summary: Unannounced, Annual Inspection

raw_content: Checklist 584310: Census: 15; Capacity: 15; Contact: Terie Weiderhold; Licensor: Heather Holbrook


state: UT

facility_name: Magellan Academy, Inc dba Vila Real - Girls

summary: Complaint, Investigation Inspection (1 finding)

raw_content: R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with this rule by not ensuring the clients were free from potential harm and acts of violence. During the inspection, multiple interviews disclosed that 3 staff members allowed some clients to participate in “Fight Club” where clients are allowed to engage in physical fighting in the presence of the other clients.

Inspection Type: Complaint, Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 551989: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :

Inspection Type: Announced, Annual Inspection


facility_name: Maple Lake Academy, LLC dba Boy's Home

summary: 3rd Unannounced

raw_content: Checklist 885419: Census: 9; Capacity: 12; Contact: Nichol Holwege; Licensor: Heather Holbrook

Inspection Type: 3rd Unannounced


summary: 2nd Unannounced

raw_content: Checklist 777959: Census: 11; Capacity: 12; Contact: Nichol Holwege; Licensor: Heather Holbrook

Inspection Type: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content: Checklist 668506: Census: 9; Capacity: 12; Contact: Nichol Holwege; Licensor: Heather Holbrook

Inspection Type: Unannounced, Annual Inspection


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


summary: Announced, Annual Inspection

raw_content: Checklist 658684: Census: 8; Capacity: 12; Contact: Nichol Holwege; Licensor: Heather Holbrook


summary: Investigation Inspection (1 finding)

raw_content: R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The licensee was out of compliance with R380-80-5(4) by failing to protect clients from actions that may compromise the health & safety of clients.  During the inspection, the investigator identified that a former staff member had yelled at clients and thrown a chair in the classroom with clients present.

Inspection Type: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 638906: Census: 7; Capacity: 12; Contact: Nichol Holwege; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 625663: Census: 7; Capacity: 12; Contact: Nichol Holwege; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 604200: Census: 4; Capacity: 12; Contact: Nichol Holwege; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 598443: Census: 3; Capacity: 16; Contact: Nichol Holwege; Licensor: Heather Holbrook


summary: 2nd Unannounced


summary: Follow-Up Inspection

Inspection Type: Follow-Up Inspection


summary: Non On-Site Inspection

Inspection Type: Non On-Site Inspection


summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 556062: Census: 6; Contact: Heather Holbrook; Licensor: :


summary: Announced, Annual Inspection

raw_content: Checklist 572406: Census: 6; Contact: Heather Holbrook Kacee Arrington; Licensor: :


facility_name: Maple Mountain Recovery (Mapleton)

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


summary: Announced, Annual Inspection (3 findings)

raw_content:
R501-14-3(1): Ensure initial background screening submitted — The licensee was out of compliance with rule R501-14-3(1) for not ensuring that an applicant for an initial background check completes the required application fields and disclosure statements to authorize OBP's continual monitoring of the applicant. During the inspection, the licensor observed four employees in the Direct Access Clearance System (DACS) that were missing disclosure statements.
R501-14-5(2)(a)-(b): Application submitted within 2 weeks and applicant directly supervised — The licensee was out of compliance with rule R501-14-5(2)(a)(b)(ii) for not completing the initial screening for two employees who did not have an eligible background screening in the Direct Access Clearance System (DACS) and for six other employees who required supervision. During the inspection, two employees employed longer than two weeks were not enrolled in DACS and required supervision along with six other eligible employees who also required supervision and did not have documentation for how the employee is to remain supervised. The provider did not provide supervision documentation for all eight employees requiring supervision. This is a repeat non-compliance on 3/27/2025.
R501-14-5(5)(a)-(b): Denied applicants may not direct access to clients — The licensor was out of compliance with R501-14-5(5)(a) for one employee whose background clearance had been denied. During the inspection, the licensor observed that this employee was not-eligible in the Background Access Clearance System. This is a repeat non-compliance on 3/27/2025.
Checklist 934711: Contact: Alison Valeti; Licensor: PattiJo Hopes


summary: Investigation Inspection (2 findings)

raw_content:
R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The provider is out of compliance with rule R380-80-5(4) by the provider failing to protect the client from any action that may compromise the health of the client. While reviewing documentation, the investigator observed that the staff admitted to law enforcement that they had administered ketamine, outside of treatment. This therapist is not certified to administer ketamine. The therapist admitted that this had happened at a hotel. Furthermore, the staff admitted to self harming in front of the client.
R380-80-6(1)(a)-(i): Client rights — The provider is out of compliance with rule R380-80-6(1)(e) by the staff acting in a way that failed to keep the client free from exploitation. While reviewing documentation, the investigator observed in the police report that the staff admitted they had engaged in sexual conduct with the client during their time as the client’s therapist.


summary: Follow-Up Inspection (1 finding)

raw_content:
R501-1-16(2)(a)-(q): Program policy and training — The Licensee was out of compliance with R501-1-16(2)(a),(h) by not ensuring that each employee completed required training each year.  During the inspection, two employees had not completed annual program policies for harassment training, and one employee had not completed firearms training each year. This was a repeat noncompliance as noted on 03/27/2025.
Checklist 648098: Contact: Ali Valetti, Human Resources Director FALSE; Licensor: Brian Palmer


summary: Announced, Annual Inspection (5 findings)

raw_content:
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The Licensee was out of compliance with R501-14-5(2)(b) by not documenting how individuals remained supervised for the entirety of their supervised employment term before receiving a clearance determination. During the inspection, one employee did not have an eligible clearance determination and there was no documentation of how the employee would remain supervised.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The Licensee was out of compliance with R501-14-5(2)(b) by not documenting how individuals remained supervised for the entirety of their supervised employment term before receiving a clearance determination. During the inspection, one employee did not have an eligible clearance determination and there was no documentation of how the employee would remain supervised.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The Licensee was out of compliance with R501-14-5(2)(b) by not documenting how individuals remained supervised for the entirety of their supervised employment term before receiving a clearance determination. During the inspection, one employee did not have an eligible clearance determination and there was no documentation of how the employee would remain supervised.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The Licensee was out of compliance with R501-14-5(2)(b) by not documenting how individuals remained supervised for the entirety of their supervised employment term before receiving a clearance determination. During the inspection, one employee did not have an eligible clearance determination and there was no documentation of how the employee would remain supervised.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The Licensee was out of compliance with R501-14-5(2)(b) by not documenting how individuals remained supervised for the entirety of their supervised employment term before receiving a clearance determination. During the inspection, one employee did not have an eligible clearance determination and there was no documentation of how the employee would remain supervised.
Checklist 643532: Contact: Kevin White, Clinical Director, Ali Valetti, Human Resources Director FALSE; Licensor: Brian Palmer


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 593400: Census: 13; Capacity: 16; Contact: of this; Licensor: Nathan Ponis


facility_name: Mountain Valley Recovery, LLC dba Mountain Valley Ranch


summary: Investigation Inspection, Non On-Site Inspection


summary: Announced, Annual Inspection, Pre-Inspection

raw_content: Checklist 665584: Census: 7; Contact: Loren Pence; Licensor: Izabelle Arnold, Greg Hirst


summary: Announced, Annual Inspection

raw_content: Checklist 614131: Census: 14; Contact: of this; Licensor: Rusty Hendrickson


summary: Non On-Site Inspection (1 finding)

raw_content: R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The provider was out of compliance with this rule by failing to report a critical incident to the Office within one business day. During an off-site inspection, the Office reviewed an incident that occurred on 7/17/2024 and was submitted to the Office by the provider on 7/19/2024. This is a repeat Non-Compliance.


summary: Announced, Annual Inspection

raw_content: Checklist 550817: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: My Aunties' House


summary: Announced, Annual Inspection

raw_content: Checklist 656318: Contact: of this; Licensor: Hailey Feichko


summary: Announced, Annual Inspection

raw_content: Checklist 601822: Census: 2; Capacity: 10; Contact: of this; Licensor: Hailey Feichko


summary: Pre-Inspection

Inspection Type: Pre-Inspection


facility_name: New Beginnings Behavioral Health

summary: Unannounced, Annual Inspection

raw_content: Checklist 931532: Contact: Tasha Whiteside; Licensor: Rob Jones


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 761800: Census: 4; Contact: Famia Pittman; Licensor: Rob Jones


summary: 3rd Unannounced, Follow-Up Inspection

raw_content: Checklist 662482: Census: 9; Capacity: 16; Contact: Cedrick Pitman; Licensor: Rob Jones , Heather Holbrook

Inspection Type: 3rd Unannounced, Follow-Up Inspection


summary: Investigation Inspection (2 findings)

raw_content:
R501-19-3(3)(a)-(j): Supervision and ratio requirements — The licensee was out of compliance with R501-19-3(3)(c) by failing to maintain a staff-to-client ratio of one staff to every four clients.  In the facility on 6/10/2025, 2 staff members were left to supervise 11 clients while another staff took 1 client to the Emergency Room.
This is a repeat noncompliance as noted on 6/21/2024 & 9/26/2024.
R501-19-3(3)(a)-(j): Supervision and ratio requirements — The licensee was out of compliance with R501-19-3(3)(a) by failing to provide direct supervision that meets supervision requirements. In the facility on 5/24/2025, two clients went AWOL without the provider's awareness.
This is a repeat noncompliance as noted on 3/13/2024.


