facility_name: LIFESTREAM BEHAVIORAL CENTER

summary: Complaint — 4 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 02/17/2021
Track ID: 02MB
Deficiencies: 4

  [C0024] OPERATING STDS - ORGANIZATION INCIDENT NOTICE(3)(l) Incident notification.
1. The provider shall comply with the department's and the agency's procedures for reporting incidents that pose risk of serious psychological and physical harm to children being served.
2. The provider shall develop and implement on an ongoing basis a written procedure for incident notification, reflecting the requirements of the department's operating procedure CFOP 215-6, which is incorporated by reference.  (Correction: 04/06/2021)
  [C0134] STAFF ORIENTATION & TRAINING - INSERVICE 40HR(5) Staff orientation and training.
(e) The provider shall implement a minimum of 40 hours of in-service training annually for all staff and volunteers who work directly with children. Continuing education for professional licenses and certifications may count towards training hours if the training covers the appropriate areas. This training shall cover all policies and procedures relevant to each position and shall, at a minimum, include each of the following:

1. Administrative:
a. Administrative policies and procedures and overall program goals;
b. Federal and state laws and rules governing the program;
c. Identification and reporting of child abuse and neglect;
d. Protection of children's rights; and
e. Confidentiality.

2. Safety:
a. Disaster preparedness and evacuation procedures;
b. Fire safety;
c. Emergency procedures;
d. Violence prevention and suicide precautions; and
e. First aid and CPR, with competency demonstrated annually.

3. Child development:
a. Child supervision skills;
b. Children's physical and emotional needs;
c. Developmental stages of childhood and adolescence;
d. Family relationships and the impact of separation;
e. Substance abuse recognition and prevention; and
f. Principles and practices of child care.

4. Treatment services:
a. Individualized treatment that is culturally competent;
b. Treatment that addresses issues the child may have involving sexual or physical abuse, abandonment, domestic violence, separation, divorce, or adoption;
c. Behavior management techniques include, but are not limited to: preventing problem behavior, defining and teaching expectations, teaching and encouraging the child's long-term use of new skills as alternative behaviors, contingency management, teaching and promoting choice making and self-management skills, time-out, point systems or level systems, de-escalation procedures, and crisis prevention and intervention;
d. Treatment plan development and implementation;
e. Treatment that supports the child's permanency goals; and
f. The provider shall ensure ongoing training and be able to produce documentation of such training on the use of restraint and seclusion, physical escort, time-out, de-escalation procedures and crisis prevention and intervention.

(I) Before staff may participate in any use of restraint or seclusion, staff shall be competency trained to minimize the use of restraint and seclusion, to use alternative, non-physical, non-intrusive behavioral intervention techniques to handle agitated or potentially violent children, and to use restraints and seclusion safely.
(II) Staff shall complete a training course in the safe and appropriate use of seclusion and restraint and in the use of alternative non-intrusive behavior management techniques. The training course shall be provided by individuals qualified by education, training, and experience to provide such training. Competencies shall be demonstrated on a semiannual basis. Training requirements for all staff who participate in the use of restraint and seclusion shall include:

(A) An understanding of the underlying causes, e.g., medical, behavioral and environmental, of consequential behaviors exhibited by the children being served;
(B) How staff behaviors can affect the behaviors of others, especially children with a history of trauma;
(C) The use of non-physical interventions, such as de-escalation, mediation, active listening, self-protection and other techniques, such as time-out for the purpose of preventing potential and intervening in emergency safety situations;
(D) Recognizing signs of respiratory and cardiac distress in children;
(E) Recognizing signs of depression and potential suicidal behaviors;
(F) Certification in the use of cardiopulmonary resuscitation (CPR). Competency based re-certification in CPR is required annually;
(G) How to monitor children in restraint or seclusion; and
(H) The safe use of approved restraint techniques, including physi  (Correction: 04/06/2021)
  [CZ000] INITIAL COMMENTS  (Correction: 04/06/2021)
  [CZ824] RIGHT OF INSPECTION; INSPECTION REPORTS408.811 Right of inspection; copies; inspection reports; plan for correction of deficiencies.-
(1) An authorized officer or employee of the agency may make or cause to be made any inspection or investigation deemed necessary by the agency to determine the state of compliance with this part, authorizing statutes, and applicable rules. The right of inspection extends to any business that the agency has reason to believe is being operated as a provider without a license, but inspection of any business suspected of being operated without the appropriate license may not be made without the permission of the owner or person in charge unless a warrant is first obtained from a circuit court. Any application for a license issued under this part, authorizing statutes, or applicable rules constitutes permission for an appropriate inspection to verify the information submitted on or in connection with the application.
(a) All inspections shall be unannounced, except as specified in s. 408.806.
(b) Inspections for relicensure shall be conducted biennially unless otherwise specified by this section, authorizing statutes, or applicable rules.
(c) The agency may exempt a low-risk provider from a licensure inspection if the provider or a controlling interest has an excellent regulatory history with regard to deficiencies, sanctions, complaints, or other regulatory actions as defined in agency rule.  The agency must conduct unannounced licensure inspections on at least 10 percent of the exempt low-risk providers to verify regulatory compliance.
(d) The agency may adopt rules to waive any inspection, including a relicensure inspection, or grant an extended time period between relicensure inspections based upon:
1. An excellent regulatory history with regard to deficiencies, sanctions, complaints, or other regulatory measures.
2. Outcome measures that demonstrate quality performance.
3. Successful participation in a recognized, quality program.
4. Accreditation status.
5. Other measures reflective of quality and safety.
6. The length of time between inspections.

The agency shall continue to conduct unannounced licensure inspections on at least 10 percent of providers that qualify for an exemption or extended period between relicensure inspections.  The agency may conduct an inspection of any provider at any time to verify regulatory compliance.

(2) Inspections conducted in conjunction with certification, comparable licensure requirements, or a recognized or approved accreditation organization may be accepted in lieu of a complete licensure inspection. However, a licensure inspection may also be conducted to review any licensure requirements that are not also requirements for certification.
(3) The agency shall have access to and the licensee shall provide, or if requested send, copies of all provider records required during an inspection or other review at no cost to the agency, including records requested during an offsite review.
(4) A deficiency must be corrected within 30 calendar days after the provider is notified of inspection results unless an alternative timeframe is required or approved by the agency.
(5) The agency may require an applicant or licensee to submit a plan of correction for deficiencies. If required, the plan of correction must be filed with the agency within 10 calendar days after notification unless an alternative timeframe is required.
(6)(a) Each licensee shall maintain as public information, available upon request, records of all inspection reports pertaining to that provider that have been filed by the agency unless those reports are exempt from or contain information that is exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution or is otherwise made confidential by law. Copies of such reports shall be retained in the records of the provider for at least 3 years following the date the reports are filed and issued, regardless of a change of ownership.
(b) A licensee shall, upon th  (Correction: 04/06/2021)


state: FL

summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 03/25/2019
Track ID: JGYQ
Deficiencies: 1

  [C0134] STAFF ORIENTATION & TRAINING - INSERVICE 40HR(5) Staff orientation and training.
(e) The provider shall implement a minimum of 40 hours of in-service training annually for all staff and volunteers who work directly with children. Continuing education for professional licenses and certifications may count towards training hours if the training covers the appropriate areas. This training shall cover all policies and procedures relevant to each position and shall, at a minimum, include each of the following:

1. Administrative:
a. Administrative policies and procedures and overall program goals;
b. Federal and state laws and rules governing the program;
c. Identification and reporting of child abuse and neglect;
d. Protection of children's rights; and
e. Confidentiality.

