facility_name: Northwest Youth Discovery, Inc Date of site visit: March 12, 2025

summary: License Renewals - 9 findings

raw_content:
Licensed Child Caring Agency Site Visit Report
Residential Care
Licensee: Northwest Youth Discovery Date of site visit: March 30th, 2021
Executive Director: Rich Streeter Licensing Coordinator: Ed Wyller
Board Chairperson: Jennifer Weeks
Other Regulatory or Accrediting Agencies: Oregon Youth Authority (OYA)
Program Compliance: The program was found to be compliant or will be compliant with OAR 413-215-0001 to 413-215-0131, Licensing Umbrella
Rules, and OAR 413-215-0501 to 413-215-0586, Licensing Residential Care Agencies Rules. Personnel records were reviewed and compliance
with required background checks was documented for employees in all programs.
Program Description(s): NWYD reports the following description of their program, “Northwest Youth Discovery (NWYD) serves adolescent
females ages 12-21 within a therapeutic milieu supported by professionally trained staff. Most of our clients have experienced some form of trauma
in their lives which has contributed to school failure, drug and alcohol abuse, emotional dysregulation, poor self-esteem, and the development of
maladaptive coping strategies. NWYD serves youth who have not met success within a less restrictive level of care and demonstrate a need for 24-
hour supervision.
NWYD provides Behavior Rehabilitation Services (BRS) by utilizing evidence-based approaches to target those psychosocial, emotional, and
behavioral issues that have impeded our clients from achieving their full potential. Our high staff to youth ratio enables us to meet success at
providing physical, emotional, and psychological support while remediating our risk factors. NWYD’s services include but are not limited to case
management, treatment planning, goal development, aftercare services, individual / group counseling, psycho-education, therapeutic work
experience, crisis support, therapeutic recreation, educational support, culinary experience, cultural / spiritual involvement, milieu therapy, and
independent living skills. NWYD employ interventions and strategies from evidence based models such as Dialectical Behavior Therapy and
Therapeutic Crisis Intervention.”
Program type and services: Residential – Behavior Rehabilitation Services
Capacity and age-range: 10, 12-20 years
Funding sources: Oregon Youth Authority
I:\LICENSING\CCLU Forms & Templates\Site Visit Checklists (rev. 08/13/2020)
Contracts and sources for referrals: Oregon Youth Authority
Average length of stay: 161 days
Average daily population served: 7-8 youth
Number of children served annually: 24 youth
Use of seclusion or restraint: No
Interviews, Observations: I interviewed two youth on March 30th, 2021 onsite at Northwest Youth Discovery outside on the back deck as to
ensure privacy of the conversations. Both youths indicated that they feel safe at NWYD. Both youths indicated that if they did not feel safe, they
would be able to talk with staff about why they are feeling unsafe. Youth reported learning several skills at Northwest Youth Discovery. One youth
reported learning coping skills in managing her anger and the ability to advocate for herself. One youth reported the following treatment groups:
DBT, house group, treatment group, and life skills group. Additional reported counseling included two counseling sessions a week on-site and an
additional counseling session off-site once a week. The other youth spoke about the community meetings which occur on Wednesdays and include
all staff and youth. This includes the Executive Director and clinical team. This youth is on the youth leadership team that meets with staff to
discuss items that youth would like addressed by NWYD employees. This youth was able to state that changes have resulted from these meetings
through this process.
On a scale from (0-10 where 0=worst program in the State and 10=best program in the State). Youth reported Northwest Youth Discovery to be a 6
and an 8 on that scale. The youth that indicated NWYD to be a 6 could not think of anything to improve the program and reports if she had a magic
wand to improve the program, she would leave it as it is. The one youth who indicated the program to be an 8 reported she would wish for more
outings. She reported now that all who are eligible at NWYD have been vaccinated, they are able to do more. Youth reported the following
activities during Covid-19: hikes, going to park, going on walks, gym, reading, coloring, scrapbooking, knitting, and watching movies – Netflix. Both
youths indicated having plenty of food to eat and that the quality of the meals to be, “pretty good” and “good”. Both youth were able to articulate
their goals and their next placement they are working towards after NWYD.
I toured the facility, and many capital improvements have occurred. These include a new counseling office and space on site. A new sand
volleyball court and fire ring on the property. A new locked space for yard equipment. Trex decking materials were on site for replacement of the
back deck. NWYD is scheduled to be repainted in May of 2021. In addition, another project will be creating and expanded a space in an
outbuilding for more common space for youth. The facility is well maintained as NWYD has hired an individual to assist in maintaining the property.
