summary: Visit conducted on August 20, 2024. Visit covered 9 main areas/topics.

raw_content:
DCF-3034
1/2013 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

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

 NAME OF FACILITY / PROGRAM: CHR /Grant House Group Home

 TIME OF VISIT (FROM - TO): 11:25am to 12:30pm                       DATE: August 20, 2024

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Title
Senior Program Director

Areas / Topics covered during visit:

•	Census: The group home currently has one youth at the facility and the bed capacity remains at four.
•	Admissions: There was one new admission in the last quarter.
•	Discharges: The group home reported that there was one discharge in the last quarter.
•	Staff vacancies: The group home has six vacancies and expects to fill positions soon.
•	Staff hires: The program reported that it has three new potential hires pending.
•	Medication: The program currently has eight medication certified employees at the facility.
•	Physical plant: A walkthrough of the facility was conducted with the program director to confirm that the group home was complying with regulatory standards.
•	Personnel: Three employee records were reviewed on July 2, 2024, and all files contained the required criminal background checks.
•	SIU Reports: There were no reports in this quarter.

Corrections implemented as a result of previous visit:
N/A:

Recommendations: (The following areas were not identified as regulatory non-compliance, but are recommended to be addressed in order to enhance program functioning)
N/A

Areas of regulatory non-compliance identified during this visit:

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

Penny Woodward, LCSW                            September 3, 2024
Regulatory Consultant                                     Date

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


state: CT

facility_name: Community Health Resources, Inc./ Grant House GH

summary: Visit conducted on May 30, 2024. Visit covered 10 main areas/topics. Found 2 compliance issues.

raw_content:
DCF-3034
1/2013 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM: CHR /Grant House Group Home

 TIME OF VISIT (FROM - TO): 11:30am to 1:05pm                       DATE: May 30, 2024

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Title
Program Director

Areas / Topics covered during visit:

•	Census: The group home currently has two youths at the facility and the bed capacity remains at four.
•	Admissions: There was one new admission in the last quarter.
•	Discharges: The group home reported that there was one discharge in the last quarter.
•	Staff vacancies: The group home has three part-time vacancies and expects to fill positions soon.
•	Staff hires: The group home did not hire or fill any full-time positions in the last quarter.
•	Medication: The program currently has eight medication certified employees at the facility.
•	Physical plant: A walkthrough of the facility was conducted with the program director to confirm that the group home was complying with regulatory standards.
•	Personnel: Employee records and files were not reviewed during the quarterly visit.

During the past quarter, licensing responded to one incident and completed one incident response note.  The incident occurred on 4/9/24 and it involved a conflict between two residents.

Corrections implemented as a result of previous visit:
N/A

Recommendations: (The following areas were not identified as regulatory non-compliance, but are recommended to be addressed in order to enhance program functioning)
N/A

Areas of regulatory non-compliance identified during this visit:
Lavatory facilities: 17a-145-74: Upon inspection of the physical plant, one of the bathrooms' walls had chipping paint, the sink vanity was shabby looking and the citations need to be addressed.  Recreational facilities:17a-145-78. Upon inspection of the patio area that is a gym for residents, there was a broken window and it needs to be repaired.  Laundry:17a-145-82. Upon inspection of the physical plant, the washing machine was broken and it needs to be repaired.

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

Penny Woodward, LCSW                            June 7, 2024
Regulatory Consultant                                     Date

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

area_type: Lavatory facilities

description: Recreational facilities:17a-145-78.

facility_name: CHR /Grant House Group Home


raw_content:
March 21, 2024

Community Health Resources
2 Waterside Crossing
Windsor, CT. 06095
Attn: Heather Gates, Executive Director

Re: Bi-annual licensing inspection was conducted at the Community Health Resources Grant House Group Home located in Coventry, CT, Consultants: Penny Woodward and James Funaro.

On 2/27/24 and 2/28/24, a bi-annual re-licensing inspection was conducted at the Grant House Program to determine compliance with Regulations for Operation of Child-Caring Agencies and Facilities 17a-145-48 through 17a-145-98, as well as the DCF Guidelines for the Administration of Medication by certified staff.

DCF has determined that the program is in compliance with all applicable regulatory provisions except those itemized below. Please review areas identified and submit a service development plan to address each area.

The plan must be submitted within 30 days of receipt of this letter and should identify: 1. Steps to be taken to correct the non-compliance. 2. The date correction(s) will be completed.  The areas of non-compliance are as follows:

Section17a-145-63: Chief Administrative Officer.
(Evidence) Upon inspection of the house outer exterior, the building contained noticeable dirt and debris and it needs to be addressed. The front exterior contained peeling paint on the panel between garage doors and it needs to be addressed.  Garage doors contained dents in multiple areas and they need to be addressed.  The front porch's interior cover contained rusted curtain rods and they need to be removed.

Section17a-145-68: Heating, Ventilation, Lighting.
(Evidence) Upon inspection of the physical plant, bedrooms four and five were noticeably colder than other parts of the house and temperature levels in both rooms need to be evaluated and addressed.

Section 17a-145-73: Sleeping Accommodations.
(Evidence) Upon inspection of the physical plant, bedroom one's window frame contained graffiti and the outside window screen had a large stain and the citations need to be addressed.  Bedroom two's floor was stained with paint droplets and the corner ceiling area contained black small circular stains. The citations need to be addressed.

Section 17a-145-74: Lavatory Facilities.
(Evidence) Upon inspection of the physical plant, bathroom one's mirror was in disrepair and it needs to be addressed.  Bathroom two contained a wall with a repair patch and the closet door contained a large crack and the citations need to be addressed.

Section 17a-145-76: Kitchen, Equipment, Food-Handling.
(Evidence) Upon inspection of the physical plant, the kitchen's ceiling contained noticeable stains and it needs to be addressed.

Section 17a-145-86: Instruction in Safety Procedures. Supervision.
(Evidence) Upon review of fire drill material, there was no documentation confirming that in 2023 a first shift drill had been conducted in the third quarter.

Once a finding is made that your agency has satisfactorily addressed the regulatory compliance issues, and all required supplementary materials have been received, the Department of Children and Families will be prepared to issue a regular license. Failure to submit a plan of correction or successfully implement a plan will result in the refusal to renew the license. Should you have any questions or comments regarding the contents of this report, please do not hesitate to call me at (959) 255-0615.

Sincerely,

Penny Woodward, LCSW
Regulatory Consultant|

report_type: unstructured


summary: Visit conducted on November 30, 2023. No compliance issues identified. Includes 1 recommendations.

raw_content:
DCF-3034
1/2013 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM: CHR / Grant House Group Home

TIME OF VISIT (FROM - TO):  11:30am to 12:45pm            DATE: November 30, 2023

AGENCY PERSONNEL WHO PARTICIPATED:

Job Title
Service Director

Areas / Topics covered during visit:
The program census consisted of one male youth at the time of the quarterly visit and the group home's licensed bed capacity remains at five. Topics covered during the quarterly visit included nursing services, milieu services, physical plant, medication administration system and changes made to the director's position. It was also reported that the program supervisor is currently on maternity leave and is expected to return in March of 2024.

Physical plant: A walkthrough of the facility was conducted with the service director to confirm the group home was complying with regulatory standards.  The program is preparing to update and improve the interior building before the bi-annual inspection is conducted in the spring of 2024.