2. Safety:
a. Disaster preparedness and evacuation procedures;
b. Fire safety;
c. Emergency procedures;
d. Violence prevention and suicide precautions; and
e. First aid and CPR, with competency demonstrated annually.

3. Child development:
a. Child supervision skills;
b. Children's physical and emotional needs;
c. Developmental stages of childhood and adolescence;
d. Family relationships and the impact of separation;
e. Substance abuse recognition and prevention; and
f. Principles and practices of child care.

4. Treatment services:
a. Individualized treatment that is culturally competent;
b. Treatment that addresses issues the child may have involving sexual or physical abuse, abandonment, domestic violence, separation, divorce, or adoption;
c. Behavior management techniques include, but are not limited to: preventing problem behavior, defining and teaching expectations, teaching and encouraging the child's long-term use of new skills as alternative behaviors, contingency management, teaching and promoting choice making and self-management skills, time-out, point systems or level systems, de-escalation procedures, and crisis prevention and intervention;
d. Treatment plan development and implementation;
e. Treatment that supports the child's permanency goals; and
f. The provider shall ensure ongoing training and be able to produce documentation of such training on the use of restraint and seclusion, physical escort, time-out, de-escalation procedures and crisis prevention and intervention.

(I) Before staff may participate in any use of restraint or seclusion, staff shall be competency trained to minimize the use of restraint and seclusion, to use alternative, non-physical, non-intrusive behavioral intervention techniques to handle agitated or potentially violent children, and to use restraints and seclusion safely.
(II) Staff shall complete a training course in the safe and appropriate use of seclusion and restraint and in the use of alternative non-intrusive behavior management techniques. The training course shall be provided by individuals qualified by education, training, and experience to provide such training. Competencies shall be demonstrated on a semiannual basis. Training requirements for all staff who participate in the use of restraint and seclusion shall include:

(A) An understanding of the underlying causes, e.g., medical, behavioral and environmental, of consequential behaviors exhibited by the children being served;
(B) How staff behaviors can affect the behaviors of others, especially children with a history of trauma;
(C) The use of non-physical interventions, such as de-escalation, mediation, active listening, self-protection and other techniques, such as time-out for the purpose of preventing potential and intervening in emergency safety situations;
(D) Recognizing signs of respiratory and cardiac distress in children;
(E) Recognizing signs of depression and potential suicidal behaviors;
(F) Certification in the use of cardiopulmonary resuscitation (CPR). Competency based re-certification in CPR is required annually;
(G) How to monitor children in restraint or seclusion; and
(H) The safe use of approved restraint techniques, including physi  (Correction: 04/26/2019)

source: AHCA

report_type: Complaint

track_id: JGYQ

inspection_type: Complaint


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 04/10/2026
Track ID: XF7Y
Deficiencies: 1

  [C0084] HLTH/MED/EMERMED/PSYCH SRVS AGREEMENTS(7) Health, medical, and emergency medical and psychiatric services.
(e) The provider shall have available, either within the provider organization or by written agreement with health care providers, a full range of services for treatment of illnesses and maintenance of general health. Agreements shall include provisions for on-site visits, office visits, and hospitalization.  (Correction: )


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 08/07/2018
Track ID: DMVT
Deficiencies: 1

  [None] NoneNone  (Correction: None)

track_id: DMVT

requirement_description: NoneNone


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 08/18/2021
Track ID: EF52
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 2 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 09/18/2018
Track ID: RIJ6
Deficiencies: 2

  [C0134] STAFF ORIENTATION & TRAINING - INSERVICE 40HR(5) Staff orientation and training.
(e) The provider shall implement a minimum of 40 hours of in-service training annually for all staff and volunteers who work directly with children. Continuing education for professional licenses and certifications may count towards training hours if the training covers the appropriate areas. This training shall cover all policies and procedures relevant to each position and shall, at a minimum, include each of the following:

1. Administrative:
a. Administrative policies and procedures and overall program goals;
b. Federal and state laws and rules governing the program;
c. Identification and reporting of child abuse and neglect;
d. Protection of children's rights; and
e. Confidentiality.

2. Safety:
a. Disaster preparedness and evacuation procedures;
b. Fire safety;
c. Emergency procedures;
d. Violence prevention and suicide precautions; and
e. First aid and CPR, with competency demonstrated annually.

3. Child development:
a. Child supervision skills;
b. Children's physical and emotional needs;
c. Developmental stages of childhood and adolescence;
d. Family relationships and the impact of separation;
e. Substance abuse recognition and prevention; and
f. Principles and practices of child care.

4. Treatment services:
a. Individualized treatment that is culturally competent;
b. Treatment that addresses issues the child may have involving sexual or physical abuse, abandonment, domestic violence, separation, divorce, or adoption;
c. Behavior management techniques include, but are not limited to: preventing problem behavior, defining and teaching expectations, teaching and encouraging the child's long-term use of new skills as alternative behaviors, contingency management, teaching and promoting choice making and self-management skills, time-out, point systems or level systems, de-escalation procedures, and crisis prevention and intervention;
d. Treatment plan development and implementation;
e. Treatment that supports the child's permanency goals; and
f. The provider shall ensure ongoing training and be able to produce documentation of such training on the use of restraint and seclusion, physical escort, time-out, de-escalation procedures and crisis prevention and intervention.

(I) Before staff may participate in any use of restraint or seclusion, staff shall be competency trained to minimize the use of restraint and seclusion, to use alternative, non-physical, non-intrusive behavioral intervention techniques to handle agitated or potentially violent children, and to use restraints and seclusion safely.
(II) Staff shall complete a training course in the safe and appropriate use of seclusion and restraint and in the use of alternative non-intrusive behavior management techniques. The training course shall be provided by individuals qualified by education, training, and experience to provide such training. Competencies shall be demonstrated on a semiannual basis. Training requirements for all staff who participate in the use of restraint and seclusion shall include:

(A) An understanding of the underlying causes, e.g., medical, behavioral and environmental, of consequential behaviors exhibited by the children being served;
(B) How staff behaviors can affect the behaviors of others, especially children with a history of trauma;
(C) The use of non-physical interventions, such as de-escalation, mediation, active listening, self-protection and other techniques, such as time-out for the purpose of preventing potential and intervening in emergency safety situations;
(D) Recognizing signs of respiratory and cardiac distress in children;
(E) Recognizing signs of depression and potential suicidal behaviors;
(F) Certification in the use of cardiopulmonary resuscitation (CPR). Competency based re-certification in CPR is required annually;
(G) How to monitor children in restraint or seclusion; and
(H) The safe use of approved restraint techniques, including physi  (Correction: 10/18/2018)
  [C0182] CHILDREN'S RIGHTS - ABUSE/NEGLECT REPORTING(3) Child abuse and neglect.
(a) The provider, as a mandated reporter, shall report to the department and the Abuse Registry all suspected cases of child abuse, neglect, and exploitation in accordance with Chapter 39 and Section 394.459, F.S.  (Correction: 10/18/2018)


facility_name: LOTUS HEALING CENTERS

summary: Initial Licensure — 1 deficiency

raw_content:
Inspection: Initial Licensure
Survey Date: 08/28/2025
Track ID: 1325
Deficiencies: 1

