facility_name: CSP CHILDREN'S RESIDENTIAL PROGRAM TUSTIN

summary: Facility Evaluation

raw_content:
Narrative:
On August 24, 2022, at, 10:45 am, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility for the purpose of a required two year inspection of the facility . LPA Linley met with Nicole Hernandez, Facility Administrator and Carol Carlson Program Director. The facility was toured inside and out. The facility is a group home (Youth Homelessness Prevention) that shelters children for up to 21 days. The facility has a capacity of 6 ambulatory male and female clients, ages 11-17 years. Current census of three clients. The facility is set up as follows: There are three upstairs bedrooms which each has two twin beds with adequate dresser, desk and closet space. There are two upstairs bathrooms that are used by all the clients. There is a downstairs restroom that is used for staff and an outside guest restroom that is located next to the Therapist office. The cleaning products are stored and locked in the laundry room by the staff office. There is a staff office located next to the living room and study area. The client records are located and locked in the staff office in file cabinets. The staff files are located and locked in a file cabinet in the Administrator's Office. The medication and first-aid kit are stored in the locked medication closet in the staff office. Additional storage and file cabinets are stored in the garage which is a non-programming area. The Administrator's office is located upstairs with an attached balcony and a Therapist office which is detached from the main home. Bedrooms are arranged so that no more than two children shares a room. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. There is sufficient linens, blankets, towels and pillows. The smoke detectors and carbon monoxide detectors were checked and were working properly. The garage is maintained locked and consists of an extra refrigerator, washer/dryer, cleansers/chemicals locked in cabinet and extra PPE locked in a cabinet. Sharp knives were inaccessible and stored and the locked in the staff office. First Aid kit was accessible and had all required items. *** There were no guns or weapons as stated by administrator. The hot water temperature was tested and noted to be at 105 degrees and maintained within the regulation range of 105-120 degrees. The facility has a fully sufficient food supply, including a sufficient supply of fresh fruits, vegetables, can goods, meats and staples. No expired food was located in the supply. The facility has a sufficient supply of sheets, bedding and linens. There is a fireplace located in the living room and the Therapist office and it is properly screened. There are five fire extinguishers throughout the facility. There is an outside secured gated pool located in the backyard that is used for water therapy and recreational use. Staff are in the process of taking Water Safety Certification courses through the Red Cross. The facility staff use their own vehicles to transport clients and the facility leased van. LPA completed the inspection of ten of twenty staff files (S1-S10) (see confidential name list, LIC811, dated 08/24/2022) three of three staff were interviewed (S5, S11, S12). LPA completed the inspection of three of three client files and three clients (C1-C3) were interviewed. During the inspection and file review, no further deficiencies were observed. Exit interview conducted, copy of LIC 809 report was provided. Due to printer malfunction, a copy of the report will be emailed to the Administrator. A copy of the report will be placed in the facility file.


state: CA

summary: Facility Evaluation

raw_content:
Narrative:
On 03/27/25 at 9:35 am, Licensing Program Analyst (LPA) Gilbert Marquez arrived unannounced at the facility for the purpose of an annual inspection. LPA met with Nicole Hernandez, Administrator and House Supervisor. The facility was toured inside and out. The facility is a group home (Youth Homelessness Prevention) that shelters children for up to 21 days. The facility has a capacity to serve six ambulatory male and female clients, ages 11-17 years. Current census is one client. The facility is set up as follows: Upstairs there is the Director's office, and three upstairs bedrooms which each has two twin beds with adequate dresser, desk and closet space. There are two upstairs bathrooms that are used by all the clients and are gender specific. There is a separation between bedrooms #1 and #2, and bedroom #3 so that females and males are not intentionally co-mingling. Bedrooms are arranged so that no more than two children share a room. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. The staff files are located and locked in a file cabinet in the Director's office. There is a downstairs staff only restroom. Continuing downstairs, there is a staff office located next to the living room and study area. The client records, medication and client monies (if any) are located and locked in the staff office. A first aid backpack with all the required supplies is located in the staff office. Additional storage and file cabinets are in the garage which is detached from the main building, and a non-programming area. The cleaning products are stored and locked in the laundry room by the staff office. There is sufficient linens, blankets, towels and pillows. Sharp knives were inaccessible and stored and the locked in the staff office. First Aid kit was accessible and had all required items. There were no guns or weapons as stated by administrator. **CONTINUED ON LIC809C**z **CONTINUED FROM LIC809** The hot water temperature was tested and noted to be at 109.8 degrees Farenheit and maintained within the regulation range of 105-120 degrees. The smoke detectors and carbon monoxide detectors were checked and were working properly. There are five fire extinguishers throughout the facility and were properly maintained. The facility has a fully sufficient food supply: seven days of non-perishable food, and two days of perishable food. No expired food was located in the kitchen or pantry. There is a fireplace located in the living room and the Therapist office and it is properly screened. There is an outside secured gated in-ground swimming pool located in the backyard that is used for water therapy and recreational use. The gate of the fence swings away from the pool, self-closes and has a self-latching device located no more than six inches from the top of the gate.The fence is constructed so that the fence does not obscure the pool from view. Staff are Water Safety Certified through the Red Cross. The staff use a facility van for transport to activities outside of the facility. Guardians take children to all doctor appointments, and school visits during their staff at CSP. Facility van is maintained by the dealership, and there were no maintenance lights displayed on the vehicle dashboard. LPA completed the inspection of five staff files (S1-S5), see confidential name list LIC811. Two of thirty one staff were interviewed (S1 and S2). LPA completed the inspection of one of one client files and one client (C1) was interviewed. Based on the facility inspection, files reviewed, and interviews, there are no deficiencies found at this time. An exit interview was conducted, and this report was explained. A copy of this report and Confidential Names List LIC 811 were given to Administrator/House Supervisor Nicole Hernandez

report_type: Facility Evaluation


facility_name: WIND YOUTH SERVICES-NAVINA'S HOME

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPAs) Stephanie Lor and Tana Kinder conducted an unannounced inspection on 12/2/21 for the purpose of interviewing the youth that resides in the facility related to the 2 year inspection on 12/1/21. No citations were given. An exit interview was conducted and a copy of this report was provided to the manager.

visit_type: Case Management

met_with: Alyssa Sharrock, Shelter Staff


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst, (LPA) Tana Kinder conducted an inspection to review the personnel files, with the Shelter Program Manager. This was related to the 2-year inspection conducted 12/01/2022. No citations were issued. A copy of this report was provided.

met_with: Shelter Program Mgr.


summary: Facility Evaluation

raw_content:
Narrative:
An unannounced 2-year required inspection was conducted by Licensing Program Analyst (LPA) Tana Kinder 12/01/2022 at 215pm. LPA Kinder confirmed prior to the inspection that no staff or clients were experiencing health symptoms related to Covid-19. Criminal record clearances were reviewed, and the facility is in compliance. There are 32 people associated to the license. The licensing fees are current. Community Care Licensing file, unusual incident reports, facility roster, facility profile and complaint history were reviewed prior to inspecting the facility. The licensing fees are current. The Youth Homelessness Prevention Center is licensed for 6 youth and has no youth currently placed at this time. There are 10 staff members currently working at the facility. LPAs reviewed 5 staff files. Files reviewed were complete and up to date with current required documentation. The facility was inspected jointly with LPA and the program manager. A copy of the license, personal rights and emergency exit plan are prominently posted. Client and staff files are in locked cabinets, located in the office. Smoke detectors are in working order, there is a carbon monoxide monitor located in the hallway. A fully charged fire extinguisher is located in the kitchen. There are 3 bedrooms with 2 beds in each bedroom. Each client is provided with a bed, dresser space, closet space and a night stand. There are 2 bathrooms. There is a hall closet with additional linen if needed for the bedroom and the bathroom. The kitchen was accessible by the clients. LPA tested the water temperature at multiple faucet locations and the hot water reading was between 105-120 at all locations. Continued... LPA inspected the grounds of facility. There is a back patio area, accessible by the youth. The walkway from the front to the back of the facility was clear. There was a shed in the backyard that had past youth's property that was left behind and seasonal decorations stored. The facility vehicle has current insurance and registration. No Title 22 deficiencies were cited today during the inspection. An exit interview was conducted and discussed with Lornetta Brown, program manager, and a copy of the 2-year inspection report was provided and the appeals process.