summary: 2nd Unannounced, Follow-Up Inspection (6 findings)

raw_content:
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(b) by not providing direct supervision for an employee that did not have a cleared background screening from the Office. During the inspection it was reported that the employee without a cleared background screening worked the previous day without supervision.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(b) by not providing direct supervision for an employee that did not have a cleared background screening from the Office. During the inspection it was reported that the employee without a cleared background screening worked the previous day without supervision.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(b) by not providing direct supervision for an employee that did not have a cleared background screening from the Office. During the inspection it was reported that the employee without a cleared background screening worked the previous day without supervision.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(b) by not providing direct supervision for an employee that did not have a cleared background screening from the Office. During the inspection it was reported that the employee without a cleared background screening worked the previous day without supervision.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(a) by not completing the initial screening for an employee that did not have an eligible background screening. During the inspection an employee that had been employed longer than two weeks was not enrolled in the online State’s background screening system.
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The licensee was out of compliance with R501-14-5(2)(a)by not completing the initial screening for an employee that did not have an eligible background screening. During the inspection an employee that had been employed longer than two weeks was not enrolled in the online State’s background screening system.
Checklist 656789: Census: 501; Contact: Elizabeth Sanders; Licensor: Rob Jones

Inspection Type: 2nd Unannounced, Follow-Up Inspection


summary: Follow-Up Inspection


summary: Unannounced, Annual Inspection (5 findings)

raw_content:
R501-1-16(2)(a)-(q): Program policy and training — This Licensee was out of compliance with R501-1-16(2)(a) by failing to renew a staff on their behavior management system training annually. During the inspection it was determined that staff had not been trained in Crisis Protection Institute’s behavior management system this year. This is a repeat noncompliance from 8/02/2024 and 1/22/2025.
R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The Licensee was out of compliance with R380-80-5(4) by having staff that were not certified in the program’s Behavior management system engage in the client restraints. During the inspection it was reported that on March 19, 2025, untrained staff had conducted a restraint on a client that was at risk to themselves or others.
R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The Licensee was out of compliance with R380-80-5(4) by having staff that were not certified in the program’s Behavior management system engage in the client restraints. During the inspection a review was conducted of critical incidents and on February 18, 2025, untrained staff had conducted restraints to manage clients that were a risk to themselves or others.
R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The Licensee was out of compliance with R380-80-5(4) by having staff that were not certified in the program’s Behavior management system engage in the client restraints. During the inspection it was reported that on March 19, 2025, untrained staff had conducted a restraint on a client that was at risk to themselves or others.
R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The Licensee was out of compliance with R380-80-5(4) by having staff that were not certified in the program’s Behavior management system engage in the client restraints. During the inspection it was reported that on March 19, 2025, untrained staff had conducted a restraint on a client that was at risk to themselves or others.
Checklist 643496: Census: 10; Capacity: 16; Contact: David Simkins; Licensor: Rob Jones


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 629979: Census: 4; Capacity: 16; Contact: Famia Pittman; Licensor: Rob Jones


facility_name: New Focus Academy

summary: 2nd Unannounced

raw_content:
Checklist 976831: Census: 13; Capacity: 16; Contact: John Webb; Licensor: Rob Jones
Checklist 976851: Census: 13; Capacity: 16; Contact: John Webb; Licensor: Rob Jones


summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 838102: Census: 13; Capacity: 16; Contact: John Webb; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 702271: Census: 14; Contact: John Webb; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 667695: Census: 13; Capacity: 16; Contact: Dr. Brandon Park; Licensor: Rob Jones


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(3): Medication and hazardous items maintenance and storage — The Licensee was out of compliance with R501-1-8(3) by storing cleaning chemicals that were not secured. During the inspection it was observed the chemicals were placed under the sink in an unlocked cabinet.
Checklist 655391: Census: 12; Capacity: 16; Contact: Ronald Tuinei; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 633453: Census: 13; Capacity: 16; Contact: John Webb; Licensor: Rob Jones


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 619560: Census: 14; Capacity: 16; Contact: John Webb; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 619198: Contact: Licensor(s) Conducting this Inspection: Rob Jones OL Staff Observing Inspection:; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 601731: Census: 13; Capacity: 16; Contact: Amanda Webb; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 588283: Census: 13; Capacity: 16; Contact: John Webb; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 563396: Census: 15; Capacity: 16; Contact: John Webb; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 557170: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: Unannounced, Annual Inspection

raw_content: Checklist 558208: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: New Focus Academy dba New Focus West

summary: 2nd Unannounced

raw_content:
Checklist 978652: Census: 7; Capacity: 12; Contact: John Webb; Licensor: Rob Jones
Checklist 978751: Census: 7; Contact: John Webb; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 838341: Census: 7; Capacity: 12; Contact: John Webb; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 702709: Census: 8; Capacity: 12; Contact: John Webb; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 667696: Census: 7; Capacity: 12; Contact: Dr. Brandon Park; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 654453: Census: 8; Capacity: 12; Contact: John Webb; Licensor: Rob Jones


summary: Unannounced, Annual Inspection (1 finding)

raw_content:
R501-1-6(2)(a)-(g): Required posted documents — The provider was out of compliance with this rule by not displaying their license. During the renewal inspection the program's current license was not displayed.
Checklist 633455: Census: 6; Capacity: 12; Contact: John Webb; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 619557: Census: 9; Capacity: 12; Contact: John Webb; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 619543: Contact: Licensor(s) Conducting this Inspection: Rob Jones OL Staff Observing Inspection:; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 602224: Census: 11; Capacity: 12; Contact: Amanda Webb; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 588250: Census: 7; Capacity: 12; Contact: John Webb; Licensor: Rob Jones


summary: Announced, Annual Inspection

raw_content: Checklist 563398: Census: 8; Capacity: 8; Contact: John Webb; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 558214: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 558231: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: New Haven dba Anthony House

summary: Unannounced, Annual Inspection

raw_content: Checklist 900199: Census: 0; Capacity: 8; Contact: Laura Barlow; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content:
Checklist 787559: Census: 0; Capacity: 8; Contact: Larra Sheppard; Licensor: Heather Guanajuato
Checklist 787561: Census: 0; Capacity: 8; Contact: Larra Sheppard; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 660421: Census: 0; Capacity: 8; Contact: Jeana Thomsen; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 645316: Census: 0; Capacity: 8; Contact: David E Mayeski; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 631599: Census: 0; Capacity: 8; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 624051: Census: 0; Capacity: 8; Contact: Hunter Andersen; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 611665: Census: 8; Capacity: 8; Contact: Kylie Waters; Licensor: Kacee Arrington


summary: Unannounced, Annual Inspection

raw_content: Checklist 597963: Census: 8; Capacity: 8; Contact: Jake Clayton; Licensor: Kacee Arrington


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 575672: Census: 6; Capacity: 8; Contact: of this; Licensor: Kacee Arrington


summary: 3rd Unannounced

raw_content: Checklist 570874: Licensor: :


summary: 2nd Unannounced


facility_name: New Haven dba Nightingale House

summary: Pre-Inspection

raw_content:
Checklist 900339: Census: 16; Capacity: 16; Contact: Laura Barlow; Licensor: Heather Guanajuato
Checklist 900400: Census: 16; Capacity: 16; Contact: Laura Barlow; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 787479: Census: 16; Capacity: 16; Contact: Larra Sheppard; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 660559: Census: 15; Capacity: 16; Contact: Jeana Thomsen; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 645319: Census: 16; Capacity: 16; Contact: David E Mayeski; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 631601: Census: 15; Capacity: 16; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 624050: Census: 14; Capacity: 16; Contact: Hunter Andersen; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 611664: Census: 10; Capacity: 16; Contact: Kylie Waters; Licensor: Kacee Arrington


summary: Unannounced, Annual Inspection

raw_content: Checklist 597962: Census: 14; Capacity: 16; Contact: Jake Clayton; Licensor: Kacee Arrington


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 575699: Census: 14; Capacity: 16; Contact: of this; Licensor: Kacee Arrington


summary: 3rd Unannounced

raw_content: Checklist 570826: Licensor: :


summary: 2nd Unannounced


facility_name: New Haven dba Parks House

summary: Investigation Inspection (1 finding)

raw_content: R501-19-4(4)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with R501-19-4(f) by not providing direct supervision with line of sight check-ins every 15 minutes.  During the investigation inspection, the information gathered substantiated that a client did not receive direct supervision with line of sight checks and left the facility unnoticed.


summary: Unannounced, Annual Inspection


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 787499: Census: 16; Capacity: 21; Contact: Larra Sheppard; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 660433: Census: 11; Capacity: 21; Contact: Jeana Thomsen; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 645320: Census: 21; Contact: David E Mayeski; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 631604: Census: 18; Capacity: 21; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 624053: Census: 19; Capacity: 21; Contact: Hunter Andersen; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 611678: Census: 9; Capacity: 21; Contact: Kylie Waters; Licensor: Kacee Arrington


summary: Unannounced, Annual Inspection

raw_content: Checklist 597961: Census: 16; Capacity: 21; Contact: Jake Clayton; Licensor: Kacee Arrington


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 575697: Census: 20; Capacity: 21; Contact: of this; Licensor: Kacee Arrington


summary: 3rd Unannounced

raw_content: Checklist 570854: Licensor: :


summary: 2nd Unannounced


facility_name: New Haven dba Roosevelt House

summary: Pre-Inspection

raw_content:
Checklist 912702: Census: 14; Capacity: 15; Contact: Laura Barlow; Licensor: Heather Guanajuato
Checklist 912681: Census: 14; Capacity: 15; Contact: Laura Barlow; Licensor: Heather Guanajuato