  [None] NoneNone  (Correction: None)

report_type: Initial Licensure

inspection_type: Initial Licensure


facility_name: NEURORESTORATIVE FLORIDA

summary: Complaint — 2 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 06/05/2024
Track ID: D3Y1
Deficiencies: 2

  [C0031] OPERATING STDS - FACILITY BUILDINGS/FURNITURE(5)(a)6. The interior and exterior of buildings and the furniture and furnishings shall be safe, comfortable, reasonably attractive, in good repair and shall function for the purpose for which such building and furniture has been designed.  (Correction: 08/01/2024)
  [C0080] PROGRAM STDS - FOOD AND NUTRITION(6) Food and nutrition.
(a) If the provider serves meals to staff members, they shall serve staff and children substantially the same food, except when age or special dietary requirements dictate differences.
(b) The provider shall serve three well-balanced meals a day in the morning, noon, and evening and provide snacks. If a child is admitted between meals, snacks will be provided. When children are attending school or are not present in the facility during mealtime, the provider shall make arrangements for the children's meals.
(c) The provider shall retain menus, with substitutions, for a 12-month period, which shall be available for review. Menus shall be posted 24 hours before serving of the meal. Any change shall be noted. Menus shall be evaluated by a consultant dietitian for nutritional adequacy at least annually. The provider shall maintain records of the dietician's reviews.
(d) The provider shall plan and prepare special diets as needed (e.g., diabetic, bland, high calorie). No more than fourteen hours shall elapse between the end of the evening meal and the beginning of the morning meal where a protein is served. Meals shall meet general requirements for nutrition published by the department or currently found in the Recommended Daily Diet Allowances, Food and Nutrition Board; or by the Florida Dietetic Association.  (Correction: 08/01/2024)


summary: Complaint — 6 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 10/04/2023
Track ID: RLTM
Deficiencies: 6

  [C0027] OPERATING STDS - FACILITY ACTIVITIES SPACE(5)(a)2. Grounds shall have space for children's activities, which shall be designed based on the type of activities offered and age appropriateness. The grounds shall be maintained in a safe and reasonably attractive manner and kept free of standing water, debris, garbage, trash and other hazardous conditions.  (Correction: 10/24/2023)
  [C0052] OPERATING STDS-HOUSEKEEPING CLEAN/SAFE/VENTED(7) Housekeeping.
(a) The facility and its contents shall be kept free from dust, dirt, debris and noxious odors.
(b) All rooms and corridors shall be maintained in a clean, safe, and orderly condition, and shall be properly ventilated to prevent condensation, mold growth, and noxious odors.  (Correction: 10/24/2023)
  [C0119] STAFF COMPOSITION - R.N.(3) Staff composition. The provider shall have the following staffing, any of which may be part-time, if the required equivalent full-time coverage is provided, except for those positions with a required specified staffing ratio:
(c) Registered nurse.
1. A registered nurse shall supervise the nursing staff during the times that the children are present in the facility and normally awake, the nursing staff to child ratio shall be no less than 1:30, and during normal sleeping hours, the nursing staff to child ratio shall be no less than 1:40.
2. For therapeutic group homes that do not use restraint or seclusion in their program, the provider is not required to have a registered nurse or other nursing staff on duty, but shall have definitive written agreements for obtaining necessary nursing services.  (Correction: 10/06/2023)
  [C0131] STAFF ORIENTATION & TRAINING - IMPLEMENTATION(5) Staff orientation and training.
(b) The provider shall implement orientation and training programs for all new employees and ongoing staff training to increase knowledge and skills and improve quality of care and treatment services..  (Correction: 11/02/2023)
  [C0134] STAFF ORIENTATION & TRAINING - INSERVICE 40HR(5) Staff orientation and training.
(e) The provider shall implement a minimum of 40 hours of in-service training annually for all staff and volunteers who work directly with children. Continuing education for professional licenses and certifications may count towards training hours if the training covers the appropriate areas. This training shall cover all policies and procedures relevant to each position and shall, at a minimum, include each of the following:

1. Administrative:
a. Administrative policies and procedures and overall program goals;
b. Federal and state laws and rules governing the program;
c. Identification and reporting of child abuse and neglect;
d. Protection of children's rights; and
e. Confidentiality.

2. Safety:
a. Disaster preparedness and evacuation procedures;
b. Fire safety;
c. Emergency procedures;
d. Violence prevention and suicide precautions; and
e. First aid and CPR, with competency demonstrated annually.

3. Child development:
a. Child supervision skills;
b. Children's physical and emotional needs;
c. Developmental stages of childhood and adolescence;
d. Family relationships and the impact of separation;
e. Substance abuse recognition and prevention; and
f. Principles and practices of child care.

4. Treatment services:
a. Individualized treatment that is culturally competent;
b. Treatment that addresses issues the child may have involving sexual or physical abuse, abandonment, domestic violence, separation, divorce, or adoption;
c. Behavior management techniques include, but are not limited to: preventing problem behavior, defining and teaching expectations, teaching and encouraging the child's long-term use of new skills as alternative behaviors, contingency management, teaching and promoting choice making and self-management skills, time-out, point systems or level systems, de-escalation procedures, and crisis prevention and intervention;
d. Treatment plan development and implementation;
e. Treatment that supports the child's permanency goals; and
f. The provider shall ensure ongoing training and be able to produce documentation of such training on the use of restraint and seclusion, physical escort, time-out, de-escalation procedures and crisis prevention and intervention.

(I) Before staff may participate in any use of restraint or seclusion, staff shall be competency trained to minimize the use of restraint and seclusion, to use alternative, non-physical, non-intrusive behavioral intervention techniques to handle agitated or potentially violent children, and to use restraints and seclusion safely.
(II) Staff shall complete a training course in the safe and appropriate use of seclusion and restraint and in the use of alternative non-intrusive behavior management techniques. The training course shall be provided by individuals qualified by education, training, and experience to provide such training. Competencies shall be demonstrated on a semiannual basis. Training requirements for all staff who participate in the use of restraint and seclusion shall include:

(A) An understanding of the underlying causes, e.g., medical, behavioral and environmental, of consequential behaviors exhibited by the children being served;
(B) How staff behaviors can affect the behaviors of others, especially children with a history of trauma;
(C) The use of non-physical interventions, such as de-escalation, mediation, active listening, self-protection and other techniques, such as time-out for the purpose of preventing potential and intervening in emergency safety situations;
(D) Recognizing signs of respiratory and cardiac distress in children;
(E) Recognizing signs of depression and potential suicidal behaviors;
(F) Certification in the use of cardiopulmonary resuscitation (CPR). Competency based re-certification in CPR is required annually;
(G) How to monitor children in restraint or seclusion; and
(H) The safe use of approved restraint techniques, including physi  (Correction: 10/17/2023)
  [C0180] CHILDREN'S RIGHTS(1) The provider shall protect children's rights under the federal and state constitutions and as specified in Sections 394.459 and 394.4615, F.S. The provider shall also ensure that:
(a) Physical punishment and treatment modalities that place the child at risk of physical injury or pain or death, including electroconvulsive or other convulsive therapy, "cocoon therapy," or other hazardous procedures shall never be used.
(b) Children shall not be subjected to cruel, severe, unusual or unnecessary punishment or assigned excessive exercise or work duties, nor shall they be subjected to physical or mental abuse or corporal punishment.
(c) The simultaneous use of seclusion and mechanical restraint is prohibited.
(d) Children shall not be subjected to hazing, verbal abuse, coercion or remarks that ridicule them, their families or others.
(e) Children shall not be denied food, water, clothing, or medical care.
(f) Children shall not be exploited or required to make public statements to acknowledge gratitude to the provider program or perform at public gatherings.
(g) Identifiable pictures of children shall not be used without prior written consent of the parent or guardian. The signed consent form for any such usage shall be event-specific, indicate how the pictures will be used, and placed in the child's clinical record.  (Correction: 10/22/2023)

track_id: RLTM


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 10/14/2025
Track ID: DGHL
Deficiencies: 1

  [None] NoneNone  (Correction: None)

track_id: DGHL


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 12/28/2023
Track ID: V5YH
Deficiencies: 1

  [C0051] OPERATING STDS-HLTH/SANITATION/SAFETY POISONS(6) Health, sanitation and safety.
(e) Poisons and toxic substances shall be prominently and distinctly marked, labeled as to contents, kept stored under lock and key, kept inaccessible to children, and used in a manner as not to contaminate food or constitute a hazard to children.  (Correction: 01/29/2024)


summary: Initial Licensure — 1 deficiency

raw_content:
Inspection: Initial Licensure
Survey Date: 02/14/2025
Track ID: L38F
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 2 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 06/05/2024
Track ID: TBPT
Deficiencies: 2

  [C0031] OPERATING STDS - FACILITY BUILDINGS/FURNITURE(5)(a)6. The interior and exterior of buildings and the furniture and furnishings shall be safe, comfortable, reasonably attractive, in good repair and shall function for the purpose for which such building and furniture has been designed.  (Correction: 07/03/2024)
  [C0080] PROGRAM STDS - FOOD AND NUTRITION(6) Food and nutrition.
(a) If the provider serves meals to staff members, they shall serve staff and children substantially the same food, except when age or special dietary requirements dictate differences.
(b) The provider shall serve three well-balanced meals a day in the morning, noon, and evening and provide snacks. If a child is admitted between meals, snacks will be provided. When children are attending school or are not present in the facility during mealtime, the provider shall make arrangements for the children's meals.
(c) The provider shall retain menus, with substitutions, for a 12-month period, which shall be available for review. Menus shall be posted 24 hours before serving of the meal. Any change shall be noted. Menus shall be evaluated by a consultant dietitian for nutritional adequacy at least annually. The provider shall maintain records of the dietician's reviews.
(d) The provider shall plan and prepare special diets as needed (e.g., diabetic, bland, high calorie). No more than fourteen hours shall elapse between the end of the evening meal and the beginning of the morning meal where a protein is served. Meals shall meet general requirements for nutrition published by the department or currently found in the Recommended Daily Diet Allowances, Food and Nutrition Board; or by the Florida Dietetic Association.  (Correction: 07/03/2024)

track_id: TBPT


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 08/01/2024
Track ID: 040Q
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 10/10/2023
Track ID: 5366
Deficiencies: 1

  [C0027] OPERATING STDS - FACILITY ACTIVITIES SPACE(5)(a)2. Grounds shall have space for children's activities, which shall be designed based on the type of activities offered and age appropriateness. The grounds shall be maintained in a safe and reasonably attractive manner and kept free of standing water, debris, garbage, trash and other hazardous conditions.  (Correction: 10/24/2023)


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 11/03/2025
Track ID: XFP2
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 2 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 12/04/2025
Track ID: IGQN
Deficiencies: 2

  [ZZ000] INITIAL COMMENTS  (Correction: )
  [ZZ821] REPORTING REQUIREMENTS; ELECTRONIC SUBMISSION59A-35.110 Reporting Requirements; Electronic Submission.
(1) During the two year licensure period, any change or expiration of any information that is required to be reported under Chapter 408, Part II, F.S., or authorizing statutes for the provider type as specified in Section 408.803(3), F.S., during the license application process must be reported to the Agency within 21 days of occurrence of the change, including:
(a) Insurance coverage renewal;
(b) Bond renewal;
(c) Change of administrator or the similarly titled person who is responsible for the day-to-day operation of the provider;
(d) Annual sanitation inspections;
(e) Fire inspections.
(2) Electronic submission of information.
(a) The following required information must be submitted electronically through the Agency's Single Sign On Portal located at https://apps.ahca.myflorida.com/SingleSignOnPortal:
1. Nursing homes:
Adverse incident reports must be submitted electronically to the Agency within 15 calendar days after the occurrence of the incident as required in Section 400.147, F.S. on Nursing Home Adverse Incident, AHCA Form 3110-0010 OL, April 2017, which is hereby incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-08777, and through the Agency's adverse incident reporting system which can only be accessed through the Agency's Single Sign On Portal located at: https://apps.ahca.myflorida.com/SingleSignOnPortal.
2. Assisted living facilities:
Adverse incident reports must be submitted electronically to the Agency within 1 business day after the occurrence of the incident, and within 15 calendar days after the occurrence of the incident as required in Section 429.23, F.S., on Assisted Living Facility Adverse Incident, AHCA Form 3180-1025 OL, April 2017, which is hereby incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-08778, and through the Agency's adverse incident reporting system which can only be accessed through the Agency's Single Sign On Portal located at: https://apps.ahca.myflorida.com/SingleSignOnPortal.
3. Hospitals:
Adverse incident reports must be submitted electronically to the Agency within 15 calendar days after the occurrence of the incident as required in Section 395.0197, F.S., on Hospital Adverse Incident, AHCA Form 3140-5001 OL, April 2017, which is hereby incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-08779, and through the Agency's adverse incident reporting system which can only be accessed through the Agency's Single Sign On Portal located at: https://apps.ahca.myflorida.com/SingleSignOnPortal.
4. Ambulatory Surgical Centers:
Adverse incident reports must be submitted electronically to the Agency within 15 calendar days after the occurrence of the incident as required in Section 395.0197, F.S., on Ambulatory Surgical Center Adverse Incident, AHCA Form 3140-5004 OL, April 2017, which is hereby incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-08780, and through the Agency's adverse incident reporting system which can only be accessed through the Agency's Single Sign On Portal located at: https://apps.ahca.myflorida.com/SingleSignOnPortal.
5. Residential Mental Health Providers:
Crisis stabilization units, short-term residential treatment facilities, residential treatment facilities, and residential treatment centers for children and adolescents shall submit incidents as required by Section 394.907, F.S., and rules promulgated thereunder to the Agency within 1 business day of occurrence on Residential Mental Health Provider Incident Report, AHCA Form 3180-5008OL, October 2024, which is hereby incorporated by reference and available at: https://www.flrules.org/Gateway/reference.asp?No=Ref-18470, and through the Agency's adverse incident reporting system which can only be accessed through the Agency's Single Sign On Portal located at: http  (Correction: 01/05/2026)

track_id: IGQN

requirement_description: INITIAL COMMENTS


summary: Complaint — 3 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 12/28/2023
Track ID: 6DP6
Deficiencies: 3

