summary: Visit conducted on 09/25/25. Found 3 compliance issues.

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: NAFI / Tress Road Home

TIME OF VISIT (FROM - TO):       ____First shift_              DATE: 09/25/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Reviewed the status of the home and the physical plant. There were 4 youth residing at the home. One youth was in the hospital and 3 were at school.

There was a supervisor and the new clinician on duty at the home. There were no staffing positions available at the home.

Corrective Actions implemented as a result of previous visit:
None

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-76. Kitchens, equipment, food-handling
All kitchens shall be clean, well lighted, properly ventilated and screened, and provided with essential and proper equipment for the preparation and serving of food. Storage, refrigeration and freezer facilities shall be adequate for the number of persons to be served. All perishable foods shall be refrigerated at a temperature at or below 45° Fahrenheit. Freezers and frozen food compartments shall be maintained at minus 10° to 0° Fahrenheit. Cooking utensils, dishes and tableware shall be in good condition and proper cleaning facilities for this equipment shall be provided. dishes shall be stored in a clean, dry place protected from flies, dust or other contamination. Food preparation and serving areas shall comply with Section 19-13-B42 of the public health code. Proper food handling techniques and sanitation to minimize the possibility of the spread of food-borne diseases shall be maintained.
•	Four food items were found not sealed in the freezer.

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.

Keith Bryan                                                 9/25//25
Regulatory Consultant                                   Date

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

description: 76. Kitchens, equipment, food


state: CT

facility_name: NAFI Connecticut, Inc. / Tress Rd / GH #42

summary: Visit conducted on 06/12/25. 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: NAFI / Tress Road Home

TIME OF VISIT (FROM - TO):       ____First shift_              DATE: 06/12/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Supervisor

List of Areas / Topics covered during visit:
Reviewed the status of the home and the physical plant. There were 4 youth residing at the home. One youth was at home, 1 was at school and 2 were out in the community with a staff member. The 2 that were out with staff in the community returned to the home during the inspection and were very excited to show me how clean their rooms were.

There was a supervisor and 2 staff on duty at the home. There was a Thursday through Saturday, second shift position available in the home but there was an eminent hire.

Corrective Actions implemented as a result of previous visit:
None

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

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.

Keith Bryan                                                 06/12/25
Regulatory Consultant                                   Date

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

facility_name: NAFI / Tress Road Home


raw_content:
June 17, 2025

North American Family Institute, Inc.
49-51 Wethersfield Avenue
Hartford, CT 06114
Attention: Lynn Bishop, Executive Director

Regarding Licensing Inspection for Tress Road Home, Inc.
Inspector Keith Bryan

Dear Ms. Bishop
On 6/10/25 and 6/11/25 a biennial licensing inspection was conducted at your facility. This inspection was conducted to determine the compliance of this facility with the Regulations for Operation of Child Caring Agencies and Facilities Sections 17a-145-48 through 17a-151-98, as well as the DCF Guidelines for the Administration of Medication for Certified Staff. DCF has determined that the program is in compliance with all applicable regulatory provisions except those itemized below. Please review the sections identified and submit a plan of correction to address each area. The plan must be submitted within 30 days of receipt of this letter and should identify: 1. the steps to be taken to correct the areas of non-compliance; 2. the date correction(s) will be completed; and 3. plan to prevent recurrence of the citation(s). The areas of non-compliance are as follows:

Section 17a-145-86. Instructions in safety procedures. Supervision
Each child shall be instructed, as appropriate to his own age level, in safety procedures, including fire drills, civil defense and safe use of electrical or power equipment.
•	During the following years and quarters, fire drills were held without clients being present. During the first quarter of 2025, no clients were present during the 1st & 3rd shift drills. During the first quarter of 2024, no clients were present during the 1st shift drill. During the second quarter of 2024, no clients were present during the 1st, 2nd & 3rd shift drills. During the third quarter of 2024, no clients were present during the 2nd & 3rd shift drills. During the fourth quarter of 2024, no clients were present during the 1st shift drill. During the 1st & 2nd quarter of 2023 no clients were present during 1st shift drills. To be in compliance with the first sentence of this regulation, clients must be present during fire drills.

Section 17a-145-94. Written treatment plan
An individualized facility written treatment plan shall be established by the facility and implemented for each child in accordance with department treatment plans and regulations as applicable.
•	In all 4 case records reviewed, all 4 treatment plans presented the following. Under the first goal, the objectives were written as interventions and the interventions were written as objectives.

Once a finding is made that your agency has satisfactorily addressed the regulatory compliance issues, DCF will be prepared to renew your agency’s license.

Please take note that failure to submit an acceptable plan of correction or to successfully implement a plan will result in a licensing action being taken against your agency, including but not limited to suspension and / or non-renewal.
Any questions, comments or concerns you have regarding these findings should be addressed to this Department. Your response will become part of the permanent record of your organization.

Sincerely,

Keith Bryan
DCF Regulatory Consultant
Department of Children and Families
505 Hudson Street
Hartford, CT 06106
Mobile: 959-255-0617
Phone: 860-560-5050
Fax: 860-550-6665
keith.bryan@ct.gov
cc: Kathleen DiTuccio, Program Supervisor, DCF-TSS
file|

report_type: unstructured


summary: Visit conducted on 01/10/25.

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: NAFI / Tress Road Home

TIME OF VISIT (FROM - TO):       ____First shift_              DATE: 01/10/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director
Administrative Assistant

List of Areas / Topics covered during visit:
Reviewed the status of the home and the physical plant. There were 2 youth residing at the home. One youth was at school and the other was at home ill.

The director was on duty with the administrative assistant, nurse and a supervisor. A full time 30 hour, Thursday through Saturday, second shift position was available in the home. The clinician was leaving the agency as of 1/21/25.

Corrective Actions implemented as a result of previous visit:
None

Areas of regulatory non-compliance identified during this 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.