Corrections implemented as a result of previous visit:
N/A

Recommendations: (The following areas were not identified as regulatory non-compliance, but are recommended to be addressed in order to enhance program functioning)
The group home has a nursing vacancy and coverage is being provided by the agency's APRN. This is a temporary solution and not having a permanent nurse at the facility can become an issue if there is an increase in the census.
It is recommended that the position be filled before the census increases to ensure the program is able to meet all medication administration guidelines and nursing requirements.

Areas of regulatory non-compliance identified during this visit:
N/A

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

Penny Woodward, LCSW                            December 28, 2023
Regulatory Consultant                                              Date

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

facility_name: CHR / Grant House Group Home

visit_date: November 30, 2023


summary: Visit conducted on August 10, 2023. No compliance issues identified.

raw_content:
DCF-3034
1/2013 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

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

 NAME OF FACILITY / PROGRAM: CHR / Grant House Group Home

 TIME OF VISIT (FROM - TO):  11:30am to 1:30pm            DATE:  August 10, 2023

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Title
Program Director
Supervisor

Areas / Topics covered during visit:
The census consisted of two youths and the group home's licensed bed capacity is five. Topics covered during the quarterly visit included milieu changes, clinical services, menu planning, nursing services, staffing changes and medication administration coverage at the facility for all three shifts. A walkthrough of the physical plant with the program supervisor was conducted and no citations were identified.

Corrections implemented as a result of previous visit:
N/A

Recommendations: (The following areas were not identified as regulatory non-compliance, but are recommended to be addressed in order to enhance program functioning)
N/A

Areas of regulatory non-compliance identified during this visit:
N/A

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

Penny Woodward, LCSW                             September 7, 2023
Regulatory Consultant                                              Date

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

personnel:
Program Director
Supervisor


summary: Visit conducted on June 22, 2023. No compliance issues identified. Includes 1 recommendations.

raw_content:
DCF-3034
1/2013 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM: CHR / Grant House Group Home

 TIME OF VISIT (FROM - TO):  11:25am to 1:00pm            DATE: June 22, 2023

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Title
Program Director
Service Director

Areas / Topics covered during visit:
The program census consisted of two male youths and the group home's licensed bed capacity is five. Topics covered during the quarterly visit included clients' behavioral issues, staffing, physical plant inspection and medication administration system.  A walkthrough of the facility with the group home supervisor was conducted; areas of improvements were discussed and reviewed with program.

Corrections implemented as a result of previous visit:
N/A

Recommendations: (The following areas were not identified as regulatory non-compliance, but are recommended to be addressed in order to enhance program functioning)
Due to pervasive behavioral issues of both residents currently placed in the program it is recommended that current milieu services be evaluated to ensure resources are appropriate to meet the needs of youths at the facility.

Areas of regulatory non-compliance identified during this visit:
N/A

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

Penny Woodward, LCSW                            June 28, 2022
Regulatory Consultant                                        Date

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

personnel:
Program Director
Service Director


summary: Visit conducted on January 26, 2023. No compliance issues identified.

raw_content:
DCF-3034
1/2013 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM: CHR / Grant House Group Home

 TIME OF VISIT (FROM - TO):   10:30am to 11:30am              DATE: January 26, 2023

 AGENCY PERSONNEL WHO PARTICIPATED:

Name	Job Title
 N/A	                       Program Director
N/A	                       Service Director

Areas / Topics covered during visit:
The Department of Children and Families conducted a scheduled quarterly inspection visit at the Grant House Group Home on January 26, 2023. Topics covered during the quarterly visit included staffing and training, physical plant inspection and medication administration system.

Physical plant: A walkthrough of the facility was conducted with the program director to confirm the group home was complying with regulatory standards.

Corrections implemented as a result of previous visit:
N/A

Recommendations: (The following areas were not identified as regulatory non-compliance, but are recommended to be addressed in order to enhance program functioning)
N/A

Areas of regulatory non-compliance identified during this visit:
N/A

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

Penny Woodward, LCSW                            February 17, 2023
Regulatory Consultant                                   Date

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

visit_date: January 26, 2023

personnel: N/A	                       Program Director

personnel: N/A	                       Service Director


summary: No compliance issues identified.

raw_content:
DCF-3034
1/2013 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM: CHR / Grant House Program

TIME OF VISIT: (FROM–TO): 11:30pm to 1:15pm DATE: 11/17/22

AGENCY PERSONNEL WHO PARTICIPATED:
Name	Job Title
                                  N/A	                  Service Director
                                  N/A	                  Supervisor

Areas / Topics covered during visit:
The Department of Children and Families conducted a scheduled quarterly inspection visit at the Grant House Program on November 17, 2022. Topics covered during the quarterly visit included milieu services, staffing and training, a physical plant inspection and medication administration system.

Physical plant: During the quarterly visit a walkthrough of the physical plant was conducted with the program supervisor to confirm the group home was complying with regulatory standards.

Corrections implemented as a result of previous visit:
N/A

Recommendations: (The following areas were not identified as regulatory non-compliance, but are recommended to be addressed in order to enhance program functioning)
N/A

Areas of regulatory non-compliance identified during this visit:
N/A

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

Penny Woodward, LCSW                            December 19, 2022
Regulatory Consultant                                         Date

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

facility_name: CHR / Grant House Program

personnel:
N/A	                  Service Director
N/A	                  Supervisor


summary: No compliance issues identified.

raw_content:
DCF-3034
1/2013 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM: CHR / Grant House Program

TIME OF VISIT: (FROM–TO): 11:30pm to 1:00pm DATE: 8/30/22

AGENCY PERSONNEL WHO PARTICIPATED:
Name	Job Title
                                  N/A	                  Service Director
                                  N/A	                  Supervisor

Areas / Topics covered during visit:
The Department of Children and Families conducted a scheduled quarterly inspection visit at the  Grant House Program on August 30, 2022. Topics covered during the quarterly visit included physical plant inspection and staffing and training.

Physical plant: A walkthrough of the physical plant was conducted with the service director and program supervisor to confirm the program was following and in compliance with regulatory requirements.

Corrections implemented as a result of previous visit:
N/A

Recommendations: (The following areas were not identified as regulatory non-compliance, but are recommended to be addressed in order to enhance program functioning)
N/A

Areas of regulatory non-compliance identified during this visit:
N/A

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

Penny Woodward, LCSW                        September 23, 2022
Regulatory Consultant                                             Date

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


summary: Found 1 compliance issues.

raw_content:
DCF-3034
1/2013 (Revised)
Department of Children and Families
505 Hudson Street
Hartford, CT 06106

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM: CHR / Grant House Program

TIME OF VISIT: (FROM–TO): 12:30pm to 2:00pm DATE: 5/17/22

AGENCY PERSONNEL WHO PARTICIPATED:
Name	Job Title
                                  N/A	                Program Director
                                  N/A	                Service Director

Areas / Topics covered during visit:
The Department of Children and Families conducted a scheduled quarterly inspection visit at the  Grant House Program on May 17, 2022. Topics covered during the quarterly visit included program information and a physical plant inspection.

Physical plant: During the quarterly visit a walkthrough of the physical plant was conducted with program representatives. Please see citation that is listed below in the area of regulatory non-compliance section.