  [C0090] PROGRAM STD - MED ADMIN PHARMACEUTICAL SVCS(8) Administration of medication.
(a) Pharmaceutical services, if provided, shall be maintained and delivered as described in the applicable sections of Chapters 465 and 893, F.S., and the Board of Pharmacy rules.  (Correction: 01/19/2024)
  [C0092] PROGRAM STD - MED ADMIN LOG/SELF-MEDS(8) Administration of medication.
(c) An accurate log shall be kept of the administration of all medication including the following:
1. Name of the child for whom it is prescribed;
2. Physician's name, and reason for medication;
3. Quantity of medication in container when received;
4. Method of administration of medication (i.e., orally, topically, or injected);
5. Amount and dosage of medication administered;
6. Time of day and date medication is to be administered or self-administered and time of day and date medication was taken by the child; and
7. Signature of staff member who administered or supervised self-administration of the medication.
(d) The provider shall not permit medication prescribed for one child to be given to another child.
(e) Children capable of self-medication shall be supervised by a staff person who has been trained in medication supervision.
(f) For children not capable of self-medication, only a licensed nurse or unlicensed staff who has received training as required by this rule shall administer medications.  (Correction: 01/19/2024)
  [CZ813] RESULTS OF SCREENING & NOTIFICATION IN FILE  (Correction: 01/19/2024)


facility_name: NIA

summary: Standard — 3 deficiencies

raw_content:
Inspection: Standard
Survey Date: 03/11/2024
Track ID: Y1W6
Deficiencies: 3

  [C0001] LICENSE REQUIRED(2) The requirements of part II of chapter 408 apply to the provision of services that require licensure under ss. 394.455-394.903 and part II of chapter 408 and to entities licensed by or applying for such licensure from the Agency for Health Care Administration pursuant to ss. 394.455-394.903. A license issued by the agency is required in order to operate a crisis stabilization unit, a residential treatment facility, or a residential treatment center for children and adolescents, or to act as a crisis stabilization unit, a residential treatment facility, or a residential treatment center for children and adolescents in this state.  (Correction: 05/28/2024)
  [C0121] STAFF COMPOSITION - DIRECT CARE STAFF(3) Staff composition. The provider shall have the following staffing, any of which may be part-time, if the required equivalent full-time coverage is provided, except for those positions with a required specified staffing ratio:
(e) Direct care staff. At a minimum, two (2) direct care staff shall be awake and on duty at all times. In addition, the following direct care staff-to-child ratios shall be provided and maintained:
1. During hours when children are present in the facility and normally awake, the direct care staff to child ratio shall be no less than 1:4; and
2. During hours when the children are normally asleep, the direct care staff to child ratio shall be no less than 1:6; and
3. While residents are away from the facility, the staffing ratio for those residents shall be no less than 1:4. The need for more intensive staffing will be determined by the child's physician; and
4. Direct care staff shall not divide time on their shift between programs located in other areas of the facility or other buildings; and
5. While transporting residents of residential treatment centers other than group homes, the driver shall not be counted as the direct care staff providing care, assistance or supervision of the child. For therapeutic group home residents, prior to a single staff person transporting one or more children in a motor vehicle, children must be assessed to ensure the safety of the children and staff.  (Correction: 05/28/2024)
  [CZ824] RIGHT OF INSPECTION; INSPECTION REPORTS  (Correction: 05/28/2024)

report_type: Standard

inspection_type: Standard

requirement_description: RIGHT OF INSPECTION; INSPECTION REPORTS


summary: Initial Licensure — 1 deficiency

raw_content:
Inspection: Initial Licensure
Survey Date: 06/24/2022
Track ID: 0CGF
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 2 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 11/21/2022
Track ID: 4X8E
Deficiencies: 2

  [C0046] OPERATING STDS - FACILITY VENTILATION/LIGHTS(5)(b)13. Ventilation and lighting.
a. The facility shall provide outside ventilation by means of windows, louvers, air conditioners, or mechanical ventilation in rooms used by children. Windows and doors used for outside ventilation shall be operable and shall have screens in good repair.
b. All areas of the facility occupied by children shall be temperature-controlled in a manner conducive to comfort, safety and privacy. Unless otherwise mandated by federal or state authorities, a temperature of 72 to 82 degrees Fahrenheit during waking hours and 68 to 82 degrees Fahrenheit during sleeping hours shall be maintained in all areas used by children. Cooling devices shall be placed or adjusted in a manner that minimizes drafts. Table fans and floor fans shall have protective covers.
c. The facility shall provide sufficient lighting for the comfort and safety of children, including in classrooms, study areas, bathrooms and food service areas.
d. All incandescent bulbs and fluorescent light tubes shall be protected with covers or shields.
e. Hallways to bedrooms and bathrooms shall be illuminated at night.
f. The facility shall provide egress lighting that will operate if there is a power failure.  (Correction: 03/31/2023)
  [C0257] MEDICATION STORAGE(13) Storage of medications.
(a) All drugs, including nonprescription drugs, shall be stored under double lock (e.g., a locked cabinet within a locked room or in a locked container within a locked cabinet).
(b) External and internal medications and ophthalmic preparations shall be stored separately from each other.
(c) Each child's medications shall be stored separately from each other.
(d) Poisons and other toxic chemicals shall not be stored in a medication storage area.
(e) No medication shall be repackaged by facility staff.  (Correction: 03/31/2023)


facility_name: OLIVER-PYATT CENTERS

summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 04/10/2017
Track ID: 0X2P
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Standard — 1 deficiency

raw_content:
Inspection: Standard
Survey Date: 09/27/2016
Track ID: QMLI
Deficiencies: 1

  [None] NoneNone  (Correction: None)

track_id: QMLI


summary: Initial Licensure — 1 deficiency

raw_content:
Inspection: Initial Licensure
Survey Date: 09/30/2014
Track ID: EMX5
Deficiencies: 1

  [None] NoneNone  (Correction: None)


facility_name: PALM SHORES BEHAVIORAL HEALTH CENTER

summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 05/11/2022
Track ID: T7JS
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 05/31/2023
Track ID: IT4E
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Standard — 2 deficiencies

raw_content:
Inspection: Standard
Survey Date: 06/20/2023
Track ID: HZWY
Deficiencies: 2

  [E0036] EP TRAINING AND TESTING§403.748(d), §416.54(d), §418.113(d), §441.184(d), §460.84(d), §482.15(d), §483.73(d), §483.475(d), §484.102(d), §485.68(d), §485.542(d), §485.625(d), §485.727(d), §485.920(d), §486.360(d), §491.12(d), §494.62(d).