Keith Bryan                                                 01/10/25
Regulatory Consultant                                   Date

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


summary: Visit conducted on _09/26/24. 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: NAFI / Tress Road Home

 TIME OF VISIT (FROM - TO):       ____First shift__________________              DATE: _09/26/24

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Reviewed the status of the home and the physical plant. There were 3 youth residing at the home. Two youth were at school and 1 was at home as he gets out early on Thursdays.

The director was on duty with the administrative assistant, the clinician and 2 staff members. One full time staff position was available on second shift for Wednesday through Saturday.

Corrective Actions implemented as a result of previous visit:
None

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

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.

Keith Bryan                                                 09/26/24
Regulatory Consultant                                   Date

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


summary: Visit conducted on _06/28/24. No compliance issues identified. Implemented 2 corrective actions.

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: NAFI / Tress Road Home

 TIME OF VISIT (FROM - TO):       ____First shift__________________              DATE: _06/28/24

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Reviewed the status of the home and the physical plant. There were 3 youth residing at the home. During this visit one youth was at summer school and 2 youth were at Lake Componunce with 2 staff members.

The director was in the home participating in physical intervention training. There were no available staff positions at the program.

Corrective Actions implemented as a result of previous visit:
Section 17a-145-77. Dining areas and supervision; Section 17a-145-84. Office space. Confidential files were both responded to satisfactorily.

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

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.

Keith Bryan                                                 06/28/24
Regulatory Consultant                                   Date

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


summary: Visit conducted on _03/15/24. Found 3 compliance issues.

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: NAFI / Tress Road Home

 TIME OF VISIT (FROM - TO):       ____First shift__________________              DATE: _03/15/24

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Review the status of the home and the physical plant. There were 4 youth residing at the. One youth was at home due to no school, one youth was on a visit with his sister as he had no school and two youth were at school. The results of the review of personnel of files will be attached to this report on a later date.

Corrective Actions implemented as a result of previous visit:
None

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-77. Dining areas and supervision
Dining areas shall be kept clean and attractive, well-lighted, properly screened and ventilated, and shall be large enough to accommodate the children and staff responsible for their supervision. Staff supervision at meals shall be adequate to ensure a safe and comfortable atmosphere for eating.
•	A transition strip needs to be installed on the floor between the dining room and the foyer area. The flooring between the two areas is uneven and it has created a tripping hazard.

Section 17a-145-84. Office space. Confidential files
Private office space shall be available for administrative and counseling staff. There shall be locked files for all confidential material.
•	The spot on the wall in the staff's office where a fixture was removed needs painting. This area is used to counsel youth and should not be unsightly.

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.

Keith Bryan                                                 03/15/24
Regulatory Consultant                                   Date

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

type: general


facility_name: NAFI Connecticut,Inc./ Corbin House / GH #63

summary: Visit conducted on 12/15/25. Found 2 compliance issues.

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: _NAFI / Corbin House

 TIME OF VISIT (FROM - TO):       First shift              DATE: 12/15/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Status of the home and the physical plant. There were 4 youth residing in the home and they were all at school.

On duty was the program director, clinician and administrative staff. Other staff were at the home as the staff Christmas Party was occurring. There were no available positions at the home as someone was hired earlier in the week.

Corrective Actions implemented as a result of previous visit:
None

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-73. Sleeping accommodations
(a) Sleeping accommodations for each child shall have adequate area, spacing and equipment in accordance with the child's age and needs. Bedrooms shall contain a window unless there is a 24-hour ventilation system approved by the state or local health department. Heating facilities shall be sufficient to maintain a room temperature consistent with existing department of health services' guidelines. Separate sleeping quarters shall be provided for children of the opposite sex six years of age or over. The facility shall provide each such child with a single bed with adequate linens and covers suitable for the temperature, and a locker, dresser or other storage space for the child's private use conveniently located in or near the child's sleeping room.
•	One bedroom needed cleaning as clothing was strewn all over the floor.

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.

Keith Bryan                                                  12/15/25
Regulatory Consultant                                   Date

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

facility_name: _NAFI / Corbin House

visit_time: First


summary: Visit conducted on 08/07/25. 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: _NAFI / Corbin House

 TIME OF VISIT (FROM - TO):       First shift              DATE: 08/07/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Status of the home and the physical plant. There were 3 youth residing in the home. Two youth were in their bedrooms and 1 was at school.

A supervisor was on duty along with the program director. There were no available positions at the home.

Corrective Actions implemented as a result of previous visit:
None

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

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.

Keith Bryan                                             __08/07/25___
Regulatory Consultant                                   Date

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


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: _NAFI / Corbin House

 TIME OF VISIT (FROM - TO):       First shift              DATE: 06/12/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Status of the home and the physical plant. There were 3 youth residing in the home. One youth was in the home, 1 was at school and 1 was on a home visit.

An administrative assistant was on duty along with the program director. There is a second shift supervisor, Sunday through Wednesday position available at the home.

Corrective Actions implemented as a result of previous visit:
None

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

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.

Keith Bryan                                             __06/12/25___
Regulatory Consultant                                   Date

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


summary: Visit conducted on 01/10/25. 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: _NAFI / Corbin House

 TIME OF VISIT (FROM - TO):       First shift              DATE: 01/10/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Status of the home and the physical plant. There were 2 youth residing in the home and both were at school. The provider did have one referral to assess for potential placement into the home.

An administrative assistant and clinician were on duty along with the program director. As of 1/8/25 all staff positions in the home were filled.

Corrective Actions implemented as a result of previous visit:
None

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

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.

Keith Bryan                                             __01/10/25___
Regulatory Consultant                                   Date

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


summary: Visit conducted on _11/25/24. Found 2 compliance issues.

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: _NAFI / Corbin House

 TIME OF VISIT (FROM - TO):       First shift              DATE:_11/25/24

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Supervisor

List of Areas / Topics covered during visit:
Status of the home and the physical plant. There were 2 youth residing in the home and both were at school.
There was an administrative assistant, nurse, supervisor and program director on duty.