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 787399: Census: 14; Capacity: 15; Contact: Laura Barlow; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 660091: Census: 11; Capacity: 15; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 645322: Census: 15; Capacity: 15; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 632132: Census: 15; Capacity: 15; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 621681: Census: 15; Capacity: 15; Contact: Grady Goodman; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 611898: Census: 13; Capacity: 16; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 601484: Census: 9; Capacity: 15; Contact: Jake Clayton; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 579552: Census: 8; Capacity: 15; Contact: of this; Licensor: Jennifer Buss


summary: 2nd Unannounced


facility_name: New Haven dba Sacajawea House

summary: Unannounced, Annual Inspection

raw_content: Checklist 912920: Census: 6; Capacity: 15; Contact: Laura Barlow; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 787440: Census: 15; Contact: Laura Barlow; Licensor: Heather Guanajuato


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 660282: Census: 7; Capacity: 15; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 645323: Census: 15; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 632134: Census: 10; Capacity: 15; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 621682: Census: 10; Contact: Grady Goodman; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 611901: Census: 13; Capacity: 16; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 601485: Census: 11; Capacity: 15; Contact: Jake Clayton; Licensor: Heather Holbrook


summary: Follow-Up Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 576463: Census: 4; Capacity: 15; Contact: of this; Licensor: Jennifer Buss


summary: Non On-Site Inspection


summary: Pre-Inspection


facility_name: New Haven dba Teresa House

summary: Non On-Site Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 912939: Census: 16; Capacity: 16; Contact: Laura Barlow; Licensor: Heather Guanajuato


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 787459: Census: 16; Capacity: 16; Contact: Laura Barlow; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 660100: Census: 15; Capacity: 50; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 645324: Census: 14; Capacity: 16; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 631933: Census: 16; Capacity: 50; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 621683: Census: 14; Contact: Grady Goodman; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 611900: Census: 13; Capacity: 16; Contact: Jacob Clayton; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 601486: Census: 9; Capacity: 16; Contact: Jake Clayton; Licensor: Heather Holbrook


summary: Follow-Up Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 577359: Census: 13; Capacity: 16; Contact: of this; Licensor: Jennifer Buss


summary: 2nd Unannounced


facility_name: New Roads Behavioral Health, LLC (Provo)

summary: Non On-Site Inspection


summary: Pre-Inspection

raw_content: Checklist 633238: Census: 0; Capacity: 53; Contact: Rachel Schmidt FALSE; Licensor: Brian Palmer, Rusty Hendrickson


summary: Announced, Annual Inspection

raw_content: Checklist 614132: Census: 55; Contact: of this; Licensor: Rusty Hendrickson


summary: Follow-Up Inspection


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 554386: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: North Water, LLC dba Ascend Recovery - Lake House (RT, DT, & OT)

summary: Announced, Annual Inspection

raw_content: Checklist 936212: Census: 6; Capacity: 16; Contact: Clay Cross, CEO, Alix Andersen, Compliance Director; Licensor: Brian Palmer


summary: Pre-Inspection

raw_content: Checklist 646024: Census: 0; Capacity: 0; Contact: Johanna Salter, COO, Alix Andersen, Compliance Coordinator; Licensor: Brian Palmer, QIDP


summary: Follow-Up Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 635664: Census: 7; Capacity: 29; Contact: Johanna Salter, COO, Clay Cross, DO, Alex Andersen, Compliance Officer, Bobby FALSE; Licensor: Brian Palmer


summary: Announced, Annual Inspection

raw_content: Checklist 583272: Census: 12; Capacity: 16; Contact: of this; Licensor: Nathan Ponis


facility_name: North Water, LLC dba Ascend Recovery - Montgomery

summary: Announced, Annual Inspection

raw_content: Checklist 875640: Census: 15; Capacity: 16; Contact: Alix Andersen; Licensor: Elizabeth Hoffmann


summary: Pre-Inspection

raw_content: Checklist 644524: Census: 5; Capacity: 16; Contact: of this; Licensor: Elizabeth Hoffmann, Nereida Navarrete-Arpero


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 632306: Census: 6; Capacity: 16; Contact: of this; Licensor: Elizabeth Hoffmann


summary: Announced, Annual Inspection

raw_content: Checklist 582963: Census: 2; Capacity: 16; Contact: of this; Licensor: Elizabeth Hoffmann


facility_name: Northwest Charities

summary: Follow-Up Inspection


summary: Announced, Annual Inspection (2 findings)

raw_content:
R501-14-4(3)(a)-(c): Agency's roster and employee information current — The provider was out of compliance with R501-14-4(3)(a) by not keeping their roster current in DACS (Direct Access Clearance System). During the inspection, one associated person was not included in the provider's DACS roster.
R501-14-5(5)(a)-(b): Denied applicants may not direct access to clients — The provider was out of compliance with R501-14-5(5)(a) by allowing an applicant whose background check application was denied to have direct supervised and unsupervised access to clients. During the inspection, an employee who had been denied direct access, had direct access.
Checklist 927319: Census: 4; Capacity: 8; Contact: Bill Howard, COO, Jared Reese Stantyn, Board Director; Licensor: Brian Palmer
Checklist 933791: Census: 4; Capacity: 8; Contact: Bill Howard, COO, Jared Reese Stantyn, Board Director; Licensor: Brian Palmer


summary: Follow-Up Inspection

raw_content: Checklist 637550: Census: 0; Capacity: 8; Contact: David Tupou, Staff Supervisor, Jared Stanton, Staff in Training FALSE; Licensor: Brian Palmer


summary: Announced, Annual Inspection

raw_content: Checklist 634477: Census: 0; Capacity: 8; Contact: William Howard FALSE; Licensor: Brian Palmer


summary: Announced, Annual Inspection

raw_content: Checklist 586514: Census: 5; Capacity: 8; Contact: of this; Licensor: Nathan Ponis


facility_name: Oakgrove School/Waterfall Canyon Academy dba Oakgrove Transitional Living - RT

summary: Announced, Annual Inspection

raw_content: Checklist 759902: Census: 9; Capacity: 12; Contact: Karen Nickel, Heidi Perry; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 626665: Census: 7; Capacity: 12; Contact: Karen Nickel; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 566035: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Oakgrove School/Waterfall Canyon Academy dba Residential Treatment One

summary: Unannounced, Annual Inspection

raw_content: Checklist 901699: Census: 11; Capacity: 12; Contact: Teddy Utley; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection

raw_content: Checklist 760021: Census: 10; Capacity: 12; Contact: Karen Nickel, Heidi Perry; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Investigation Inspection


summary: 3rd Unannounced

raw_content: Checklist 664136: Census: 0; Capacity: 12; Contact: Karen Nickel; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 652498: Census: 6; Capacity: 12; Contact: Bree Green; Licensor: Josilyn Bertrand


summary: Investigation Inspection (1 finding)

raw_content: R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with R380-80-6(1)(b)(c) by failing to treat clients with dignity and respect and keeping them free from potential harm. During van rides and outings a staff member provided vapes to clients and used language and stories that caused the clients to feel intimidated by that staff member. This is a repeat citation as noted on 07/31/24.


summary: Unannounced, Annual Inspection

raw_content: Checklist 639329: Census: 7; Contact: Regina White; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: Announced, Annual Inspection (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with the rule by not having each bathroom properly equipped with toilet paper. During the inspection at Waterfall Canyon Academy Residential Treatment One, the upstairs middle bathroom did not have toilet paper. This rule non-compliance is a repeat non-compliance.
Checklist 626667: Census: 10; Capacity: 12; Contact: Karen Nickel; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Follow-Up Inspection


summary: Focus Inspection (1 finding)

raw_content: R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with this rule by staff not treating a client with dignity and respect and causing potential harm to the client during an incident on 07/25/2024.  During the inspection, the investigator observed via video footage a staff aggressively shove a client in the back acting outside of their behavior management training.

Inspection Type: Focus Inspection


summary: 3rd Unannounced (2 findings)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with the rule by not having all client bathrooms properly equipped with toilet paper during the inspection. This rule non-compliance is a repeat non-compliance.
R501-1-6(2)(a)-(g): Required posted documents — The provider was out of compliance with the rule by not have the required documents posted during the inspection. This rule non-compliance is a repeat non-compliance.
Checklist 607871: Census: 0; Capacity: 12; Contact: Tony Cruz; Licensor: Josilyn Bertrand


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with the rule by not having all bathrooms properly stocked with toilet paper during the inspection.

This rule non-compliance is a repeat non-compliance.
Checklist 595944: Census: 9; Capacity: 12; Contact: Karen Nickel; Licensor: Josilyn Bertrand, Mary Bokinskie


facility_name: Oakgrove School/Waterfall Canyon Academy dba Residential Treatment Two

summary: Unannounced, Annual Inspection

raw_content: Checklist 888980: Census: 6; Capacity: 13; Contact: Kim Munford; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection

raw_content: Checklist 759903: Census: 6; Capacity: 13; Contact: Karen Nickel, Heidi Perry; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Investigation Inspection


summary: 3rd Unannounced

raw_content: Checklist 664135: Census: 9; Capacity: 13; Contact: Kim Munford; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 651676: Census: 10; Capacity: 13; Contact: Licensor(s) Conducting this Inspection: Josilyn Bertrand OL Staff Observing Inspection:; Licensor: Josilyn Bertrand


summary: Follow-Up Inspection


summary: Investigation Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The Licensee was out of compliance with R501-19-3(3)(f) by staff failing to complete the required 15 minute line of sight check-in with a client resulting in the client absconding from the facility on 03/22/2025.  During the inspection, video footage showed staff failed to check in with the client for over 40 minutes.


summary: Unannounced, Annual Inspection

raw_content: Checklist 639332: Census: 6; Capacity: 13; Contact: Kim Munford 3/3/25; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 626666: Census: 7; Capacity: 13; Contact: Karen Nickel; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 607253: Census: 8; Capacity: 13; Contact: Rebecca Sorensen, Karen Nickel; Licensor: Josilyn Bertrand


summary: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content: Checklist 579062: Census: 6; Capacity: 13; Contact: Becky Sorenson; Licensor: Josilyn Bertrand


facility_name: Oakgrove School/Waterfall Canyon Academy dba Residential Treatment YA - RT

summary: Announced, Annual Inspection

raw_content: Checklist 760000: Census: 5; Capacity: 6; Contact: Karen Nickel, Heidi Perry; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Investigation Inspection


summary: Conditional, Monitoring Inspection

Inspection Type: Conditional, Monitoring Inspection


summary: Follow-Up Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 626664: Census: 4; Capacity: 6; Contact: Karen Nickel; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: Focus Inspection (2 findings)

raw_content:
R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with this rule by failing to ensure the client was free from potential harm. During the incident, the provider failed to conduct physical in person 15 minute checks on the client and the client was later found unresponsive.
R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with this rule by failing to conduct and document  physical line of sight check-ins every 15 minutes. During night checks, staff members checked video surveillance rather than performing in person line of sight checks.