met_with: Program Manager


summary: Facility Evaluation

raw_content:
Narrative:
On 12/4/2024 at 10: AM Licensing Program Analysts (LPAs) Sarina Buchannan and Tatyana Shulz made an unannounced visit with the purpose of conducting an annual inspection to the above facility using the Compliance and Regulatory Enforcement (CARE) tool. LPAs met with Elisa Sharrock, Shelter Support Staff and a walk through of the interior and exterior was completed. The facility serves up to 6 ambulatory female and male homeless or runaway clients between the ages of 12-18 years old, placed privately. Clients average length of stay is up to 18 months. Physical Plant Room 1 is a visit and activities room that has 1 couch, 2 chairs, a television, and a Playstation. Room 1 also has a closet that is used for storing donation items. Room 2 is a dining room that has a table with ample seating, a couch, and board games such as Connect 4 and Jenga. Room 3 is a staff office with a monitor that shows a live stream of facility cameras in the home, all cleaning supplies are locked in the closet, sharps are stored in filing cabinet, client medications stored in the filing cabinet, and client files. Room 4 is the kitchen with a working stove, a food pantry, a combination refrigerator and freezer, and a staff only stand up freezer. Room 5 is the laundry room with a washer, dryer, mops, the facilities water heater, and a lock ensures that the room is inaccessible to clients. Room 6 is the client bedroom with 2 dressers, 2 twin XL beds, and 2 caddies for toiletries. Room 7 is a bathroom with a working toilet and a trash can with a lid. Room 8 is a bathroom with a working toilet, a trash can with a lid, and a paper towel dispenser. Room 9 is a client bedroom with 2 dressers, 2 twin XL beds, and an exit to the backyard. Room 10 is a client bedroom with 2 dressers, 2 twin XL beds, and a closet with a door. In the hallway is a linen closet with extra sheets and blankets. The 2 client bathrooms are located in the hallway and have water temperatures of above 125 degrees Fahrenheit. There were signs posted that informed clients of the water temperature in each bathroom. The backyard is gated, with 2 hammocks, 2 tables, and a shed. The backyard is clear of debris and clean. There are 9 total cameras at the facility grounds in the following locations: 2 pointed at the driveway, 2 pointed at the front porch, 2 in the backyard, 1 in the staff office, 1 in the activity room, 1 in the dining room. (continued on LIC 809C)(Page 1) The following required documents were posted, License and Personal Rights. Disinfectants/cleaning solutions inaccessible to children in care. Refrigerator Temperature at or below 45 degrees Fahrenheit. Nonperishable foods one week and fresh perishable foods two days minimum. Menu present and posted in the kitchen area on the fridge. A working telephone is available at the facility. Carbon monoxide and smoke detectors are in working order. First Aid Kit is fully stocked. No Medication at the facility due to no clients being in care, medication logs were kept and stored in the office. A Fire Extinguisher is up to date and in working order. Toilets, wash basin, and bathtub are in good repair. Soap and Paper towels are available to clients. The facility is free of vermin. The following domains were also reviewed during today's inspection Physical Plant, Operations, Disaster Preparedness, and Emergency Interventions. CARE tool found the client and staffing file domains to be not applicable but LPAs Buchannan and Shulz conducted client file reviews of clients no longer in care. LPAs reviewed a total of 5 client files. LPAs were unable to conduct staff file reviews due to Administrators not being present and facility staff not having access to them. LPA also conducted 1 staff interview and no concerns for follow up were noticed. A review of the Licensing Information System indicates the facility is up to date on their facility fees and all the staff were fingerprint cleared and associated to the facility. Upon inspection and file review the following deficiencies were observed: A large crack in the Window in a client bedroom (Room 10) - LPAs observed glass company to arrive at 4: PM on 12/4/24 and provided a repair estimate of 7 days. A missing air conditioning vent cover in a client bedroom. (Room 6) A hole in the door in the client bedroom. (Room 6) An electrical outlet behind the headboard of bed is missing a cover exposing the inside of the socket in the clients bedroom. (Room 9) Both window screens are bent and/or ripped in the staff office with items that need to be inaccessible to clients. Windows screen being bent allows access into staff office from the front and backyard. (Room 3) A missing shower head making the shower inoperable in 1 client bathroom. (Room 7) There is buildup of debris on the air vent in the hallway that needs to be cleaned and/or replaced. There are 3 planks on the outdoor fence which are falling off exposing the roadway. (Continued on LIC 809C) (Page 2) The facility is not having youth sign and date their personal property/resource logs upon discharge making it not possible to verify if clients are receiving their belongings upon exiting. LPAs were unable to review monthly client roster reports and board minutes due to there being no authorized employee to give LPAs access. There were no records of staff emergency disaster drills being conducted since 6/8/2021. The facility is being cited during todays inspection see (LIC 809D) and (LIC 9102TV). A follow up inspection will be conducted at a later date to conduct staff and client file reviews. An exit interview was conducted with Elisa Sharrock and a copy of this report was emailed on 12/5/24. Appeal Rights were provided during inspection. (Page 3)

visit_type: Annual

met_with: Elisa Sharrock, Shelter Support Staff


summary: Facility Evaluation - 2 deficiencies

raw_content:
Narrative:
On December 12, 2024 at 11: AM Licensing Program Analysts (LPAs) Sarina Buchannan and Tatyana Shulz made an unannounced visit with the purpose of continuing the annual inspection to the above facility using the Compliance and Regulatory Enforcement (CARE) tool. LPAs met with Lornetta Brown, Facility Administrator and a walk through of the interior and exterior was completed. The facility serves up to 6 ambulatory female and male homeless or runaway clients between the ages of 12-18 years old, placed privately. Although the program statement states the length of stay is up to 18 months, facility confirmed clients stay a maximum of 21 days. As of today, the census is 2. On December 4, LPAs Buchannan and Shulz began the annual inspection using the CARE tool and the following domains were reviewed and completed: Physical Plant, Operations, Disaster Preparedness, and Emergency Interventions. CARE tool found the client and staffing file domains to be not applicable but LPAs Buchannan and Shulz conducted client file reviews of clients no longer in care. LPAs reviewed a total of 5 client files. LPAs were unable to conduct staff file reviews due to Administrators not being present and facility staff not having access to them. During today's inspection LPAs Buchannan and Shulz reviewed the following domains: Client records and staffing. LPAs reviewed 2 client record and 5 staff records. LPA conducted 1 staff interview and 1 client interview during todays inspection. Upon staff record review LPAs noticed the following deficiencies: 2 staff files are missing their tuberculosis screenings All staff files are missing the required initial 24 hour training log 4 staff files had CPR and First Aid that expired in 2023 Staff file was missing their signed job description (Report continued on LIC 809C) LPA's also observed that the vent in the hallway has been cleaned and no longer has a build up of debris. The shower head in the client bathroom was also replaced while LPAs were present. LPAs were provided a monthly written report for the month of November 2024. Exit interview conducted and a copy of this report and appeal rights were emailed to Lornetta Brown, Facility Administrator.

Deficiencies:
80066(a): Personnel Records

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information
84065(i): Personnel Requirements

(i) Notwithstanding Sections 80065(f)(1) through (6), new child care staff hired on or after July 1, 1999, shall complete a minimum of 24 hours of initial training comprised of the 8 and 16-hour training as specified in (1) and (2) below

met_with: Lornetta Brown, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 01/10/2025 at approximately 10: AM Licensing Program Analyst (LPA) Sarina Buchannan and Licensing Program Manager (LPM) Rosa Rodriguez conducted an in-person Informal Meeting with the above facility for the purposes of discussing compliance and regulations. Present during the meeting were LPA Sarina Buchannan, LPM Rosa Rodriguez, Chief Executive Officer Miren Hower, and Facility Administrator/Facility Manager Lornetta Brown. Below is a summary of the topics that were discussed and the answers that were provided by the licensees: Program Statement - LPA and LPM reviewed the LIC 9106 to discuss updates needed. Licensee stated they will update necessary sections of the LIC 9105 and Program Statement to reflect current program and population. Licensee stated they will begin the review and submit the updated Program Statement and LIC 9106 to the department by 4/15/25. LPA and LPM will review the new Program Statement to determine if the new revisions are in compliance with the department regulations. Client Population Served - LPA and LPM informed facility that the fire clearance granted on 11/28/26 states the clearance was granted for 6 ambulatory residents only. Facility will update their program statement to reflect correct client population served. Guardian Roster - Licensee stated that they do not have access to Guardian since being released from their contract with GoodWill and are therefore unable to associate or disassociate staff. Licensee stated they are going to either request new access or, if possible, will create a new Guardian profile if necessary. Licensee also stated they will attend the next Guardian Webinar for providers to gain knowledge on how to use and access Guardian. (report continued on LIC 812C) 4. Reporting Requirements - Licensee stated that they have not submitted any Unusual/Incident Reports for the entire year 2024 due to there being no circumstances that warranted them. LPA reminded Licensee that Medications errors were not being reported and needed to be. Licensee stated they will now be submitting Incident Reports for medications. LPA and LPM also reviewed the Reporting Requirements with Licensees and they understood the reporting timeline and the behaviors and situations that need to be reported to the department. LPA discussed the Incident report submitted to LPA Buchannan on 12/11/24. Licensee stated they will submit their 7 day report by 1/13/25 and will now submit all incidents to the LPA of the day instead of LPA Buchannan. All reports will now be submitted to CCLSacchicoincidents@dss.ca.gov. 5. Physical Plant - Licensee informed LPA and LPM that their previous maintenance person was contracted through GoodWill and the facility had been having difficulty finding a new maintenance person. Licensee stated they have now hired a maintenance person and have also created a binder that will contains all work order requests and completions. 6. Human Resources - Licensee stated that their Human Resources department was being ran by GoodWill. Licensee stated that when their GoodWill contract ended they did not give the facility personnel and client files. Licensee shared that they have had issues with locating files, finances, and all Human Resource documents needed. Facility stated they are in the process of transferring all personnel files to a virtual version but will be working on organizing physical versions of client files. 7. Pending and Cleared Citations - LPA and LPM reviewed the pending and cleared citations with Licensee. Licensee received Hour initial training's for staff dated 12/9/24, 12/26/24,1/2/25, and another training was completed on 1/2/25. Facility also provided staff training's on Client Personal Resource Log. Licensee stated they will use CCLs Personal Resource Log for the future to ensure clients sign in and out their property. Licensee also stated they will provide a signed Copy of their board minutes to LPA by 1/13/25. Additionally, Licensee informed LPA Buchannan via text on 1/7/24 that the window screens will be delivered on 1/15/25 but will still need additional time to be installed. LPA Buchannan and LPM Rodriguez offered up the opportunity for discussion and questions and Licensees did not have any more to add. LPA and LPM informed Licensee they will be referring them for the Technical Support Program (TSP) and Licensee were in agreement to get the referral to TSP. LPA stated they will follow up regarding additional resources and Technical Support Program. LPA and LPM thanked Licensees for their time and concluded the Informal Meeting.

