summary: Visit conducted on 9/9/24. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Farm Hill Group Home

TIME OF VISIT (FROM - TO):  10:45am- 11:30am                   DATE: 9/9/24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Manager and Director

List of Areas / Topics covered during visit:

•	Discussed current census (4) and the licensed bed capacity is 4.

•	Discussed current staffing levels.  One part time position is vacant. Two part time positions vacant. Current Program Manger is leaving this month and a search for a replacement has started.  New clinician is starting today.

•	Two residents at school, one hospitalized and one in the house and met with this regulatory consultant.  Her school begins tomorrow.

•	No recent 911 calls or exceptional circumstances.

•	Discussed recreation for the residents.  Oner resident playing varsity volleyball for her high school.

•	Milieu discussed.  There is cooperation with clinical programming and school attendance.

•	Inspection of the physical plant. No health or safety concerns observed.  The house is being power washed this week and all the carpets are scheduled to be professionally cleaned.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 9/10/24

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|


state: CT

facility_name: Wheeler Clinic, Inc. / Farm Hill / CCF-GH #36

summary: Visit conducted on 6/6/24. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Farm Hill Group Home

TIME OF VISIT (FROM - TO):  11:00am- 11:45am                   DATE: 6/6/24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Managers

List of Areas / Topics covered during visit:

•	Discussed current census (2) and the licensed bed capacity is 4. Two pending placements. Preplacement visits occurring.

•	Discussed current staffing levels.  One part time position is vacant. One full time position vacant. Clinician position is vacant. There is clinical coverage. New Program manager started this week and has been in training.  New PM at the site visit.

•	Both residents were at school.

•	No recent 911 calls.

•	Discussed recreation for the residents.  YMCA, movies and the library are common destinations.

•	Milieu discussed.  Both residents get along well and participate in clinical programming.

•	Inspection of the physical plant. The physical plant was clean and in very good condition with no health or safety concerns noted. New camera system to be installed.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 6/7/24

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|

facility_name: Wheeler Clinic/Farm Hill Group Home


summary: Visit conducted on 3/22/24. Visit covered 6 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Farm Hill Group Home

TIME OF VISIT (FROM - TO):  10:30am- 11:20am                   DATE: 3/22/24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Supervisor (1st and 2nd shift)
nurse

List of Areas / Topics covered during visit:

•	Discussed current census (1) and the licensed bed capacity is 4. Current resident is pending discharge to DMHAS.

•	Discussed current staffing levels.  One part time Saturday position is vacant. Program Manager position is vacant. Light House manager covering both Farm Hill and Light House.  Recently hired a new clinician, who starts next week.

•	No resident observed as she was at programming in the community.

•	Discussed 911 calls.  Last being 1/29/24.

•	Inspection of the physical plant. The physical plant was clean and in very good condition with no health or safety concerns noted. No current projects pending or under way.

•	Discussed med cert training for staff.  Three staff waiting to be med cert trained and certified.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 3/22/24

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM
Cc: Kelly Bergeron, Director|

personnel:
Supervisor (1st and 2nd shift)
nurse


summary: Visit conducted on 11-29-23. Visit covered 6 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Farm Hill Group Home

TIME OF VISIT (FROM - TO):  9:50am- 12pm                   DATE: 11-29-23

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Supervisor
Program Manager

List of Areas / Topics covered during visit:

•	Discussed current census (2) and the licensed bed capacity is 4. One admission and one discharge since last quarter.

•	Discussed current staffing levels, hiring activities and their ability to ensure all shifts are covered.

•	No residents observed as they were both at school.

•	Discussed residents and status of the milieu.

•	Inspection of the physical plant. The physical plant was clean and in very good condition with no health or safety concerns noted.

•	QRTP monitoring tool completed.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 11-29-23

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM
Cc: Kelley Bergeron, Director|

personnel:
Supervisor
Program Manager


summary: Visit conducted on August 16, 2023. Visit covered 5 main areas/topics. No compliance issues identified.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:  Wheeler Clinic / Farm Hill Group Home

TIME OF VISIT (FROM - TO):  12:00 pm to 1:15                     DATE: August 16, 2023

 AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Farm Hill Group Supervisor
Wheeler Director

List of Areas / Topics covered during visit:

•	Discussion of Farm Hill's current census (1) and the licensed bed capacity is 4.

•	Discussion of the Farm Hill residents in the program and the status of the group home's milieu.

•	Discussion of Farm Hill's current staffing levels and hiring activities, and their ability to fill any vacant shifts.

•	Observation of the resident in their daily programming. Observations of staff and resident interaction.

•	Inspection of the Farm Hill group home's physical plant to assess the cleanliness of the group home, as well as to ensure there are no health or safety concerns.

Corrective Actions implemented as a result of previous visit:
•	Not applicable

Areas of regulatory non-compliance identified during this visit:
•	None at the time of this quarterly visit.

Patrick Hughes                                                    8/17/23
Regulatory Consultant|

facility_name: Wheeler Clinic / Farm Hill Group Home


raw_content:
July 10, 2023

Sabrina Trocchi, PhD, MPA
President and Chief Executive Officer
Wheeler Clinic, Inc
91 Northwest Drive
Plainville, CT 06062

RE: CCF # 36 Farm Hill Group Home

Dear Ms. Trocchi,

We conducted a relicensing visit of your agency's program on June 14th and June 16th 2023. This inspection determined your agency's program is in compliance with the Regulations for the Operation of Child Caring Agencies and Facilities; Sections 17a-145-48 through 17a-145-98, as well as DCF Guidelines for the Administration of Medication by Certified Staff.

The Department has determined that your agency has met the requirements for a regular license. This license is effective as of August 1, 2023, and is valid for twenty-four months. We thank you and your staff for your cooperative participation in the review process.

Sincerely,
Patrick Hughes

Patrick Hughes
Regulatory Consultant
Department of Children and Families
505 Hudson Street
Hartford, CT  06106
(p) 860-550-6552
(f) 860-550-6665
patrick.hughes@ct.gov|

report_type: unstructured


summary: Visit conducted on March 29. 2023. Visit covered 5 main areas/topics. No compliance issues identified.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:  Wheeler Clinic / Farm Hill Group Home

TIME OF VISIT (FROM - TO):  1:00 pm to 2:30                     DATE: March 29. 2023

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Farm Hill Group Home Director

List of Areas / Topics covered during visit:

•	Discussion of Farm Hill's current census (2) and the licensed bed capacity is 4.

•	Discussion of the Farm Hill residents in the program and the status of the group home's milieu.

•	Discussion of Farm Hill's current staffing levels and hiring activities.

•	Observation of the residents participating in their daily programming.

•	Inspection of the Farm Hill group home's physical plant to assess the cleanliness of the group home, as well as to ensure there are no health or safety concerns.

Corrective Actions implemented as a result of previous visit:
•	Not applicable

Areas of regulatory non-compliance identified during this visit:
•	None at the time of this quarterly visit.

Patrick Hughes                                                    4/12/23
Regulatory Consultant|


summary: Visit conducted on November 14, 2022. Visit covered 6 main areas/topics. No compliance issues identified.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:  Wheeler Farm Hill Group Home

TIME OF VISIT (FROM - TO):  1:30 pm                       DATE: November 14, 2022

 AGENCY PERSONNEL WHO PARTICIPATED:

Name	Job Title
KB	Wheeler Associate Director

List of Areas / Topics covered during visit:

•	Current census is 3 and the licensed bed capacity is 4.
o	Once resident has a upcoming pre-placement interview at Phoenix House.