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 566037: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Ascent Behavioral Hospital - Residential

summary: Unannounced, Annual Inspection

raw_content: Checklist 974811: Census: 0; Capacity: 16; Contact: Eric Ricks; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 845139: Census: 16; Contact: Eric Ricks; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 692815: Census: 0; Capacity: 16; Contact: Eric Ricks; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 660893: Census: 0; Capacity: 16; Contact: Eric Ricks; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 646412: Census: 0; Capacity: 16; Contact: Eric Ricks; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 632205: Census: 0; Capacity: 78; Contact: Eric Ricks; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 619763: Census: 0; Capacity: 30; Contact: Kreg Gillman; Licensor: Kacee Arrington


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 615617: Census: 12; Capacity: 30; Contact: Eric Ricks; Licensor: Kacee Arrington


summary: Non On-Site Inspection


summary: Follow-Up Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 601849: Census: 13; Capacity: 30; Contact: Eric Ricks; Licensor: Kacee Arrington


summary: Focus Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with this rule by staff members failing to perform direct supervision with line of sight check-ins every 15 minutes. During an investigation inspection on 05/10/24, video footage documented a staff member did not perform direct supervision with line of sight 15 minute check in.


summary: Focus Inspection (1 finding)

raw_content: R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The provider was out of compliance with this rule by staff members failing to protect the client from harm by not providing direct supervision. During an investigation inspection on 02/05/24 and documentation reviewed identified that the client was able to self-harm after the client was left unsupervised after a medical visit for nearly an hour on 01/25/24.


facility_name: OASIS Ascent (DT, RT, OT)

summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 826539: Census: 29; Capacity: 48; Contact: Reggie Wilson; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection

raw_content: Checklist 743499: Census: 28; Capacity: 48; Contact: Brent Esplin; Licensor: MeRee Jacobsen


summary: 3rd Unannounced

raw_content: Checklist 664464: Census: 30; Capacity: 48; Contact: Brent Esplin; Licensor: MeRee Jacobsen


summary: Investigation Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The licensee is out of compliance with R501-19(3)(a) by failing to provide direct supervision that met supervision requirements. During the investigation the licensor identified that a client that was supposed to be supervised one-on-one and was not supervised one-on-one.


summary: 2nd Unannounced

raw_content: Checklist 653190: Census: 33; Capacity: 48; Contact: Brent Esplin; Licensor: MeRee Jacobsen


summary: Follow-Up Inspection


summary: Focus, Non On-Site (1 finding)

raw_content: R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The provider was out of compliance with this rule by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 2/19/2025 and was not reported until 2/21/2025.

Inspection Type: Focus, Non On-Site


facility_name: Odyssey House dba Adolescent Residential Program

summary: 3rd Unannounced

raw_content: Checklist 910599: Census: 12; Capacity: 36; Contact: Jaison Jensen; Licensor: Heather Holbrook


summary: Investigation Inspection


summary: Investigation Inspection (2 findings)

raw_content:
R501-19-4(4)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with R501-19-4(f) due to the provider failing to perform direct supervision with the line of sight check-in every 15 minutes.  During the investigation, staff members disclosed that they have not conducted the required 15-minute check-ins with clients for the past month. They indicated that they were following a directive from their superiors but were unsure if this change in protocol had been approved by DHHS.
R380-80-5(7): Maintaining health and safety of clients — The provider was out of compliance with R380-80-5(7) by failing to maintain the health and safety of the clients.  During the investigation, it was reported that staff members were not avaible to provide assistance to a client who was unconsious.


summary: 2nd Unannounced

raw_content: Checklist 783760: Census: 36; Contact: Danny Peterson; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 667427: Census: 19; Capacity: 36; Contact: Danny Peterson; Licensor: Heather Holbrook


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 654787: Census: 17; Capacity: 36; Contact: Erin Davis; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 636610: Census: 21; Capacity: 36; Contact: Jaison Jensen; Licensor: Heather Holbrook


summary: Follow-Up Inspection


summary: 2nd Unannounced

raw_content: Checklist 624649: Census: 26; Capacity: 36; Contact: Jaison Jensen; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 615059: Census: 22; Capacity: 36; Contact: Chris Coburn; Licensor: Heather Holbrook


facility_name: Odyssey House dba Parents with Children

summary: Announced, Annual Inspection

raw_content: Checklist 792519: Census: 15; Capacity: 16; Contact: Erin Caliguire; Licensor: Elizabeth Hoffmann


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

raw_content: R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The Licensee was out of compliance with R380-600-7(16)(a-d) by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 6/11/2025 and was not reported until 6/17/2025.


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 628909: Census: 14; Capacity: 16; Contact: of this; Licensor: Elizabeth Hoffmann


summary: Announced, Annual Inspection

raw_content: Checklist 571291: Census: 14; Contact: Elizabeth Hoffmann; Licensor: :


facility_name: Oxbow Academy (East House)

summary: 3rd Unannounced

raw_content: Checklist 822459: Census: 9; Capacity: 16; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 797619: Census: 8; Capacity: 16; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 668504: Census: 6; Capacity: 16; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: Pre-Inspection

raw_content: Checklist 655833: Contact: Shawn Brooks and Alan Kendall; Licensor: MeRee Jacobsen


facility_name: Oxbow Academy (Evaluation House)

summary: 3rd Unannounced

raw_content: Checklist 822399: Census: 11; Capacity: 16; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 797283: Census: 9; Capacity: 16; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 668485: Census: 7; Capacity: 16; Contact: Alan Kendall; Licensor: MeRee Jacobsen


facility_name: Oxbow Academy (West House)

summary: 3rd Unannounced

raw_content: Checklist 824019: Census: 7; Capacity: 16; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 797461: Census: 8; Capacity: 16; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 668488: Census: 10; Capacity: 16; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: Pre-Inspection

raw_content: Checklist 655835: Contact: Shawn Brooks and Alan Kendall; Licensor: MeRee Jacobsen


facility_name: Oxbow Academy (West Campus)

summary: Unannounced, Annual Inspection

raw_content: Checklist 819739: Census: 3; Capacity: 24; Contact: Eric Westlund; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection


summary: 3rd Unannounced

raw_content: Checklist 661995: Census: 4; Capacity: 24; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: Investigation Inspection (2 findings)

raw_content:
R380-80-6(1)(a)-(i): Client rights — The provider is out of compliance with R380-80-6(1)(c) by staff failing to keep free from potential harm. During a community physical fitness activity, the clients were out of line of sight and sound with staff for a period of time that allowed one student to grope another without consent.
R380-80-5(10): Services and supervision to meet each clients needs — The provider is out of compliance with R380-80-5(10) by staff failing to provide supervision that is commensurate with the behaviors of each client. During an investigation inspection and client interviews, a client involved, reported that the staff was not in line of sight and sound with them at all times because the staff was following them in the van while the clients were exercising in the community. During this time that the clients were not in line of sight of staff, one client was able to grope another student.


summary: 2nd Unannounced (1 finding)

raw_content:
R380-600-3(25): Posting of license or certificate — The licensee was out of compliance with R380-600-3(25) by not having their current OL license on the premises in a place readily to view. During the inspection the licensor observed an expired OL license posted in the main entrance.
Checklist 651147: Census: 6; Capacity: 24; Contact: Kristen Hammond 5/15/2025; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 639617: Census: 6; Capacity: 24; Contact: Kristen Hammond 3/5/2025; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection

raw_content: Checklist 626466: Census: 7; Capacity: 24; Contact: Alan Kendall 12/4/2024; Licensor: MeRee Jacobsen


summary: Non On-Site Inspection


summary: 3rd Unannounced

raw_content: Checklist 615985: Census: 7; Capacity: 24; Contact: Kristen Hammond; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 614326: Census: 6; Capacity: 24; Contact: Kristen Hammond; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 571164: Census: 3; Capacity: 24; Contact: Alan Kendall; Licensor: MeRee Jacobsen


summary: 3rd Unannounced

raw_content: Checklist 567705: Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 545506: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Pine Ridge Behavioral Health dba Behavioral Health

summary: 2nd Unannounced

raw_content: Checklist 857980: Census: 11; Capacity: 16; Contact: Natalee Sorenson; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 789779: Census: 8; Capacity: 16; Contact: Natalee Sorenson; Licensor: MeRee Jacobsen