Corrections implemented as a result of previous visit:
N/A

Recommendations: (The following areas were not identified as regulatory non-compliance, but are recommended to be addressed in order to enhance program functioning)
N/A

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-73: Residents’ bedrooms were not clean or well organized and the citation needs to be addressed.

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

Penny Woodward, LCSW_                       June 17 , 2022
Regulatory Consultant                                   Date

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

type: general


facility_name: Connecticut Junior Republic, Inc / Winchester / GH

summary: Visit conducted on 12/9/25. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:           CJR, Winchester House TGH

TIME OF VISIT (FROM - TO):  10:30am to 11:30am            DATE: 12/9/25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
Program Director, Direct care staff

List of Areas / Topics covered during visit: This was an unannounced quarterly Licensing visit to obtain a program update and tour the physical plant.

Topics discussed included:

•	LBC is 4.  Current census is 3. One current match to be reviewed.
•	Staffing discussed.  3 vacant positions (2 overnight and 1split shift position)
•	Discussed the overall milieu with the third resident added.
•	Discussed clinical programming.
•	Discussed current discharge plans, family involvement, educational matters.

Milieu Observation:
•	One resident was in the home and sleeping.  Two others were at school.

Physical Plant:
•	Toured the entire house with a direct care staff. No safety concerns were observed, and the home was clean and maintained well. No new projects are pending.

Corrective Actions implemented as a result of previous visit: NA

Areas of regulatory non-compliance identified during this visit: NA

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

James Funaro  				Date:    12/10/25
Regulatory Consultant

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

facility_name: CJR, Winchester House TGH


summary: Visit conducted on 9/19/25. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:           CJR, Winchester House TGH

TIME OF VISIT (FROM - TO):  10:00am to 11:00am   	                DATE: 9/19/25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
Clinician
Supervisor

List of Areas / Topics covered during visit: This was a scheduled quarterly Licensing visit to obtain a program update and tour the physical plant.

Topics discussed included:

•	LBC is 4.  Current census is 2. Intake taking place in early October.
•	Staffing discussed.  All shifts are being covered. Recent hire of a childcare worker.
•	Discussed Exceptional Circumstances for this quarter.
•	Discussed the milieu.  The boys are getting along well. Both looking for jobs.
•	Discussed clinical programming with the house clinician. Both boys are cooperative.
•	Discussed future QRTP reviews.

Milieu Observation:
•	Both residents were out of the home.  One at school and one at an appointment.

Physical Plant:
•	Toured the entire house with the Supervisor. No safety concerns were observed, and the home was clean and maintained well. No new projects are pending.

Corrective Actions implemented as a result of previous visit: NA

Areas of regulatory non-compliance identified during this visit: NA

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

James Funaro  				Date:    9/23/25
Regulatory Consultant

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

personnel: Clinician Supervisor


raw_content:
July 17, 2025

Mr. Daniel Rezende
President & CEO
Connecticut Junior Republic, Inc.
550 Goshen Road
PO Box 161
Litchfield, CT 06759

Re: License # CCF- 105

Dear Mr. Rezende,

On June 24th and 25th, 2025, a biennial re-licensing inspection was conducted at the Winchester House Group Home, located at 136 Ashely Rd, Winchester, CT. This inspection was conducted to determine the compliance of this program with the DCF Regulations for Operation of Child-Caring Agencies and Facilities 17a-145-48 through 17a-145-124.
During the inspection no areas of regulatory non-compliance were identified by the licensing team or nursing staff. Enclosed you will find a renewal license for the program.  I thank you and your staff for the cooperation extended to me during the relicensing process.

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

Sincerely,

James Funaro

James Funaro
DCF Regulatory Consultant|


summary: Visit conducted on 3/20/25. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:           CJR, Winchester House TGH

TIME OF VISIT (FROM - TO):  11:00am to 12:30 pm   	                DATE: 3/20/25

AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
Program Director
Clinician
Supervisor
Associate Director of Programs and Services

List of Areas / Topics covered during visit: This was a scheduled quarterly Licensing visit to obtain a program update and tour the physical plant.

Topics discussed included:

•	LBC is 4.  Current census is 2. Discussed recent intake and recent referrals.
•	Discussed aftercare services with the most recently discharged resident.
•	Staffing vacancies discussed.  All shifts are being covered.
•	AC condenser replaced and adding and changing outside lighting.
•	Discussed staff training.
•	There were no Exceptional Circumstances for this quarter.
•	Discussed the milieu.  The boys are getting along well and overall cooperating with clinical programming and     school.
•	Discussed clinical programming with the house clinician.

Milieu Observation:
•	Met with resident JS.  He reported that things are well since being recently placed here. He was having a Zoom meeting with his education support consultant. Resident JC was at school.

Physical Plant:
•	Toured the entire house with the Program Director. No safety concerns observed, and the home was clean and maintained well.

Corrective Actions implemented as a result of previous visit: NA

Areas of regulatory non-compliance identified during this visit: NA

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

James Funaro  				Date:    3/20/25
Regulatory Consultant

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


summary: Visit conducted on 12/20/24. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:           CJR, Winchester House TGH

TIME OF VISIT (FROM - TO):  11:00am to 12:30 pm   	                DATE: 12/20/24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
Program Director
Clinician
Supervisor
Associate Director of Programs and Services

List of Areas / Topics covered during visit: This was a scheduled quarterly Licensing visit to obtain a program update and tour the physical plant.

Topics discussed included:

•	LBC is 4.  Current census is 1. One youth has been recently discharged. Discussed recent and past referrals.
•	Discussed aftercare services for recently discharged resident and QRTP tool completed.
•	Staffing vacancies (Two on 3rd shift) One recent hire for 1st shift.
•	Discussed upcoming house projects.
•	Discussed staff training.
•	The programming will be converting records to electronic format (Carelogic).
•	Discussed the two Exceptional Circumstances for this quarter.
•	Discussed current youth in placement. He is cooperating with all aspects of programming.

Milieu Observation:
•	Resident was on a home pass.

Physical Plant:
•	Toured the entire house with the supervisor. No safety concerns observed, and the home was clean and maintained well.

Corrective Actions implemented as a result of previous visit: NA

Areas of regulatory non-compliance identified during this visit: NA

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

James Funaro  				Date:    12/23/24
Regulatory Consultant

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


summary: Visit conducted on 9/24/24. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:           CJR, Winchester House TGH

TIME OF VISIT (FROM - TO):  11:00am to 12 pm   	                DATE: 9/24/24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
Program Director
Clinician
Supervisor

List of Areas / Topics covered during visit: This was a scheduled quarterly Licensing visit to obtain a program update and tour the physical plant.

A meeting was held with the Program Director, Supervisor
 and clinician. Topics discussed included:

•	LBC is 4.  Current census is 1. One youth has been recently discharged and reunified.
•	Discussed aftercare services for recent discharged resident.
•	Staffing vacancies (1 first shift, 2 third shift). Discussed new hires and use of per diem staff.
•	Discussed the one exceptional circumstance report during this quarter.
•	Recent projects- replacing A/C condenser, new couch for upstairs, new bikes and grill.
•	Discussed clinical programming with clinician.
•	Discussed current resident's discharge plans and overall compliance with programming.

Milieu Observation:
•	Met with resident in his bedroom.

Physical Plant:
•	Toured the entire house with the supervisor. No safety concerns observed, and the home was clean and maintained well.