met_with: Miren Hower (Chief Executive Officer), Lornetta Brown (Facility Administrator)


summary: Facility Evaluation

raw_content:
Narrative:
On 07/01/2025 at approximately 10: AM Licensing Program Analyst (LPA) Sarina Buchannan conducted an in-person office meeting to go over updated required revisions of the program statement. Present during the meeting were LPA Sarina Buchannan, Chief Executive Officer Miren Hower, and Program Administrator/Facility Manager Lornetta Brown. Below is a summary of the topics that were discussed and the answers that were provided by the licensees: A Documents - LPA reviewed information that was missing in the LIC 215, LIC 500, LIC 401, LIC 503, LIC 610C, and LIC 999. LPA confirmed that Licensee will update the forms and add the LIC 401A, LIC 403, and LIC 404. Section 3 - LPA reviewed this section with Licensee and they explained how they will monitor educational progress. Licensee will update this section to include this. Section 5 - LPA reviewed this section with the Licensee and they explained their special services/programs and how they will be offered. Licensee will update this section to include this. Section 6 - LPA reviewed this section with the Licensee and they discussed they will remove acronyms and maintain record for 3 years instead of 1 year. Licensee will also specify which staff will help with the medication dispensing and destroying. Section 7 - LPA reviewed this section with Licensee who stated they will clarify who can transport clients as well as what activities they will be transported to. They will also indicate staff cannot use their personal vehicles. (report continued on LIC 809C) Section 8 - LPA reviewed this section with Licensee and discussed the violations of Title 22. Licensee will remove, update, and modify this section in order to meet regulations. Licensee will make this section more clear and concise by explaining intake and intake procedures in further detail. Section 10- LPA reviewed this section with Licensee and discussed that they do not have the required information on emergency removal. Licensee will update this section. Section 12 - LPA reviewed section with Licensee and discussed violations of Title 22. LPA also discussed inconsistencies from Section 8. Section 13 to 15 - LPA reviewed this section with Licensee and discussed adding more detail to this section. Licensee will define "out of control" behavior. Section 18 - LPA reviewed this section with Licensee and discussed how there are inconsistencies from section 8 of program statement. Licensee will update this section. Section 19 - LPA reviewed this section with Licensee and discussed inconsistencies from section 8 of program statement. Licensee will update this section. Section 21 - Licensee will add names and classifications to this section. Section 22 - Licensee will provide resumes and add how long Program Administrator will be on cite. Section 23 - Licensee will ensure qualifications and duties are accurate and added to all job descriptions. Section 24 - LPA reviewed section with Licensee and discussed the list of annual training topics and requirements that were missing. Licensee will review regulations and add missing required training topics. Section 25 - Licensee will add an organizational chart. Section 28 - Licensee will update with a copy of the Facility Sketch. LPA Buchannan offered up the opportunity for discussion and questions and Licensees did not have any more to add. LPA requested that the facility make the required revisions and review their program statement and Licensee will resubmit a hard copy to the department and will not remove original copies. LPA and Licensee agreed that revisions will be submitted on 09/30/2025 and if they are unable to complete them by this time, Licensee will request and extension from LPA Buchannan via email at sarina.buchannan@dss.ca.gov. LPA thanked Licensees for their time and concluded the Office meeting.

met_with: Lorentta Brown, Facility Administrator, Chief Executive Officer Miren Hower


summary: Facility Evaluation

raw_content:
Narrative:
On October 30, 2025, Licensing Program Analyst (LPA) Sarina Buchannan made an unannounced visit for the purpose of initiating a Case Management inspection. LPA met Lornetta Brown, Facility Administrator, who assisted LPA with the inspection. LPA conducted a walk through of the interior and exterior of the facility and no deficiencies were noted. On October 24, 2025, the facility attended a virtual meeting where they informed attendees from Community Care Licensing (CCL) that they had two staff who were not cleared in Guardian but were providing care and supervision to clients in care. A review of the facility's Guardian Roster showed that Staff 1 (S1) was hired on October 13, 2022, but was not cleared and associated until October 25, 2025. Also, Staff 2 (S2) was hired on March 10, 2025, but was not cleared and associated to the facility until October 27, 2025. Based on interview and record review it was confirmed that there were two staff providing care and supervision without a criminal record clearance. Due to this, the facility is being issued a Type A citation for Criminal Record Clearance (See LIC 809D), and a Civil Penalty has been assessed for $500 per staff which is a total of $1,000. This case management is closed. Exit interview conducted, copy of this report, civil penalty, and the Appeal Rights were discussed and provided to Lornetta Brown, Facility Administrator during today's inspection.


state: NV

facility_name: Child Haven

summary: Complaint - 9233

raw_content:
Inspection #60413
Date/Time: 12/29/2023 2:15 PM
Reason: Complaint - 9233
Grade: N/A
Event ID: N/A
Documents available: 3

agency: DSS-CCL

credential_type: INSTITUTION

inspection_reason: Complaint - 9233


summary: Annual

raw_content:
Inspection #4619
Date/Time: 12/28/2016 12:45 PM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 0

inspection_reason: Annual


summary: Complaint - 2385

raw_content:
Inspection #20901
Date/Time: 12/27/2018 5:00 PM
Reason: Complaint - 2385
Grade: N/A
Event ID: N/A
Documents available: 0

inspection_reason: Complaint - 2385


summary: Complaint - 10817

raw_content:
Inspection #67710
Date/Time: 12/26/2024 5:45 PM
Reason: Complaint - 10817
Grade: N/A
Event ID: N/A
Documents available: 2

inspection_reason: Complaint - 10817


summary: Annual

raw_content:
Inspection #37273
Date/Time: 12/23/2020 12:30 PM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 1


summary: Ad-hoc

raw_content:
Inspection #75320
Date/Time: 12/22/2025 2:15 PM
Reason: Ad-hoc
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Ad-hoc


summary: Annual

raw_content:
Inspection #12623
Date/Time: 12/21/2017 0:00 AM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 0


summary: Annual

raw_content:
Inspection #222
Date/Time: 12/21/2015 4:30 PM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 0


summary: Annual

raw_content:
Inspection #45309
Date/Time: 12/20/2021 1:15 PM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 1


summary: Complaint - 1056

raw_content:
Inspection #4629
Date/Time: 12/16/2016 4:0 PM
Reason: Complaint - 1056
Grade: N/A
Event ID: N/A
Documents available: 0

inspection_reason: Complaint - 1056


summary: Annual

raw_content:
Inspection #52895
Date/Time: 12/09/2022 1:45 PM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 1


summary: Complaint - 7724

raw_content:
Inspection #52945
Date/Time: 12/09/2022 11:00 AM
Reason: Complaint - 7724
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Complaint - 7724


summary: Complaint - 9160

raw_content:
Inspection #61371
Date/Time: 11/30/2023 11:30 AM
Reason: Complaint - 9160
Grade: N/A
Event ID: N/A
Documents available: 2

inspection_reason: Complaint - 9160


summary: Complaint - 5028

raw_content:
Inspection #37440
Date/Time: 11/24/2020 3:30 PM
Reason: Complaint - 5028
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Complaint - 5028


summary: Annual

raw_content:
Inspection #74715
Date/Time: 11/21/2025 12:00 PM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 2


summary: Complaint - 7656

raw_content:
Inspection #54326
Date/Time: 11/17/2022 1:00 PM
Reason: Complaint - 7656
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Complaint - 7656


summary: Complaint - 9058

raw_content:
Inspection #61325
Date/Time: 11/15/2023 3:15 PM
Reason: Complaint - 9058
Grade: N/A
Event ID: N/A
Documents available: 4

inspection_reason: Complaint - 9058


summary: Complaint - 12444

raw_content:
Inspection #74714
Date/Time: 11/13/2025 3:30 PM
Reason: Complaint - 12444
Grade: N/A
Event ID: N/A
Documents available: 2

inspection_reason: Complaint - 12444


summary: Complaint - 10629

raw_content:
Inspection #66489
Date/Time: 11/13/2024 12:30 PM
Reason: Complaint - 10629
Grade: N/A
Event ID: N/A
Documents available: 3

inspection_reason: Complaint - 10629


summary: Complaint - 10486

raw_content:
Inspection #66611
Date/Time: 11/13/2024 12:45 AM
Reason: Complaint - 10486
Grade: N/A
Event ID: N/A
Documents available: 4

inspection_reason: Complaint - 10486


summary: Ad-hoc, Annual

raw_content:
Inspection #66380
Date/Time: 11/12/2024 1:15 PM
Reason: Ad-hoc, Annual
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Ad-hoc, Annual


summary: Ad-hoc

raw_content:
Inspection #59470
Date/Time: 11/08/2023 12:30 PM
Reason: Ad-hoc
Grade: N/A
Event ID: N/A
Documents available: 1


summary: Annual

raw_content:
Inspection #66373
Date/Time: 11/07/2024 12:00 PM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 1


summary: Annual

raw_content:
Inspection #59451
Date/Time: 11/07/2023 10:30 AM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 1


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summary: Complaint - 7639

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summary: Complaint - 978

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summary: Complaint - 3461

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summary: Complaint - 10272

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summary: Complaint - 12128

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summary: Complaint - 12267

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summary: Complaint - 3396

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summary: Complaint - 7501

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summary: Complaint - 3933

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summary: Complaint - 1616

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Event ID: N/A
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summary: Complaint - 10359

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Event ID: N/A
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summary: Complaint - 10419

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Event ID: N/A
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summary: Complaint - 10446

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Event ID: N/A
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inspection_reason: Complaint - 10446


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summary: Complaint - 10053

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Event ID: N/A
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summary: Complaint - 3379

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Event ID: N/A
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summary: Complaint - 6337

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Event ID: N/A
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summary: Complaint - 8869

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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 8869


summary: Complaint - 3277

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Event ID: N/A
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inspection_reason: Complaint - 3277


summary: Complaint - 8795

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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 8795


summary: Complaint - 2420

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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 2420


summary: Complaint - 2419

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Inspection #18111
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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 2419


summary: Complaint - 2418

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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 2418


summary: Complaint - 1556

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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 1556


summary: Complaint - 7420

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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 7420


summary: Complaint - 3340

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Inspection #31212
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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 3340


summary: Bi-annual

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Inspection #10193
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Event ID: N/A
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inspection_reason: Bi-annual


summary: Complaint - 11934

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Inspection #72592
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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 11934


summary: Complaint - 2369

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Inspection #19884
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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 2369


summary: Complaint - 7343

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Inspection #53955
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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 7343


summary: Complaint - 10077

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Inspection #64750
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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 10077


summary: Ad-hoc

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Inspection #57772
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Event ID: N/A
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inspection_reason: Ad-hoc


summary: Complaint - 10150

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Inspection #64394
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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 10150


summary: Complaint - 8672

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Inspection #59189
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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 8672


summary: Bi-annual

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Inspection #17806
Date/Time: 07/31/2018 1:30 PM
Reason: Bi-annual
Grade: N/A
Event ID: N/A
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summary: Complaint - 8563

raw_content:
Inspection #59874
Date/Time: 07/26/2023 11:15 AM
Reason: Complaint - 8563
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 8563


summary: Bi-annual

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Inspection #71998
Date/Time: 07/25/2025 12:15 PM
Reason: Bi-annual
Grade: N/A
Event ID: N/A
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summary: Bi-annual