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 667160: Census: 10; Capacity: 16; Contact: Natalee Sorenson; Licensor: MeRee Jacobsen


summary: 3rd Unannounced

raw_content: Checklist 645443: Census: 10; Capacity: 16; Contact: Chet Ludlow; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 638510: Census: 10; Capacity: 16; Contact: Natalee Sorensen 02/26/2025; Licensor: MeRee Jacobsen


summary: Non On-Site Inspection


raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with this rule by having multiple holes in the walls and broken outlet covers. At the facility, there was a hole in the floor, a broken light switch cover, a broken outlet cover, a missing kitchen pantry door, and a missing cover for the fan located in the ceiling of the client bathroom. This was a repeat rule noncompliance.
Checklist 628082: Census: 7; Capacity: 16; Contact: Natalee Sorensen 12/12/2024; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection

raw_content: Checklist 611106: Census: 11; Capacity: 16; Contact: Natalee Sorensen; Licensor: MeRee Jacobsen


summary: 3rd Unannounced


summary: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content: Checklist 570569: Census: 11; Capacity: 16; Contact: Natalee Sorensen; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection

raw_content: Checklist 550641: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Red Circle Lodge, Inc - Hildale

summary: 2nd Unannounced

raw_content: Checklist 970452: Census: 13; Capacity: 30; Contact: Samantha Herda; Licensor: Larry Black


summary: Unannounced, Annual Inspection (2 findings)

raw_content:
R501-1-8(3): Medication and hazardous items maintenance and storage — The Licensee was out of compliance with rule R501-1-8(3) by not maintaining hazardous items with consideration of the safety and risk level of the population served. During the inspection, chemicals were not in locked cabinets when not in use. This is a repeat noncompliance as noted on 1/22/25, 2/28/24. Technical assistance was provided on 10/23/25
R501-1-8(1)(a)-(i): Facility and safety requirements — The Licensee was out of compliance with R501-1-8(a)(b) by not maintaining building so it free from health and fire hazards. During the walkthrough inspection maintaince issues were identified in client bedrooms and bathrooms . This is a repeat noncompliance as noted on 10/23/25, 1/22/25, 8/15/24, 5/10/24, 2/28/24, 12/28/23. Technical assistance was provided on 8/19/25.
Checklist 868300: Census: 14; Capacity: 30; Contact: Samantha Herda; Licensor: Larry Black


summary: Follow-Up Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 726919: Census: 16; Capacity: 30; Contact: Samatha Herda; Licensor: Larry Black


summary: Complaint, Focus Inspection (1 finding)

raw_content: R501-1-16(1)(a)-(u): Pre-service training requirements — The provider was out of compliance with R501-1-16(1)(a) by not ensuring that each staff received pre-serving training before being left unsupervised and within 30-days of hire. During an investigation inspection, the information gathered substantiated that two staff members were not provided with behavior management/physical restraint training and one staff member had not been provided with CPR/First Aid training within the 30 days of hire.

Inspection Type: Complaint, Focus Inspection


summary: 3rd Unannounced

raw_content: Checklist 665316: Census: 16; Capacity: 30; Contact: Samantha Herda; Licensor: Larry Black


summary: Investigation Inspection (1 finding)

raw_content: R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The provider was out of compliance with R380-80-5(4) by staff members not protecting clients from mistreatment and any action that may compromise the health and safety of clients. During an investigation inspection, the information gathered substantiated that when a client was emotionally dysregulated, staff members verbally mistreated the client. The staff yelled at and used profane language directed at a client. Other staff members did not step in and protect clients from the verbal mistreatment.


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 644432: Census: 11; Capacity: 30; Contact: Samantha Herda; Licensor: Larry Black


summary: Non On-Site Inspection (1 finding)

raw_content: R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The provider was out of compliance with this rule by allowing a staff member with a denied background screening to have direct access to clients. During a non on-site investigation inspection, the evidence substantiated that a staff member worked for approximately one year after the provider received notice that the staff member had a denied background screening.


raw_content:
R501-1-8(3): Medication and hazardous items maintenance and storage — The provider was out of compliance with this rule by not maintaining hazardous items with consideration of the safety and risk level of the population served. During the inspection chemicals were not in locked in cabinets when not in use.
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with this rule by not maintaining building and grounds so they are free from health and fire hazards. During the inspection client bedroom electrical switch broken, 	bedroom light fixture non functional. Client bathroom non functional bathroom ventilation fan. Classroom fluorescent light fixture cover missing. School building bathrooms missing light bulbs exposed light sockets. Broken bed in client bedroom. This is a repeat non-compliance
Checklist 632837: Census: 11; Contact: Lucia Olivares; Licensor: Larry Black


raw_content: R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The provider was out of compliance with R380-600-7(16)(a) by not reporting a critical incident within one business day. During the inspection the provider was aware of an allegation of child abuse on or around 11/19/2024 and did not make a report to the Office of Licensing. This is a repeat noncompliance on 9/27/23, 7/6/23, 6/20/23, 6/8/23, 4/10/23, 4/7/23, and 12/5/22.


facility_name: Renewed Hope Treatment Center

summary: 3rd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The Licensee was out of compliance with R501-1-8(a)(b) by not maintaining facility so its clean and free from health and safety hazards. During the inspection building maintaince issues where observed in the dorms, admin building and school buildings. 	This is a repeat noncompliance as noted on 2/4/264/1/25, 4/23/24, 2/7/24, 8/1/23. Technical assistance was provided on 11/10/25
Checklist 981011: Census: 32; Capacity: 44; Contact: Naddine; Licensor: Larry Black


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The Licensee was out of compliance with R501-1-8 (1)(a) by not maintaining the appearance and cleanliness of the building and grounds so they are free from health and safety hazards. During the walkthrough inspection cleanliness and building maintaince issues where observed. This is a repeat noncompliance as noted on 4/1/25, 4/23/24, 2/7/24, 8/1/23. Technical assistance was provided on 11/10/25
Checklist 857959: Census: 34; Capacity: 44; Contact: Naddine; Licensor: Larry Black


summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 747679: Census: 40; Capacity: 44; Contact: Mika; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 660328: Census: 31; Capacity: 44; Contact: Brian Pace; Licensor: Larry Black


summary: Investigation Inspection (1 finding)

raw_content: R501-1-4(6)(a)-(j): Seclusion policy and practices requirements — The provider was out of compliance with R501-1-4(a)(h) by not terminating a seclusion episode when the client was de escalated and not having clinical justification for a seclusion that went longer than 4 hours and not documenting a seclusion episode. During the inspection a client was away from peers for 5 hours even though they were no longer escalated. There was also no clinical justification for the seclusion and staff did not document in detail the seclusion episode.


raw_content: R501-1-8(3): Medication and hazardous items maintenance and storage — The provider was out of compliance with R501-1-8(3) by having an aluminum can, potentially hazardous, available to clients. In the indoor arena an aluminum can was found accessible to clients who have a history of self harm. This is a repeat noncompliance as noted on 7/9/2024.


summary: 3rd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The Licensee was out of compliance with R501-1-8(b) by not maintaining plumbing and  electrical and in safe condition. During the inspection walkthrough there was a broken sink and broken electrical outlet covers.
Checklist 643801: Census: 30; Capacity: 44; Contact: mika rayos; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 630831: Census: 26; Contact: Mika Rayos; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 620249: Census: 30; Contact: brian pace; Licensor: Larry Black


summary: Follow-Up Inspection


facility_name: Rite Of Passage dba Willard Peak Residential Treatment

summary: 2nd Unannounced

raw_content: Checklist 828819: Census: 0; Capacity: 10; Contact: Dorothy Simnitt; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 730499: Census: 5; Capacity: 10; Contact: Kimberly Gill; Licensor: Josilyn Bertrand


summary: Announced, Annual Inspection

raw_content: Checklist 664321: Census: 5; Capacity: 10; Contact: Kimberly Gill; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 646460: Census: 6; Capacity: 10; Contact: Kimberly Gill; Licensor: Josilyn Bertrand


summary: Non On-Site Inspection


summary: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content: Checklist 620504: Census: 4; Contact: Katy Testerman; Licensor: Josilyn Bertrand


raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with the rule by not having all prescription medication in its original pharmacy packaging during the inspection. This rule non-compliance is a repeat non-compliance.
Checklist 606829: Census: 5; Capacity: 10; Contact: Kimberly Gill; Licensor: Josilyn Bertrand, Mary Bokinskie


summary: 3rd Unannounced

raw_content: Checklist 600663: Census: 5; Capacity: 10; Contact: Kimberly Gill; Licensor: Josilyn Bertrand


summary: 2nd Unannounced

raw_content: Checklist 586590: Census: 7; Capacity: 10; Contact: Kimberly Gill; Licensor: Josilyn Bertrand


summary: Unannounced, Annual Inspection

raw_content: Checklist 571918: Licensor: :


summary: Announced, Annual Inspection

raw_content: Checklist 544862: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: 3rd Unannounced

raw_content: Checklist 541411: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Roots Transition

summary: Pre-Inspection

raw_content: Checklist 943393: Census: 30; Contact: Derek Mullin; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 895479: Census: 30; Contact: Jaime Palmer; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 776564: Census: 14; Capacity: 30; Contact: Derek Mullin; Licensor: Heather Holbrook


summary: Unannounced, Annual Inspection

raw_content: Checklist 667215: Census: 11; Capacity: 30; Contact: Kami Black; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 649402: Census: 13; Capacity: 30; Contact: Kami Black; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 637821: Census: 12; Capacity: 30; Contact: Kami Black; Licensor: Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 628999: Census: 15; Capacity: 30; Contact: Kami Black; Licensor: Heather Holbrook


summary: 2nd Unannounced

raw_content: Checklist 610393: Census: 30; Contact: Heidi Cuneo; Licensor: Heather Holbrook


summary: Non On-Site Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 596859: Census: 11; Capacity: 30; Contact: Kami Black; Licensor: Heather Holbrook


summary: Announced, Annual Inspection

raw_content: Checklist 587245: Census: 19; Capacity: 30; Contact: Kami Black; Licensor: Heather Holbrook


