summary: Unannounced - 04/10/2024

raw_content:
Licensed Child Caring Agency Unannounced Site Visit Report
Licensee: Marion County GAP Program
Executive Director: Troy Gregg
Program Director(s): Jose Miranda
Date of Unannounced: April 10, 2024
Licensing Coordinator: Holly Ivey
Other Regulatory or Accrediting Agencies: The Oregon Youth Authority
Purpose: Per OAR 419-400-0240 (1)(b) Children’s Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Findings
Further Action
Needed
N/A Yes☐ No✓ There were no violations recorded at the time of the previous Unannounced
Licensing Inspection in 2023.
New Findings from Site Visit Comments
N/A No violations were noted during the 2024 Unannounced Licensing Inspection.
Form Rev. 11/14/2023 P age 1 | 2
Interview Summary
Youth were in school during the Unannounced Inspection and unavailable to be interviewed. A phone call occurred with Holly Ivey, ODHS
Licensing Coordinator, and two youth on April 15, 2024. The two private interviews of youth consisted of the following information obtained:
• Both youth stated things were going well for them while residing at the program, and one youth stated, “Its a lot better than detention.”
• When asked what they appreciated most about the program the youth stated: “Mainly the fact that I get home visits.”, “It’s a place you
can be at and stay out of trouble while you are here.”
• Fun activities reported by the youth: “Free time, playing football, basketball, soccer, going on outings to parks,.”
• Both youth mentioned that they receive three meals a day, and snacks are provided to them.
• The youth stated they can call people on their approved contact list and talk privately daily.
• Both youth reported that the program provides hygiene products.
• Both youth reported that they could talk to staff if they had a concern or a need, and that they felt respected by staff.
• When asked what changes they would make to the program, both youth stated: “More comfortable mattresses.” (In talking with Jose
Miranda, Program Manager, he stated that the program will be getting new mattresses.)
• Both youth reported feeling safe at the program. One youth stated,” I feel safe here, but I do have concern because every youth is
affiliated with a gang, but I think I am in the clear. I have never had an unsafe experience here.”
Observations
At the Unannounced Inspection, the Program Director, Jose Miranda, assisted with a walk through with Holly Ivey, ODHS Licensing
Coordinator. All areas of the programs (inside and outside) where youth had access were observed to be well kept, clean and in good repair.
An agency vehicle that the youth ride in was observed and met the requirements per Licensing Rules. Both kitchen’s (in the Residential
Program, and the Marion County Detention Center- where food is prepared and brought to the youth) were observed to be clean and had food
in the refrigerator and pantries. Medication was observed to be in a locked medication cart which was inaccessible to youth. The program had
installed a new generator and security cameras since the last inspection. Youth were in school during the walk-through inspection and were not
observed at the program. There were no concerns observed by the Licensing Coordinator at the walkthrough regarding any Licensing Rule
Violations.
Corrective Actions and Timeframes: N/A there were no compliance issues or concerns found while conducting the Unannounced Inspection.
There is nothing the agency needs to send to ODHS Licensing, regarding the 2024 Unannounced Inspection.
Licensing Coordinator’s Signature: _____________T_y_p_e_ _te_x_t_ h_e_r_e Date: _4_-2_9_-_2_0_2_4___________
Manager Review: ______________________________________ Date: _4_-2_6_-_2_0_2_4__________
Form Rev. 11/14/2023 P age 2 | 2

other_regulatory_agencies: The Oregon Youth Authority

purpose:
Per OAR 419-400-0240 (1)(b) Children's Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Findings
Further Action
Needed
N/A Yes[ ] No✓ There were no violations recorded at the time of the previous Unannounced
Licensing Inspection in 2023.
New Findings from Site Visit Comments
N/A No violations were noted during the 2024 Unannounced Licensing Inspection.

Interview Summary
Youth were in school during the Unannounced Inspection and unavailable to be interviewed. A phone call occurred with Holly Ivey, ODHS

interview_summary:
Youth were in school during the Unannounced Inspection and unavailable to be interviewed. A phone call occurred with Holly Ivey, ODHS
Licensing Coordinator, and two youth on April 15, 2024. The two private interviews of youth consisted of the following information obtained:
- Both youth stated things were going well for them while residing at the program, and one youth stated, "Its a lot better than detention."
- When asked what they appreciated most about the program the youth stated: "Mainly the fact that I get home visits.", "It's a place you
can be at and stay out of trouble while you are here."
- Fun activities reported by the youth: "Free time, playing football, basketball, soccer, going on outings to parks,."
- Both youth mentioned that they receive three meals a day, and snacks are provided to them.
- The youth stated they can call people on their approved contact list and talk privately daily.
- Both youth reported that the program provides hygiene products.
- Both youth reported that they could talk to staff if they had a concern or a need, and that they felt respected by staff.
- When asked what changes they would make to the program, both youth stated: "More comfortable mattresses." (In talking with Jose
Miranda, Program Manager, he stated that the program will be getting new mattresses.)
- Both youth reported feeling safe at the program. One youth stated," I feel safe here, but I do have concern because every youth is
affiliated with a gang, but I think I am in the clear. I have never had an unsafe experience here."

observations:
At the Unannounced Inspection, the Program Director, Jose Miranda, assisted with a walk through with Holly Ivey, ODHS Licensing
Coordinator. All areas of the programs (inside and outside) where youth had access were observed to be well kept, clean and in good repair.
An agency vehicle that the youth ride in was observed and met the requirements per Licensing Rules. Both kitchen's (in the Residential
Program, and the Marion County Detention Center- where food is prepared and brought to the youth) were observed to be clean and had food
in the refrigerator and pantries. Medication was observed to be in a locked medication cart which was inaccessible to youth. The program had
installed a new generator and security cameras since the last inspection. Youth were in school during the walk-through inspection and were not
observed at the program. There were no concerns observed by the Licensing Coordinator at the walkthrough regarding any Licensing Rule
Violations.