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Inspection #57542
Date/Time: 07/25/2023 11:15 AM
Reason: Bi-annual
Grade: N/A
Event ID: N/A
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summary: Complaint - 3133

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Inspection #26258
Date/Time: 07/25/2019 1:00 PM
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Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 3133


summary: Complaint - 1493

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Inspection #9031
Date/Time: 07/25/2017 2:15 PM
Reason: Complaint - 1493
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 1493


summary: Bi-annual

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Inspection #2830
Date/Time: 07/21/2016 12:15 PM
Reason: Bi-annual
Grade: N/A
Event ID: N/A
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summary: Bi-annual

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Inspection #41446
Date/Time: 07/20/2021 1:30 PM
Reason: Bi-annual
Grade: N/A
Event ID: N/A
Documents available: 1


summary: Complaint - 1436

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Inspection #8716
Date/Time: 07/14/2017 5:00 PM
Reason: Complaint - 1436
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 1436


summary: Complaint - 3111

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Inspection #25966
Date/Time: 07/11/2019 10:30 AM
Reason: Complaint - 3111
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 3111


summary: Complaint - 3145

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Inspection #25964
Date/Time: 07/11/2019 10:30 AM
Reason: Complaint - 3145
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 3145


summary: Complaint - 8522

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Inspection #59871
Date/Time: 07/06/2023 11:45 AM
Reason: Complaint - 8522
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 8522


summary: Ad-hoc

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Inspection #49486
Date/Time: 06/29/2022 11:45 PM
Reason: Ad-hoc
Grade: N/A
Event ID: N/A
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summary: Complaint - 2245

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Inspection #16635
Date/Time: 06/26/2018 4:00 PM
Reason: Complaint - 2245
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 2245


summary: Complaint - 2228

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Inspection #17601
Date/Time: 06/20/2018 3:00 PM
Reason: Complaint - 2228
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 2228


summary: Bi-annual

raw_content:
Inspection #49488
Date/Time: 06/17/2022 12:00 PM
Reason: Bi-annual
Grade: N/A
Event ID: N/A
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inspection_reason: Bi-annual


summary: Ad-hoc

raw_content:
Inspection #25404
Date/Time: 06/14/2019 0:00 AM
Reason: Ad-hoc
Grade: N/A
Event ID: N/A
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summary: Bi-annual

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Inspection #25373
Date/Time: 06/11/2019 11:00 AM
Reason: Bi-annual
Grade: N/A
Event ID: N/A
Documents available: 0


summary: Bi-annual

raw_content:
Inspection #63726
Date/Time: 06/05/2024 2:00 AM
Reason: Bi-annual
Grade: N/A
Event ID: N/A
Documents available: 0


summary: Complaint - 11596

raw_content:
Inspection #71272
Date/Time: 06/04/2025 3:30 PM
Reason: Complaint - 11596
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 11596


summary: Complaint - 8310

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Inspection #58153
Date/Time: 06/01/2023 10:30 AM
Reason: Complaint - 8310
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 8310


summary: Complaint - 1377

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Inspection #8010
Date/Time: 06/01/2017 3:45 PM
Reason: Complaint - 1377
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 1377


summary: Complaint - 2201

raw_content:
Inspection #16064
Date/Time: 05/25/2018 12:00 PM
Reason: Complaint - 2201
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 2201


summary: Complaint - 3035

raw_content:
Inspection #25054
Date/Time: 05/23/2019 12:30 PM
Reason: Complaint - 3035
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Complaint - 3035


summary: Complaint - 11403

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Inspection #70400
Date/Time: 05/20/2025 1:30 PM
Reason: Complaint - 11403
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 11403


summary: Complaint - 7036

raw_content:
Inspection #51376
Date/Time: 05/19/2022 1:00 PM
Reason: Complaint - 7036
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Complaint - 7036


summary: Complaint - 2971

raw_content:
Inspection #26334
Date/Time: 05/16/2019 3:45 PM
Reason: Complaint - 2971
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 2971


summary: Complaint - 2134

raw_content:
Inspection #15898
Date/Time: 05/09/2018 12:00 PM
Reason: Complaint - 2134
Grade: N/A
Event ID: N/A
Documents available: 0

inspection_reason: Complaint - 2134


summary: Complaint - 4030

raw_content:
Inspection #34530
Date/Time: 05/06/2020 10:30 AM
Reason: Complaint - 4030
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 4030


summary: Complaint - 8274

raw_content:
Inspection #56877
Date/Time: 05/01/2023 1:00 PM
Reason: Complaint - 8274
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Complaint - 8274


summary: Complaint - 3894

raw_content:
Inspection #34528
Date/Time: 04/30/2020 11:00 AM
Reason: Complaint - 3894
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 3894


summary: Complaint - 1275

raw_content:
Inspection #6963
Date/Time: 04/28/2017 12:0 PM
Reason: Complaint - 1275
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 1275


summary: Other: Quarterly Follow Up

raw_content:
Inspection #7505
Date/Time: 04/26/2017 0:00 AM
Reason: Other: Quarterly Follow Up
Grade: N/A
Event ID: N/A
Documents available: 0

inspection_reason: Other: Quarterly Follow Up


summary: Complaint - 11277

raw_content:
Inspection #69609
Date/Time: 04/25/2025 11:15 AM
Reason: Complaint - 11277
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 11277


summary: Complaint - 2014

raw_content:
Inspection #15946
Date/Time: 04/16/2018 1:30 PM
Reason: Complaint - 2014
Grade: N/A
Event ID: N/A
Documents available: 0

inspection_reason: Complaint - 2014


summary: Complaint - 8198

raw_content:
Inspection #56782
Date/Time: 04/13/2023 1:00 PM
Reason: Complaint - 8198
Grade: N/A
Event ID: N/A
Documents available: 3

inspection_reason: Complaint - 8198


summary: Complaint - 6885

raw_content:
Inspection #48034
Date/Time: 04/05/2022 4:00 PM
Reason: Complaint - 6885
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Complaint - 6885


summary: Complaint - 6976

raw_content:
Inspection #49306
Date/Time: 04/05/2022 11:15 AM
Reason: Complaint - 6976
Grade: N/A
Event ID: N/A
Documents available: 2

inspection_reason: Complaint - 6976


summary: Complaint - 2885

raw_content:
Inspection #26590
Date/Time: 03/28/2019 11:30 AM
Reason: Complaint - 2885
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 2885


summary: Ad-hoc

raw_content:
Inspection #23373
Date/Time: 03/01/2019 0:00 AM
Reason: Ad-hoc
Grade: N/A
Event ID: N/A
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inspection_reason: Ad-hoc


summary: Complaint - 7996

raw_content:
Inspection #56945
Date/Time: 02/23/2023 11:00 AM
Reason: Complaint - 7996
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 7996


summary: Complaint - 8068

raw_content:
Inspection #54250
Date/Time: 02/22/2023 4:00 PM
Reason: Complaint - 8068
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 8068


summary: Complaint - 3735

raw_content:
Inspection #32269
Date/Time: 02/14/2020 12:15 PM
Reason: Complaint - 3735
Grade: N/A
Event ID: N/A
Documents available: 1

inspection_reason: Complaint - 3735


summary: Complaint - 7950

raw_content:
Inspection #56522
Date/Time: 01/26/2023 3:30 PM
Reason: Complaint - 7950
Grade: N/A
Event ID: N/A
Documents available: 5

inspection_reason: Complaint - 7950


summary: Complaint - 7934

raw_content:
Inspection #54560
Date/Time: 01/20/2023 4:30 PM
Reason: Complaint - 7934
Grade: N/A
Event ID: N/A
Documents available: 3

inspection_reason: Complaint - 7934


summary: Ad-hoc

raw_content:
Inspection #21518
Date/Time: 01/18/2019 0:00 AM
Reason: Ad-hoc
Grade: N/A
Event ID: N/A
Documents available: 0


summary: Ad-hoc

raw_content:
Inspection #30975
Date/Time: 01/16/2020 0:00 AM
Reason: Ad-hoc
Grade: N/A
Event ID: N/A
Documents available: 0


summary: Complaint - 12568

raw_content:
Inspection #76549
Date/Time: 01/15/2026 1:30 PM
Reason: Complaint - 12568
Grade: N/A
Event ID: N/A
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inspection_reason: Complaint - 12568


summary: Annual

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Inspection #30973
Date/Time: 01/07/2020 12:15 PM
Reason: Annual
Grade: N/A
Event ID: N/A
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inspection_reason: Annual


summary: Complaint - 7811

raw_content:
Inspection #53451
Date/Time: 01/06/2023 4:30 PM
Reason: Complaint - 7811
Grade: N/A
Event ID: N/A
Documents available: 4

inspection_reason: Complaint - 7811


summary: Annual

raw_content:
Inspection #21198
Date/Time: 01/03/2019 11:45 AM
Reason: Annual
Grade: N/A
Event ID: N/A
Documents available: 0


summary: Complaint - 2648

raw_content:
Inspection #23515
Date/Time: 01/03/2019 11:45 AM
Reason: Complaint - 2648
Grade: N/A
Event ID: N/A
Documents available: 0

inspection_reason: Complaint - 2648


raw_content:
Inspection #...
Date/Time: ... 3 4 5 6 7 8 9 10 11 12
Reason: 5
Grade: 4
Event ID: 3
Documents available: 0


raw_content:
Inspection #3
Date/Time: ...
Reason: 6
Grade: 5
Event ID: 4
Documents available: 0


facility_name: Courage Worldwide, INC.