Corrective Actions implemented as a result of previous visit:
None

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-73. Sleeping accommodations
(a) Sleeping accommodations for each child shall have adequate area, spacing and equipment in accordance with the child's age and needs. Bedrooms shall contain a window unless there is a 24-hour ventilation system approved by the state or local health department. Heating facilities shall be sufficient to maintain a room temperature consistent with existing department of health services' guidelines. Separate sleeping quarters shall be provided for children of the opposite sex six years of age or over. The facility shall provide each such child with a single bed with adequate linens and covers suitable for the temperature, and a locker, dresser or other storage space for the child's private use conveniently located in or near the child's sleeping room.
•	A hole in the wall near the bedrooms needed repairing.

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.

Keith Bryan                                             __11/25/24___
Regulatory Consultant                                   Date

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


summary: Visit conducted on _09/26/24___________. 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: _NAFI / Corbin House_________________________________________

 TIME OF VISIT (FROM - TO):       ____First shift__________________              DATE: _09/26/24___________

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Direct Care Staff

List of Areas / Topics covered during visit:
Status of the home and the physical plant. There were 3 youth residing in the home and they all were at school.

There was 1 staff and 1 supervisor on duty. There was second shift staff position available for Wednesday through Saturday.

Corrective Actions implemented as a result of previous visit:
None

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

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.

Keith Bryan                                             __09/26/24___
Regulatory Consultant                                   Date

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


raw_content:
August 20, 2024

North American Family Institute, Inc.
49-51 Wethersfield Avenue
Hartford, CT 06114
Attention: Lynn Bishop, Executive Director

Regarding Licensing Inspection for NAFI, Inc. - Corbin House
Inspectors Keith Bryan

Dear Ms. Bishop
On 8/15/24 & 8/16/24 a biennial licensing inspection was conducted at your facility. This inspection was conducted to determine the compliance of this facility with the Regulations for Operation of Child Caring Agencies and Facilities Sections 17a-145-48 through 17a-151-98, as well as the DCF Guidelines for the Administration of Medication for Certified Staff. DCF has determined that the program is in compliance with all applicable regulatory provisions except those itemized below. Please review the sections identified and submit a plan of correction to address each area. The plan must be submitted within 30 days of receipt of this letter and should identify: 1. the steps to be taken to correct the areas of non-compliance; 2. the date correction(s) will be completed; and 3. plan to prevent recurrence of the citation(s). The areas of non-compliance are below::
Section 17a-145-98. Case records. Reports. Confidentiality
(a) Each child-care facility shall maintain a current, confidential case record for each child, including family, social and health history; the reason for admission; the individual treatment plan; the care and service provided; the progress of the child in the facility; and the plan for discharge and disposition.
•	Two case records reviewed did not present with a placement agreement or some form of documentation between the placing party/authority and the provider.

Once a finding is made that your agency has satisfactorily addressed the regulatory compliance issues DCF will be prepared to renew your agency’s license.
Please take note that failure to submit an acceptable plan of correction or to successfully implement a plan will result in a licensing action being taken against your agency, including but not limited to suspension and / or non renewal.

Any questions, comments or concerns you have regarding these findings should be addressed to this Department. Your response will become part of the permanent record of your organization.

Sincerely,

Keith Bryan
DCF Regulatory Consultant
Department of Children and Families
505 Hudson Street
Hartford, CT 06106
Phone: 860-560-5050
Mobile: 959-255-0617
Fax: 860-550-6665
keith.bryan@ct.gov
cc: Kathleen DiTuccio, Licensing Program Supervisor, DCF-TSS
file|


summary: Visit conducted on _06/28/24___________. 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: _NAFI / Corbin House_________________________________________

 TIME OF VISIT (FROM - TO):       ____First shift__________________              DATE: _06/28/24___________

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Status of the home and the physical plant. There were 3 youth residing in the home and 1 was in the home as school was out for the summer. One student was at summer school and 1 was on a home visit with his family.

There was an administrative/direct care staff on duty, a clinician and the program director. There were no available staff positions at the program.

Corrective Actions implemented as a result of previous visit:
None

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

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.

Keith Bryan                                             __06/28/24___
Regulatory Consultant                                   Date

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


summary: Visit conducted on _03/15/24___________. 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: _NAFI / Corbin House_________________________________________

 TIME OF VISIT (FROM - TO):       ____First shift__________________              DATE: _03/15/24___________

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Status of the home and the physical plant. There were 4 youth residing in the home and two were at school. One student that didn’t have school was out with a staff member. The results of the review of personnel of files will be attached to this report on a later date.

There was direct care staff on duty, a clinician and the program director.

Corrective Actions implemented as a result of previous visit:
None

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

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.

Keith Bryan                                             __03/15/24___
Regulatory Consultant                                   Date

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


facility_name: Noank Community Support Services-Tory

raw_content:
3-24-26

Regina Moller, Executive Director
Noank Community Support Services (Tory House)
479 Gold Star Hwy
Groton, CT 06340

RE: CCF License # 180

Dear Ms. Moller,
On 3-4 & 3-5-26, a relicensing inspection was conducted at your facility.  This inspection was conducted to determine the compliance of this program with the Regulations for the Licensure of a Child Caring Facility, Sections 17a-145-59 through 17a-145-98.  Listed below are the areas of regulatory non-compliance which were identified during the relicensing inspection.  Please review the areas identified and submit the enclosed regulation compliance plan to address each area. The plan must be submitted within 30 days of receipt of this letter and should identify: 1. the steps to be taken to correct the non-compliance and 2. the date correction(s) will be completed. The areas of non-compliance are as follows:

17a-145-86	Instructions in Safety Procedures. Supervision.
No documented fire drills completed in 2025 for Quarter 2 (1st shift) and Quarter 3 (1st & 3rd shift).

17a-145-98 Case Records, Reports, Confidentiality.
One file reviewed was missing family and social history.