•	Discussion of the residents in the program and the program's milieu.
o	The Farm Hill group home's milieu has settled somewhat since last quarter.
There have been some incidents of AWOLs with one resident who at times will visit with some friends from school.
•	Discussion of Farm Hill's current staffing levels and hiring activities.
o	Farm Hill currently has 3 full-time and 2 part-time vacancies; however Farm Hill is able to fill any openings with extra staff from the other Wheelergroup home and with Wheeler per-diem staff.
•	Physical plant inspection of the facility
o	All areas of the group home were observed, and the group home was found to be nicely decorated, clean and orderly. There were no health or safety concerns observed at the time of this visit.
•	Observation of the residents participating in their daily programming.
o	One Farm Hill resident was home and having free time in her room being supervised by a Farm Hill staff.
•	Interviews with residents.
o	This regulatory consultant spoke very briefly with the resident who was home. The resident did say hello to this writer however she did not wish to talk with this writer any further.

Corrective Actions implemented as a result of previous visit:
•	Not applicable

Areas of regulatory non-compliance identified during this visit:
•	None at the time of this quarterly visit.

Patrick Hughes                                                    11/14/22|

facility_name: Wheeler Farm Hill Group Home

visit_date: November 14, 2022


summary: Visit conducted on September 22, 2022. Visit covered 6 main areas/topics. No compliance issues identified.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:  Wheeler Farm Hill Group Home

TIME OF VISIT (FROM - TO):  1:30 pm                       DATE: September 22, 2022

 AGENCY PERSONNEL WHO PARTICIPATED:

Name	Job Title
KB	Wheeler Associate Director

List of Areas / Topics covered during visit:

•	Current census is 3 and the licensed bed capacity is 4.
o	Since the last quarterly visit (5/25/22) there have been 2 new admissions to the Farm Hill group home.
•	Discussion of the residents in the program and the program's milieu.
o	The Farm Hill group home has been having a difficult time with their milieu since the most recent resident's admission in late August. There have been several incidents of AWOLs with the new resident trying to have the other residents AWOL with her.  Several significant event reports have been filed over the last few weeks.
•	Discussion of Farm Hill's current staffing levels and hiring activities.
o	Farm Hill currently has some full-time vacancies; however Farm Hill is able to fill any openings in the schedule with Wheeler per-diem staff.
•	Physical plant inspection of the facility
o	All areas of the group home were observed, and the group home was found to be nicely decorated, clean and orderly. There were no health or safety concerns observed at the time of this visit.
•	Observation of the residents participating in their daily programming.
o	One Farm Hill resident was home and having free time in her room being supervised by a Farm Hill staff. This resident had recently gone AWOL.
•	Interviews with residents.
o	This regulatory consultant spoke very briefly with the resident who was home. The resident did say hello to this writer however she did not wish to talk with this writer any further.

Corrective Actions implemented as a result of previous visit:
•	Not applicable

Areas of regulatory non-compliance identified during this visit:
•	None at the time of this quarterly visit.

Patrick Hughes                                                    11/9/22|

visit_date: September 22, 2022


summary: Visit conducted on May 25, 2022. Visit covered 6 main areas/topics. No compliance issues identified.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:  Wheeler Farm Hill Group Home

TIME OF VISIT (FROM - TO):  1:00 pm                       DATE: May 25, 2022

 AGENCY PERSONNEL WHO PARTICIPATED:

Name	Job Title
KB   	Wheeler Associate Director

List of Areas / Topics covered during visit:

•	Current census is 1 and the licensed bed capacity is 5.
o	There is 1 current referral for the Farm Hill group home.
•	Discussion of the residents in the program and the program's milieu.
O	The 1 current resident is doing well in all aspects of the program.
•	Discussion of Farm Hill's current staffing levels and hiring activities.
O	Farm Hill is doing well with staffing and have absorbed some staff from other Wheeler programs that have recently closed.
•	Physical plant inspection of the facility
o	All areas of the group home were observed, and the group home was found to be nicely decorated, clean and orderly. There were no health or safety concerns observed at the time of this visit.
•	Observation of the residents participating in their daily programming.
O	The one Farm Hill resident was home and having free time and working on her artwork.  The resident appeared comfortable in her surrounding and interactions between the resident and the staff were friendly and professional
•	Interviews with residents.
O	This writer was meeting the Farm Hill resident for the first time and she appeared shy and not very talkative but did not report any concerns for her safety or well-being.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	None at the time of this quarterly visit.

Patrick Hughes                                                    5/31/2022
Regulatory Consultant                 Date|


facility_name: Wheeler Clinic, Inc. / Light House /(Bristol GH)

summary: Visit conducted on 4-8-26. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  11:20am-12:00pm                             DATE: 4-8-26

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program manager and clinician

List of Areas / Topics covered during visit:

•	Current census (2) and the licensed bed capacity is 4.

•	Discussed current staffing levels. One full time opening for direct care staff, but all shifts being filled adequately with per diem staff.

•	Both residents at school at the time of the visit.

•	No recent Exceptional Circumstances.

•	Discussed residents and status of the milieu. The residents are cooperative with clinical services and schooling.

•	The physical plant was clean with no health or safety concerns observed. New carpeting will be installed throughout entire house, starting this week. A new gas grill was purchased and the residents helped staff put it together.

•	Discussed recent discharge and pending referrals.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date:4-9-26

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|

facility_name: Wheeler Clinic/Light House Group Home


raw_content:
February 17, 2026

Sabrina Trocchi, PhD, MPA
Chief Operating Officer
Wheeler Clinic inc.
91 Northwest Drive
Plainville, CT  06062

Re: License # CCF-130

Dear Mrs. Trocchi,

On February 3rd and 4th, 2026, a biennial re-licensing inspection was conducted at the Light House Group Home, located at 651 Jerome Ave, Bristol, CT. This inspection was conducted to determine the compliance of this program with the DCF Regulations for Operation of Child-Caring Agencies and Facilities 17a-145-48 through 17a-145-124.
Additionally, a review was conducted on 2-4-26 by DCF Nurse Consultant Errolee Miller, RN to determine the program’s compliance with the DCF Medication Administration Guidelines and the DCF Nursing Standards. Nursing standards were fully met.
During the inspection no areas of regulatory non-compliance were identified. Enclosed you will find a renewal license for the residential program.  I thank you and your staff for the cooperation extended to me during the relicensing process.

If you have any questions, please do not hesitate to contact me at (860) 209-3136.

Sincerely,
James Funaro
_____________________________
James Funaro
DCF Regulatory Consultant|


summary: Visit conducted on 12-11-25. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  11:00am-11:40am (Unannounced visit)            DATE: 12-11-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
House supervisor and Program manager

List of Areas / Topics covered during visit:

•	Current census (3) and the licensed bed capacity is 4.

•	Discussed current staffing levels. One full time opening for direct care staff, but all shifts being adequately staffed.

•	All three residents at school at the time of the visit.

•	No recent Exceptional Circumstances

•	Discussed residents and status of the milieu. The boys are cooperative with clinical services and schooling.

•	The physical plant was clean with no health or safety concerns observed.