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 570011: Census: 18; Contact: Heather Holbrook Josie Bertrand; Licensor: :


summary: Follow-Up Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 556095: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Second Nature Therapeutic Program, LLC

summary: 3rd Unannounced

raw_content: Checklist 926579: Census: 13; Contact: Alex S.; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 794905: Census: 27; Capacity: 60; Contact: Dominic C.; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 662471: Census: 26; Contact: Alea Climber; Licensor: Rob Jones Staff Observing Inspection: Angie Mccourt DHHS Operations Office


summary: Announced, Annual Inspection

raw_content: Checklist 652460: Census: 19; Capacity: 60; Contact: Kayleen Ricter, Alea Climber, Dominic Conigliaro; Licensor: Rob Jones ; Heather Holbrook


summary: 3rd Unannounced

raw_content: Checklist 635872: Census: 14; Capacity: 60; Contact: Richard Phippen; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 629403: Census: 15; Capacity: 60; Contact: Rich Phippen; Licensor: Rob Jones


summary: Unannounced, Annual Inspection

raw_content: Checklist 613773: Census: 19; Capacity: 60; Contact: Rich Phipps; Licensor: Rob Jones


summary: Follow-Up Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 597301: Census: 13; Capacity: 60; Contact: Alea Clymer; Licensor: Rob Jones


summary: 3rd Unannounced

raw_content: Checklist 587465: Census: 14; Capacity: 120; Contact: Dominic Conigliaro; Licensor: Rob Jones


summary: 2nd Unannounced

raw_content: Checklist 566055: Census: 120; Contact: Tess Bennett; Licensor: Rob Jones


summary: Non On-Site Inspection


summary: Unannounced, Annual Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 540572: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: Investigation Inspection


facility_name: SRS Education, Inc dba Storm Ridge Boys

summary: Unannounced, Annual Inspection

raw_content: Checklist 819599: Census: 8; Capacity: 40; Contact: Kevin Molchan; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection

raw_content: Checklist 735419: Census: 12; Capacity: 40; Contact: Kevin Molchan; Licensor: MeRee Jacobsen


summary: 3rd Unannounced

raw_content: Checklist 667588: Census: 14; Capacity: 40; Contact: Kevin Molchan; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 653938: Census: 14; Capacity: 40; Contact: Darren Swalberg; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 631481: Census: 13; Capacity: 40; Contact: Darren Swalberg 01/09/2025; Licensor: MeRee Jacobsen


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 622015: Census: 15; Capacity: 40; Contact: darren swalberg 10/28/2024; Licensor: MeRee Jacobsen


summary: 3rd Unannounced


summary: 2nd Unannounced


summary: Unannounced, Annual Inspection


summary: Follow-Up Inspection


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 564562: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: 2nd Unannounced

raw_content: Checklist 542629: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: SRS Education, Inc dba Storm Ridge Ranch, Girls

summary: Unannounced, Annual Inspection

raw_content: Checklist 819600: Census: 9; Capacity: 40; Contact: Mandi Molchan/Bethanny Shepherd; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection

raw_content: Checklist 734481: Census: 13; Capacity: 40; Contact: Mandi Molchan; Licensor: MeRee Jacobsen


summary: 3rd Unannounced

raw_content: Checklist 658242: Census: 14; Capacity: 40; Contact: Mandi Molchan; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 649599: Census: 16; Capacity: 40; Contact: Bethanny shepherd; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 632636: Census: 16; Capacity: 40; Contact: Mandi Molchan 01/21/2025; Licensor: MeRee Jacobsen


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 621909: Census: 17; Capacity: 40; Contact: Mandi Molchan 10/28/2024; Licensor: MeRee Jacobsen


summary: 3rd Unannounced


summary: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content: Checklist 574504: Contact: Mandy Molcham; Licensor: MeRee Jacobsen


summary: Announced, Annual Inspection

raw_content: Checklist 563011: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: 3rd Unannounced

raw_content: Checklist 542634: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Solacium Sunrise, LLC dba Sunrise RTC - The Fields

summary: Investigation Inspection


summary: Follow-Up Inspection


summary: 2nd Unannounced

raw_content: Checklist 955711: Census: 16; Capacity: 44; Contact: Alondra; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 886082: Census: 21; Capacity: 44; Contact: Oziah Manor; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 772239: Census: 21; Capacity: 44; Contact: Daniel Cox; Licensor: Larry Black


summary: Investigation Inspection (3 findings)

raw_content:
R380-80-5(10): Services and supervision to meet each clients needs — The provider was out of compliance with R380-80-5(1) by not providing services and supervision commensurate with a client’s behaviors and needs. During the investigation inspection, the evidence substantiated that a client with a documented history of self-injurious behavior engaged in two self-harm incidents. On August 7, 2025, the client's severe self-harm required transport to the emergency room for treatment and necessitated multiple sutures. Three days later, the client was not adequately supervised and self-harmed again by removing multiple sutures from the prior injury. This incident resulted in a second transport to the emergency room for additional treatment. This noncompliance was previously noted on 07/23/2023, 01/24/2024, 07/15/2024, 10/22/2024, and 12/16/2024.
R380-80-5(10): Services and supervision to meet each clients needs — The provider was out of compliance with R380-80-5(1) by not providing supervision commensurate with clients’ behaviors, and needs. During the investigation inspection, the evidence substantiated that on September 17, 2025, a client with a history of significant self-injurious behavior engaged in a serious self-harm incident that resulted in a transport to the emergency room which necessitated over 30 sutures. A second client engaged in self-harm with the same contraband which also resulted in transport to the emergency room and sutures. This noncompliance was previously noted on 07/23/2023, 01/24/2024, 07/15/2024, 10/22/2024, and 12/16/2024.
R380-80-5(10): Services and supervision to meet each clients needs — The provider was out of compliance with R380-80-5(1) by not providing supervision commensurate with a client’s skills, abilities, behaviors, and needs. During the investigation inspection, the evidence substantiated that a client with a history of significant self-injury, including 3 recent incidents, obtained contraband and engaged in a serious self-harm incident on October 30, 2025. The client's injuries resulted in a transport to the emergency room for treatment which necessitated multiple sutures. This noncompliance was previously noted on 07/23/2023, 01/24/2024, 07/15/2024, 10/22/2024, and 12/16/2024.


summary: 3rd Unannounced

raw_content: Checklist 661369: Census: 19; Capacity: 44; Contact: Wendi Hunt; Licensor: Larry Black


facility_name: Solstice RTC LLC

summary: Unannounced, Annual Inspection

raw_content: Checklist 912719: Census: 11; Capacity: 44; Contact: Licensor(s) Conducting this Inspection: Mary Bokinskie OL Staff Observing Inspection:; Licensor: Mary Bokinskie


summary: Announced, Annual Inspection

raw_content: Checklist 754659: Census: 12; Capacity: 44; Contact: Jane Peterson; Angie Forster; Licensor: Mary Bokinskie; Josilyn Bertrand


summary: Investigation Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with rule R501-19-3(3)(f) by staff failing to complete the required line of sight check-ins every 15 minutes on October 01, 2025.  During the inspection,  Licensing verified the documentation was incomplete for the 15 minute checks.  According to the documentation, checks were not completed by staff for 45 minutes.


summary: 3rd Unannounced

raw_content: Checklist 659864: Census: 15; Capacity: 44; Contact: Herbert Kendall; Licensor: Mary Bokinskie


summary: 2nd Unannounced

raw_content: Checklist 651702: Census: 18; Capacity: 44; Contact: Herbert Kendall; Licensor: Mary Bokinskie


summary: Investigation Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The Licensee was out of compliance with R501-19-3(3)(f), by staff failing to complete the required line of sight check-in with a client on March 26, 2025.  During the inspection, the investigator verified that staff did not complete a check for 45 minutes to 1 hour.


summary: Unannounced, Annual Inspection

raw_content: Checklist 642675: Census: 16; Capacity: 44; Contact: Herbert Kendall; Licensor: Mary Bokinskie, Josilyn Bertrand


summary: Investigation Inspection


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 623490: Census: 16; Capacity: 44; Contact: Angie Michaelson, Herbert Kendall, Jane Peterson; Licensor: Mary Bokinskie, Josilyn Bertrand


summary: Focus Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with this rule by staff failing to perform direct supervision with line of sight check-ins every 15 minutes for a client.  The provider’s incident report indicated that supervision was a problem and staff lost track of the client between 7:15 and 7:40.


summary: 3rd Unannounced

raw_content: Checklist 612317: Census: 16; Capacity: 44; Contact: Angie Michaelson, Herbert Kendall, Jane Peterson; Licensor: Mary Bokinskie


summary: Follow-Up Inspection


summary: 2nd Unannounced

raw_content: Checklist 599478: Census: 20; Capacity: 44; Contact: Angie Michaelson, Herbert Kendall, Jane Peterson; Licensor: Mary Bokinskie


summary: Focus Inspection (1 finding)

raw_content:
R380-80-5(4): Provider shall protect clients from abuse, prevent abuse — The provider was out of compliance with this rule by failing to protect the client from abuse, harm, mistreatment, or actions that compromised the client’s health or safety on 2 occasions.
1. During the investigation, a client disclosed that staff members overshared personal information with the client that was sexual in nature.
2. During the investigation it was identified that a staff member wrote several love notes to a client and nibbled the client’s neck.


facility_name: Sorenson’s Ranch School/Sorenson’s Ranch School Foundation

summary: Investigation Inspection (1 finding)

raw_content: R380-80-6(1)(a)-(i): Client rights — The provider was out of compliance with R380-80-6(1)(c) by exposing clients to potential harm. During the investigation clients were able to get a hold of prescription medication not prescribed to them and as a result they were taken to the hospital for observation. This is a repeat noncompliance as noted on 4/7/2025 and 1/2/2024.