*[For RNCHIs at §403.748, ASCs at §416.54, Hospice at §418.113, PRTFs at §441.184, PACE at §460.84, Hospitals at §482.15, HHAs at §484.102, CORFs at §485.68, REHs at §485.542, CAHs at §486.625, "Organizations" under 485.727, CMHCs at §485.920, OPOs at §486.360, and RHC/FHQs at §491.12:] (d) Training and testing. The [facility] must develop and maintain an emergency preparedness training and testing program that is based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, policies and procedures at paragraph (b) of this section, and the communication plan at paragraph (c) of this section.  The training and testing program must be reviewed and updated at least every 2 years.

*[For LTC facilities at §483.73(d):] (d) Training and testing.  The LTC facility must develop and maintain an emergency preparedness training and testing program that is based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, policies and procedures at paragraph (b) of this section, and the communication plan at paragraph (c) of this section.  The training and testing program must be reviewed and updated at least annually.

*[For ICF/IIDs at §483.475(d):] Training and testing. The ICF/IID must develop and maintain an emergency preparedness training and testing program that is based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, policies and procedures at paragraph (b) of this section, and the communication plan at paragraph (c) of this section.  The training and testing program must be reviewed and updated at least every 2 years. The ICF/IID must meet the requirements for evacuation drills and training at §483.470(i).

*[For ESRD Facilities at §494.62(d):] Training, testing, and orientation.  The dialysis facility must develop and maintain an emergency preparedness training, testing and patient orientation program that is based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, policies and procedures at paragraph (b) of this section, and the communication plan at paragraph (c) of this section.  The training, testing and orientation program must be evaluated and updated at every 2 years.  (Correction: 08/02/2023)
  [N0218] EDUCATION AND TRAININGCertification in the use of cardiopulmonary resuscitation, including periodic recertification, is required.  (Correction: 08/02/2023)

track_id: HZWY


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 10/11/2021
Track ID: KT1S
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 10/19/2023
Track ID: 03OC
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 4 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 11/15/2022
Track ID: CCRP
Deficiencies: 4

  [C0182] CHILDREN'S RIGHTS - ABUSE/NEGLECT REPORTING(3) Child abuse and neglect.
(a) The provider, as a mandated reporter, shall report to the department and the Abuse Registry all suspected cases of child abuse, neglect, and exploitation in accordance with Chapter 39 and Section 394.459, F.S.  (Correction: 12/09/2022)
  [C0185] CHILDREN'S RIGHTS - ABUSE/NEGLECT STAFF REQ(3) Child abuse and neglect.
(d) The provider shall require each paid and volunteer staff member, upon hiring and every 12 months thereafter, to read and sign a statement summarizing the child abuse and neglect laws and outlining the staff member's responsibility to report all incidents of child abuse and neglect. Such signed statements shall be placed in each employee's personnel file.  (Correction: 12/09/2022)
  [C0192] RESTRAINT/SECLUSION - PURPOSES EXCLUDED(1) General requirements.
(c) Restraint or seclusion shall not be used for purposes of punishment, coercion, discipline, convenience, or retaliation by staff or to compensate for inadequate staffing.  (Correction: 12/09/2022)
  [C0194] RESTRAINT/SECLUSION - SAFE/PROPORTIONATE(1) General requirements.
(e) Restraint or seclusion shall be used in a manner that is safe and proportionate to the severity of the behavior and the child's chronological and developmental age; size; gender; physical, medical and psychiatric condition, including current medications; and personal history, including history of physical or sexual abuse.  (Correction: 12/09/2022)

track_id: CCRP


facility_name: SANDY PINES

summary: Complaint — 2 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 02/07/2025
Track ID: HCLH
Deficiencies: 2

  [C0011] OPERATING STDS - WRITTEN PROCEDURES(2) Written procedures. The provider shall establish and implement written procedures that ensure compliance with all provisions of this rule.  (Correction: 03/25/2025)
  [C0121] STAFF COMPOSITION - DIRECT CARE STAFF(3) Staff composition. The provider shall have the following staffing, any of which may be part-time, if the required equivalent full-time coverage is provided, except for those positions with a required specified staffing ratio:
(e) Direct care staff. At a minimum, two (2) direct care staff shall be awake and on duty at all times. In addition, the following direct care staff-to-child ratios shall be provided and maintained:
1. During hours when children are present in the facility and normally awake, the direct care staff to child ratio shall be no less than 1:4; and
2. During hours when the children are normally asleep, the direct care staff to child ratio shall be no less than 1:6; and
3. While residents are away from the facility, the staffing ratio for those residents shall be no less than 1:4. The need for more intensive staffing will be determined by the child's physician; and
4. Direct care staff shall not divide time on their shift between programs located in other areas of the facility or other buildings; and
5. While transporting residents of residential treatment centers other than group homes, the driver shall not be counted as the direct care staff providing care, assistance or supervision of the child. For therapeutic group home residents, prior to a single staff person transporting one or more children in a motor vehicle, children must be assessed to ensure the safety of the children and staff.  (Correction: 03/25/2025)

track_id: HCLH


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 05/13/2024
Track ID: EE9J
Deficiencies: 1

  [C0134] STAFF ORIENTATION & TRAINING - INSERVICE 40HR(5) Staff orientation and training.
(e) The provider shall implement a minimum of 40 hours of in-service training annually for all staff and volunteers who work directly with children. Continuing education for professional licenses and certifications may count towards training hours if the training covers the appropriate areas. This training shall cover all policies and procedures relevant to each position and shall, at a minimum, include each of the following:

1. Administrative:
a. Administrative policies and procedures and overall program goals;
b. Federal and state laws and rules governing the program;
c. Identification and reporting of child abuse and neglect;
d. Protection of children's rights; and
e. Confidentiality.

2. Safety:
a. Disaster preparedness and evacuation procedures;
b. Fire safety;
c. Emergency procedures;
d. Violence prevention and suicide precautions; and
e. First aid and CPR, with competency demonstrated annually.

3. Child development:
a. Child supervision skills;
b. Children's physical and emotional needs;
c. Developmental stages of childhood and adolescence;
d. Family relationships and the impact of separation;
e. Substance abuse recognition and prevention; and
f. Principles and practices of child care.

4. Treatment services:
a. Individualized treatment that is culturally competent;
b. Treatment that addresses issues the child may have involving sexual or physical abuse, abandonment, domestic violence, separation, divorce, or adoption;
c. Behavior management techniques include, but are not limited to: preventing problem behavior, defining and teaching expectations, teaching and encouraging the child's long-term use of new skills as alternative behaviors, contingency management, teaching and promoting choice making and self-management skills, time-out, point systems or level systems, de-escalation procedures, and crisis prevention and intervention;
d. Treatment plan development and implementation;
e. Treatment that supports the child's permanency goals; and
f. The provider shall ensure ongoing training and be able to produce documentation of such training on the use of restraint and seclusion, physical escort, time-out, de-escalation procedures and crisis prevention and intervention.