Corrective Actions implemented as a result of previous visit: NA

Areas of regulatory non-compliance identified during this visit: NA

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

James Funaro  				Date:    9/30/24
Regulatory Consultant

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

personnel:
Program Director
Clinician
Supervisor


summary: Visit conducted on 6/24/24. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:           CJR, Winchester House TGH

TIME OF VISIT (FROM - TO):  10:35am to 11:30am   	                DATE: 6/24/24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
Program Director
Clinician
Associate Director of Programs and Services
Supervisor

List of Areas / Topics covered during visit: This was a scheduled quarterly Licensing visit to obtain a program update and tour the physical plant.

A meeting was held with the Program Director, Associate Director of Programs and Services
 and clinician. Topics discussed included:

•	LBC is 4.  Current census is 2. One youth has been matched and pending placement.
•	Staffing vacancies (1 first shift, 1 second shift, 2 third shift). Discussed coverage.
•	New clinician and nursing staff hired.
•	No calls for emergency services this quarter. No AWOLs.
•	Recent projects- new dishwasher being installed.
•	Discussed clinical programming with the new clinician.
•	Discussed residents.  Cameron graduated and Tanner has been having weekend home passes.

Milieu Observation:
•	Met with residents in the milieu.

Physical Plant:
•	Toured the entire house with the clinician and supervisor. No safety concerns observed, and the home was very clean and maintained well.

Corrective Actions implemented as a result of previous visit: NA

Areas of regulatory non-compliance identified during this visit: NA

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

James Funaro  				Date:    6/24/24
Regulatory Consultant

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


summary: Visit conducted on 3/19/24. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:           CJR, Winchester House TGH

TIME OF VISIT (FROM - TO):  10:30am to 11:30am   	                DATE: 3/19/24

AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
Program Director
Clinician

List of Areas / Topics covered during visit: This was a scheduled quarterly Licensing visit to obtain a program update and tour the physical plant.

A meeting was held with the Program Director and clinician. Topics discussed included:

•	LBC is 4.  Current census is 2. One pending review for placement.
•	Staffing vacancies (1 first shift, 1 second shift, 2 third shift). Discussed coverage.
•	No calls for emergency services this quarter. No AWOLs.
•	Discussed peer relations, overall milieu, and activities the boys participate in.
•	Recent projects- the back deck construction has been completed and landscaping done outside.
•	Discussed staff training.
•	Discussed clinical programming with the clinician.

Milieu Observation:
•	The residents were at school.

Physical Plant:
•	Toured the entire house with the Director. No safety concerns observed, and the home was very clean and maintained well.

Corrective Actions implemented as a result of previous visit: NA

Areas of regulatory non-compliance identified during this visit: NA

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

James Funaro  				Date:    3/22/24
Regulatory Consultant

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

personnel:
Program Director
Clinician


summary: Visit conducted on 12/15/23. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:           CJR, Winchester House TGH

TIME OF VISIT (FROM - TO):  10:15am to 12:00pm   	                DATE: 12/15/23

AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
Program Director
House Supervisor

List of Areas / Topics covered during visit: This was a scheduled quarterly Licensing visit to obtain a program update and tour the physical plant.

A meeting was held with the Program Director and house supervisor. Topics discussed included:
•	LBC is 4.  Current census is 1. One resident discharged this quarter. One referral pending for review.
•	Staffing vacancies (1 first shift, 2 second shift, 1 third shift). Discussed coverage and recent hires.
•	Discussed calls for emergency services this quarter.
•	Discussed peer relations and activities.
•	Recent projects-currently the back deck is being replaced.
•	QRTP review.

Milieu Observation:
•	The resident was at school.

Physical Plant:
•	Toured the entire house with the House Supervisor. No safety concerns observed, and the home was very clean and maintained well.

Corrective Actions implemented as a result of previous visit: NA

Areas of regulatory non-compliance identified during this visit: NA

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

James Funaro  				Date:    12-18-23
Regulatory Consultant

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

personnel:
Program Director
House Supervisor


summary: Visit conducted on 9/21/23. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:           CJR, Winchester House TGH

TIME OF VISIT (FROM - TO):  9:45am to 11:30pm   	                DATE: 9/21/23

AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
COO
Program Director
House Supervisor

List of Areas / Topics covered during visit: This was a scheduled quarterly Licensing visit to obtain a program update and tour the physical plant.

A meeting was held with the COO, Program Director and house supervisor. Topics discussed included:
•	LBC is 4.  Current census is 2. One resident discharged this quarter.
•	Staffing vacancies (1 first shift, 1 second shift, two third shift). Discussed coverage and no temp agencies utilized for coverage. New recruiter hired for CJR.
•	New clinician hired and started on 9/10/23.
•	2 calls to emergency services during this quarter. One police involved and one for ED medical assessment with resident transported from school setting.
•	No AWOLS, no calls to fire dept and no restraints since the last Licensing visit.
•	Discussed peer relations and activities.
•	Current client education planning/settings and client employment.
•	Recent projects-staff office construction completed, slider door replaced and future project to replace front walkway.
•	Discussed new procedures for nursing/medical oversight.
•	PNMI & QRTP audits.

Milieu Observation:
•	Observed positive client interaction with direct care staff.
•	Met with client to discuss experience in the program and overall safety and well-being.

Physical Plant:
•	Tour facilitated with House Supervisor. No safety concerns observed, and the home was very clean and maintained well.

Corrective Actions implemented as a result of previous visit: NA

Areas of regulatory non-compliance identified during this visit: NA

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

James Funaro  				Date:    9-22-23
Regulatory Consultant

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

personnel:
COO
Program Director
House Supervisor


raw_content:
June 26, 2023

Mr. Daniel Rezende
President & CEO
Connecticut Junior Republic, Inc.
550 Goshen Road
PO Box 161
Litchfield, CT 06759

Re: Winchester House Relicensing Inspection
License #: CCF/GH 105
Licensing Consultants: Kathleen Forsythe, Patrick Hughes, Kathleen DiTuccio

Dear Mr. Rezende,

On June 7, 2023, a biennial re-licensing inspection was conducted for the CJR Winchester group home, located at 131 Ashley Rd., Winchester, CT. This inspection was conducted to determine the compliance of this program with the Regulations of the Connecticut Department of Children and Families Child Caring Regulations 17a-145-48 through 17a-145-124, the DCF Medication Administration Guidelines and the DCF Nursing Standards.

Listed below/on the attached service development plan are the areas of DCF regulatory non-compliance which were identified during the re-licensing inspection. Please review the areas identified and complete a service development plan (SDP) to address each area of noncompliance. The completed service development plan must be submitted to the assigned Regulatory Consultant within 30 days of receipt of this emailed report.

The areas of regulatory noncompliance are as follows:

17a-145-64	Personnel Policies and Procedures.
Two personnel files were reviewed. The following deficiencies was noted:
•	One personnel file (APV) did not contain evidence of TB testing results dated immediately prior to assuming duties.
•	Evidence of CPR certification does not contain the name of the program authorizing the certification (i.e. American Red Cross, Heart Saver, etc.).