Once licensing has reviewed and accepted your 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 your Child Caring Facility will be made. Until the Department makes this decision the current license will remain in effect. Failure to submit a plan within the required time frame may result in a licensing action up to and including refusal to renew a license.
Should you have any questions or comments regarding the content of this report please do not hesitate to call me at (860) 209-3136.

Sincerely,

James Funaro
REGULATORY CONSULTANT
505 Hudson Street Hartford, CT 06106
Cell Phone: 860-209-3136 |  Office Phone: 860-550-6500
505 Hudson Street Hartford, CT 06106|


summary: Visit conducted on 11-5-25. Visit covered 9 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:     Noank Community Support Services (Tory House TGH)

TIME OF VISIT (FROM - TO):  	11:30am- 12:30pm                    DATE: 11-5-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title: Director of Residential Care (acting as covering director)

List of Areas / Topics covered during visit:

•	Discussed current census (3) and the licensed bed capacity is 5. One pending referral.

•	Discussed vacant positions: Program director, supervisor and three RA positions.

•	One resident at school (MT) and two in the house at the time of the visit. Met with GC in her bedroom. KR was in her room sleeping.

•	Discussed recent SIU investigation.

•	Discussed overall milieu and interactions between the residents. GC is working full time at Walmart and will be attending college next semester.   Discussed educational programming for all the residents.

•	The residents were involved in Halloween activities in the house last Friday.

•	Discussed clinical programming for all three residents.

•	Physical plant was inspected.  No safety or health concerns observed.

•	The relicensing on Tory House has been scheduled for 2026. Confirmed the dates.

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

James Funaro  				Date:    11/6/25
Regulatory Consultant

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


summary: Visit conducted on 7-22-25. 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:     Noank Community Support Services (Tory House TGH)

TIME OF VISIT (FROM - TO):  	10:00am- 11:00am                    DATE: 7-22-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title: Director of Residential Care

List of Areas / Topics covered during visit:

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

•	Current director has resigned, but the replacement has already been found.

•	One resident at summer school (MT) and two in the house at the time of the visit. Met with GC in her bedroom and KR in the living room.

•	Discussed recent exceptional circumstances.

•	Discussed recent COA accreditation review.

•	Discussed overall milieu and interactions between the residents. GC recently got a job at Walmart.

•	Discussed clinical programming for all three residents. All participate in individual therapy but attend group sporadically.

•	Physical plant was inspected.  No safety or health concerns observed.

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

James Funaro  				Date:    7/23/25
Regulatory Consultant

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


summary: Visit conducted on 5-8-25. 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:     Noank Community Support Services (Tory House TGH)

TIME OF VISIT (FROM - TO):  	10:00am- 11:00am                    DATE: 5-8-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Director and Director of Quality Assurance

List of Areas / Topics covered during visit:

•	Discussed current census (3) and the licensed bed capacity is 3. One pending discharge and one pending intake. Discussed discharge plans for all three residents.

•	Discussed current staffing levels, staff vacancies, coverage and new hires

•	One resident at school and two in the house at the time of the visit. Met with resident GC.

•	Discussed exceptional circumstances.

•	Discussed overall milieu and interactions between the residents.

•	Discussed clinical programming for all three residents.

•	Physical plant was inspected.  No safety or health concerns observed. Plans to replace and widen the driveway and level and improve the front walkway.

•	Discussed increasing census and issuing regular license.

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

James Funaro  				Date:    5/9/25
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM
Cc: File, Program Director and Director of Quality Assurance|


summary: Visit conducted on 1-28-25. Visit covered 10 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:     Noank Community Support Services (Tory House TGH)

TIME OF VISIT (FROM - TO):  	10:00am- 11:00am                    DATE: 1-28-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Director and Director Residential Services

List of Areas / Topics covered during visit:

•	Discussed current census (3) and the licensed bed capacity is 3.

•	Discussed current staffing levels, staff vacancies, coverage and pending hires. Met with new Program Director.

•	One resident at school. One at the dentist and one home sick.

•	Discussed AWOLs, 911 calls and exceptional circumstances.

•	Discussed overall milieu and interactions between the residents has improved.

•	Discussed resident's compliance with school and clinical programming. Currently working with DCF to arrange for resident AG to get outside therapy due to noncompliance with the current therapist.

•	Physical plant was inspected.  No safety or health concerns observed.

•	Discussed recreation, chores and allowances.

•	During the previous quarter, licensing responded to one incident and completed one incident response note. The incident occurred on 10-9-24 and involved inappropriate boundaries displayed by staff.

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

James Funaro  				Date:    1/31/25
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM
Cc: File, Program Director and Director of Quality Assurance|


summary: Visit conducted on 11-6-24. 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:     Noank Community Support Services (Tory House TGH)

TIME OF VISIT (FROM - TO):  	1:15 am- 2:00pm                    DATE: 11-6-24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Director and Director of Quality Assurance

List of Areas / Topics covered during visit:

•	Discussed current census (3) and the licensed bed capacity is 3.

•	Discussed current staffing levels, staff vacancies and shift coverages.

•	Two residents at school. One returned to the home with her DCF SW after an appointment.

•	Discussed AWOLs, 911 calls and exceptional circumstances.

•	Discussed overall milieu and interactions between the residents which has improved.

•	Discussed resident's compliance with school and clinical programming.

•	Physical plant was inspected.  No safety or health concerns observed.  Additional cameras being added in the home.

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

James Funaro  				Date:    11/12/24
Regulatory Consultant

A COPY OF THIS SUMMARY SHOULD BE SENT TO THE EXECUTIVE DIRECTOR OF THE FACILITY / PROGRAM
Cc: File, Program Director and Director of Quality Assurance|


summary: Visit conducted on 7-24-24. Visit covered 9 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:     Noank Community Support Services (Tory House TGH)

TIME OF VISIT (FROM - TO):  	10:00 am- 11:15 am                   DATE: 7-24-24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Manager

List of Areas / Topics covered during visit:

•	Discussed current census (2) and the licensed bed capacity is 2.