(I) Before staff may participate in any use of restraint or seclusion, staff shall be competency trained to minimize the use of restraint and seclusion, to use alternative, non-physical, non-intrusive behavioral intervention techniques to handle agitated or potentially violent children, and to use restraints and seclusion safely.
(II) Staff shall complete a training course in the safe and appropriate use of seclusion and restraint and in the use of alternative non-intrusive behavior management techniques. The training course shall be provided by individuals qualified by education, training, and experience to provide such training. Competencies shall be demonstrated on a semiannual basis. Training requirements for all staff who participate in the use of restraint and seclusion shall include:

(A) An understanding of the underlying causes, e.g., medical, behavioral and environmental, of consequential behaviors exhibited by the children being served;
(B) How staff behaviors can affect the behaviors of others, especially children with a history of trauma;
(C) The use of non-physical interventions, such as de-escalation, mediation, active listening, self-protection and other techniques, such as time-out for the purpose of preventing potential and intervening in emergency safety situations;
(D) Recognizing signs of respiratory and cardiac distress in children;
(E) Recognizing signs of depression and potential suicidal behaviors;
(F) Certification in the use of cardiopulmonary resuscitation (CPR). Competency based re-certification in CPR is required annually;
(G) How to monitor children in restraint or seclusion; and
(H) The safe use of approved restraint techniques, including physi  (Correction: 07/24/2024)


summary: Standard — 2 deficiencies

raw_content:
Inspection: Standard
Survey Date: 08/13/2025
Track ID: TURW
Deficiencies: 2

  [C0121] STAFF COMPOSITION - DIRECT CARE STAFF(3) Staff composition. The provider shall have the following staffing, any of which may be part-time, if the required equivalent full-time coverage is provided, except for those positions with a required specified staffing ratio:
(e) Direct care staff. At a minimum, two (2) direct care staff shall be awake and on duty at all times. In addition, the following direct care staff-to-child ratios shall be provided and maintained:
1. During hours when children are present in the facility and normally awake, the direct care staff to child ratio shall be no less than 1:4; and
2. During hours when the children are normally asleep, the direct care staff to child ratio shall be no less than 1:6; and
3. While residents are away from the facility, the staffing ratio for those residents shall be no less than 1:4. The need for more intensive staffing will be determined by the child's physician; and
4. Direct care staff shall not divide time on their shift between programs located in other areas of the facility or other buildings; and
5. While transporting residents of residential treatment centers other than group homes, the driver shall not be counted as the direct care staff providing care, assistance or supervision of the child. For therapeutic group home residents, prior to a single staff person transporting one or more children in a motor vehicle, children must be assessed to ensure the safety of the children and staff.  (Correction: 09/16/2025)
  [C0180] CHILDREN'S RIGHTS(1) The provider shall protect children's rights under the federal and state constitutions and as specified in Sections 394.459 and 394.4615, F.S. The provider shall also ensure that:
(a) Physical punishment and treatment modalities that place the child at risk of physical injury or pain or death, including electroconvulsive or other convulsive therapy, "cocoon therapy," or other hazardous procedures shall never be used.
(b) Children shall not be subjected to cruel, severe, unusual or unnecessary punishment or assigned excessive exercise or work duties, nor shall they be subjected to physical or mental abuse or corporal punishment.
(c) The simultaneous use of seclusion and mechanical restraint is prohibited.
(d) Children shall not be subjected to hazing, verbal abuse, coercion or remarks that ridicule them, their families or others.
(e) Children shall not be denied food, water, clothing, or medical care.
(f) Children shall not be exploited or required to make public statements to acknowledge gratitude to the provider program or perform at public gatherings.
(g) Identifiable pictures of children shall not be used without prior written consent of the parent or guardian. The signed consent form for any such usage shall be event-specific, indicate how the pictures will be used, and placed in the child's clinical record.  (Correction: 09/16/2025)

track_id: TURW


summary: Standard — 1 deficiency

raw_content:
Inspection: Standard
Survey Date: 08/13/2025
Track ID: Y4WJ
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 2 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 09/17/2025
Track ID: NIQS
Deficiencies: 2

  [C0077] PROGRAM STDS - TREATMENT AND SERVICES(3) Treatment and services.
(a) Treatment shall be individualized, child and family centered, culturally competent, and based on the child's assessed strengths, needs, and presenting problems that precipitated admission to the program.
(b) Treatment services shall be provided as part of an individualized written treatment, plan that complies with Rule 65E-9.009, F.A.C., of this chapter.
(c) Treatment modalities and services shall be in accordance with the child's psychiatric, behavioral, emotional and social needs and be incorporated into their individualized treatment plan and discharge plan.
(d) The provider shall ensure that all staff caring for or providing treatment or services for the child:
1. Have current information about the child's treatment plan and goals, including the child's permanency goals if admitted pursuant to Section 39.407, F.S.; and
2. Direct all aspects of the child's treatment, services and daily activities toward meeting the child's specific treatment goals.
(e) The provider shall ensure that all staff providing a treatment modality to the child are qualified to provide that treatment modality.
(f) Discussions are held on an on-going basis with the individuals involved in implementing treatment.
(g) Treatment shall not be aversive, coercive, or experimental.
(h) Treatment provided, including behavior analysis services, shall be consistent with nationally recognized standards.
(i) When multiple modalities of treatment are provided, such as psychotherapy, behavior management, and medication, the treatment shall be coordinated among the treatment professionals.
(j) Treatment progress shall be monitored on a continuous basis and the treatment adjusted as needed to meet the child's individual treatment goals.  (Correction: 11/03/2025)
  [C0084] HLTH/MED/EMERMED/PSYCH SRVS AGREEMENTS(7) Health, medical, and emergency medical and psychiatric services.
(e) The provider shall have available, either within the provider organization or by written agreement with health care providers, a full range of services for treatment of illnesses and maintenance of general health. Agreements shall include provisions for on-site visits, office visits, and hospitalization.  (Correction: 11/03/2025)

track_id: NIQS


summary: 2 — 1 deficiency

raw_content:
Inspection: 2
Survey Date: 1
Track ID: 3
Deficiencies: 1

  [4] 5  (Correction: 6)


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 10/01/2024
Track ID: TJ3N
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 12/30/2025
Track ID: 0QOH
Deficiencies: 1

  [C0121] STAFF COMPOSITION - DIRECT CARE STAFF(3) Staff composition. The provider shall have the following staffing, any of which may be part-time, if the required equivalent full-time coverage is provided, except for those positions with a required specified staffing ratio:
(e) Direct care staff. At a minimum, two (2) direct care staff shall be awake and on duty at all times. In addition, the following direct care staff-to-child ratios shall be provided and maintained:
1. During hours when children are present in the facility and normally awake, the direct care staff to child ratio shall be no less than 1:4; and
2. During hours when the children are normally asleep, the direct care staff to child ratio shall be no less than 1:6; and
3. While residents are away from the facility, the staffing ratio for those residents shall be no less than 1:4. The need for more intensive staffing will be determined by the child's physician; and
4. Direct care staff shall not divide time on their shift between programs located in other areas of the facility or other buildings; and
5. While transporting residents of residential treatment centers other than group homes, the driver shall not be counted as the direct care staff providing care, assistance or supervision of the child. For therapeutic group home residents, prior to a single staff person transporting one or more children in a motor vehicle, children must be assessed to ensure the safety of the children and staff.  (Correction: 04/15/2026)


summary: 1 — 1 deficiency

raw_content:
Inspection: 1
Survey Date: 12345678910...
Track ID: 2
Deficiencies: 1

  [3] 4  (Correction: 5)


facility_name: ST AUGUSTINE YOUTH SERVICES

summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 10/21/2013
Track ID: 15OE
Deficiencies: 1