summary: 3rd Unannounced

raw_content: Checklist 853359: Census: 39; Capacity: 76; Contact: Stone Sorenson, Mindy Talbot; Licensor: MeRee Jacobsen


summary: Investigation Inspection

raw_content: Checklist 736641: Census: 45; Capacity: 76; Contact: Layne Bagley, Stone Sorenson, Mindy Talbot; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection

raw_content: Checklist 667442: Census: 48; Capacity: 76; Contact: Mindy Talbot; Licensor: MeRee Jacobsen


summary: Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 649088: Census: 55; Capacity: 76; Contact: Mindy Talbot 05/01/2025; Licensor: MeRee Jacobsen


summary: Investigation Inspection (1 finding)

raw_content: R380-80-6(1)(a)-(i): Client rights — The licensee was out of compliance with R380-80-6(1)(c) by staff providing inappropriate images to clients causing potential harm. During the inspection it was confirmed that staff provided inappropriate images to clients. This is a repeat noncompliance as noted on 1/2/2024.


summary: 3rd Unannounced

raw_content: Checklist 641538: Census: 55; Capacity: 76; Contact: jill Sorenson 03/20/2025; Licensor: MeRee Jacobsen


summary: 2nd Unannounced

raw_content: Checklist 621514: Census: 57; Capacity: 96; Contact: Jill Sorenson 10/31/2024; Licensor: MeRee Jacobsen


summary: Unannounced, Annual Inspection


facility_name: Southwest Behavioral Health Center - Horizon House East Residential (RT, DT & OT)

summary: Announced, Annual Inspection

raw_content: Checklist 950971: Contact: Bill Dudleston; Licensor: PattiJo Hopes


summary: Announced, Annual Inspection

raw_content: Checklist 647026: Census: 5; Contact: Bill Dudleston; Licensor: Izabelle Arnold, Greg Hirst


summary: Announced, Annual Inspection

raw_content: Checklist 583864: Census: 16; Capacity: 8; Contact: of this; Licensor: Greg Hirst


facility_name: Spirit Mountain Recovery (RT)

summary: Announced, Annual Inspection

raw_content: Checklist 690158: Census: 8; Capacity: 8; Contact: of this; Licensor: Rusty Hendrickson


summary: Announced, Annual Inspection

raw_content: Checklist 617731: Census: 8; Contact: of this; Licensor: Rusty Hendrickson


summary: Announced, Annual Inspection

raw_content: Checklist 558864: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: Steps Recovery Center (Payson)

summary: Announced, Annual Inspection

raw_content: Checklist 843439: Census: 30; Contact: Julie Jackson, Kim Fisk; Licensor: Nichol Tidwell


raw_content: R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The Licensee was out of compliance with R380-600-7(16)(a-d) by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 3/30/2025 and was not reported until 4/2/2025).

Inspection Type: Investigation Inspection, Non On-Site Inspection


summary: Investigation Inspection


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 630094: Census: 11; Capacity: 24; Contact: Julie Jackson, Suzanne Wessel FALSE; Licensor: Brian Palmer, Stacia Shumway


summary: Announced, Annual Inspection


facility_name: Steps Recovery Center Of St. George LLC (3638 Sugar Leo Dr.)

summary: Announced, Annual Inspection

raw_content: Checklist 785279: Census: 5; Contact: Taz Decker; Licensor: Izabelle Arnold


summary: Non On-Site Inspection


raw_content:
R501-14-5(2)(a)-(f): Submitting application for an initial background screening — The provider was out of compliance with this rule by not ensuring applicants were directly supervised until the office issued conditional or eligible clearance determinations and not documenting how the individuals remained supervised for the entirety of their supervised employment terms. During the inspection, 2 employees required supervision in the Direct Access Clearance System and the provider did not have documentation of supervision for the employees.
Checklist 626851: Contact: of this; Licensor: Izabelle Arnold


summary: Announced, Annual Inspection


facility_name: Stillwater Academy, LLC

summary: Unannounced, Annual Inspection

raw_content: Checklist 939734: Census: 28; Capacity: 64; Contact: Scott Jones; Licensor: Rob Jones


summary: Announced, Annual Inspection, Follow-Up Inspection

raw_content: Checklist 753219: Census: 26; Contact: Scott Jones; Licensor: Rob Jones


summary: Investigation Inspection


summary: 3rd Unannounced, Follow-Up Inspection

raw_content: Checklist 670414: Census: 28; Capacity: 45; Contact: Scott Jones; Licensor: Rob Jones


summary: 2nd Unannounced (1 finding)

raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with R501-1-8(1)(b) by not having all electrical outlets maintained. At the facility, during the walkthrough there was one electrical outlet that was missing its cover. This is a repeat noncompliance as noted on 10/29/2024.
Checklist 659417: Census: 25; Capacity: 45; Contact: Sarah Jones; Licensor: Rob Jones


raw_content:
R501-1-8(1)(a)-(i): Facility and safety requirements — The licensee was out of compliance with rule (R501-1-8)(1)(i) by having a prescription acne cream out in the med room without the original pharmacy packaging. During the walk through inspection, the licensor observed a a prescription acne cream out in the med room without the original pharmacy packaging. This is a repeat non-compliance.
Checklist 642294: Census: 27; Capacity: 45; Contact: Scott Jones; Licensor: Heather Holbrook


summary: Follow-Up Inspection


summary: Non On-Site Inspection


raw_content:
R501-1-8(3): Medication and hazardous items maintenance and storage — The provider was out compliance with this rule by not having potentially hazardous materials in a locked storage. At the facility, during the walkthrough there was a container of Clorox wipes out in the student room in the basement. In addition, there was a shed with hazardous material (gas and weed killers) in it at the one of the housing parents homes that did not have a lock. This is a repeat noncompliance.
R501-1-8(1)(a)-(i): Facility and safety requirements — The provider was out of compliance with this rule by not having all electrical outlets maintained. At the facility, during the walkthrough there was one electrical outlet that was missing its cover. This is a repeat noncompliance.
R501-1-15(4): Residential program unsupervised staff requirements — The provider was out of compliance with this rule by not having all staff background cleared. At the facility, during a review of the DACS system it was found that one staff member that has worked for the provider for a long time did not have a background clearance in DACS.
Checklist 619621: Census: 25; Capacity: 45; Contact: Scott Jones; Licensor: Kacee Arrington


summary: 3rd Unannounced

raw_content: Checklist 616692: Census: 26; Capacity: 45; Contact: Sarah Jones; Licensor: Kacee Arrington


summary: 3rd Unannounced

raw_content: Checklist 601428: Census: 27; Capacity: 45; Contact: Scott Jones/ Kathy Jewkes; Licensor: Kacee Arrington


summary: 2nd Unannounced

raw_content: Checklist 588010: Census: 12; Capacity: 64; Contact: Sarah Jones; Licensor: Kacee Arrington


summary: Unannounced, Annual Inspection

raw_content: Checklist 571936: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: Announced, Annual Inspection


summary: 3rd Unannounced


facility_name: Straight Path

summary: 2nd Unannounced

raw_content: Checklist 925719: Census: 0; Capacity: 9; Contact: Licensor(s) Conducting this Inspection: Mary Bokinskie OL Staff Observing Inspection:; Licensor: Mary Bokinskie


summary: Focus, Non On-Site (1 finding)

raw_content:
R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The Licensee was out of compliance with R380-600-7(16)(a-d) by not reporting a critical incident to the Office within one business day. During review of critical incidents it was identified that the incident occurred on 12/28/2025 and was not reported until 12/31/2025.
This was a repeat noncompliance as noted on 08/01/2024 & 08/02/2025 (x2).


summary: Unannounced, Annual Inspection

raw_content: Checklist 801740: Census: 4; Capacity: 9; Contact: Dajah Motuga; Licensor: Mary Bokinskie


raw_content: R501-1-16(1)(a)-(u): Pre-service training requirements — The provider was out of compliance with rule R501-1-16(1)(a)(l)(t) by not having required policy and procedure training, signed provider code of conduct, and appropriate and inappropriate staff response training completed for staff.  During the inspection, the investigator verified missing and/or expired training for multiple staff members.  This was a repeat noncompliance as noted on August 27, 2024 and May 20, 2024.

Inspection Type: Complaint, Investigation Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 668587: Census: 6; Capacity: 9; Contact: Keith Thompson; Licensor: Mary Bokinskie; Josilyn Bertrand

Inspection Type: Announced, Annual Inspection


summary: 3rd Unannounced

raw_content: Checklist 655234: Census: 8; Capacity: 9; Contact: Keith Thompson; Licensor: Mary Bokinskie

Inspection Type: 3rd Unannounced


summary: 2nd Unannounced (2 findings)

raw_content:
R501-1-8(3): Medication and hazardous items maintenance and storage — The Licensee was out of compliance with R501-1-8(3) by not maintaining potentially hazardous items responsibly and with consideration of the safety and risk level of the population served. During the inspection, a steak knife was observed sticking out of a clients bedroom wall. This was a repeat noncompliance as noted on 04/23/2024.
R501-1-8(1)(a)-(i): Facility and safety requirements — The Licensee was out of compliance with R501-1-8(1)(i) by not ensuring prescription medication is stored in original pharmacy packaging or individual pharmacy bubble pack together with the pharmacy label, directions, and warnings. During the inspection, it was observed that multiple pills were not stored in original pharmacy packaging. This was a repeat noncompliance as noted on 08/27/2024 and 12/19/2024.
Checklist 642668: Census: 8; Capacity: 9; Contact: Keith Thompson; Licensor: Mary Bokinskie

Inspection Type: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content: Checklist 629402: Census: 8; Capacity: 9; Contact: Keith Thompson; Licensor: Mary Bokinskie