•	Discussed current staffing levels. Direct care staff openings.

•	During the visit, one resident was in her room and the other was at a scheduled medical appointment.

•	Discussed AWOL behavior, calls to 911.  Coordinating a meeting with the local PD and CPS.

•	Clinical programming for residents discussed.  Both residents have been participating.  Discussed increased level of clinical services.

•	Discussed overall milieu and interactions between the two residents and overall compliance with the program and house rules.

•	Physical plan was inspected.  No safety or health concerns observed.  A generator is being installed.

•	Discussed recreation for the residents, such as a food truck festival and visiting Mystic Village. Both girls have been applying for jobs.

•	Discussed staff nearing completion of med certification training.

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: 7-26-24

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


facility_name: Wellmore, Inc. / Valiant / GH #110

summary: Visit conducted on __1-13-26______. 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: _____Valiant House _________________________________

 TIME OF VISIT (FROM - TO):       __________________________         DATE:__1-13-26______

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
DB - Team Leader
DD - Residential Supervisor
AL - Clinician

List of Areas / Topics covered during visit:
•	Census - 4
•	There are no open staff positions.
•	Discussion of flooring and possible steps to address the condition of the current flooring.  Cost is a factor, and it is not known if bond money is an option. Either refinishing the flooring or vinyl planking will require that residents and staff stay outside the house for several days. Options are being explored. A summer timeframe will likely be the best option as residents will not be in school and a temporary stay in another location can be accomplished without having to consider school schedules. Painting of rooms is being put on a rotating schedule.  The conditions of the kitchen cabinets and options for refinishing were also discussed.
•	The clinician reported that the residents are doing well and responding well to the program. He is facilitating family involvement with a couple of residents. Discharge plans for some of the residents will involve DMHAS services.
•	Bedrooms were fairly clean and organized.  In one room there was an odor (possibly from dirty laundry or bed sheets).  The PD indicated that the resident struggles with ADL's but that staff are working with them.  A second laundry day is available, and it was suggested that it be implemented and sheets and clothing be laundered twice a week. Opening windows (when possible) and deodorizers should also be utilized to offset any odors. Common areas and bathrooms were clean.

Corrective Actions implemented as a result of previous visit: n/a

Areas of regulatory non-compliance identified during this visit: n/a

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.
      Terri Bohara                                             1-16-26
______________________________            _________________
Regulatory Consultant                                   Date

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


raw_content:
Mr. Gary Steck, MSW, LMFT Executive Director                                             10/31/25
Wellmore, Inc.
141 East Main St.
Waterbury, CT 06702

On October 22, 2025 a biennial re-licensing inspection was conducted at the Valiant House Group Home.  This inspection was conducted to determine the compliance of this facility with the Regulations for Operation of Child-Caring Agencies and Facilities 17a-145-48 through 17a-145-98, as well as the DCF Guidelines for the Administration of Medication by Certified Staff.  Below are listed the areas of regulatory non-compliance which were identified during the re-licensing inspection. Please review the areas identified and submit a regulatory compliance plan to address each area.  The plan must be submitted within 30 days of receipt of this letter and should identify: 1. the steps to be taken to correct the non-compliance; and 2. the date the correction(s) will be completed.  The areas of non-compliance are listed below.   Also included in the 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.  Recommendations do not require the submission of a plan of correction.
Section 17a-145-63 Chief administrative officer
•	Flooring throughout the house is showing signs of excessive wear.  A plan for eventual replacement is indicated.
Section 17a-145-68. Heating, ventilation, lighting.
•	Lighting on the cellar stair case was not working properly and needed to be fixed.
Section 17a-145-73 Sleeping accommodations.
•	Bedrooms are in need of painting. Walls, ceilings and trim are showing signs of wear.
Once licensing has reviewed and accepted the Regulatory 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 call me at 959-255-0614.

Sincerely,
Terri Bohara
_______________________________________
Terri Bohara
Regulatory Consultant
Department of Children and Families
505 Hudson St.
Hartford, CT 06106
Phone: 959-255-0614
Fax: 860-860-550-6665
Theresa. Bohara@ct.gov

Copy: file|


summary: Visit conducted on 7/21/25. Visit covered 4 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____10am to 12:30pm____________________            DATE: 7/21/25
 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader
	Supervisor
	Regulatory Consultant-DCF

List of Areas / Topics covered during visit:

•	Introduced Regulatory Consultant Terri Bohara.
•	Census is 3. LBC 4.
•	Physical plant inspection of the Group Home completed.
•	No staff vacancies.

Corrective Actions implemented as a result of previous visit:

Areas of regulatory non-compliance identified during this visit:
No RCP required.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date: 7/23/25

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

description: No RCP required.

facility_name: __Wellmore / Valiant House


summary: Visit conducted on 6/5/25. Visit covered 5 main areas/topics. Found 1 compliance issues. Implemented 2 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____10aM to 12:30pm____________________            DATE: 6/5/25
 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader
	Supervisor
	Clinician

List of Areas / Topics covered during visit:

•	Census is 4. LBC 4.
•	Physical plant inspection of the Group Home. No concern.
•	Discussed the programing and resident's treatment and compliance. Residents were school at the time of the visit.  One resident may be discharged at the end of the school year.
•	One resident recently returned from inpatient hospital care.  Program has worked with him and family but he they have great difficulty overcoming past history.
•	No staff vacancies.

Corrective Actions implemented as a result of previous visit:
Section 17a-145-76.  Kitchen, equipment, food-handling.   Corrected
Evidence: During the inspection the inside of the refrigerator was found to have rust on the shelves and floor.