•	Discussed upcoming relicensing inspection.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date:12-12-25

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|


summary: Visit conducted on 9-10-25. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  1:00pm-1:30pm                   DATE: 9-10-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
House supervisor and clinician

List of Areas / Topics covered during visit:

•	Current census (3) and the licensed bed capacity is 4.

•	Discussed current staffing levels. One full time opening for direct care staff.

•	All three residents at school at the time of the visit.

•	Discussed the most recent Exceptional Circumstance for an AWOL.

•	Discussed residents and status of the milieu. Milieu has been stable overall.

•	The physical plant was clean with no health or safety concerns observed.

•	Clinician reported that the residents are all cooperative with clinical services.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date:-9-11-25

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|


summary: Visit conducted on 6-3-25. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  2:00pm-2:30pm                   DATE: 6-3-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
House supervisor, clinician and nurse

List of Areas / Topics covered during visit:

•	Current census (3) and the licensed bed capacity is 4. One referral pending.

•	Discussed current staffing levels. One full time opening.

•	Three residents at school at the time of the visit.

•	Discussed residents and status of the milieu. Milieu has changed due to newly placed youths, but stable overall.

•	Discussed outside activities.  The boys are volunteering time at a homeless shelter.

•	The physical plant was clean with no health or safety concerns noted. No new projects pending.

•	Clinician reported that the residents are all cooperative with clinical services.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date:6-3-25

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|


summary: Visit conducted on 3-5-25. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  1:00pm-2:00pm                   DATE: 3-5-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Manager

List of Areas / Topics covered during visit:

•	Current census (4) and the licensed bed capacity is 4. One referral pending. One pending discharge.

•	Discussed current staffing levels. No issues with staff coverage.

•	Three residents at school and one with his DCF SW.

•	Discussed residents and status of the milieu. Overall, the milieu is good.

•	Discussed recreation, school and clinical services.

•	The physical plant was clean with no health or safety concerns noted. No new projects pending.  The bedroom of the pending discharge youth will receive a deep cleaning once the discharge is complete.

•	Discussed upcoming Joint Commission review.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 3-6-25

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|


summary: Visit conducted on 12-23-24. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  11:00am-12:00pm                   DATE: 12-23-24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Manager and Director

List of Areas / Topics covered during visit:

•	Current census (3) and the licensed bed capacity is 4. One referral pending. One recent discharge.

•	Discussed current staffing levels. One part time and two full time positions vacant.

•	One resident was in the home at the time of the visit.

•	Discussed residents and status of the milieu. Resident LPT has been refusing to take his medications and refuses to participate in clinical programming in the house.  He has been referred to outside trauma therapy and does participate.  Overall, the milieu is good.

•	Discussed recreation.

•	The physical plant was clean with no health or safety concerns noted. The leak in the chimney/roof area has been fixed.

•	QRTP tool completed.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 12-23-24

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|


summary: Visit conducted on 9-9-24. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  11:40am-12:20pm                   DATE: 9-9-24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
House supervisor and clinician

List of Areas / Topics covered during visit:

•	Discussed current census (4) and the licensed bed capacity is 4.

•	Discussed current staffing levels. One part time and two full time positions open on second shift.

•	All 4 residents were at school.

•	Discussed residents and status of the milieu. All the boys are stable and getting along well.  There have been no calls to 911 or exceptional circumstances this quarter.

•	The physical plant was clean with no health or safety concerns noted. The house is being power washed this week and the carpets scheduled to be professionally cleaned.  There is a leak in the chimney masonry that is being repaired.

•	Discussed recreation.

•	Discussed clinical programming.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 9-10-24

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|


summary: Visit conducted on 6-6-24. Visit covered 7 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  10:00am-10:50pm                   DATE: 6-6-24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Manager

List of Areas / Topics covered during visit:

•	Discussed current census (4) and the licensed bed capacity is 4.

•	Discussed current staffing levels. One part time weekend position and one full time second shift position vacant.

•	All 4 residents were at school.

•	Discussed residents and status of the milieu. One graduates high school this month.  There was a recent 911 call due to a fight.  No arrests were made and the issue is resolved between the two boys involved.  Two recent AWOLs involving the same youth.

•	The physical plant was clean and in good condition with no health or safety concerns noted. A new camera system to be installed.  Two bedrooms got new mattresses.

•	Discussed recreation. The gym, movies, library and food trucks are enjoyed.

•	Discussed clinical programming.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 6-7-24

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM|


raw_content:
February 14, 2024

Sabrina Trocchi, PhD, MPA
Chief Operating Officer
Wheeler Clinic inc.
91 Northwest Drive
Plainville, CT  06062

Re: License # CCF-130

Dear Mrs. Trocchi,

On February 7th and 8th, 2024, a biennial re-licensing inspection was conducted at the Light House Group Home, located at 651 Jerome Ave, Bristol, CT. This inspection was conducted to determine the compliance of this program with the DCF Regulations for Operation of Child-Caring Agencies and Facilities 17a-145-48 through 17a-145-124.

During the inspection no areas of regulatory non-compliance were identified. Enclosed you will find a renewal license for the residential program.  I thank you and your staff for the cooperation extended to me during the relicensing process.

If you have any questions, please do not hesitate to contact me at (860) 209-3136.

Sincerely,

James Funaro
_____________________________
James Funaro
DCF Regulatory Consultant|


summary: Visit conducted on 1-24-24. Visit covered 8 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  10:00am-1:00pm                   DATE: 1-24-24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Manager

List of Areas / Topics covered during visit:

•	Discussed current census (4) and the licensed bed capacity is 4.

•	Discussed current staffing levels, hiring activities.

•	All 4 residents were at school.

•	Discussed residents and status of the milieu.

•	The physical plant was clean and in good condition with no health or safety concerns noted.

•	QRTP tool completed.

•	Review of policy manual.

•	Discussed upcoming relicensing visit.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 1-29-24

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM
Cc: Kelly Bergeron, Director|


summary: Visit conducted on 11-29-23. Visit covered 5 main areas/topics. No compliance issues identified.

raw_content:
DCF-3034
6/2021 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:     Wheeler Clinic/Light House Group Home

TIME OF VISIT (FROM - TO):  12:15pm- 12:45pm                   DATE: 11-29-23

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Supervisor
Program Manager

List of Areas / Topics covered during visit:

•	Discussed current census (3) and the licensed bed capacity is 4. One admission and one active referral in process since last quarter.

•	Discussed current staffing levels, hiring activities and their ability to ensure all shifts are covered.

•	No residents observed as they were at school.

•	Discussed residents and status of the milieu.

•	Inspection of the physical plant. The physical plant was clean and in very good condition with no health or safety concerns noted.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	Not applicable

Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

James Funaro
Regulatory Consultant                                   Date: 11-29-23

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM
Cc: Kelley Bergeron, Director|


summary: Visit conducted on August 16, 2023. Visit covered 6 main areas/topics. Found 1 compliance issues.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form
This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

  NAME OF FACILITY / PROGRAM:   Wheeler Clinic / Light House Group Home

 TIME OF VISIT (FROM - TO):  1:30 pm to 2:30 pm          DATE:    August 16, 2023

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Title
Light House Program Manager
Wheeler Director

List of Areas / Topics covered during visit:

•	Discussion of the current census (2) and the licensed bed capacity of Light House is 4.

•	Discussion of the Light House group home residents in the program and the program's milieu.