Inspection Type: Unannounced, Annual Inspection


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 613116: Census: 8; Capacity: 9; Contact: Keith Thompson; Licensor: Mary Bokinskie/Josilyn Bertrand


summary: Follow-Up Inspection


summary: 2nd Unannounced

raw_content: Checklist 592569: Census: 8; Capacity: 8; Contact: Keith Thompson; Licensor: Mary Bokinskie


summary: Unannounced, Annual Inspection


summary: Pre-Inspection


facility_name: Telos Residential Treatment Center, LLC dba Telos RTC

summary: 3rd Unannounced

raw_content: Checklist 948171: Census: 40; Capacity: 56; Contact: Lyndsie Myers; Licensor: Heather Guanajuato


summary: 2nd Unannounced

raw_content: Checklist 816981: Census: 38; Capacity: 56; Contact: Lyndsie Myers; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 709599: Census: 32; Capacity: 56; Contact: Licensor(s) Conducting this Inspection: Heather Guanajuato OL Staff Observing Inspection:; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 659707: Census: 36; Capacity: 56; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 651294: Census: 38; Capacity: 56; Contact: kiah welch; Licensor: :


summary: Investigation Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The Licensee was out of compliance with R501-19-3(f) by failing to perform direct supervision with line of sight supervision check-ins every 15 minutes. During the splitting of a group for activities, staff members did not confirm who had which clients and a client followed one group out the door and left the campus. Each group staff member believed the client was with the other group.

Inspection Type: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 635337: Census: 30; Capacity: 56; Contact: Lyndsie Thompson; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 622384: Census: 27; Capacity: 56; Contact: Aaron Johnson; Licensor: Heather Guanajuato


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 613097: Census: 27; Capacity: 56; Contact: Camie Shepherd; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 603048: Census: 30; Capacity: 56; Contact: Brian Mcelligott; Licensor: Kacee Arrington


summary: 2nd Unannounced

raw_content: Checklist 586883: Census: 34; Capacity: 56; Contact: Lindsay Thompson; Licensor: Kacee Arrington


summary: Follow-Up Inspection

Inspection Type: Follow-Up Inspection


summary: Focus Inspection (1 finding)

raw_content: R501-19-3(4): Maintain 1 staff to every 4 client ratio — The provider is out of compliance with this rule by failing to provide staffing to fit the ratio of one staff to every four clients. In the Fuji apartment on 10/05/23, there were 10 clients with 1 staff member when a critical incident occurred at approximately 7:45 AM.


summary: Unannounced, Annual Inspection


facility_name: Telos U - Youth

summary: Investigation Inspection


summary: 2nd Unannounced


summary: Unannounced, Annual Inspection

raw_content:
Checklist 797281: Census: 20; Capacity: 32; Contact: Jake Lortsher; Licensor: Heather Guanajuato
Checklist 798241: Census: 20; Capacity: 32; Contact: Jake Lortsher; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 668690: Census: 18; Capacity: 32; Contact: Jacke Lortsher; Licensor: Heather Guanajuato


raw_content: R380-600-7(16)(a)-(d): Critical incidents reporting requirements — The Licensee was out of compliance with R380-600-7(16)(a-d) by not reporting the critical incidents to the Office within one business day. During review of critical incidents it was identified that the incidents occurred on 5/5/2025 and was not reported until 5/7/2025.


summary: 3rd Unannounced

raw_content: Checklist 648753: Census: 26; Capacity: 32; Contact: Larry Smith; Licensor: Heather Guanajuato


summary: Non On-Site Inspection

Inspection Type: Non On-Site Inspection


summary: 2nd Unannounced

raw_content: Checklist 635609: Census: 20; Capacity: 32; Contact: Larry Smith; Licensor: Heather Guanajuato


summary: Non On-Site Inspection

raw_content: Checklist 621989: Census: 9; Capacity: 32; Contact: Jacob Lortsher; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 613164: Census: 9; Capacity: 32; Contact: Camie Shepherd; Licensor: Heather Guanajuato


summary: 3rd Unannounced

raw_content: Checklist 603058: Census: 8; Capacity: 32; Contact: Larry Smith; Licensor: Kacee Arrington


summary: 2nd Unannounced

raw_content: Checklist 586862: Census: 6; Capacity: 32; Contact: Korly Jones; Licensor: Kacee Arrington


facility_name: Telos U - Adult

summary: Announced, Annual Inspection

raw_content: Checklist 659389: Census: 20; Capacity: 32; Licensor: Heather Guanajuato


summary: Unannounced, Annual Inspection

raw_content: Checklist 621993: Census: 17; Capacity: 32; Contact: Jacob Lortsher; Licensor: Heather Guanajuato


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 613187: Census: 11; Capacity: 64; Contact: Camie Shepherd; Licensor: Heather Guanajuato


summary: Announced, Annual Inspection

raw_content: Checklist 550411: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


summary: 3rd Unannounced

raw_content: Checklist 537113: Contact: Licensor(s) Conducting this Inspection: OL Staff Observing Inspection:; Licensor: :


facility_name: The Hope Group dba Havenwood Academy, Inc.

summary: 3rd Unannounced

raw_content: Checklist 967011: Census: 5; Capacity: 16; Contact: Janie Sabin; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 836560: Census: 6; Capacity: 16; Contact: Jake; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 715079: Census: 0; Capacity: 16; Contact: Janie Sabin; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 658955: Census: 0; Capacity: 16; Contact: Janie Sabin; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 647139: Census: 0; Capacity: 16; Contact: Janie Sabin; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 632895: Census: 0; Contact: Janie Sabin; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 620543: Census: 0; Contact: Janie Sabin; Licensor: Larry Black


summary: Non On-Site Inspection


raw_content:
R501-1-15(4): Residential program unsupervised staff requirements — The provider was out of compliance with this rule by not providing supervision for staff with an unapproved background check. During the inspection on 7/2/24, the licensor observed that staff members requiring supervision were not provided supervision by the provider..
Checklist 603348: Census: 6; Contact: Janie Sabin; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 590563: Census: 4; Contact: Janie Sabin; Licensor: Larry Black


summary: Investigation Inspection


summary: 2nd Unannounced

raw_content: Checklist 580322: Census: 3; Contact: Janie Sabin; Licensor: Larry Black


summary: Follow-Up Inspection


summary: Unannounced, Annual Inspection


facility_name: Therapy Associates DBA Star Guides dba Star Guides

summary: 3rd Unannounced

raw_content: Checklist 996751: Census: 18; Capacity: 42; Contact: Darren Jensen; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 918539: Census: 18; Capacity: 42; Contact: Darren Jensen; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 779999: Census: 42; Contact: Darren Jensen; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 668821: Census: 14; Capacity: 42; Contact: Darren Jensen; Licensor: Larry Black


summary: Follow-Up Inspection


summary: 3rd Unannounced

raw_content: Checklist 653975: Census: 14; Capacity: 42; Contact: Darren Jensen; Licensor: Larry Black


raw_content: R380-600-7(16)(a)-(e): Critical incidents reporting requirements — The licensee was out of compliance with R380-600-7(16)(a) by not submitting a critical incident report to OL within one business day. During an investigation, the information gathered substantiated that a critical incident occurred on 05/12/2025 and was reported to the Office of Licensing on 05/16/2025.


summary: 2nd Unannounced

raw_content: Checklist 637830: Census: 20; Capacity: 42; Contact: Darren Jensen; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 622591: Census: 15; Contact: Darren Jensen; Licensor: Larry Black


summary: Non On-Site Inspection


summary: Announced, Annual Inspection

raw_content: Checklist 614486: Census: 13; Contact: Darren Jensen; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 598450: Census: 15; Contact: Licensor(s) Conducting this Inspection: Larry Black OL Staff Observing Inspection:; Licensor: Larry Black


summary: Unannounced, Annual Inspection

raw_content: Checklist 579718: Census: 9; Contact: Jamie Laws; Licensor: Larry Black


summary: Conditional, Monitoring Inspection


summary: Follow-Up, Additional Follow-Up Inspection


facility_name: Three Peaks Ascent

summary: Announced, Annual Inspection

raw_content: Checklist 951091: Census: 16; Capacity: 24; Contact: Marcus; Licensor: Larry Black


summary: 3rd Unannounced

raw_content: Checklist 870683: Census: 14; Capacity: 24; Contact: Marcus; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 733479: Census: 12; Capacity: 24; Contact: Steve Demille; Licensor: Larry Black


summary: Investigation Inspection


summary: Unannounced, Annual Inspection

raw_content: Checklist 669769: Census: 24; Contact: Steve Demille; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 646759: Census: 15; Capacity: 24; Contact: Steven DeMille; Licensor: Larry Black


summary: Non On-Site Inspection


summary: 3rd Unannounced

raw_content: Checklist 633737: Census: 16; Contact: Marcus Taylor; Licensor: Larry Black


summary: 2nd Unannounced

raw_content: Checklist 622288: Census: 8; Contact: Steven M DeMille; Licensor: Larry Black


summary: Focus Inspection (1 finding)

raw_content: R501-19-3(3)(a)-(j): Supervision and ratio requirements — The provider was out of compliance with this Rule by not providing line of sight check-in every 15 minutes. During the inspection staff were not conducting line of sight check-ins at night. This was a repeat rule non-compliance.


summary: Unannounced, Annual Inspection

raw_content: Checklist 609192: Census: 9; Contact: Licensor(s) Conducting this Inspection: Larry Black OL Staff Observing Inspection: Rob Jones; Licensor: Larry Black


summary: Announced, Annual Inspection

raw_content: Checklist 590358: Census: 10; Contact: Steve Demille; Licensor: Larry Black