Areas of regulatory non-compliance identified during this visit:
No RCP required.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date  6/25/25

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

corrective_actions:
76. Kitchen, equipment, food
handling. Corrected

description: No RCP required.

personnel:
Team Leader
Supervisor
Clinician


summary: Visit conducted on 2/25/25. Visit covered 5 main areas/topics. Found 2 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____9:45AM to 11:45AM____________________            DATE: 2/25/25
 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader
	Supervisior

List of Areas / Topics covered during visit:

•	Census is 4. LBC 4.
•	Physical plant inspection of the Group Home. See below.
•	Discussed the programing and resident's treatment and compliance. Residents were school at the time of the visit.
•	No staff vacancies.
•	Program is in process of getting ready for a COA inspection.

Corrective Actions implemented as a result of previous visit:
 	Physical Plant.
•	At the time of inspection, the door frame leading to outside main entrance is missing due to damage by a resident.  Program states a door and frame is on back order, but no update has been provided.  Damage to the frame is repaired, yet the door needs to be replaced. Please proved a time frame to when the repair can be completed.   Completed

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-76.  Kitchen, equipment, food-handling
Evidence: During the inspection the inside of the refrigerator was found to have rust on the shelves and floor.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date  2/25/25

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

description: 76. Kitchen, equipment, food

personnel:
Team Leader
Supervisior


summary: Visit conducted on 11/21/2024. Visit covered 4 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____10am to 12pm____________________            DATE: 11/21/2024

 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader
	Supervisior

List of Areas / Topics covered during visit:

•	Census is 4. LBC 4.
•	Physical plant inspection of the Group Home.
•	Discussed the programing and resident's treatment and compliance. No residents were home at the time of the visit.  All residents except one are in school.  The other resident returned shortly before left after visiting the dentist. Interactions between staff and he were positive and educational/therapeutic manner.
•	No staff vacancies.

Corrective Actions implemented as a result of previous visit:
 	No RCP from previous visit.

Areas of regulatory non-compliance identified during this visit:
 Physical Plant.
•	At the time of inspection, the door frame leading to outside main entrance is missing due to damage by a resident.  Program states a door and frame is on back order, but no update has been provided.  Damage to the frame is repaired, yet the door needs to be replaced. Please proved a time frame to when the repair can be completed.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date  8/22/2024

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


summary: Visit conducted on 8/22/2024. Visit covered 4 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____9:30am to 11:30am____________________            DATE: 8/22/2024

 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader
	Supervisior
	Youth Specialist

List of Areas / Topics covered during visit:

•	Census is 4. LBC 4.
•	Physical plant inspection of the Group Home. No concerns.
•	Discussed the programing and resident's treatment and compliance. Three residents were home at the time of the visit and forth arrived shortly after having returned from a medical visit.  Youth was sick and program continues to follow up with youth's medical doctor.  All youth are enrolled in school and in good spirits. Staff interacted with youth in a positive and educational/therapeutic manner.
•	No staff vacancies.

Corrective Actions implemented as a result of previous visit:
 	No RCP from previous visit.

Areas of regulatory non-compliance identified during this visit:
 No Regulatory Compliance Plan required.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date  8/22/2024

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

description: No Regulatory Compliance Plan required.


summary: Visit conducted on 5/15/2024. Visit covered 5 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____10am to 12pm____________________            DATE: 5/15/2024

 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader
	Supervisior
	Clinician

List of Areas / Topics covered during visit:

•	Census is 3. LBC 4.
•	Physical plant inspection of the Group Home. No concern
•	Discussed the programing and resident's treatment and compliance. One resident is in the hospital, one in school and one returned from the doctor's office. The later is not enrolled in school, but receives tutoring services which he does well.
•	Reviewed one case record found in compliance.
•	Hired a new clinician.  Program has one open supervisor position.

Corrective Actions implemented as a result of previous visit:
 	No SDP from previous visit.

Areas of regulatory non-compliance identified during this visit:
 No Regulatory Compliance Plan required.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date  5/23/2024

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

description: No Regulatory Compliance Plan required.

personnel:
Team Leader
Supervisior
Clinician


summary: Visit conducted on 1/18/2024. Visit covered 5 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____10:45am to 12pm____________________            DATE: 1/18/2024

 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader

List of Areas / Topics covered during visit:

•	Census is 2. LBC 4.
•	Physical plant inspection of the Group Home.
•	Discussed the programing and resident's treatment and compliance.
•	Discussed staffing of shifts. Program has vacancies but manages to fill with current staff.
•	QRTP review completed.

Corrective Actions implemented as a result of previous visit:
 	No SDP from previous visit.

Areas of regulatory non-compliance identified during this visit:
•	No SDP

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date  1/24/24

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

description: No SDP


raw_content:
Mr. Gary Steck, MSW, LMFT, Executive Director			      11/28/2023
Wellmore, Inc.
141 East Main Street, 4th Floor
Waterbury, CT 06702

Re: Licensing Inspection for CCF Valiant House GH
Regulatory Consultants: Tom Cuchara & Jim Funaro

Dear Mr. Steck,

On 10/10/23 and 10/11/23 a biennial re-licensing inspection was conducted at 24 Spindle Hill Road, Wolcott, CT.  This inspection was conducted to determine the compliance of this agency with the Licensure of the Operation of Child-Caring Agencies and Facilities 17a-145-48 through 17a-145-98. Below are listed the areas of regulatory non-compliance which were identified during the re-licensing inspection. Please review the areas identified and submit a Service Development Plan to address each area.  The plan must be submitted within 30 days of receipt of this letter and should identify: 1. the steps to be taken to correct the non-compliance; and 2. the date the correction(s) will be completed.  The areas of non-compliance are listed on the attached DCF Licensing Report form. Please use this form to submit the Service Development Plan as well.  Also included in the 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.  Recommendations do not require the submission of a plan of a Service Development Plan.

17a-145-61. Written Policy and Procedures.
Evidence:  At the time of the licensing visit, the Program did not have a policy and procedure for supervising children on 3rd shift.  A policy was created and accepted by licensing.