17a-145-75	Health and Medical Treatment. Administration of First Aid. Prescription Medication. Administration of Medicine or Treatment. Written Records. Storage of Drugs, Medicines, and Instruments. Sick Room, Telephone.
c)	Standing orders for the current two residents expired 6-1-23.
c) 	An epi-pen for a current resident stored in the medication room expired in March 2023.
c) 	Eleven (11) empty prescription bottles for a current resident were found in the locked medication cabinet and an unlocked drawer.
d)	The roster of medication administration certified staff posted in the medication room is not current.
d) 	Evidence of quarterly training for medication certified staff was not found for the first quarter of 2023.
d)	Evidence of an annual skills assessment for three staff (WD, RE, BG) was not found for 2022, and thus far in 2023.
d) 	Evidence of training for medication administration certified staff in the second quarter of 2022 does not contain a complete date.
h) 	A list of posted emergency and poison information numbers was not found in the medication room.

17a-145-86	Instructions in Safety Procedures. Supervision.
Fire drill evacuation reports were reviewed for the licensed period. The following deficiencies were noted:
•	2022: A first shift drill report in the 4th quarter did not contain evidence that children participated in the drill.
•	2023: A first shift drill report for the 1st quarter did not contain evidence that children participated in the drill.

******************************************************************************

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

Sincerely,

  Kathleen Forsythe
Kathleen Forsythe, LCSW
Regulatory Consultant
Dept. of Children and Families

cc: File
     Director of Residential Services
     Program Director|


summary: Visit conducted on 3-23-23. No compliance issues identified.

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

                                                                  Field Visit Reporting Form

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

NAME OF FACILITY / PROGRAM:      The Connecticut Junior Republic, Inc. - Winchester Group Home

TIME OF VISIT (FROM - TO):       12:00pm-1:30pm                                      		DATE:  3-23-23

AGENCY PERSONNEL WHO PARTICIPATED:
                  Job Titles:
Program Director
Program Shift Supervisor
Clinician
3 Youth Care Workers

List of Areas / Topics covered during visit:  This was an unscheduled quarterly Licensing visit to obtain an update on the program and tour the physical plant.

Meeting held with Program Director and Clinician. Topics discussed:
•	Current census = 1; LBC = 4; 1 pending admission;
•	Staffing: Current staff vacancies = 1 on first shift, 2 on second shift, 2 on third shift; vacancies covered with perdiem staff and overtime;
•	Biennial relicensing inspection: scheduled for June 2023; application and materials due dates; case records and medical information not in an electronic health record; proper storage of closed case records;
•	Search policy; use of hand-held electronic wand;
•	CJR rebranding; official name change from Connecticut Junior Republic to CJR; new dragonfly logo and mission statement; new tag line: 'Nurturing Change. Creating Possibilities';
•	Program Clinician recently acquired licensure;
•	Winter weather, snow removal, two brief power losses, automatic generator activated.

Physical plant inspection:
•	All areas appeared clean and organized;
•	Recent improvements include new laminate wood flooring on first floor, second floor hallway and staff area; purchase of five new beds, three armoires, new stove, and new loveseat;
•	New office and utility closet under construction in basement with fire marshal inspections;
•	Client at school; direct care staff cleaning the home during Licensing visit.

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

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

Please submit a service development plan to address the above referenced areas of non-compliance within 30 days of receipt of this report. The service development plan must be submitted to the attention of the undersigned at the address listed above. - A service development plan is not required for this Licensing visit.

Kathleen Forsythe, LCSW
______________________________                                 		Date:  3-24-23
Regulatory Consultant

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


summary: Visit conducted on 12-1-22. No compliance issues identified.

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

                                                   Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM:      The Connecticut Junior Republic, Inc. - Winchester Group Home

 TIME OF VISIT (FROM - TO):       10:45p-12:45pm               DATE: 12-1-22

 AGENCY PERSONNEL WHO PARTICIPATED:
Job Titles:
Program Director
Program Shift Supervisor
Youth Care Worker

List of Areas / Topics covered during visit:  This was a scheduled quarterly Licensing visit to obtain an update on the program, tour the physical plant, and conduct a semiannual personnel file review.

Meeting held with Program Director and Shift Supervisor. Topics discussed:
•	Census = 0. One client was placed in the program for September - November before decompensating. Client was sent to the hospital for evaluation and stabilization, and ultimately discharged to a higher level of care.
•	Incident data for the quarter
•	Property destruction by former client
•	Changing profile of referrals to the group home
•	Planned admission of a youth from a PRTF; recent transitional visits; possible utilization of behavior management system from client's current placement to assist in the transition to the group home
•	Group home's QRTP status, aftercare services, application needed to reduce LBC
•	Semiannual personnel file review was scheduled, however no new hires since last review in June 2022
•	Current staff vacancies include two first and one second shift full time positions
•	Recent physical plant upgrades to the group home, which included a new roof, new stove and refrigerator, ceiling fans replaced with overhead lights. Contractors on site during the visit to activate water dispenser in new refrigerator.
•	Planned upgrades will include new flooring on first and second floors, ceiling lights on second floor, armoires in bedrooms, office in basement, new roof on shed

Tour of physical plant. All areas appeared clean and organized. No regulatory deficiencies noted.

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

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

Kathleen Forsythe, LCSW
______________________________      		Date: 12-2-22
Regulatory Consultant

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


summary: Visit conducted on 9-28-22. Visit covered 9 main areas/topics. No compliance issues identified.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: Connecticut Junior Republic, Inc. - Winchester House Group Home

 TIME OF VISIT (FROM - TO):       9:00am-10:00am             DATE: 9-28-22

 AGENCY PERSONNEL WHO PARTICIPATED:

                                                           Job Titles:
Program Director
Clinical Therapist

List of Areas / Topics covered during visit:  This was a scheduled quarterly Licensing visit to obtain an update on the program and to tour the physical plant.  This visit was conducted virtually due to COVID concerns. Areas discussed:
•	Census: 1; client admitted earlier this month
•	Overview of new client's history, school assignment, job search, discharge plan
•	Referrals
•	Staff vacancies: one first shift, one second shift, two third shift
•	Staff recruitment activities, radio advertising, hiring incentives
•	New universal Medication Administration program for DCF programs effective this fall
•	Access to medications
•	New purchases and updates to the group home in the past quarter
•	Virtual physical plant tour: all areas appeared clean and organized. Closets needed in two vacant bedrooms.

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

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

Kathleen Forsythe, LCSW                                              			Date: 9-28-22
Regulatory Consultant

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

personnel:
Program Director
Clinical Therapist


summary: Visit conducted on 6-17-22. Visit covered 10 main areas/topics. No compliance issues identified.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: Connecticut Junior Republic, Inc. - Winchester House Group Home

 TIME OF VISIT (FROM - TO):       11:30am-1:00pm             DATE: 6-17-22

 AGENCY PERSONNEL WHO PARTICIPATED:

 Job Titles:
Program Director
Clinical Therapist

List of Areas / Topics covered during visit:  This was a scheduled quarterly Licensing visit to obtain an update on the program and to tour the physical plant.
•	Census: 0
•	Referrals
•	Staff vacancies
•	Staffing levels
•	New purchases
•	Aftercare services for most recent discharge
•	Medication administration certified staff
•	Physical plant tour
•	Quality Residential Treatment Program
•	Semiannual personnel file review

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

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

Kathleen Forsythe, LCSW                                                      			Date: 6-20-22
Regulatory Consultant

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


facility_name: CT Clinical Services DBA Turnbridge

summary: Visit conducted on 11/13/25. No compliance issues identified. Implemented 4 corrective actions.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: CT Clinical Services / Turnbridge Sober Living Services

 TIME OF VISIT (FROM - TO):    First Shift               DATE: 11/13/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Kitchen staff
Case Manager

List of Areas / Topics covered during visit:
Covered the status of the home and the physical plant. Fourteen male youth were residing at the home. Four youth were in the home, while 10 youth were attending the clinical program at 189 Orange St., New Haven. I was accompanied through the home by the case manager.