•	Discussion of Light House's current staffing levels, hiring activities, and their ability to fill any vacant shifts.

•	Observations of the one resident present and observations of the interactions between the resident and the Light House staff.

•	Conversation / interview with one Light House   resident about his experiences at the Light House group home.

•	Inspection of the Light House group home's physical plant to assess the cleanliness of the group home, as well as to ensure there are no health or safety concerns.

Corrective Actions implemented as a result of previous visit:
•	Not applicable to this quarterly visit.

Areas of regulatory non-compliance identified during this visit:
•	Nothing identified during this quarterly visit.

Patrick Hughes                                            8/17/23
Regulatory Consultant                                   Date|

type: general

facility_name: Wheeler Clinic / Light House Group Home


summary: Visit conducted on June 14, 2023. Visit covered 6 main areas/topics. Found 1 compliance issues.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form
This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

  NAME OF FACILITY / PROGRAM:   Wheeler Clinic / Light House Group Home

 TIME OF VISIT (FROM - TO):  1:45 pm to 3:00 pm          DATE:    June 14, 2023

AGENCY PERSONNEL WHO PARTICIPATED:

Job Title
Light House Supervisor

List of Areas / Topics covered during visit:

•	Discussion of the current census (2) and the licensed bed capacity of Light House is 4.

•	Discussion of the Light House group home residents in the program and the program's milieu.

•	Discussion of Light House's current staffing levels and hiring activities.

•	Observations of the one resident present and observations of the interactions between the resident and the Light House staff.

•	Discussion with the one resident present about his experiences at the Light House group home.

•	Inspection of the Light House group home's physical plant to assess the cleanliness of the group home, as well as to ensure there are no health or safety concerns.

Corrective Actions implemented as a result of previous visit:
•	Not applicable to this quarterly visit.

Areas of regulatory non-compliance identified during this visit:
•	Nothing identified during this quarterly visit.

Patrick Hughes                                                                     6/20/23
Regulatory Consultant                                   Date|


summary: Visit conducted on March 29, 2023. Visit covered 6 main areas/topics. Found 1 compliance issues.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form
This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

  NAME OF FACILITY / PROGRAM:   Wheeler Clinic / Light House Group Home

 TIME OF VISIT (FROM - TO):  2:30 pm to 4:00 pm          DATE:    March 29, 2023

AGENCY PERSONNEL WHO PARTICIPATED:

Job Title
Light House Program Director

List of Areas / Topics covered during visit:

•	Discussion of the current census (2) and the licensed bed capacity of Light House is 4.

•	Discussion of the Light House group home residents in the program and the program's milieu.

•	Discussion of Light House's current staffing levels and hiring activities.

•	Observations of the residents present and the interactions between the residents and the Light House staff.

•	Interviews / Discussions with residents about their experiences at Light House group home.

•	Inspection of the Light House group home's physical plant to assess the cleanliness of the group home, as well as to ensure there are no health or safety concerns.

Corrective Actions implemented as a result of previous visit:
•	Not applicable to this quarterly visit.

Areas of regulatory non-compliance identified during this visit:
•	Nothing identified during this quarterly visit.

Patrick Hughes                                                                     4/12/2023
Regulatory Consultant                                   Date|


summary: Visit conducted on December 21, 2022. Visit covered 7 main areas/topics. Found 1 compliance issues.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form
This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

  NAME OF FACILITY / PROGRAM:   Wheeler Clinic / Light House Group Home

 TIME OF VISIT (FROM - TO):     3:30 pm                  DATE:    December 21, 2022

 AGENCY PERSONNEL WHO PARTICIPATED:
Name	Job Title
Chelsea M	Light House Program Director

List of Areas / Topics covered during visit:

•	Current census is 2 and the licensed bed capacity is 4.
o	There has been one recent discharge from the Light House Group Home this quarter.
o	There has been one recent admission to the Light House Group Home this quarter.

•	Discussion of the residents in the program and the program's milieu.
o	The two current residents are doing very well in the program and are receptive to treatment. The two residents get along well with each other. The two residents know each other from a previous placement.
o	Both residents were home at the time of this quarterly visit. Resident R reported he is doing well at Light House and is treated well by the staff. He did not report any concerns for his safety or well-being. Resident L reported he is doing well at Light House and just started his new school. Resident L reported he likes being at Light House and did not report any concerns for his safety or well-being.

•	Discussion of Light House's current staffing levels and hiring activities.
o	Currently Light House can maintain the required staffing ratios.
o	The Light House clinician position is currently vacant and at this time the Program Director is filling-in as the clinician.

•	Physical plant inspection of the facility
o	All areas of the group home were observed, and the group home was found to be nicely decorated, clean and orderly. There were no health or safety concerns observed at the time of this visit.

•	Corrective Actions implemented as a result of previous visit:
o	Not applicable to this quarterly visit.
•	Areas of regulatory non-compliance identified during this visit:
o	Nothing identified during this quarterly visit.

 Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

Patrick Hughes                                              2/7/2022
Regulatory Consultant                                   Date|

visit_date: December 21, 2022


summary: Visit conducted on September 22, 2022. Visit covered 7 main areas/topics. Found 1 compliance issues.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form
This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

  NAME OF FACILITY / PROGRAM:   Wheeler Clinic / Light House Group Home

 TIME OF VISIT (FROM - TO):     3:00 pm                  DATE:    September 22, 2022

 AGENCY PERSONNEL WHO PARTICIPATED:

Name	Job Title
KB	Wheeler Associate Director

List of Areas / Topics covered during visit:

•	Current census is 2 and the licensed bed capacity is 4.
o	One recent discharge to a DMHAS independent living program.
o	There is one current referral for the Light House Group Home.

•	Discussion of the residents in the program and the program's milieu.
o	The two current residents are doing very well in the program and are receptive to treatment. The two residents get along well with each other. Resident R was home at the time of the visit and was cooking in the kitchen under the supervision of a staff member.
o	Resident R reported he is doing well at Light House and is treated well by the staff. He did not report any concerns for his safety or well-being.

•	Discussion of Light House's current staffing levels and hiring activities.
o	Light House had 2 full time staff begin in June, and a part-time staff begin in August.
o	Given the large pool of Wheeler per-diem staff; Light House is able to fill any shift openings when they arise.

•	Physical plant inspection of the facility
o	All areas of the group home were observed, and the group home was found to be nicely decorated, clean and orderly. There were no health or safety concerns observed at the time of this visit.

•	Corrective Actions implemented as a result of previous visit:
o	Not applicable to this quarterly visit.

•	Areas of regulatory non-compliance identified during this visit:
o	Nothing identified during this quarterly visit.

 Please submit a plan of correction to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The plan of correction must be submitted to the attention of the undersigned at the address listed above.