17a-145-76. Kitchen, equipment, food-handling.
Evidence:  The kick plate is missing from the dishwasher.

Section 17a-145-77. Dining areas and supervision.
Evidence:  The door separating the foyer from dining room was removed and not put back.  It should be put back in its original condition.

DCF Reg: 17a-145-75 (f) and 17a- 6(g)- 16(d). Provide and maintain proper, safe storage for all medications according to current drug control and pharmacy regulations as outlined in the DCF Medication administration program.
Evidence: On inspection of medication room at facility, expired medication noted included equate nasal spray exp: 09/2021, diphen hydronate 25 MG tabs exp: 10/2020
Medication that belonged to other youths that were no longer placed in the program, which included Vitamin D3 100 IU, Metformin HCL ER 500, Aripiprazole 5 Mg tablets, Epinephrine Inj 0.3 MG, boxes of insulin needles/syringes, Chlorhexidine Gluconate 0.12 % mouthwash, and Fluticasone Prop 50 MCG nasal spray.

A review of facility's Disposing of Expired and Unused Medications policy dated 06/19/2028 identified that the purpose of the policy was to ensure the safety of group home residents, all expired and unused medication should be disposed of in the proper manner. The policy further identified that the procedure is all expired and unused medication, except for controlled drugs, be destroyed by nurse, or designee, within one week, following the expiration date, or date the medication had been discontinued by following the Department of Connecticut Environmental Protection guidelines. Based on the above evidence, the facility failed to meet the requirements and did not follow policy expectation to dispose medication.

Once licensing has reviewed and accepted the Service Development 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 call me at (203) 675-6975.

Sincerely,
Thomas S. Cuchara
_______________________________________
Regulatory Consultant

Copy: file|


summary: Visit conducted on 8/31/2023. Visit covered 5 main areas/topics. Found 5 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____10:45am to 12pm____________________            DATE: 8/31/2023

 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader

List of Areas / Topics covered during visit:

•	Census is 3. LBC 4.
•	Physical plant inspection of the Group Home.
•	Discussed the programing and resident's treatment and compliance.
•	Discussed staffing of shifts. Program has vacancies but manages to fill with current staff.
•	Hired a new clinician and residential supervisor.

Corrective Actions implemented as a result of previous visit:
 	No SDP from previous visit.

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-76. Kitchen, equipment, food-handling.
•	Kitchen cabinet is missing two cabinet doors.
•	Cabinet surface is tacky to touch. Should be cleaned.
•	Back splash behind stove is missing.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date  9/21/23

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

description: 76. Kitchen, equipment, food

description: handling.

description: Back splash behind stove is missing.


summary: Visit conducted on 6/5/2023. Visit covered 5 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____9:15am to 11am____________________            DATE: 6/5/2023

 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader

List of Areas / Topics covered during visit:

•	Census is 4.
•	Physical plant inspection of the Group Home.
•	Discussed the programing and resident's treatment and compliance.
•	One resident was home due to having broken his leg playing basketball.  He states he likes living at Valiant House and likes the staff.  During the visit, a physical therapist arrived to provide PT.  He was cooperative.  All other youth were in school.
•	Discussed staffing of shifts. Program has vacancies but manages to fill with current staff.  In process of interviewing.

Corrective Actions implemented as a result of previous visit:
Section 17a-145-76. Kitchen.  Completed.
Evidence: The threshold between the kitchen and dining room is covered in red tap to prevent to a tripping hazard.  The threshold should be replaced.

Physical Plant.  Completed.
•	At the time of inspection, the door frame leading to outside main entrance is missing due to damage by a resident.  Program states a door and frame is on back order.  Until the door frame order comes in the program should cover up the exposed wood, etc.

Areas of regulatory non-compliance identified during this visit:
No SDP.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date  6/22/23

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

description: No SDP.


summary: Visit conducted on 3/7/2023. Visit covered 6 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____10am_to 12pm_____________________            DATE: 3/7/2023

 AGENCY PERSONNEL WHO PARTICIPATED:

	Job Title
	Team Leader
	Supervisor

List of Areas / Topics covered during visit:

•	Census is 4.
•	Physical plant inspection of the Group Home. See below.
•	Discussed the programing and resident's treatment and compliance.
•	One resident was home due to having broken his leg playing basketball.  He states he likes living at Valiant House and likes the staff.  During the visit, a physical therapist arrived to provide PT.  He was cooperative.  All other youth were in school.
•	Discussed staffing of shifts. Program has vacancies but manages to fill with current staff.  In process of interviewing.
•	Fire drills reviewed and found to be in compliance.

Corrective Actions implemented as a result of previous visit:

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-76. Kitchen.
Evidence: The threshold between the kitchen and dining room is covered in red tap to prevent to a tripping hazard.  The threshold should be replaced.

Physical Plant.
•	At the time of inspection, the door frame leading to outside main entrance is missing due to damage by a resident.  Program states a door and frame is on back order.  Until the door frame order comes in the program should cover up the exposed wood, etc.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date  3/8/2023

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

area_type:
Section 17a-145-76. Kitchen.
Evidence

personnel:
Team Leader
Supervisor


summary: Visit conducted on __11/29/2022____. Visit covered 7 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____1pm______________________            DATE: __11/29/2022____

 AGENCY PERSONNEL WHO PARTICIPATED:

Name	Job Title
DB	Team Leader
DN	RN
RD	Clinical Coordinator

List of Areas / Topics covered during visit:

•	Census is 4 and LBC 5.
•	Physical plant inspection of the Group Home. See below.
•	Discussed the programing and resident's treatment and compliance.
•	Spoke to one resident that was out with staff for a walk.  Youth appeared in good spirits, yet guarded, but felt at ease with staff.
•	Discussed staffing of shifts. Program has vacancies but manages to fill with current staff.  In process of interviewing.
•	Met new clinician.
•	Reviewed controlled medication with PD and RN.  Found to be in compliance.