summary: Inspection

raw_content:
Inspection #78364
Date/Time: 04/03/2026 0:00 AM
Reason:
Grade: N/A
Event ID: DTOW11
Documents available: 0

agency: HCQC

credential_type: PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY


facility_name: Kw Legacy Ranch

summary: Inspection

raw_content:
Inspection #51827
Date/Time: 10/04/2022 0:00 AM
Reason:
Grade: N/A
Event ID: XG5T11
Documents available: 0


summary: Inspection

raw_content:
Inspection #57754
Date/Time: 06/14/2023 0:00 AM
Reason:
Grade: N/A
Event ID: 4SX111
Documents available: 0


summary: Inspection

raw_content:
Inspection #77345
Date/Time: 03/10/2026 0:00 AM
Reason:
Grade: N/A
Event ID: 2WQE11
Documents available: 0


summary: Inspection

raw_content:
Inspection #53622
Date/Time: 01/24/2023 0:00 AM
Reason:
Grade: N/A
Event ID: FC7F11
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facility_name: Momentum Centers

summary: Inspection

raw_content:
Inspection #64375
Date/Time: 07/30/2024 0:00 AM
Reason:
Grade: N/A
Event ID: OQC111
Documents available: 0


summary: Inspection

raw_content:
Inspection #77101
Date/Time: 03/05/2026 0:00 AM
Reason:
Grade: N/A
Event ID: NYR711
Documents available: 0


facility_name: Reno Behavioral Healthcare Hospital, LLC

summary: Inspection

raw_content:
Inspection #37161
Date/Time: 12/03/2020 0:00 AM
Reason:
Grade: N/A
Event ID: EINW11
Documents available: 0


summary: Inspection

raw_content:
Inspection #59715
Date/Time: 11/21/2023 0:00 AM
Reason:
Grade: N/A
Event ID: FPH911
Documents available: 0


summary: Inspection

raw_content:
Inspection #44229
Date/Time: 09/28/2021 0:00 AM
Reason:
Grade: N/A
Event ID: SEH211
Documents available: 0


summary: Inspection

raw_content:
Inspection #34869
Date/Time: 08/19/2020 0:00 AM
Reason:
Grade: N/A
Event ID: EWYZ11
Documents available: 0


summary: Inspection

raw_content:
Inspection #58744
Date/Time: 06/28/2023 0:00 AM
Reason:
Grade: N/A
Event ID: 7RKT11
Documents available: 0


summary: Inspection

raw_content:
Inspection #71717
Date/Time: 06/18/2025 0:00 AM
Reason:
Grade: N/A
Event ID: I76D11
Documents available: 0


summary: Inspection

raw_content:
Inspection #32924
Date/Time: 05/26/2020 0:00 AM
Reason:
Grade: N/A
Event ID: P7DB11
Documents available: 0


summary: Inspection

raw_content:
Inspection #57380
Date/Time: 05/19/2023 0:00 AM
Reason:
Grade: N/A
Event ID: SVVK11
Documents available: 0


summary: Inspection

raw_content:
Inspection #62911
Date/Time: 05/08/2024 0:00 AM
Reason:
Grade: A
Event ID: R9RI11
Documents available: 0

grade: A


summary: Inspection

raw_content:
Inspection #69418
Date/Time: 03/14/2025 0:00 AM
Reason:
Grade: N/A
Event ID: HDN911
Documents available: 0


summary: Inspection

raw_content:
Inspection #38578
Date/Time: 03/11/2021 0:00 AM
Reason:
Grade: N/A
Event ID: EINW12
Documents available: 0


facility_name: Rise Adolescent Treatment Center

summary: Inspection

raw_content:
Inspection #78338
Date/Time: 04/15/2026 0:00 AM
Reason:
Grade: N/A
Event ID: AM8T11
Documents available: 0


facility_name: Sai Residential Treatment Center

summary: Inspection

raw_content:
Inspection #76830
Date/Time: 10/30/2025 0:00 AM
Reason:
Grade: N/A
Event ID: 1WGV11
Documents available: 0


facility_name: Self Sufficiency Care Homes

summary: Inspection

raw_content:
Inspection #76501
Date/Time: 01/21/2026 0:00 AM
Reason:
Grade: N/A
Event ID: 6LU411
Documents available: 0


facility_name: Seven Hills Hospital

summary: Inspection

raw_content:
Inspection #74038
Date/Time: 10/23/2025 0:00 AM
Reason:
Grade: N/A
Event ID: DEM011
Documents available: 1


summary: Inspection

raw_content:
Inspection #76669
Date/Time: 02/11/2026 0:00 AM
Reason:
Grade: N/A
Event ID: Z28911
Documents available: 0


summary: Inspection

raw_content:
Inspection #67646
Date/Time: 01/22/2025 0:00 AM
Reason:
Grade: N/A
Event ID: IDG911
Documents available: 0


facility_name: Sierra Sage Residential Treatment

summary: Inspection

raw_content:
Inspection #44041
Date/Time: 10/20/2021 0:00 AM
Reason:
Grade: N/A
Event ID: 5CB311
Documents available: 0


summary: Inspection

raw_content:
Inspection #57976
Date/Time: 06/29/2023 0:00 AM
Reason:
Grade: N/A
Event ID: M92V11
Documents available: 0


summary: Inspection

raw_content:
Inspection #70327
Date/Time: 05/13/2025 0:00 AM
Reason:
Grade: N/A
Event ID: 3O5Z11
Documents available: 0


summary: Inspection

raw_content:
Inspection #67908
Date/Time: 02/07/2025 0:00 AM
Reason:
Grade: N/A
Event ID: JT9611
Documents available: 0


facility_name: Silver State Adolescent & Treatment Center LLC

summary: Inspection

raw_content:
Inspection #67493
Date/Time: 12/30/2024 0:00 AM
Reason:
Grade: N/A
Event ID: 5RV611
Documents available: 0


summary: Inspection

raw_content:
Inspection #72158
Date/Time: 06/10/2025 0:00 AM
Reason:
Grade: N/A
Event ID: 12VG11
Documents available: 0


summary: Inspection

raw_content:
Inspection #77573
Date/Time: 03/11/2026 0:00 AM
Reason:
Grade: N/A
Event ID: FXPQ11
Documents available: 0


summary: Inspection

raw_content:
Inspection #76668
Date/Time: 02/11/2026 0:00 AM
Reason:
Grade: N/A
Event ID: IO1F11
Documents available: 0


facility_name: State of Nevada - Prtf North

summary: Inspection

raw_content:
Inspection #45749
Date/Time: 11/17/2021 0:00 AM
Reason:
Grade: N/A
Event ID: SWKP11
Documents available: 0


summary: Inspection

raw_content:
Inspection #36518
Date/Time: 10/26/2020 0:00 AM
Reason:
Grade: N/A
Event ID: 00WL11
Documents available: 0


summary: Inspection

raw_content:
Inspection #75795
Date/Time: 10/23/2025 0:00 AM
Reason:
Grade: N/A
Event ID: 356W11
Documents available: 0


summary: Inspection

raw_content:
Inspection #59706
Date/Time: 09/20/2023 0:00 AM
Reason:
Grade: N/A
Event ID: H8RE11
Documents available: 0


summary: Inspection

raw_content:
Inspection #51092
Date/Time: 08/08/2022 0:00 AM
Reason:
Grade: N/A
Event ID: NKS211
Documents available: 0


summary: Inspection

raw_content:
Inspection #65270
Date/Time: 08/06/2024 0:00 AM
Reason:
Grade: N/A
Event ID: EYMP11
Documents available: 0


summary: Inspection

raw_content:
Inspection #57972
Date/Time: 05/25/2023 0:00 AM
Reason:
Grade: N/A
Event ID: CY1X11
Documents available: 0


summary: Inspection

raw_content:
Inspection #32750
Date/Time: 05/06/2020 0:00 AM
Reason:
Grade: N/A
Event ID: 52ZO11
Documents available: 0


summary: Inspection

raw_content:
Inspection #55298
Date/Time: 03/29/2023 0:00 AM
Reason:
Grade: N/A
Event ID: H7JU11
Documents available: 0


summary: Inspection

raw_content:
Inspection #54521
Date/Time: 03/02/2023 0:00 AM
Reason:
Grade: N/A
Event ID: H8Y611
Documents available: 0


summary: Inspection

raw_content:
Inspection #53477
Date/Time: 01/17/2023 0:00 AM
Reason:
Grade: N/A
Event ID: V5KT11
Documents available: 0


summary: Inspection

raw_content:
Inspection #37798
Date/Time: 01/12/2021 0:00 AM
Reason:
Grade: N/A
Event ID: E1R611
Documents available: 0


facility_name: Sunarch Academy

summary: Inspection

raw_content:
Inspection #77407
Date/Time: 12/22/2025 0:00 AM
Reason:
Grade: N/A
Event ID: T4ZX11
Documents available: 0


summary: Inspection

raw_content:
Inspection #66385
Date/Time: 10/01/2024 0:00 AM
Reason:
Grade: N/A
Event ID: 1SJI11
Documents available: 0


summary: Inspection

raw_content:
Inspection #73370
Date/Time: 09/23/2025 0:00 AM
Reason:
Grade: N/A
Event ID: 7OGS11
Documents available: 0


summary: Inspection

raw_content:
Inspection #65212
Date/Time: 08/20/2024 0:00 AM
Reason:
Grade: N/A
Event ID: 4FMK11
Documents available: 0


summary: Inspection

raw_content:
Inspection #74316
Date/Time: 08/12/2025 0:00 AM
Reason:
Grade: N/A
Event ID: HY3W11
Documents available: 0


summary: Inspection

raw_content:
Inspection #71709
Date/Time: 07/15/2025 0:00 AM
Reason:
Grade: N/A
Event ID: H43E11
Documents available: 0


summary: Inspection

raw_content:
Inspection #72501
Date/Time: 07/01/2025 0:00 AM
Reason:
Grade: N/A
Event ID: 0ZML11
Documents available: 0