Patrick Hughes                                              10/27/2022
Regulatory Consultant                                   Date|


summary: Visit conducted on May 25, 2022. Visit covered 4 main areas/topics. No compliance issues identified.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM:  Wheeler Lighthouse Group Home

TIME OF VISIT (FROM - TO):  2:30 pm                       DATE: May 25, 2022

 AGENCY PERSONNEL WHO PARTICIPATED:

Name	Job Title
KB	Wheeler Associate Director

List of Areas / Topics covered during visit:

•	Current census is 3 and the licensed bed capacity is 5.
o	There are no referrals currently for the Lighthouse group home.
•	Discussion of the residents in the program and the program's milieu.
o	Two of the current residents are doing very well in the program with one resident starting the process of transitioning back to his home. The third resident has court involvement and is currently in detention after incidents at his school and for going AWOL. No residents were at the group home during this visit.
•	Discussion of Lighthouse's current staffing levels and hiring activities.
o	Lighthouse is doing well with staffing and have absorbed some staff from other Wheeler programs that have recently closed. Lighthouse also has 2 full-time staff starting in June, and 1 part-time staff starting in August.
•	Physical plant inspection of the facility
o	All areas of the group home were observed, and the group home was found to be nicely decorated, clean and orderly. There were no health or safety concerns observed at the time of this visit.

Corrective Actions implemented as a result of previous visit:

•	Not applicable

Areas of regulatory non-compliance identified during this visit:

•	None at the time of this quarterly visit.

Patrick Hughes                                                    6/3/2022
Regulatory Consultant                 Date|

facility_name: Wheeler Lighthouse Group Home


facility_name: American School for the Deaf  / CORE / RE#144

summary: Visit conducted on 2-17-26. No compliance issues identified. Implemented 1 corrective actions.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                        Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education Program

TIME OF VISIT (FROM - TO):     11:00am-12:15pm 		        DATE: 2-17-26

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
Director of Student Life
Facilities Manager
Independent Interpreter

List of Areas / Topics covered during visit: This was a scheduled quarterly Licensing visit to obtain an update on the program and tour the Core resident dorm.

The Facilities Manger reported on the following:
•	Subcontracted snow removal company on site during recent snowstorms for roadway and sidewalk clearing.
•	Consultation with a company re: addressing wild geese population on campus.
•	Construction of new soccer field near campus entrance paused for the winter, targeted for completion in late spring.
•	Broken pipe in Cogswell building was addressed, no disruption to a West Hartford education program.
•	Future outdoor sports court.
•	Minisplit heat/air conditioning pumps in client bedrooms are serviced twice per year.
•	Ensuring bathroom trashcans contain lids.
•	Water and bedroom air temperatures monitored by Facilities staff.

Physical Plant: Staff facilitated a tour of the Butterworth dorm.
•	All areas were observed to be very clean and organized.
•	Missing vanes noted on some heat/air condition pumps in identified bedrooms to be addressed.
•	Security of girls' bathroom door.

A meeting was held with the Director of Student Life with an interpreter present. The following topics were discussed:
•	Census:  23 residents (10 females, 13 males).
•	No significant incidents during the quarter.
•	Staffing: No residential counselor vacancies in the Core program; interviews completed for a new Athletic Director; Residential Department organizational structure.
•	Large basketball tournament held at ASD last weekend; students from seven schools for the deaf participated.
•	ASD boys' basketball team attended the Eastern Schools for the Deaf Athletic Association tournament in Pittsburg earlier this month; first place standing.
•	Client supervision and staffing levels when clients attend out-of-state athletic competitions.
•	Paces education program incident.

Corrective Actions implemented as a result of previous visit: A Regulation Compliance Plan was submitted by ASD and accepted by the Department following a biennial relicensing inspection in November 2025.

Areas of regulatory non-compliance identified during this visit: None.

Please submit a regulation compliance plan (RCP) to address the above-mentioned areas of non-compliance within 30 days of receipt of this report.  The RCP must be submitted to the attention of the undersigned at the address listed above. - No Regulation Compliance Plan is required following this Licensing visit.

Kathleen Forsythe, LCSW		                     Date: 2-17-26
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM

Cc: 	File
      Asst. Executive Director
      	CFO
      Director of Student Life|


raw_content:
November 17, 2025

Mr. Jeffrey S. Bravin
Executive Director
The American School for the Deaf, Inc.
139 North Main Street
West Hartford, CT  06107

Re: Relicensing inspection – CORE License #CCF-144
Regulatory Consultants: Kathleen Forsythe, Amita Patel

Dear Mr. Bravin,

On November 5-6, 2025, a biennial re-licensing inspection was conducted in the CORE residential education program at The American School for the Deaf, located at 139 North Main Street, West Hartford, CT. This inspection was conducted to determine the compliance of this program with the DCF Regulations for Operation of Child-Caring Agencies and Facilities 17a-145-48 through 17a-145-124.

Additionally, a review was conducted on 11-6-25 by DCF Nurse Consultant Errolee Miller, RN to determine the program’s compliance with the DCF Medication Administration Guidelines and the DCF Nursing Standards. A full standard of compliance was issued. A copy of the nursing site visit summary report is included with this report.

Listed below are the areas of regulatory non-compliance which were identified during the re-licensing inspection. Please review the areas identified and submit a regulation compliance plan (RCP) to address each area of noncompliance utilizing the RCP template included with this report. The regulation compliance plan must be submitted to the assigned Regulatory Consultant within 30 days of receipt of this emailed report.
Also included in this report are recommendations.  Recommendations are meant to highlight areas that are not currently areas of non-compliance, but may become non-compliant if actions are not taken, or, highlight areas for improvement. Recommendations do not require the submission of a service development plan.

The areas of regulatory noncompliance are as follows:

17a-145-52       	Interstate placement of children.
Interstate compact placement (ICPC) forms were not found in case record documentation for three residential students from Vermont.

17a-145-73       	Sleeping accommodations.
Recommendation: It is recommended that the facility store extra bed comforters in both sides of the Butterworth Core dorm for student use upon request.

17a-145-86       	Instructions in safety procedures. Supervision.
Core program dorm (Butterworth) fire drill evacuation reports for the licensed period were reviewed. No documentation was found for an evacuation drill conducted for the third shift in the third quarter of 2024.

17a-145-96       	Discharge of child.
Recommendation: It is again recommended that the facility write a comprehensive discharge summary for inclusion in the case record when a CORE residential student is discharged. Discharge summary content should include, but not be limited to: progress made in both the academic and residential programs, a description of the services the student received while residing at ASD such as, education, medical, recreation, clinical, vocational experiences, life skill training, etc. Discharge summary reports should also include the manner in which the student left the facility, legal guardian address/contact information, and the new address of where the discharged student will be residing. Discharge summary reports should contain the date of the report, dates of admission and discharge, and the author's name, title and signature.

17a-145-98       	Case records. Reports. Confidentiality.
Twelve open records were reviewed.
•	An individual support plan was recently drafted within the week prior to the relicensing inspection for these twelve residents rather than two years ago.
•	Nine students in residence for the licensed two year period have no documentation of an individual support plan being reviewed on a quarterly basis by the agency for the last two years.

Recommendations: It is recommended that the facility:
1.	Develop a uniform assessment document to be completed at intake on all admissions that captures at minimum, the student's family, social and medical histories.
2.	Add a section to the individual service plan regarding discharge planning that specifies where the student will reside upon discharge from the facility.

Once the Licensing Unit has reviewed and accepted the regulation compliance plan and has determined that your agency is in compliance with the regulations, a decision on the issuance of a regular twenty-four month license for the program will be made.  Until DCF makes this decision, the current license will remain in effect. Should you have any questions or comments regarding the contents of this report please do not hesitate to contact me at (860) 937-7551.