Corrective Actions implemented as a result of previous visit:
No SDP from last visit.

Areas of regulatory non-compliance identified during this visit:
Section 17q-145-73. Sleeping accommodations.
Evidence: Room 5- the dresser bureau is top drawer does not work.

Physical Plant. At the time of inspection, the door frame leading to outside main entrance is missing due to damage by a resident.  Wood and nails are exposed.  Program states a door and frame is on back order.  Until the door frame order comes in the program should cover up the exposed wood, etc.

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.

Thomas S. Cuchara
Regulatory Consultant                                              Date 12/2/2022

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


summary: Visit conducted on __9/15/2022____. Visit covered 5 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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: __Wellmore / Valiant House

 TIME OF VISIT (FROM - TO):       ____9am______________________            DATE: __9/15/2022____

 AGENCY PERSONNEL WHO PARTICIPATED:

Name	Job Title
DB	Team Leader

List of Areas / Topics covered during visit:

•	Census is 3 and LBC 5.
•	Physical plant inspection of the Group Home.
•	Discussed the programing and resident's treatment and compliance.
•	Reviewed meal plans and menu.
•	Discussed staffing of shifts.

Corrective Actions implemented as a result of previous visit:
Section 17a-145-73. Sleeping accommodations.
Evidence:  Room 5- the corner of the metal door frame is separated and needs to be tightened. Completed.

Areas of regulatory non-compliance identified during this visit:
No SDP required.

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.

Thomas S. Cuchara            					11/10/2022
Regulatory Consultant                                              Date

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

description: No SDP required.


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

summary: Visit conducted on 4-8-26. 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/Farm Hill Group Home

TIME OF VISIT (FROM - TO): 12:10pm- 12:45pm                          DATE: 4-8-26

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. No issues with coverage.

•	Discussed recent exceptional circumstances for AWOL behaviors.

•	Discussed efforts to curb the AWOL behaviors.

•	Current milieu discussed and planned discharges for this summer.

•	Two residents at school and residents HC and JC were home.  JC was exercising and HC was sleeping.

•	Discussed clinical services and efforts to engage all the residents.

•	Physical plant was inspected.  New carpeting is being installed throughout the house and will be completed on this day.

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|

facility_name: Wheeler Clinic/Farm Hill Group Home


summary: Visit conducted on 2-4-26. 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/Farm Hill Group Home

TIME OF VISIT (FROM - TO):  2:00pm- 2:45pm (Unannounced visit)         DATE: 2-4-26

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. No issues with coverage.

•	Discussed recent exceptional circumstances for AWOL behaviors.

•	Discussed outreach to local police regarding calls for AWOL.

•	Current milieu discussed.

•	Two residents (HC & JC) at school, JPB in clinical session and met with JA in the kitchen and she shared her art-work.

•	Physical plant was inspected.  No safety or other concerns observed.

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: 2-6-26

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


summary: Visit conducted on 12-11-25. 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/Farm Hill Group Home

TIME OF VISIT (FROM - TO):  10:00am- 10:45am (Unannounced visit)          DATE: 12-11-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Manager, 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. No current vacant full-time positions

•	Discussed recent exceptional circumstances and the most recent one due to an AWOL.

•	Discussed school and clinical services. Met new clinician who started on this day.

•	Milieu discussed.

•	Met with resident HC who will be starting school next Monday. Other residents at school.

•	Physical plant was inspected.  No safety or other concerns observed.

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/Farm Hill Group Home

TIME OF VISIT (FROM - TO):  12:00pm- 12:45 pm                DATE: 9-10-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Manager and Supervisor

List of Areas / Topics covered during visit:

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

•	Discussed current staffing levels. Program Manger position is filled.  Clinician position is vacant.

•	Discussed recent exceptional circumstance due to an AWOL.

•	Discussed school and clinical services. New PM is the previous clinician and covering clinical services.

•	Milieu discussed, which has been stable overall.

•	Met with resident HC and JA. Both were cordial and positive.

•	Physical plan was inspected.  No safety or other concerns observed.

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|


raw_content:
June 20, 2025

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

Re: License # CCF-36

Dear Mrs. Trocchi,

On June 3rd and 4th, 2025, a biennial re-licensing inspection was conducted at the Farm Hill Group Home, located at 1 Farm Hill Dr, Plainville, 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 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/Farm Hill Group Home

TIME OF VISIT (FROM - TO):  2:00pm- 2:30pm                DATE: 3-5-25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Covering Program Manager, and Director

List of Areas / Topics covered during visit:

•	Discussed current census (3) and the licensed bed capacity is 4. One pending referral. The pending referred youth was visiting the home during the quarterly visit.

•	Discussed current staffing levels. Program Manger position is vacant. Director and Light House Program Manger are providing coverage until the position is filled. One supervisor position is vacant.  No issues with staff coverage.

•	One Exceptional Circumstance completed due to an allergic reaction by a resident.

•	Discussed recreation, school and clinical services.

•	Milieu discussed.  Overall, the milieu has been positive, and the girls are getting along.

•	Inspection of the physical plant. No health or safety concerns observed.

•	Discussed upcoming Relicensing Inspection and 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 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/Farm Hill Group Home

TIME OF VISIT (FROM - TO):  10:00am- 11:00am                   DATE: 12/23/24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Title
Program Manager, Clinician and Director

List of Areas / Topics covered during visit:

•	Discussed current census (3) and the licensed bed capacity is 4. One pending referral. Discussed recently discharged youth.

•	Discussed current staffing levels. One full time and two part time positions vacant. Program Manger position is vacant and the job has been posted. Director and Light House Program Manger are providing coverage until the position is filled.

•	The residents were in the home and met with this regulatory consultant.

•	No recent 911 calls or exceptional circumstances.

•	Discussed recreation for the residents.

•	Milieu discussed.  There is cooperation with clinical programming.

•	Inspection of the physical plant. No health or safety concerns observed.

•	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|