summary: Inspection

raw_content:
Inspection #71710
Date/Time: 06/04/2025 0:00 AM
Reason:
Grade: N/A
Event ID: IE5B11
Documents available: 0


summary: Inspection

raw_content:
Inspection #71009
Date/Time: 05/21/2025 0:00 AM
Reason:
Grade: N/A
Event ID: XTQX11
Documents available: 0


summary: Inspection

raw_content:
Inspection #62926
Date/Time: 05/01/2024 0:00 AM
Reason:
Grade: N/A
Event ID: TPCD11
Documents available: 0


summary: Inspection

raw_content:
Inspection #77765
Date/Time: 04/08/2026 0:00 AM
Reason:
Grade: N/A
Event ID: FP9Q11
Documents available: 0


summary: Inspection

raw_content:
Inspection #69237
Date/Time: 04/02/2025 0:00 AM
Reason:
Grade: N/A
Event ID: UBXU11
Documents available: 0


summary: Inspection

raw_content:
Inspection #70207
Date/Time: 03/17/2025 0:00 AM
Reason:
Grade: N/A
Event ID: 3PI111
Documents available: 0


summary: Inspection

raw_content:
Inspection #78182
Date/Time: 03/10/2026 0:00 AM
Reason:
Grade: N/A
Event ID: LLE411
Documents available: 0


summary: Inspection

raw_content:
Inspection #76533
Date/Time: 02/03/2026 0:00 AM
Reason:
Grade: N/A
Event ID: 2VJT11
Documents available: 0


summary: Inspection

raw_content:
Inspection #67992
Date/Time: 01/21/2025 0:00 AM
Reason:
Grade: N/A
Event ID: PCXK11
Documents available: 0


facility_name: Westcare Nevada Women and Childrens Campus

summary: Inspection

raw_content:
Inspection #36520
Date/Time: 10/26/2020 0:00 AM
Reason:
Grade: N/A
Event ID: 2FRX11
Documents available: 0

credential_type: FACILITY FOR THE TREATMENT OF ABUSE OF ALCOHOL OR DRUGS


summary: Inspection

raw_content:
Inspection #43062
Date/Time: 09/14/2021 0:00 AM
Reason:
Grade: N/A
Event ID: I1DS11
Documents available: 0


summary: Inspection

raw_content:
Inspection #58743
Date/Time: 08/25/2023 0:00 AM
Reason:
Grade: N/A
Event ID: 3ZGI11
Documents available: 0


summary: Inspection

raw_content:
Inspection #34021
Date/Time: 07/17/2020 0:00 AM
Reason:
Grade: N/A
Event ID: MNQI11
Documents available: 0


summary: Inspection

raw_content:
Inspection #40765
Date/Time: 06/21/2021 0:00 AM
Reason:
Grade: N/A
Event ID: Q4E411
Documents available: 0


summary: Inspection

raw_content:
Inspection #64251
Date/Time: 06/17/2024 0:00 AM
Reason:
Grade: N/A
Event ID: 1OHC11
Documents available: 0


summary: Inspection

raw_content:
Inspection #47835
Date/Time: 04/04/2022 0:00 AM
Reason:
Grade: N/A
Event ID: XGRB11
Documents available: 0


summary: Inspection

raw_content:
Inspection #14418
Date/Time: 03/07/2018 0:00 AM
Reason:
Grade: N/A
Event ID: 08QX11
Documents available: 0


summary: Inspection

raw_content:
Inspection #67891
Date/Time: 02/04/2025 0:00 AM
Reason:
Grade: N/A
Event ID: 5JF611
Documents available: 0


summary: Inspection

raw_content:
Inspection #13325
Date/Time: 01/30/2018 0:00 AM
Reason:
Grade: N/A
Event ID: KGOZ11
Documents available: 0


state: UT

facility_name: ARDU Recovery Center LLC (Provo)

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


summary: Announced, Annual Inspection (1 finding)

raw_content:
R501-14-5(2)(a)-(b): Application submitted within 2 weeks and applicant directly supervised — The provider was out of compliance with R501-14-5(2)(a) by not submitting a background check application for each applicant within two weeks of the date they became associated with the program.  During the review of staff background screenings, the licensor observed that two staff members did not have an application in the background screening system and had been associated with the program for more than two weeks.
Checklist 797279: Census: 16; Contact: Drew Redd; Licensor: Nichol Tidwell

Inspection Type: Announced, Annual Inspection


summary: Non On-Site Inspection

Inspection Type: Non On-Site Inspection


raw_content:
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The provider was out of compliance with this rule by not ensuring applicants were directly supervised until the office issued a conditional or eligible clearance determination, and documenting how the individual remained supervised for the entirety of their supervised employment term before receiving a clearance determination.   During the inspection, 3 employees did not have a documented method of supervision until their background clearance determination came.
Checklist 628614: Contact: Drew Redd, Executive Director, Jen Gregson, Residential Director FALSE; Licensor: Brian Palmer


summary: Announced, Annual Inspection


facility_name: Alliance Youth Services dba The Pointe

summary: 3rd Unannounced

raw_content: Checklist 969714: Census: 10; Capacity: 12; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection:; Licensor: Heather Guanajuato

Inspection Type: 3rd Unannounced


summary: 2nd Unannounced

raw_content: Checklist 884119: Census: 2; Capacity: 8; Contact: Jada Ragin; Licensor: Heather Guanajuato

Inspection Type: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content:
Checklist 777539: Census: 7; Capacity: 12; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection:; Licensor: Heather Guanajuato
Checklist 777640: Census: 7; Capacity: 12; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection:; Licensor: Heather Guanajuato

Inspection Type: Unannounced, Annual Inspection


summary: Follow-Up Inspection

Inspection Type: Follow-Up Inspection


summary: Investigation Inspection

Inspection Type: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 668610: Census: 7; Capacity: 12; Contact: Jessi Richins; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 645609: Census: 8; Capacity: 12; Contact: F. Ted Bell; Licensor: Heather Guanajuato


summary: Non On-Site Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 632307: Census: 9; Capacity: 12; Contact: F. Ted Bell, LCMC; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 618917: Census: 9; Capacity: 12; Contact: Jessi Richins; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 610621: Census: 12; Capacity: 12; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection: zion saleapaga; Licensor: Heather Guanajuato


summary: Non On-Site Inspection

raw_content: Checklist 603052: Census: 5; Capacity: 12; Contact: Ted Bell; Licensor: Kacee Arrington


summary: Unannounced, Annual Inspection

raw_content: Checklist 586374: Census: 10; Capacity: 12; Contact: Ted Bell, Jessi Richins; Licensor: Mary Bokinskie


facility_name: Alliance Youth Services dba Timpview

summary: 3rd Unannounced

raw_content: Checklist 969871: Census: 10; Capacity: 12; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection:; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 882839: Census: 10; Capacity: 12; Contact: Kendall Bowen; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 777682: Census: 8; Capacity: 12; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection:; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 668601: Census: 10; Capacity: 12; Contact: Jessi Richins; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 645616: Census: 6; Capacity: 12; Contact: Kendall Bowen; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 632272: Census: 12; Capacity: 12; Contact: seth krauss; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 618923: Census: 11; Contact: Jessi Richins; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 611606: Census: 11; Capacity: 12; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection: James C. Otteson; Licensor: Heather Guanajuato


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 603060: Census: 11; Capacity: 12; Contact: Seth Krauss; Licensor: Kacee Arrington


summary: Non On-Site Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 586362: Census: 12; Capacity: 12; Contact: Jessi Richins, Seth Krauss; Licensor: Mary Bokinskie


summary: Announced, Annual Inspection


summary: 3rd Unannounced

raw_content: Checklist 553041: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: Investigation Inspection, Non On-Site Inspection


Inspection Type: Investigation Inspection, Non On-Site Inspection


facility_name: Alpine Academy dba Gene Smith Home

summary: 3rd Unannounced

raw_content: Checklist 977971: Census: 0; Capacity: 10; Contact: Lisa Bryant; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 867099: Census: 0; Capacity: 10; Contact: Lisa Bryant; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 701410: Census: 0; Capacity: 10; Contact: Lisa Bryant; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 659035: Census: 0; Capacity: 10; Contact: Lisa Bryant; Licensor: Heather Holbrook and Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 651494: Census: 0; Capacity: 10; Contact: Licensor(s) Conducting this Inspection: Heather Holbrook OL Staff Observing Inspection:; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 638374: Census: 0; Capacity: 10; Contact: Lisa Bryant; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 629731: Census: 0; Capacity: 10; Contact: Lisa Bryant; Licensor: Heather Holbrook and Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 584110: Census: 10; Contact: Lisa Bryant; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 564437: Census: 0; Contact: Heather Holbrook Rob Jones; Licensor: :


summary: Announced, Annual Inspection

raw_content: Checklist 545552: Census: 0; Contact: Heather Holbrook; Licensor: :


facility_name: RedCliff Ascent

summary: 3rd Unannounced

raw_content: Checklist 951111: Census: 7; Capacity: 82; Contact: Steve Demille; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 870879: Census: 7; Capacity: 82; Contact: Marcus; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 733459: Census: 7; Capacity: 82; Contact: Steve Demille; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 669768: Census: 8; Capacity: 82; Contact: Steve Demille; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 646758: Census: 5; Capacity: 82; Contact: Steven DeMille; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 633727: Census: 3; Contact: Marcus Taylor; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 622289: Census: 5; Contact: Licensor(s) Conducting this Inspection: Larry Black OL Staff Observing Inspection:; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 609191: Census: 4; Contact: Licensor(s) Conducting this Inspection: Larry Black OL Staff Observing Inspection: Rob Jones; Licensor: Larry Black


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 immediately notifying the proper investigative authorities for alleged child abuse between clients. During the inspection the provider was aware of suspected child abuse on or around 4/23/2024 but a report to the applicable investigative agency was not done until on or around 5/17/2024.