On duty was the case manager, 4 direct care staff and  kitchen staff. There were no available positions in the home as there was a full complement of staff.

Corrective Actions implemented as a result of previous visit:
Section 17a-145-63. Chief administrative officer; Section 17a-131 of the CGS Cardiopulmonary Resuscitation Training required for persons who directly supervise children; Sec. 46a-154. Internal monitoring, training and development of policies and procedures required and subject to state agency inspection; & Section 17a-145-64. Personnel policies and procedures, from biannual report was responded to satisfactorily.

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

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

Keith Bryan______                                    11/13/25
Regulatory Consultant                                   Date

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

visit_time: First

personnel:
Kitchen staff
Case Manager


raw_content:
September 25, 2025

Connecticut Clinical Services, Inc.
DBA Turnbridge
189 Orange Street
New Haven, CT 06510
Attention: Brett Tiberio, President

Regarding Licensing Inspection for CT Clinical Services / Sober Living Services Turnbridge GH  520 Whitney Avenue, New Haven, CT 06510:
Inspector Keith Bryan, Amita Patel & Patrick Hughes

Dear Mr. Tiberio
On 8/14/25 and 8/15/25 a biennial licensing inspection was conducted at your facility. This inspection was conducted to determine the compliance of this facility with the Regulations for Operation of Child Caring Agencies and Facilities Sections 17a-145-48 through 17a-151-98, as well as the DCF Guidelines for the Administration of Medication for Certified Staff. DCF has determined that the program is in compliance with all applicable regulatory provisions except those itemized below. Please review the sections identified and submit a plan of correction to address each area. The plan must be submitted within 30 days of receipt of this letter and should identify: 1. the steps to be taken to correct the areas of non-compliance; 2. the date correction(s) will be completed; and 3. plan to prevent recurrence of the citation(s). The areas of non-compliance are as follows:
Section 17a-145-63. Chief administrative officer
There shall be a chief administrative officer who shall be in charge of the overall management of the facility and carry out the policies of the governing board. Each facility shall provide the staff and complementary services to enhance the physical and emotional well-being and ensure the safety of the children.
•	Out of 20 current employee personnel files reviewed, 2 contained State Police background checks and the same 2 contained Department of Children and Families Child Protective Services checks that were conducted after the employees' hire dates. For one employee the background checks were one day after hire and 4 days after hire for the other.
•	Out of 20 terminated employee personnel files reviewed 2 contained State Police background checks and the same two, with one additional one, contained Department of Children and Families Child Protective Services checks that were conducted after the employees' hire dates.
Section 17a-131 of the CGS Cardiopulmonary Resuscitation Training required for persons who directly supervise children.
Any person who has direct supervision of children placed by the state in a state facility or private institution shall be required to be trained in cardiopulmonary resuscitation.
•	One of 20 current personnel files reviewed did not contain documentation of CPR training as required. All of the agency's personnel files that contained documentation of CPR training was identified as adult CPR, with the exception of one staff whose CPR training was documented as pediatrics. Please clarify why one staff CPR training is for a small child and the others are for adults.
Sec. 46a-154. Internal monitoring, training and development of policies and procedures required and subject to state agency inspection.
(a) Each institution or facility that provides direct care, education or supervision of a person at risk shall develop policies and procedures that (1) establish monitoring and internal reporting of the use of physical restraint and seclusion on persons at risk, and (2) require training of all providers and assistant providers of care, education or supervision of persons at risk in the use of physical restraint and seclusion on persons at risk. Such training shall include, but not be limited to: Verbal defusing or de-escalation; prevention strategies; types of physical restraint; the differences between life-threatening physical restraint and other varying levels of physical restraint; the differences between permissible physical restraint and pain compliance techniques; monitoring to prevent harm to a person physically restrained or in seclusion and recording and reporting procedures on the use of restraints and seclusion.
•	One of 20 current personnel files reviewed did not contain documentation of restraint training as required.
Section 17a-145-64. Personnel policies and procedures
Personnel policies and operating procedures regarding facility employment and personnel practices shall be in writing and on file with the department. A copy shall be given to each employee and volunteer worker. A record containing personnel and health information shall be maintained by the facility for each employee. All direct care personnel shall have a physical examination, including a test for tuberculosis, immediately prior to assuming assigned duties.
•	One out of 20 current personnel files reviewed, TB test form did not document the results of the TB test.
Once a finding is made that your agency has satisfactorily addressed the regulatory compliance issues, DCF will be prepared to renew your agency’s license.

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

Sincerely,

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


summary: Visit conducted on 06/16/25. Implemented 5 corrective actions.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: CT Clinical Services / Turnbridge Sober Living Services

 TIME OF VISIT (FROM - TO):    First Shift               DATE: 06/16/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Kitchen staff
Case Manager
Program Director

List of Areas / Topics covered during visit:
Covered the status of the home and the physical plant. Thirteen male youth were residing at the home. All thirteen were attending the clinical program at 189 Orange St., New Haven. I was accompanied through the home first by a kitchen staff, then the case manager and eventually the program director.

On duty was the program manager, the case manager, 4 direct care staff and 3 kitchen staff. There were no available positions in the home as there was a full complement of staff.

Corrective Actions implemented as a result of previous visit:
Section 17a-145-76. Kitchens, equipment, food-handling
All kitchens shall be clean, well lighted, properly ventilated and screened, and provided with essential and proper equipment for the preparation and serving of food. Storage, refrigeration and freezer facilities shall be adequate for the number of persons to be served. All perishable foods shall be refrigerated at a temperature at or below 45° Fahrenheit. Freezers and frozen food compartments shall be maintained at minus 10° to 0° Fahrenheit. Cooking utensils, dishes and tableware shall be in good condition and proper cleaning facilities for this equipment shall be provided. Dishes shall be stored in a clean, dry place protected from flies, dust or other contamination. Food preparation and serving areas shall comply with Section 19-13-B42 of the public health code. Proper food handling techniques and sanitation to minimize the possibility of the spread of food-borne diseases shall be maintained.
•	Items were found in the refrigerator located in the basement that weren’t sealed. The refrigerator located in the butler's pantry contained an unsealed pan of mixed fruit with a metal serving spoon stored inside it.
•	All the refrigerators and freezers in the home have hasp lock and key systems on them. Several of the locks were broken. The program director indicated that they couldn't tell which youth did it after review of the camera system. The program director indicated that a community meeting was held and it was conveyed to the youth that any further damage caused by them, the repair cost would be passed on to their parents.

Section 17a-145-82. Laundry
Provisions shall be made for the children's personal laundry, the facility's laundry and the repair of clothing.
•	Clothing not identifiable for a particular client was strewn over the washing machine and basement floor, near the washer and dryer.