Sincerely,

Kathleen Forsythe, LCSW
DCF Regulatory Consultant

Copy:	File
          	Director of Student Life
         Asst. Executive Director
         CFO|


summary: Visit conducted on 7-24-25. No compliance issues identified.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                       Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education Program

TIME OF VISIT (FROM - TO):     11:00am-12:00pm 		      DATE:  7-24-25

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
Associate Director of Student Life (KF)
Independent Interpreter

List of Areas / Topics covered during visit:  This was a scheduled quarterly Licensing visit to obtain an update on the program and tour the Core resident dorm (Butterworth).

A meeting was held with an Associate Director of Student Life with an interpreter present. The following topics were discussed:
•	Census: 20; students are home for summer break.
•	Staff vacancies: None.
•	June graduation (4 students), Prom, Senior Trip to NJ.
•	Three graduates attending college in the fall, one graduate will attend ASD Bridge program.
•	Core residential students are home for summer break.
•	Two new buses delivered (44 and 22 seat capacities).
•	Three Core staff members attended the National Student Life Deaf and Hard of Hearing biannual conference in Florida.
•	Core residential program will shift to a 7-day program at start of new school year for some students.
•	Marketing videos in development.
•	New Facilities Manager.
•	Incidents in past quarter: Odor detected in dorm, utility company responded, one student sought medical attention for reported dizziness.
•	Biennial relicensing inspection scheduled for November 2025.

Physical Plant: Staff facilitated a tour of the Butterworth dorm.
•	All areas were observed to be very clean and organized.
•	Ten new mattresses delivered, ten more to be ordered in the fall.
•	Touch-up painting to be done this summer.
•	Old Maintenance garage has been torn down.

Corrective Actions implemented as a result of previous visit: N/A.

Areas of regulatory non-compliance identified during this visit: None.

Please submit a regulation compliance plan (RCP) to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The RCP must be submitted to the attention of the undersigned at the address listed above. - No Regulation Compliance Plan is required following this Licensing visit.

Kathleen Forsythe, LCSW		                           Date: 7-25-25
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM

Cc: 	File
      Asst. Executive Director
 	    CFO
     Assoc. Director of Student Life|


summary: Visit conducted on 4-24-25. No compliance issues identified.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                     Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education Program

TIME OF VISIT (FROM - TO):     12:30pm-2:00pm              		DATE:  4-24-25

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
Associate Director of Student Life (KF)
Independent Interpreter
Administrative Assistant
HR Director

List of Areas / Topics covered during visit:  This was a scheduled Licensing visit to obtain an update on the program and tour the Core resident dorm (Butterworth).

A meeting was held with an Associate Director of Student Life with an interpreter present. The following topics were discussed:
•	Census: 20 (7 females, 13 males, additional female 1 night each week).
•	Staff vacancies: None.
•	No serious incidents since last quarterly Licensing visit.
•	Recreation events during the past quarter: Drone competition held in Georgia, ASD hosted ESDAA Division Basketball & Cheerleading competition, National Junior Pickleball tournament attended at Gallaudet University, E-sports team participated in National Deaf Scholastic E-Sports Competition in Pennsylvania.
•	Upcoming events: Track & Field tournament in Maryland, Awards Night, Drama Club play, graduation, Prom, etc.
•	National Student Life for the Deaf and Hard of Hearing Conference: Three staff scheduled to attend upcoming conference in Florida.
•	Anticipated delivery of two new school buses expected next month; two new drivers to be hired.
•	Camp Isola Bella

Physical Plant: Staff facilitated a tour of the Butterworth dorm.
•	All areas were observed to be very clean and organized.
•	Worn surfaces observed on some dining chairs.

Personnel file review in HR Department:
•	Semi-annual personnel file review conducted on two files. No regulatory deficiencies noted. Personnel files are very well organized.

Corrective Actions implemented as a result of previous visit: N/A.

Areas of regulatory non-compliance identified during this visit: None.

Please submit a regulation compliance plan (RCP) to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The RCP must be submitted to the attention of the undersigned at the address listed above. - No Regulation Compliance Plan is required following this Licensing visit.

Kathleen Forsythe, LCSW		                         Date: 4-24-25
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM.

Cc: 	File
      Asst. Executive Director
 	     CFO
      HR Director
      Assoc. Director of Student Life|


summary: Visit conducted on 1-9-25. No compliance issues identified. Implemented 1 corrective actions.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                                  Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education Program

TIME OF VISIT (FROM - TO):     10:00am-12:30pm                       		DATE:  1-9-25

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
Associate Directors of Residential Services (2)
Independent Interpreters (2)

List of Areas / Topics covered during visit:  This was a scheduled Licensing visit to obtain an update on the program and tour the Core resident dorm.

A meeting was held with two Associate Directors of Residential Services with an interpreter present. The following topics were discussed:
•	Census: 18 (12 males, 6 females).
•	Staff vacancies: None.
•	Incident involving two male Core residents that occurred in late October 2024 has been closed.
•	Core residents returned to campus from holiday break earlier this week.
•	Winter sports (basketball, cheerleading), recent E-sports competition with other schools, Special Olympics basketball team to start in February.
•	Access to three vacant dorms on campus limited to administrators, security and maintenance. These unused dorms are available to house students from other schools who visit the campus for athletic competitions.
•	ASD community interpreters
•	ASD soccer team won the NIDAA national championship. ASD soccer coach was voted 'Coach of the Year'.
•	Recreation events during the past quarter
•	Trauma Informed Care (TIC) training: Five staff have been trained as trainers in the model. First wave of the 3-day training for direct care staff occurred in December 2024. Next wave of training scheduled for April 2025. TIC introductory training now included in new employee orientation. Annual TIC refresher training.
•	Residential staff scheduling; shift differential.
•	Staff stations on the overnight shift in the dorm.

Physical Plant: Staff facilitated a tour of the Butterworth dorm.
•	All areas were observed to be very clean and organized.
•	Ventilation improvement in laundry room.
•	Two new convex observation mirrors installed in the living rooms in both the male and female resident wings.
•	Discussed air temperatures in some bedrooms.
•	Swipe card access to be installed on girl's bathroom door.

Incident Response Note:
•	Two incident response notes were completed following two calls to the DCF Careline involving incidents in the education program.

Corrective Actions implemented as a result of previous visit: A regulation compliance plan following a December 2024 Licensing visit for personnel file reviews was received and accepted by the Department.

Areas of regulatory non-compliance identified during this visit: None.

Please submit a regulation compliance plan (RCP) to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The RCP must be submitted to the attention of the undersigned at the address listed above. - No Regulation Compliance Plan is required following this Licensing visit.

Kathleen Forsythe, LCSW	                    	 Date: 1-9-25
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM.

Cc: 	File
      Asst. Executive Director
      	CFO
      Assoc. Directors of Residential Services|


summary: Visit conducted on 12-5-24. Visit covered 1 main areas/topics. Found 4 compliance issues.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                                      Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education  Program

TIME OF VISIT (FROM - TO):     afternoon                     		DATE:  12-5-24

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
         HR Director

List of Areas / Topics covered during visit:  This was a scheduled Licensing visit to conduct a semiannual personnel file review. Eleven personnel files were reviewed. Files are well organized. See 'Areas of Regulatory Non-compliance' below.

Corrective Actions implemented as a result of previous visit:  N/A

Areas of regulatory non-compliance identified during this visit:
17a-101	Protection of children from abuse. Mandated reporters. Educational and training programs. Model mandated reporting policy.
•	Evidence of completed training on mandatory reporting of suspected abuse or neglect of children was not found in one personnel file (JB).