Inspection Type: Focus Inspection


summary: 2nd Unannounced

raw_content: Checklist 590357: Census: 12; Contact: Licensor(s) Conducting this Inspection: Larry Black OL Staff Observing Inspection:; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 577174: Census: 6; Capacity: 82; Contact: Steve Demille; Licensor: Larry Black


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


summary: Announced, Annual Inspection

raw_content: Checklist 553562: Census: 6; Contact: Licensor(s) Conducting this Inspection: McCabe Peterson OL Staff Observing Inspection:; Licensor: McCabe Peterson


summary: 2nd Unannounced

raw_content: Checklist 540261: Contact: Licensor(s) Conducting this Inspection: McCabe Peterson OL Staff Observing Inspection:; Licensor: McCabe Peterson


facility_name: Avalon Hills Healthcare Inc dba Avalon Hills Residential Eating Disorders Program

summary: 2nd Unannounced

raw_content: Checklist 911700: Census: 6; Capacity: 12; Contact: Mike Hinds; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 795941: Census: 6; Capacity: 12; Contact: Emily Butler; Licensor: Josilyn Bertrand


summary: Non On-Site Technical Assistance (1 finding)

raw_content: R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The provider was given technical assistance in reference to R380-600-7(16)(a) when it was discovered the licensee was out of compliance with R380-600-7(16)(a) by not reporting a critical incident to the Office within one business day.

Inspection Type: Non On-Site Technical Assistance


raw_content:
R501-14-5(5)(a)-(b): Denied applicants may not direct access to clients — The licensee was out of compliance with R501-14-5(5)(a) by allowing an employee with a denied background check to have direct access to clients. During the inspection, an employee was found to still be working on site with clients with a denied background check.
Checklist 673603: Census: 7; Capacity: 12; Contact: Greg Christensen, Lesle Dickey, Mike Hinds; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 653873: Census: 9; Capacity: 12; Contact: Lesle Dickey; Licensor: Josilyn Bertrand


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 641556: Census: 8; Capacity: 12; Contact: Lexie Jones; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 628804: Census: 10; Capacity: 12; Contact: Paul D. Finley; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 616376: Census: 9; Capacity: 12; Contact: Kim England, Mike Hinds; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 2nd Unannounced

raw_content: Checklist 600687: Census: 11; Capacity: 12; Contact: Rachel Schulzke; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 585345: Census: 10; Capacity: 12; Contact: Kim England; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection


facility_name: Blue Hills Residential Treatment, LLC

summary: 3rd Unannounced

raw_content: Checklist 985931: Census: 15; Capacity: 23; Contact: Boedee Hopes; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 898259: Census: 16; Capacity: 23; Contact: Boedee Hopes; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 785419: Census: 16; Capacity: 23; Contact: PattiJo Hopes; Licensor: MeRee Jacobsen


summary: Investigation Inspection (1 finding)

raw_content:
R501-19-3(3)(a)-(j): Supervision and ratio requirements — The licensee was not in compliance with R501-19-3(3)(a) by failing to provide supervision that met supervision requirements.  During the investigation inspection it was identified that the staff in the facility on 10/12/2025, failed to provide adequate supervision by not completing 15 minute checks on the youth at night as per program policy.  This resulted in 2 clients leaving the facility without the knowledge of staff.
This is a repeat noncompliance as noted on 11/14/2024 & 6/5/2023.


summary: Announced, Annual Inspection

raw_content: Checklist 663594: Census: 15; Capacity: 23; Contact: PattiJo Hopes; Licensor: MeRee Jacobsen


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 04/21/2025 and was not reported until 04/23/2025.
This was a repeat noncompliance as noted on 04/10/2023 & 01/07/2025.


summary: 3rd Unannounced

raw_content: Checklist 648077: Census: 15; Capacity: 23; Contact: PattiJo Hopes; Licensor: MeRee Jacobsen


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 638503: Census: 21; Capacity: 23; Contact: Pattijo Hopes 02/27/2025; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 626359: Census: 17; Capacity: 23; Contact: PattiJo Hopes 12/3/24; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection

raw_content: Checklist 613127: Census: 20; Capacity: 23; Contact: PattiJo Hopes; Licensor: MeRee Jacobsen


summary: 3rd Unannounced

raw_content: Checklist 598838: Census: 17; Capacity: 23; Contact: PattiJo Hopes; Licensor: MeRee Jacobsen


summary: Non On-Site Inspection


facility_name: CERTS dba La Europa Academy (RT)

summary: Unannounced, Annual Inspection

raw_content: Checklist 988754: Census: 28; Capacity: 36; Contact: Amanda Kesler; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 847160: Census: 20; Contact: Amanda Kesler; Licensor: Heather Holbrook


raw_content:
R501-19-3(3)(a)-(j): Supervision and ratio requirements — The licensee is out of compliance with R501-19-3(3)(a) by failing to provide supervision that meets supervision and ratio requirements.  On 6/30/2025, a staff member left a student in a car for 10 minutes while the staff went into a store with other clients.
This is a repeat noncompliance as noted on 2/26/2024 & 9/30/2025.


summary: 3rd Unannounced

raw_content: Checklist 766100: Census: 11; Capacity: 36; Contact: Amanda Kesler; Licensor: Heather Holbrook


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 663105: Census: 17; Capacity: 36; Contact: Amanda Kesler; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The licensee was out of compliance with rule R501-1-8(1)(f) by not having paper towels in one of the upstairs student bathrooms. During the walk through inspection, the licensor observed one of the upstairs student bathrooms was not equipped with paper towels. This is a repeat non compliance as cited on 09/21/2023 and 05/08/2023.
Checklist 648362: Census: 19; Capacity: 36; Contact: Amanda Kesler; Licensor: Heather Holbrook


summary: Non On-Site Inspection


raw_content:
R501-1-13(5)(a)-(b): Private placement reporting — The provider was out of compliance with this rule by not completing the congregate care private placement report for the months of August or September 2024. In reviewing the private placement report, the licensor observed the program had not submitted their report for August or September 2024. This is a repeat non-compliance.
Checklist 631916: Census: 15; Capacity: 36; Contact: Amanda Kesler; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 627523: Census: 20; Capacity: 36; Contact: Amanda Kesler; Licensor: Heather Holbrook


summary: Follow-Up Inspection


summary: 2nd Unannounced

raw_content: Checklist 610647: Census: 4; Capacity: 36; Contact: Roxy Gomez; Licensor: Kacee Arrington


summary: Unannounced, Annual Inspection

raw_content: Checklist 591532: Census: 6; Capacity: 36; Contact: Kapricha Green; Licensor: Kacee Arrington


summary: Focus Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider is out of compliance with this rule by failing to provide client checks within 15 minutes. During client interviews and in review of surveillance video, the licensor was told and observed that a client was in a bathroom and not checked by staff for 21 minutes. The client self harmed while in the bathroom.


facility_name: Care Youth Corporation - Falcon Ridge Ranch dba Rite Of Passage Inc/Falcon Ridge Ranch

summary: Unannounced, Annual Inspection

raw_content: Checklist 912039: Census: 16; Capacity: 35; Contact: Lance Marcell Harkey; Licensor: PattiJo Hopes


summary: Complaint, Investigation Inspection (3 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) by not providing supervision based off a client's behavior and history. During the inspection several clients with a history of unsafe behaviors were able to punch a peers and run away from the program.  This is a repeat rule noncompliance as noted on 12/3/2024.
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 a critical incident within a business day. During the inspection a client was in an unauthorized use of restrictive intervention and this was not reported to Licensing within one business day. This is a repeat noncompliance as noted on  03/22/2024, 12/03/2024, and 05/27/2025, and 9/16/2025
R501-1-4(5)(a)-(l): Congregate care behavior management policy — The provider was out of compliance with R501-1-4(5)(a) by having a staff member not use the least restrictive method of behavior management to control a situation by restraining a client who did not pose an immediate threat to self, others, or property. During the inspection a client was laying on the ground and did not pose an immediate threat. Staff placed the client in a restraint and took her to her room.

Inspection Type: Complaint, Investigation Inspection


summary: Announced, Annual Inspection (2 findings)

raw_content:
R501-14-5(2)(a)-(b): Application submitted within 2 weeks and applicant directly supervised — The licensee was out of compliance for R501-1-14-5(2)(ii) for not having documentation of how staff having a supervision required determination in the DACS system remain supervised for the entirety of the applicant's supervised employment term before receiving a clearance determination.
R501-1-8(3): Medication and hazardous items maintenance and storage — The licensee was out of compliance with R501-1-8(3) by not storing potentially hazardous items on-site with consideration of the safety and risk level of the population served to include locked storage for potentially hazardous chemicals not in active use.
Checklist 764359: Census: 19; Capacity: 48; Contact: Amy Dazet; Licensor: MeRee Jacobsen


summary: 3rd Unannounced

raw_content: Checklist 674005: Census: 14; Capacity: 48; Contact: Thomas Timoteo and Lance Harkey; Licensor: MeRee Jacobsen


summary: Investigation Inspection (2 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) by not ensuring any allegation of an incident of abuse of a client was reported to the Division of Child and Family Services and law enforcement. During the investigation inspection, the evidence substantiated that a client submitted a written statement to the provider on August 22, 2025 alleging they were sexually abused by another client. The provider did not report this allegation to Child Protective Services and law enforcement as required by law.
R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The provider was out of compliance with R380-600-7(16)(a) by not submitting a critical incident report to the Office of Licensing within one business day. During the investigation inspection, a client made an allegation of client on client sexual abuse. The provider was made aware of the allegation on August 22, 2025 and did not report this critical incident to the Office of Licensing until prompted by an OL representative. This is a repeat noncompliance previously cited on 03/22/2024, 12/03/2024, and 05/27/2025.


summary: Investigation Inspection


summary: Investigation Inspection

raw_content: Checklist 653817: Census: 20; Capacity: 48; Contact: Thomas Timoteo and Marcel Harkey; Licensor: MeRee Jacobsen


summary: Complaint, 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) by placing a client in a restraint when they were not an immediate threat to themselves, others, or property. During the inspection a client was sitting at a table and was placed into a restraint when it was not warranted. This is a repeat noncompliance as noted on 4/11/2024.