  [None] NoneNone  (Correction: None)


facility_name: ST AUGUSTINE YOUTH SERVICES, INC

summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 01/02/2013
Track ID: 2JIF
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Initial Licensure — 1 deficiency

raw_content:
Inspection: Initial Licensure
Survey Date: 11/14/2018
Track ID: I1O0
Deficiencies: 1

  [None] NoneNone  (Correction: None)


facility_name: SUNCOAST BEHAVIORAL HEALTH CENTER

summary: Initial Licensure — 1 deficiency

raw_content:
Inspection: Initial Licensure
Survey Date: 01/29/2026
Track ID: 12K6
Deficiencies: 1

  [None] NoneNone  (Correction: None)


facility_name: THE MERIDIAN

summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 02/14/2022
Track ID: ZTKJ
Deficiencies: 1

  [None] NoneNone  (Correction: None)

track_id: ZTKJ


summary: Complaint — 1 deficiency

raw_content:
Inspection: Complaint
Survey Date: 04/12/2021
Track ID: 5OJ3
Deficiencies: 1

  [None] NoneNone  (Correction: None)


summary: Initial Licensure — 1 deficiency

raw_content:
Inspection: Initial Licensure
Survey Date: 05/24/2022
Track ID: 0FS0
Deficiencies: 1

  [CZ830] EMERGENCY MANAGEMENT PLANNING408.821 Emergency management planning; emergency operations; inactive license.-
(1) A licensee required by authorizing statutes and agency rule to have a comprehensive emergency management plan must designate a safety liaison to serve as the primary contact for emergency operations. Such licensee shall submit its comprehensive emergency management plan to the local emergency management agency, county health department, or Department of Health as follows:
(a) Submit the plan within 30 days after initial licensure and change of ownership, and notify the agency within 30 days after submission of the plan.
(b) Submit the plan annually and within 30 days after any significant modification, as defined by agency rule, to a previously approved plan.
(c) Submit necessary plan revisions within 30 days after notification that plan revisions are required.
(d) Notify the agency within 30 days after approval of its plan by the local emergency management agency, county health department, or Department of Health.
(2) An entity subject to this part may temporarily exceed its licensed capacity to act as a receiving provider in accordance with an approved comprehensive emergency management plan for up to 15 days. While in an overcapacity status, each provider must furnish or arrange for appropriate care and services to all clients. In addition, the agency may approve requests for overcapacity in excess of 15 days, which approvals may be based upon satisfactory justification and need as provided by the receiving and sending providers.
(3)(a) An inactive license may be issued to a licensee subject to this section when the provider is located in a geographic area in which a state of emergency was declared by the Governor if the provider:
1. Suffered damage to its operation during the state of emergency.
2. Is currently licensed.
3. Does not have a provisional license.
4. Will be temporarily unable to provide services but is reasonably expected to resume services within 12 months.
(b) An inactive license may be issued for a period not to exceed 12 months but may be renewed by the agency for up to 12 additional months upon demonstration to the agency of progress toward reopening. A request by a licensee for an inactive license or to extend the previously approved inactive period must be submitted in writing to the agency, accompanied by written justification for the inactive license, which states the beginning and ending dates of inactivity and includes a plan for the transfer of any clients to other providers and appropriate licensure fees. Upon agency approval, the licensee shall notify clients of any necessary discharge or transfer as required by authorizing statutes or applicable rules. The beginning of the inactive licensure period shall be the date the provider ceases operations. The end of the inactive period shall become the license expiration date, and all licensure fees must be current, must be paid in full, and may be prorated. Reactivation of an inactive license requires the prior approval by the agency of a renewal application, including payment of licensure fees and agency inspections indicating compliance with all requirements of this part and applicable rules and statutes.

(4) . . . Licensees providing residential or inpatient services must utilize an online database approved by the agency to report information to the agency regarding the provider's emergency status, planning, or operations.  (Correction: 08/19/2022)


summary: Standard — 1 deficiency

raw_content:
Inspection: Standard
Survey Date: 05/24/2022
Track ID: JRVN
Deficiencies: 1

  [None] NoneNone  (Correction: None)

track_id: JRVN


summary: Complaint — 3 deficiencies

raw_content:
Inspection: Complaint
Survey Date: 09/07/2018
Track ID: 0FG0
Deficiencies: 3

  [C0180] CHILDREN'S RIGHTS(1) The provider shall protect children's rights under the federal and state constitutions and as specified in Sections 394.459 and 394.4615, F.S. The provider shall also ensure that:
(a) Physical punishment and treatment modalities that place the child at risk of physical injury or pain or death, including electroconvulsive or other convulsive therapy, "cocoon therapy," or other hazardous procedures shall never be used.
(b) Children shall not be subjected to cruel, severe, unusual or unnecessary punishment or assigned excessive exercise or work duties, nor shall they be subjected to physical or mental abuse or corporal punishment.
(c) The simultaneous use of seclusion and mechanical restraint is prohibited.
(d) Children shall not be subjected to hazing, verbal abuse, coercion or remarks that ridicule them, their families or others.
(e) Children shall not be denied food, water, clothing, or medical care.
(f) Children shall not be exploited or required to make public statements to acknowledge gratitude to the provider program or perform at public gatherings.
(g) Identifiable pictures of children shall not be used without prior written consent of the parent or guardian. The signed consent form for any such usage shall be event-specific, indicate how the pictures will be used, and placed in the child's clinical record.  (Correction: 12/06/2018)
  [C0194] RESTRAINT/SECLUSION - SAFE/PROPORTIONATE(1) General requirements.
(e) Restraint or seclusion shall be used in a manner that is safe and proportionate to the severity of the behavior and the child's chronological and developmental age; size; gender; physical, medical and psychiatric condition, including current medications; and personal history, including history of physical or sexual abuse.  (Correction: 12/06/2018)
  [C0196] RESTRAINT/SECLUSION - PROHIBITIONS(1) General requirements.
(g) Restraint that impedes respiration (e.g., choke hold or basket hold), places weight on the child's upper torso, neck, chest or back, or restricts blood flow to the head is prohibited.  (Correction: 12/06/2018)


summary: Standard — 3 deficiencies

raw_content:
Inspection: Standard
Survey Date: 11/09/2016
Track ID: EY3U
Deficiencies: 3

  [N0101] GENERAL REQUIREMENT FOR PRTFA psychiatric residential treatment facility must meet the requirements in §441.151 through §441.182 of this chapter.  (Correction: 12/09/2016)
  [N0132] PROTECTION OF RESIDENTSEmergency safety intervention. An emergency safety intervention must be performed in a manner that is safe, proportionate, and appropriate to the severity of the behavior, and the resident's chronological and developmental age; size; gender; physical, medical, and psychiatric condition; and personal history (including any history of physical or sexual abuse).  (Correction: 12/09/2016)
  [N0189] POST INTERVENTION DEBRIEFINGSWithin 24 hours after the use of restraint or seclusion, all staff involved in the emergency safety intervention, and appropriate supervisory and administrative staff, must conduct a debriefing session that includes, at a minimum, a review and discussion of -

483.370(b)(1) The emergency safety situation that required the intervention, including discussion of the precipitating factors that led up to the intervention;  (Correction: 12/09/2016)