17a-145-64	Personnel policies and procedures.
•	Evidence of a physical examination obtained immediately prior to hire was not found in one file (YB).

46a-154	 Internal monitoring, training and development of policies and procedures required and subject to state agency inspection.
•	Evidence of completed physical restraint training was not found in one personnel file (JB).

Please submit a regulation compliance plan (RCP) to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The RCP must be submitted to the attention of the undersigned at the address listed above.

Kathleen Forsythe, LCSW	                       	 Date: 12-6-24
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM

Cc: 	File
       Asst. Executive Director
       	CFO
       HR Director|

visit_time: afternoon


summary: Visit conducted on 10-31-24. No compliance issues identified. Implemented 1 corrective actions.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                                       Field Visit Reporting Form
This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education  Program

TIME OF VISIT (FROM - TO):     1:00pm-4:00pm                    		DATE:  10-31-24

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
Associate Directors of Residential Services (2)
Independent Interpreter
CFO
Asst. Executive Director

List of Areas / Topics covered during visit:  This was a scheduled Licensing visit to obtain an update on the program and tour the Core resident dorm.

A meeting was held with two Associate Directors of Residential Services with an interpreter present. The following topics were discussed:
•	Incident involving two male Core residents that occurred 10-30-24.
•	Census: 18 Core residents (5 females, 13 males).
•	Staff vacancies: None.
•	Core residents returned to campus in late August from summer break.
•	Core residents moved to Butterworth dorm earlier this month after the opening of two new dormitories on campus. Genders are housed in separate wings of the dorm.
•	Homecoming.
•	Halloween celebration.
•	Fall sports; soccer tournament schedule in NY this weekend.
•	Holt, Cogswell, Clerc dorms are now vacant and secure. No residents in Cook Lodge or the Cottages.
•	Suggestion to add observation mirrors to common room, hallways.
•	DCF semiannual personnel file review for new hires scheduled for December 2024.

Physical Plant:
•	Staff facilitated a tour of the Butterworth dorm.
•	All areas were observed to be very clean and organized. New stove and refrigerator installed in kitchen of boys' wing.
•	Staff observed reporting to the dorm for the second shift.
•	Students and staff observed in the school/administration building dressed in costumes and participating Halloween festivities.

Incident Response Note:
•	An incident response note was completed following a call to the DCF Careline on this date.
•	Incident was not accepted for investigation by the Department.
•	One Core resident suspended from campus.
•	Incident under investigation with West Hartford Police Department.
•	Meeting held with the CFO and Asst. Executive Director to discuss the incident, video surveillance film review, client supervision practices and policy.

Corrective Actions implemented as a result of previous visit: A regulation compliance plan following a July 2024 visit regarding personnel file documents was received and accepted by the Department.

Areas of regulatory non-compliance identified during this visit: None.

Please submit a regulation compliance plan (RCP) to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The RCP must be submitted to the attention of the undersigned at the address listed above. - No Regulation Compliance Plan is required following this Licensing visit.

Kathleen Forsythe, LCSW                  		 Date: 11-4-24
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM

Cc: 	File
      Asst. Executive Director
      	CFO
      Assoc. Directors of Residential Services|


summary: Visit conducted on 7-31-24. Visit covered 1 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                                                 Field Visit Reporting Form
This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education  Program

TIME OF VISIT (FROM - TO):     10am-12:30pm                		DATE:  7-31-24

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
HR Director

List of Areas / Topics covered during visit:  This was a scheduled Licensing visit to continue the semiannual personnel file review. Non-union staff files were reviewed on this date.

Personnel File Review: Thirteen (13) personnel files were reviewed. See 'Areas of Regulatory Non-compliance' below.

Corrective Actions implemented as a result of previous visit: A regulation compliance plan is pending following the 7-11-24 Licensing visit personnel file review.

Areas of regulatory non-compliance identified during this visit:
17a-151. 	Investigation. Issuance of license or provisional license. Revocation, suspension or limitation of license. Appeal.
o	Evidence of a check of the child abuse and neglect registry in any state in which the staff member resided in the five years preceding hire/start date was not found in three files (MM, EL, GA).

Please submit a regulation compliance plan (RCP) to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The RCP must be submitted to the attention of the undersigned at the address listed above.

Kathleen Forsythe, LCSW                                          		 Date: 8-1-24
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM

Cc: 	File, Asst. Executive Director, HR Director, CFO|


summary: Visit conducted on 7-11-24. Found 1 compliance issues.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                                           Field Visit Reporting Form
This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education  Program

TIME OF VISIT (FROM - TO):     10am-1:30pm                          		DATE:  7-11-24

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
Associate Director of Student Life (KF)
Independent Interpreters (2)
Asst. Executive Director
HR Director

List of Areas / Topics covered during visit:  This was a scheduled quarterly Licensing visit to conduct a semiannual personnel file review.

Personnel File Review: Six (6) personnel files were reviewed on 7-11-24. See 'Areas of Regulatory Non-compliance' below.

A Licensing visit was also conducted on 7-9-11 to obtain an update on the Core residential education program. A meeting was held with an Associate Director of Student Life. Topics discussed:
•	All Core program residents are home on summer break.
•	Core male residents will move to Clerc dorm in the fall.
•	Core female residents will continue to be housed in Butterworth dorm.
•	Cogswell dorm has been converted to temporary staff & intern housing.
•	Cottages D & E will no longer be used as student residences.
•	End of school year activities: Prom, Senior day trips, graduation.
•	Fall sports.
•	Student employment: Three Core program residents work in the cafeteria during the school year; student worker bank accounts overseen by the Business Office.
•	No significant events during the quarter.
•	E-sports: Grant received for equipment for residents to compete in video game competitions. Area to be established on campus for competitions and practices.
•	Long-time Assoc. Director of Student Life will be leaving at end of month.
•	New Associate Director of Student Life hired.

Physical plant inspection: Butterworth dorm was toured. No regulatory deficiencies noted.

Corrective Actions implemented as a result of previous visit: N/A

Areas of regulatory non-compliance identified during this visit:
17a-145-64	Personnel policies and procedures.
o	Evidence of receipt of personnel policies/employee handbook in one file (DS) indicates the employee received the information two months after hire rather than at the time of hire.
o	Evidence of training in mandatory abuse/neglect through the DCF training website was not found in one personnel file (DS)

17a-151. 	Investigation. Issuance of license or provisional license. Revocation, suspension or limitation of license. Appeal.
o	The results of a criminal history background check in one file (DS) were obtained six months after hire, rather than immediately prior to hire.
o	The results of a child protective services background check in one file (DS) conducted through CT DCF were obtained six months after hire rather than prior to hire.
o	Evidence of a check of the child abuse and neglect registry in any state in which the staff member resided in the five years preceding hire was not found in five (5) files (MS, YS, MC, JC, DS).

Please submit a regulation compliance plan (RCP) to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The RCP must be submitted to the attention of the undersigned at the address listed above.