summary: Follow-Up Inspection (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 safety when not in use. During a follow-up inspection, the investigator observed that a closet used to store cleaning chemicals was left unlocked when chemicals were not in active use.


raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with R501-1-8(1) by not having working bathroom vents in two of the client bathrooms and having an unorganized client bedroom that had a missing mattress from the bedframe. During the inspection the licensor saw two client bathroom vents that were not working and an unorganized bedroom that had a missing mattress from the bedframe. This is a repeat noncompliance.
Checklist 637811: Census: 21; Capacity: 48; Contact: Lance Marcel Harkey; Licensor: MeRee Jacobsen


summary: Non On-Site Inspection


facility_name: Care Youth Corporation dba Rite Of Passage Inc/Lava Heights Academy

summary: Unannounced, Annual Inspection

raw_content: Checklist 912019: Census: 24; Capacity: 39; Contact: Amy Dazet; Licensor: PattiJo Hopes


summary: Announced, Annual Inspection

raw_content: Checklist 762939: Census: 29; Capacity: 48; Contact: Amy Dazet; Licensor: MeRee Jacobsen


summary: 3rd Unannounced

raw_content: Checklist 675383: Census: 29; Capacity: 48; Contact: Jarrett Shoemaker; Licensor: MeRee Jacobsen


summary: Follow-Up Inspection


summary: Investigation Inspection (1 finding)

raw_content:
R501-19-3(3)(a)-(j): Supervision and ratio requirements — The licensee was out of compliance with R501-19-3(3)(d)(i)(ii)&(f) by a staff member not remaining awake while on duty, not supervising appropriately to ensure client health and safety, and not performing direct supervision with line-of-sight check-ins every 15-minutes. During an investigation, the information gathered substantiated that a staff member fell asleep, failed to supervise clients as required, and did not complete one 15-minute line-of-sight check-in. This is a repeat noncompliance previously noted on 10/12/2022.
Checklist 653820: Census: 27; Capacity: 48; Contact: Amy Dazet; Licensor: MeRee Jacobsen


summary: Investigation Inspection (1 finding)

raw_content: R501-1-8(3): Medication and hazardous items maintenance and storage — The licensee as out of compliance with R501-1-8(3) by not storing potentially hazardous material responsibly. During the investigation hand sanitizer was left accessible to clients, with one client drinking the hand sanitizer.


summary: Unannounced, Annual Inspection

raw_content: Checklist 637814: Census: 24; Capacity: 48; Contact: Amy Dazet 02/25/2025; Licensor: MeRee Jacobsen


summary: Investigation Inspection


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 623286: Census: 25; Capacity: 48; Contact: Jarrett Shoemaker; Licensor: MeRee Jacobsen


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-13(5)(a)-(b): Private placement reporting — The provider was out of compliance with this rule by not reporting private placements to the Office by the fifth business day of the month for August and September 2024. During the inspection the licensor verified through QuickSight reporting that the provider had not reported private placements to the office by the fifth business day of the month for August and September 2024. This is a repeat non compliance.
Checklist 615756: Census: 23; Capacity: 48; Contact: Jarrett Shoemaker; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 598858: Census: 23; Capacity: 48; Contact: Jarrett Shoemaker; Licensor: MeRee Jacobsen


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 maintaining staff ratios. During the inspection it was observed that the provider was out of ratios by having 2 staff supervising a group of 12 clients.


summary: Announced, Annual Inspection


facility_name: Cascade Academy LLC dba Cascade Academy

summary: Announced, Annual Inspection


summary: 3rd Unannounced

raw_content: Checklist 788459: Census: 17; Capacity: 26; Contact: Rebekah Schuller; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 666585: Census: 19; Capacity: 26; Contact: Bekah Schuler; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 653327: Census: 20; Capacity: 26; Contact: Corbin Burrows; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 639282: Census: 24; Capacity: 26; Contact: Bekah Schuler; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 622806: Census: 24; Capacity: 26; Contact: Sarah Winters; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 614199: Census: 22; Capacity: 26; Contact: Rebekah Schuler; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 594900: Census: 26; Contact: Corbin Burrows; Licensor: Rob Jones


summary: Non On-Site Inspection


summary: Follow-Up Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 581374: Census: 24; Capacity: 26; Contact: Bekah Schuler; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 572266: Census: 26; Contact: Rebekah Schuler; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 550342: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: Unannounced, Annual Inspection

raw_content: Checklist 540824: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Cascade Home

summary: 3rd Unannounced

raw_content: Checklist 851699: Census: 3; Capacity: 8; Contact: Aurelia B.; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 784619: Census: 1; Capacity: 8; Contact: Rebekah Schuller; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 666600: Census: 2; Capacity: 8; Contact: Sarah Christopherson; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 649590: Census: 5; Capacity: 8; Contact: Corbin Burrows; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 642293: Census: 5; Capacity: 8; Contact: Elise Ashby; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 622807: Census: 4; Capacity: 8; Contact: Sarah Winters; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 614204: Census: 3; Capacity: 8; Contact: Rebekah Schuler; Licensor: Rob Jones


summary: Pre-Inspection

raw_content: Checklist 600788: Census: 0; Capacity: 8; Contact: Rebekah Schuler; Licensor: Rob Jones

Inspection Type: Pre-Inspection


facility_name: Cascade Lodge

summary: Announced, Annual Inspection

raw_content: Checklist 957391: Census: 13; Capacity: 36; Contact: Licensor(s) Conducting this Inspection: Mary Bokinskie OL Staff Observing Inspection:; Licensor: Mary Bokinskie


summary: Unannounced, Annual Inspection

raw_content: Checklist 933451: Census: 13; Capacity: 36; Contact: Porter Roe; Sarah Winters; Licensor: Mary Bokinskie


summary: Announced, Annual Inspection

raw_content: Checklist 799619: Census: 9; Capacity: 36; Contact: Porter Roe; Licensor: Mary Bokinskie


summary: Unannounced, Annual Inspection

raw_content: Checklist 669540: Census: 8; Capacity: 36; Contact: Bekah Schuler; Austin Hammatt; Licensor: Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 657073: Census: 6; Capacity: 36; Contact: Licensor(s) Conducting this Inspection: Mary Bokinskie OL Staff Observing Inspection:; Licensor: Mary Bokinskie


summary: 2nd Unannounced

raw_content: Checklist 641960: Census: 3; Capacity: 36; Contact: Bekah Schuler, Porter Roe; Licensor: Mary Bokinskie


summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 628590: Census: 7; Capacity: 36; Contact: Jake Galovich; Austin Hammatt; Licensor: Mary Bokinskie


summary: Non On-Site Inspection


raw_content:
R501-1-12(4)(a)-(c): Required signed agreements — The provider was out of compliance with this rule by not having signed intake documents or a signed consent for treatment that contained rules of the program and the client rights. At the time of inspection, none of the signed intake documents contained rules of the program or clients rights or any type of signed statements stating the client, parent or guardian received the rules of the program and the client rights. This was a repeat noncompliance.
R501-1-16(2)(a)-(q): Program policy and training — The provider was out of compliance with this rule by not ensuring each staff member completes all required yearly training. At the time of inspection, staff did not have yearly training on how to identify the signs and symptoms of clients presenting under the influence of substances or alcohol. This was a repeat noncompliance.
Checklist 614892: Census: 10; Capacity: 36; Contact: Jake Galovich, Suzy LeSueur; Licensor: Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 593773: Census: 12; Capacity: 36; Contact: Jessica Hartman; Licensor: Mary Bokinskie


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 ensuring each bathroom is properly equipped with soap. At the time of inspection one of the client bathrooms did not contain soap. This was a repeat noncompliance.
Checklist 579093: Census: 13; Capacity: 36; Contact: Jessica Hartman; Licensor: Mary Bokinskie


summary: Unannounced, Annual Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 556580: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 541329: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Catalyst Residential Treatment Center dba Gray House


summary: Investigation Inspection


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

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 all critical incidents to OL. By the due date set in the program’s plan of correction, 3/13/2026, not all missing critical incidents had been reported. This noncompliance is a repeat noncompliance as noted on 7/13/2023, 7/18/2023, 8/10/2023, 8/30/2023, 02/29/2024, 03/25/2024, 08/12/2024, 08/21/2024, and 2/10/2026. Technical assistance was provided for this rule on 10/21/2025.


summary: Announced, Annual Inspection (3 findings)

raw_content:
R501-1-8(3): Medication and hazardous items maintenance and storage — The provider was out of compliance with R501-1-8(3) by not having medications not in active use in locked storage. During the inspection, aspirin and acetaminophen were found not in locked storage. This rule noncompliance is a repeat noncompliance as noted on 02/13/2023 and 07/13/2023. Technical assistance was previously provided for this rule on 10/21/2025.
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 critical incidents to OL. During the file review, all critical incidents that had occurred at the facility in the last 6 months had not been reported.This noncompliance is a repeat noncompliance as noted on 02/29/2024, 03/25/2024, 08/12/2024, and 08/21/2024. Technical assistance was previously provided for this rule on 10/21/2025.
R501-14-5(5)(a)-(b): Denied applicants may not direct access to clients — The provider was out of compliance with R501-14-5(5)(a) by having an employee working at the facility with a failed background check. During the inspection, an employee was found to be working at the facility who was not in DACs and had previously failed a background screening.
Checklist 871619: Census: 10; Capacity: 26; Contact: Seth Geisler; Licensor: Josilyn Bertrand, Mary Bokinskie, Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 712359: Census: 8; Capacity: 26; Contact: Seth Geisler; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 662283: Census: 8; Capacity: 26; Contact: Seth Geisler; Licensor: Josilyn Bertrand


summary: Follow-Up Inspection

raw_content: Checklist 649547: Census: 7; Capacity: 26; Contact: Seth Geisler; Licensor: Josilyn Bertrand


summary: Follow-Up Inspection (1 finding)

raw_content: 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, 2/26/2025, and 3/17/2025.


summary: Follow-Up Inspection