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

Keith Bryan______                                    06/16/25
Regulatory Consultant                                   Date

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


summary: Visit conducted on 03/11/25. Found 4 compliance issues. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: CT Clinical Services / Turnbridge Sober Living Services

 TIME OF VISIT (FROM - TO):    First Shift               DATE: 03/11/25

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
House Manager
Direct care staff

List of Areas / Topics covered during visit:
Covered the status of the home and the physical plant. Fourteen male youth were residing at the home. Thirteen were attending the clinical program at 189 Orange St., New Haven and 1 youth was at home. There were no issues, he did not have to attend clinical. A kitchen staff was managing a food delivery. I was accompanied through the home by a staff member and the house manager.

On duty was the house manager, 1 staff, 1 supervisor, 1 kitchen staff and the nurse. There were no available positions in the home as there was a full complement of staff.

Corrective Actions implemented as a result of previous visit:
Section 17a-145-73. Sleeping accommodations was responded to satisfactorily.

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-73. Sleeping accommodations
(a) Sleeping accommodations for each child shall have adequate area, spacing and equipment in accordance with the child's age and needs. Bedrooms shall contain a window unless there is a 24-hour ventilation system approved by the state or local health department. Heating facilities shall be sufficient to maintain a room temperature consistent with existing department of health services' guidelines. Separate sleeping quarters shall be provided for children of the opposite sex six years of age or over. The facility shall provide each such child with a single bed with adequate linens and covers suitable for the temperature, and a locker, dresser or other storage space for the child's private use conveniently located in or near the child's sleeping room.
•	Bedrooms, #1, 3, 4, 6, & 7 all needed cleaning. Clothing was strewn across the floor and or piled in a corner instead being placed in a hamper or another receptacle. Bedroom 3 also had trash on the floor and bedroom 6 window blind needed replacing.

Section 17a-145-74. Lavatory facilities. Toilet articles and linens
(a) At least one toilet and washbasin shall be provided near sleeping quarters, recreation areas, and dining rooms respectively and shall have adequate hot and cold running water, equipment and supplies.
•	Clothing was piled on the floor outside of an upstairs bathroom door.

Section 17a-145-76. Kitchens, equipment, food-handling
All kitchens shall be clean, well lighted, properly ventilated and screened, and provided with essential and proper equipment for the preparation and serving of food. Storage, refrigeration and freezer facilities shall be adequate for the number of persons to be served. All perishable foods shall be refrigerated at a temperature at or below 45° Fahrenheit. Freezers and frozen food compartments shall be maintained at minus 10° to 0° Fahrenheit. Cooking utensils, dishes and tableware shall be in good condition and proper cleaning facilities for this equipment shall be provided. Dishes shall be stored in a clean, dry place protected from flies, dust or other contamination. Food preparation and serving areas shall comply with Section 19-13-B42 of the public health code. Proper food handling techniques and sanitation to minimize the possibility of the spread of food-borne diseases shall be maintained.
•	The provider had its cooking utensils and cutlery secured in the refrigerator along with the cooking spray. These items shall be secured in a clean, dry location.

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

Keith Bryan______                                    03/11/25
Regulatory Consultant                                   Date

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

personnel:
House Manager
Direct care staff


summary: Visit conducted on 11/19/24. Found 3 compliance issues.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: CT Clinical Services / Turnbridge Sober Living Services

 TIME OF VISIT (FROM - TO):    First Shift               DATE: 11/19/24

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
House Manager
Kitchen staff

List of Areas / Topics covered during visit:
Covered the status of the home and the physical plant. Ten male youth were residing at the home and 9 were attending programs at 189 Orange St., New Haven.  One youth was in the lounge after returning from a court appointment. Kitchen staff were preparing lunch and managing a food delivery.

On duty was the house manager, 2 staff, 1 case manager, 2 kitchen staff and the nurse.

A IRN was written on 11/13/24 for incident of two youths going AWOL on 10/28/24.

Corrective Actions implemented as a result of previous visit:
None

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-73. Sleeping accommodations
(a) Sleeping accommodations for each child shall have adequate area, spacing and equipment in accordance with the child's age and needs. Bedrooms shall contain a window unless there is a 24-hour ventilation system approved by the state or local health department. Heating facilities shall be sufficient to maintain a room temperature consistent with existing department of health services' guidelines. Separate sleeping quarters shall be provided for children of the opposite sex six years of age or over. The facility shall provide each such child with a single bed with adequate linens and covers suitable for the temperature, and a locker, dresser or other storage space for the child's private use conveniently located in or near the child's sleeping room.
•	Bedroom #2 needed cleaning as it contained several used empty cups and an opened package of snack food.
•	Bedroom #3 needed cleaning as it contained open packages of snack food and clothing was strewn across the floor.

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

Keith Bryan______                                    11/19/24
Regulatory Consultant                                   Date

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

personnel:
House Manager
Kitchen staff


summary: Visit conducted on 09/29/24. No compliance issues identified. Implemented 2 corrective actions.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: CT Clinical Services / Turnbridge Sober Living Services

 TIME OF VISIT (FROM - TO):    First Shift               DATE: 09/29/24

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Program Director

List of Areas / Topics covered during visit:
Covered the status of the home and the physical plant. Ten male youth were residing at the home and they all were at school. Maintenance was in the home doing touch up painting in a stairwell.

On duty was the program director, 2 staff, 1 manager/academic advisor and 1 case manager.

Corrective Actions implemented as a result of previous visit:
Section 17a-145-73. Sleeping accommodations; Section 17a-145-74. Lavatory facilities. Toilet articles and linens, both were responded to satisfactorily.

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

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

Keith Bryan______                                    09/27/24
Regulatory Consultant                                   Date

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


summary: Visit conducted on 06/28/24. Found 3 compliance issues.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: CT Clinical Services / Turnbridge Sober Living Services

 TIME OF VISIT (FROM - TO):    First Shift               DATE: 06/28/24

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Associate
One staff

List of Areas / Topics covered during visit:
Covered the status of the home and the physical plant. Twelve male youth were residing at the home. Ten youth were at the home in various areas, such as the den or their bedrooms. Two youth were at a salt cave for therapy. Maintenance was in the home doing touch up work,

On duty other than the associate director were 5 direct care staff and 1 kitchen staff.

Corrective Actions implemented as a result of previous visit:
None

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-73. Sleeping accommodations
(a) Sleeping accommodations for each child shall have adequate area, spacing and equipment in accordance with the child's age and needs. Bedrooms shall contain a window unless there is a 24-hour ventilation system approved by the state or local health department. Heating facilities shall be sufficient to maintain a room temperature consistent with existing department of health services' guidelines. Separate sleeping quarters shall be provided for children of the opposite sex six years of age or over. The facility shall provide each such child with a single bed with adequate linens and covers suitable for the temperature, and a locker, dresser or other storage space for the child's private use conveniently located in or near the child's sleeping room.
•	Bedroom number 1 needed cleaning.

Section 17a-145-74. Lavatory facilities. Toilet articles and linens
(a) At least one toilet and washbasin shall be provided near sleeping quarters, recreation areas, and dining rooms respectively and shall have adequate hot and cold running water, equipment and supplies. Adequate bath facilities shall be in the same building as, and accessible to, sleeping quarters. The bathroom equipment for children shall be of appropriate size and height for the children's use. Each facility shall provide for bathrooms and toilets which shall allow for individual privacy.
•	The broken blind in the bathroom needed replacing.