Kathleen Forsythe, LCSW                                 		 Date: 7-15-24
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM

Cc: 	File, Asst. Executive Director, Assoc. Director of Student Life, HR Director, CFO|


summary: Visit conducted on 4-11-24. No compliance issues identified. Implemented 1 corrective actions.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                                     Field Visit Reporting Form
This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education Program

TIME OF VISIT (FROM - TO):       11:00am-12:45pm             		DATE:  4-11-24

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
Associate Director of Residential Services
Director of Operations
Independent Interpreters (2)

List of Areas / Topics covered during visit:  This was a scheduled quarterly Licensing visit to obtain an update on the Core residential education program and tour the physical plant of the CORE program dorms.

A meeting was held with an Associate Director of Student Life (KF) with interpreters present. Topics discussed included:
•	Census = 20 (9 females, 11 males);  three females are currently transitioning from the PACES program.
•	Core program staffing vacancies = 0
•	Core residents  are on home visit this week for spring break.
•	One incident of EMS call in February for student sustaining a head injury (minor).
•	Call to DCF Careline earlier this week for PACES program.
•	Planned celebratory activities for end of school year, Prom, graduation.
•	Students performing National Anthem in silence: performed at Wolfpack hockey game last week, scheduled to perform at Yard Goats baseball game next month.
•	Athletic activities update.
•	Ticket donation from the Bushnell for an interpreted performance of 'Wicked' scheduled for later this month.
•	Extracurricular activities & clubs; four students with staff attended a drone competition in Texas.
•	Associate Director participated in an accreditation review of a school for deaf students in Oregon.
•	A female student was selected for a month-long leadership camp in Oregon in summer 2024.
•	New Director hired for Camp Isla Bella.

Physical plant inspection:
•	Tour of Cogswell and Butterworth dorms facilitated by the Associate Director of Student Life and the Director of Operations.
•	All areas appeared clean and organized.
•	Cogswell refrigerator currently under repair.
•	Discussion on bathroom locks.
•	Some dorm furniture scheduled for refurbishment in summer 2024.

Corrective Actions implemented as a result of previous visit: A service development plan was submitted following a December 2023 semiannual personnel file review and was accepted by the Department.

Areas of regulatory non-compliance identified during this visit: None.

Please submit a service development plan to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The service development plan must be submitted to the attention of the undersigned at the address listed above. - No service development plan is required following the Licensing visit.

Kathleen Forsythe, LCSW                           		 Date: 4-12-24
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM

Cc: 	File , Asst. Executive Director, Assoc. Director of Student Life (KF), Director of Operations|


summary: Visit conducted on 1-18-24. No compliance issues identified. Implemented 1 corrective actions.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential Education  Program

TIME OF VISIT (FROM - TO):       10:00am-1:00pm             		DATE: 1-18-24

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
Independent Interpreter
Associate Director of Residential Services
Director of Operations
Assistant Executive Director

List of Areas / Topics covered during visit:  This was a scheduled quarterly Licensing visit to obtain an update on the Core residential education program and tour the physical plant of the CORE program dorms.

A meeting was held with an Associate Director of Student Life (KF) with an interpreter present (AS). Topics discussed included:
•	Census = 20 (8 females, 12 males); one anticipated admission scheduled for late January.
•	Core program staffing vacancies = 0
•	Core residents returned to campus on January 2nd after two-week Christmas break.
•	Fall sports team updates; high school robotics team competed in Alabama; upcoming middle school robotics competition; upcoming drone competition; One Core student represents ASD on a wrestling team & practices with wrestling team at nearby private school.
•	No campus incidents last quarter.
•	DCF Careline call yesterday - not accepted.
•	New internal investigations team comprised of 6 investigators; attended virtual training with the New York Justice Center.
•	Trauma informed care model to be implemented campus-wide in coming months; 7 staff attended train-the-trainer for Risking Connections model; 10 additional staff selected as 'champions' to assist in the training and model roll out.
•	Creation of Individualized support plans (ISP) for Core program residents since fall 2024; target date for completion is February 2024; includes life skills assessment.

Physical plant inspection: Tour of Cogswell and Butterworth dorms facilitated by the Associate Director of Student Life and the Director of Operations.
•	All areas appeared very clean and organized.
•	Snow removal team assigned to each dorm on campus.
•	Drone obstacle course set up in Cogswell gym area.
•	Window film for privacy installed on Cogswell side exit door.
•	Cogswell room B-18: Discussed installing bulletin boards for student to display art.
•	Mattresses missing on two vacant beds in Cogswell dorm.
•	Construction of two new dorms underway on campus.

Meeting held with the Assistant Executive Director. Topics discussed included:
•	New internal investigation process, tracking, etc.
•	Implementation of Trauma Informed Care model in the coming months; planning process, trainings, etc.
•	Board of Directors approval to hire a Compliance Officer.
•	Accreditation.

Corrective Actions implemented as a result of previous visit: A service development plan is pending following a December 2023 semiannual personnel file review.

Areas of regulatory non-compliance identified during this visit: None.

Please submit a service development plan to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The service development plan must be submitted to the attention of the undersigned at the address listed above. - No service development plan is required following the Licensing visit.

Kathleen Forsythe, LCSW                               		 Date:  1-19-24
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM
Cc: 	File
       Asst. Executive Director,
       Assoc. Director of Student Life (KF)
       Director of Operations|


summary: Visit conducted on 12-6-23. Visit covered 2 main areas/topics. Found 6 compliance issues. Implemented 1 corrective actions.

raw_content:
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

                                                          Field Visit Reporting Form

This form is used to summarize field visits to a licensed facility or program other than the bi-annual licensing inspection. The visit may be announced or unannounced and is intended to highlight the specific items reviewed / discussed and indicate if there are specific areas where corrective action has been taken or must be taken.

NAME OF FACILITY / PROGRAM: The American School for the Deaf, Inc. - CORE Residential         Education  Program

TIME OF VISIT (FROM - TO):       9:30am-11:00am                             		DATE: 12-6-23

AGENCY PERSONNEL WHO PARTICIPATED:
     Job Titles:
HR Director
HR Asst. Manager
HR Asst.

List of Areas / Topics covered during visit:  This was a scheduled quarterly Licensing visit to conduct a semiannual personnel file review.
•	Four personnel files were reviewed for staff hired since September 2023. See Areas of Regulatory Non-compliance below.

Corrective Actions implemented as a result of previous visit: A service development plan was submitted for the Core program following an October 2023 biennial relicensing inspection the plan was accepted by the Department.

Areas of regulatory non-compliance identified during this visit:
17a-101. Protection of children from abuse. Mandated reporters. Educational and training programs.
Model mandated reporting policy.
•	One file (SR) does not contain evidence of participation in the DCF Mandatory Reporter of Abuse/Neglect training program.
17a-131. Cardiopulmonary resuscitation training required for persons who directly supervise children.
•	One file (SR) does not contain evidence of CPR certification.

17a-145-64 Personnel Policies and Procedures.
•	Evidence of a physical exam and TB testing results/chest x-ray results were obtained after hire for two employees (FM, KL).

17a-151. Investigation. Issuance of license or provisional license. Revocation, suspension or limitation
of license. Appeal.
•	One file (FM) does not contain evidence of a child abuse registry background check from the state of NY where the employee resided in the preceding five years prior to hire at ASD.

Please submit a service development plan to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The service development plan must be submitted to the attention of the undersigned at the address listed above.

Kathleen Forsythe, LCSW	                                	 Date:        12-8-23
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM
Cc: 	File
Asst. Executive Director,
CFO|

personnel:
HR Director
HR Asst. Manager
HR Asst.