.
This was a repeat noncompliance as noted on 09/11/2024.


summary: Unannounced, Annual Inspection

raw_content: Checklist 642010: Census: 7; Capacity: 13; Contact: Troy Shore; Licensor: Rob Jones


summary: Follow-Up Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 621279: Census: 6; Capacity: 13; Contact: Troy Shaw; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 608774: Census: 13; Contact: Arseda Cenollari; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 602738: Census: 13; Contact: Sitti Suhardi; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 583781: Census: 9; Capacity: 13; Contact: Haley Savage; Licensor: Rob Jones


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 561646: Contact: Heather Holbrook Rob Jones; Licensor: :


summary: 3rd Unannounced

raw_content: Checklist 548433: Census: 9; Contact: Heather Holbrook; Licensor: :


facility_name: Live For Life dba Live For Life Sequoia, LLC

summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 919459: Census: 7; Capacity: 12; Contact: Malamamaisaua Manuma; Licensor: Rob Jones


summary: Investigation Inspection (1 finding)

raw_content: R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The provider was out of compliance with R380-80-5(4) due to a staff member acting in a manner that may compromise the health and safety of a client through acts or omissions.  During the investigation, it was discovered that a staff member engaged in inappropriate conduct with a client during an outing on November 23, 2025.


summary: Announced, Annual Inspection

raw_content: Checklist 730620: Census: 9; Capacity: 12; Contact: Troy Shaw; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 673224: Census: 12; Contact: Malamamaisaua Manuma; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 656528: Census: 9; Capacity: 12; Contact: Siaosi Haunga; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 642764: Census: 8; Capacity: 12; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection: Siaosi Haunga; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 621293: Census: 10; Capacity: 12; Contact: Troy Shaw; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 608795: Census: 8; Capacity: 12; Contact: Siaosi Haunga; Licensor: Rob Jones


summary: Focus, Non On-Site (1 finding)

raw_content:
R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The provider was out of compliance with this rule by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 07/15/2024 and was not reported until 0717/2024.
This rule previously was out of compliance on the following dates: 07/21/2023, 08/10/2023, 09/19/2023, and 07/16/2024.
This is a repeat noncompliance.


summary: Focus, Non On-Site (1 finding)

raw_content: R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The provider was out of compliance with this rule by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 07/11/2024 and was not reported until 07/15/2024


summary: 2nd Unannounced

raw_content: Checklist 593802: Census: 8; Capacity: 12; Contact: Malamamaisaua Manuma; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 586984: Census: 6; Capacity: 12; Contact: Malamamaisaua Manuma; Licensor: Rob Jones


facility_name: Logan River Academy LLC dba Logan River Academy

summary: 3rd Unannounced

raw_content: Checklist 980832: Census: 21; Capacity: 82; Contact: Jay McClung; Jennifer Winther; Licensor: Josilyn Bertrand


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 825259: Census: 21; Capacity: 82; Contact: Jay McClung, Jennifer Winther; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 719959: Census: 19; Capacity: 82; Contact: Jennifer Wither; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection

raw_content: Checklist 662724: Census: 23; Capacity: 82; Contact: Jennifer Winther; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 647169: Census: 22; Capacity: 82; Contact: Jay McClung; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with this rule by not having all client restrooms stocked with toilet paper. During the inspection, two girls' dorms bathrooms did not have toilet paper. This rule non-compliance is a repeat non-compliance.
Checklist 633878: Census: 19; Capacity: 82; Contact: Jay McClung; Licensor: Josilyn Bertrand


summary: Investigation Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with this rule by failing to maintain a staff to client ratio of 1 staff to 4 clients. During game room time, 1 staff member took 8 clients to the game room in a different building from other staff members. A fight broke out leaving 1 staff member to handle the situation alone for a time.


summary: Unannounced, Annual Inspection

raw_content: Checklist 621689: Census: 22; Capacity: 82; Contact: Jay McClung; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection

raw_content: Checklist 607771: Census: 82; Contact: Carolyn Willandt; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with this rule by not having electrical systems in operating order. During the inspection, the licensor observed a lightbulb was burnt out in one of the bedrooms, making half of the bedroom dark. This rule non-compliance is a repeat non-compliance.
Checklist 592943: Census: 32; Capacity: 82; Contact: Carolyn Willandt; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 576148: Census: 33; Contact: Carolyn Willandt; Licensor: Josilyn Bertrand


facility_name: Magellan Academy, Inc dba Vila Real - Girls


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(3): Medication and hazardous items maintenance and storage — The licensee was out of compliance with R501-1-8(3) by not maintaining potentially hazardous items on-site with consideration of the safety and risk level of the population served to include locked storage for potentially hazardous items not in active use. During the inspection the licensor observed an unlocked cabinet under the kitchen sink that contained a cleaning chemical accessible to clients. This is a repeat non compliance. Technical assistance was provided on 11/24/2025 and a non compliance was issued on 08/24/2025
Checklist 824221: Census: 15; Capacity: 15; Contact: Terie Wiederhold; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 765200: Census: 15; Capacity: 15; Contact: Terie Wiederhold; Licensor: MeRee Jacobsen


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 661159: Census: 13; Capacity: 15; Contact: Terie Wiederhold; Licensor: MeRee Jacobsen


summary: 3rd Unannounced

raw_content: Checklist 650214: Census: 14; Capacity: 15; Contact: Terie wiederhold; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 635502: Census: 12; Capacity: 15; Contact: Terie Wiederhold 2/5/25; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 619476: Census: 12; Capacity: 15; Contact: Terie Wiederhold; Licensor: Heather Guanajuato


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 609902: Census: 15; Capacity: 15; Contact: Terie Weiderhold; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 603067: Census: 14; Capacity: 15; Contact: Terie Weiderhold; Licensor: Kacee Arrington