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

Keith Bryan______                                  06/28/24
Regulatory Consultant                                   Date

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

personnel:
Associate
One staff


summary: Visit conducted on 04/02/24. No compliance issues identified. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: CT Clinical Services / Turnbridge Sober Living Services

 TIME OF VISIT (FROM - TO):    First Shift               DATE: 04/02/24

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Director of Support

List of Areas / Topics covered during visit:
Covered the status of the home and the physical plant. Thirteen male youth were residing at the home. Eight youth were off grounds at IOP session, 1 youth was off site with a residential liaison and 4 were in the home. The results of the review of personnel of files will be attached to this report on a later date.

On duty other than the director of support were 3 staff, 1 manager, 2 kitchen staff and 1 nurse.

Corrective Actions implemented as a result of previous visit:
Section 17a-145-77. Dining areas and supervision was responded to satisfactorily.

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

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

Keith Bryan______                                  04/02/24
Regulatory Consultant                                   Date

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


summary: Visit conducted on 12/20/23. Found 2 compliance issues. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: CT Clinical Services / Turnbridge Sober Living Services

 TIME OF VISIT (FROM - TO):    First Shift               DATE: 12/20/23

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
Case managers (2)
Supervisory staff (3)
Program Director

List of Areas / Topics covered during visit:
Covered the status of the home and the physical plant. Eleven male youth were residing at the home. The youth were all in school or clinical sessions. One youth was at the house as his school day was complete.

On duty were 3 supervisory staff, 1 staff, 2 case managers and 1 program director.

Corrective Actions implemented as a result of previous visit:
First quarterly visit since opening.

Areas of regulatory non-compliance identified during this visit:
Section 17a-145-77. Dining areas and supervision
Dining areas shall be kept clean and attractive, well-lighted, properly screened and ventilated, and shall be large enough to accommodate the children and staff responsible for their supervision. Staff supervision at meals shall be adequate to ensure a safe and comfortable atmosphere for eating.
•	The serving room ceiling on the first floor was damaged due to a radiator leak on the second floor. The provider called the day after this visit and stated that the ceiling was repaired. It will be looked at during the next quarterly visit.

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

Keith Bryan______                                  12/20/23
Regulatory Consultant                                   Date

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


raw_content:
0DEPARTMENT of CHILDREN and FAMILIES
Making a Difference for Children, Families and Communities

Vannessa L. Dorantes 	Ned Lamont
Commissioner                                                                                Governor

 September 25, 2023

Connecticut Clinical Services, Inc.
DBA Turnbridge
189 Orange Street
New Haven, CT 06510
Attention: Tom Marzilli, Executive Director

Dear Mr. Marzilli,                                                                   Re: License # CCF/GH
Connecticut Clinical Services, Inc., DBA Turnbridge, presented the required materials and has demonstrated continued compliance with the Child Care Facilities Regulations for DCF. In accordance with DCF licensing requirements and regulations, the Department of Children and Families issues the enclosed initial biannual license, effective September 25, 2023, to operate as a Child Care Facility/Residential Treatment. The license is valid for a period of 24 months.

Please feel free to contact me at (860) 560-5050 with any questions, comments or concerns.

Sincerely,

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

cc: Kathleen DiTuccio, Program Superviser, TS&SD
file

                                                                    STATE OF CONNECTICUT
Phone (860) 550-6399 - Fax (860) 560-5001
505 Hudson Street, Hartford CT 06106 www.ct.gov/dcf
An Equal Opportunity Employer|


facility_name: CT Clinical Services dba Turnbridge (Townsend Ave.

summary: Visit conducted on __1-21-26______. Visit covered 9 main areas/topics. Found 3 compliance issues. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: ____Turnbridge - Townsend GH__________________________________

 TIME OF VISIT (FROM - TO):       __Morning________________________         DATE:__1-21-26______

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:
SC - Program Director
BS - Program Nurse

List of Areas / Topics covered during visit:
•	The current census is 10 with one admission pending for the end of the week.
•	There are no staff openings. The program tends to have additional staff on duty to assist with trips off grounds and call outs.
•	In December 2025 13 personnel files were reviewed. There were no CPR certificates for 4 of the employees. There was no evidence of restraint training and certification for 7 employees.
•	The program nurse indicated that the majority of the staff have taken the medication administration training.
•	Discussion of planned relicensing visit in June.
•	Discussion of altercation between two residents. One resident was sent to another program and the other resident was eventually discharged.
•	Physical plant tour. Common areas, bathrooms and bedrooms were clean and free from clutter. Lunch was being prepared. Residents have access to certain foods/snacks in the kitchen and dining room. Kitchen staff are informed of any food allergies by the program nurse.
•	Activities for residents are diverse and cater to the population. Residents have the opportunity to attend a local gym as well as go skiing if their level allows.  Some residents will be participating in the "Coldest Night" walk to support and bring attention to the homeless issue.
•	Discussion of protocol for AWOL's. DCF placements rarely occur so the program does not have to contact the DCF Careline. The program does contact the local police. It was recommended that the program alert DCF Licensing should a high risk AWOL occur.

Corrective Actions implemented as a result of previous visit: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Areas of regulatory non-compliance identified during this visit:

Section 17a-145-64. Personnel policies and procedures.
•	Four personnel records did not have evidence of CPR certification.
•	Seven personnel records did not have evidence of restraint training.

Please submit a service development plan to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The service development plan must be submitted to the attention of the undersigned at the address listed above.
      Terri Bohara                                            1-22-26
______________________________            _________________
Regulatory Consultant                                   Date

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

description: 64. Personnel policies and procedures.


summary: Visit conducted on ___10-23-25_____. Visit covered 6 main areas/topics. Found 1 compliance issues. Implemented 1 corrective actions.

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

Field Visit Reporting Form

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

  NAME OF FACILITY / PROGRAM: _____Turnbridge - Townsend GH_________________________________

 TIME OF VISIT (FROM - TO):       ____Afternoon__________         DATE:___10-23-25_____

 AGENCY PERSONNEL WHO PARTICIPATED:

Job Titles:

SC - program director
BS - nurse

List of Areas / Topics covered during visit:
•	Census - 6  The program director indicated that the census typically drops this time of year. There are pending discharges and admissions.
•	There are no staff openings. All shifts are fully staffed.
•	In response to issues noted on the previous quarterly visit, staff are utilizing a checklist when checking rooms and have implemented new procedures to assist residents in maintaining acceptable standards in resident bedrooms.
•	Physical plant inspection conducted. Common areas, bathrooms and bedrooms were clean and free from clutter. Meal preparation was occurring at the time of the visit.
•	Review of case record. Clinical services are offered off site and clinical treatment plans are written by the OPCC clinician. Treatment plans for the residents in the group homes are written by staff and focus on expectations within the homes. There is also a medical care plan in which the nurse may identify a specific track for specialized treatment (Ex. Eating Disorder).

Corrective Actions implemented as a result of previous visit:
•	Program Director indicated that procedures have been put in place to make sure that internal standards for the conditions in the bedrooms are met.  Staff now utilize a checklist to determine compliance and frequent room inspections are conducted.

Areas of regulatory non-compliance identified during this visit:

No citations.

Please submit a service development plan to address the above referenced areas of non-compliance within 30 days of receipt of this report.  The service development plan must be submitted to the attention of the undersigned at the address listed above.
   Terri Bohara                                               11-5-25
______________________________            _________________
Regulatory Consultant                                   Date

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

description: No citations.

personnel:
SC - program director
BS - nurse