I observed positive supportive interactions between NWYD employees and youth that were on-site. When checking in with employees, they
reported they enjoy working at NWYD and have learned from the Clinical Team.
2
Program Strengths: Northwest Youth Discovery reports Northwest employs multicultural staff that frequently exceed licensing and contractual
requirements. For example: the Executive Director has two master’s degrees in a related field and over twenty five years of experience, the clinical
director has a master’s degree and over ten years’ experience, the director of operations has a master’s degree and over ten years’ experience, etc.
Northwest also exceeds staffing ratios by an average of 1.75 FTE each week to ensure adequate support for clients and staff. Northwest utilizes
two evidence-based curricula with extreme efficacy, Therapeutic Crisis Intervention and Dialectical Behavior Therapy, as well as having a
relationship-based program, designed by the Executive Director, over the past twenty-five years. Generally, there are administrative staff on
premises Sunday through Friday. There is a large outdoor area for clients and staff.
Program Challenges: Northwest Youth Discovery reports, “Like all programs, Northwest experienced significant challenges over the past year due
to Covid. Additionally, even though Northwest has made several structural improvements over the past year, additional living space would be
beneficial. However, Northwest has saved the financial resources, and is in discussions with their contractor to renovate the detached garage to
address this need.”
Changes that have occurred in the last 2 years: Northwest Youth Discovery reports, “In April of 2020 Northwest started to utilize their outpatient
therapy services for another level of support for the residential clients. This change also led to other structural changes such as adding a clinical
director position. Northwest also constructed another office space on the property.”
Lawsuits: None reported.
Grievances and complaints filed in the last two years: Northwest Youth Discovery reports, “clients have submitted two grievances. After
reviewing the concern, they did not rise to the level of a formal grievance (i.e., clients were concerned about not having privileges, not that their
rights were being violated).”
Corrective Actions and Timeframes:
Please submit the following to verify compliance. Within 45 days of receipt of this report Northwest Youth Discovery must submit a letter of
verification indicating the agency is in compliance with the specific rules cited above and describing how compliance will be maintained going
forward. Along with the letter of verification, the agency must submit any and all specific documentation requested in the body of this report. The
letter of verification and any additional requested documents can be emailed directly to Ed Wyller edward.wyller@dhsoha.state.or.us or sent by
regular mail to the following address:
Due to Covid-19 pandemic and working remotely the preferred method is to send directly to Ed Wyller at his email address.
Department of Human Services
Children’s Care Licensing Program
Attn: Ed Wyller
201 High St. SE Suite 500
3
Salem, OR 97301
Summary of Review
Program and Services Corrective Action
Yes No N/A Corrective Actions
413-215-0011(2) Completed
Program and services are in scope of license x
Governance of the Agency Corrective Action
Yes No N/A Corrective Actions
413-215-0021 Completed
(1)(a) Minimum of 5 board members x
(2)(f) Formally evaluate the exec. Director’s x
performance annually
(2)(g) Approves annual budget x
(2)(h) Obtain and review an annual x
independent financial review or audit of
financial records.
(2)(k) Written quality improvement program x
(2)(l) Meeting minutes x
Executive Director or Program Director Corrective Action
Yes No N/A Corrective Actions
413-215-0021 Completed
(3)(a) knowledge of requirements for x
providing care and treatment appropriate to
programs
(3)(g) Approval from BCU x
Discipline, Behavior Management, and Corrective Action
Yes No N/A Comments
Suicide Prevention 413-215-0076 Completed
(3) Agency uses appropriate and positive
methods of behavior management and
x
nationally recognized non-violent crisis
intervention
(3)(b)(C) Agency does not use chemical and
mechanical restraint (excluding medically x
necessary devices/prescriptions)
(3)(c) Agency uses appropriate time-out
rooms (adequate space, heat, light and x
ventilation and is not capable of locking) and
4
documents use in child’s record when
applicable
(3)(e) Agency uses seclusion
x
appropriately/consistent with policy
(4) Agency has adequate plan in place to
x
respond to suicidal behavior/warning signs
Physical Plant Corrective Action
Yes No N/A Corrective Actions
Completed
413-215-0046(3)(a) Foster Rights Posted (if x
children in DHS custody)
413-215-0051(1) Sufficient safe space, x
equipment, and office equipment
413-215-0091(12) License is posted in x
common area at each facility
413-215-0001(5)(d), 0516(4(a)(I) & 0521(1) x
Adequate furnishings and personal items
413-215-0511(2)(a) &(c) Buildings are x
smoke free, clean and in good repair
413-215-0511(2)(d) Rooms are free of x
harmful drafts, odors, and excessive noise
413-215-0511(2)(e) Rooms are adequate in x
size and arrangement
413-215-0511(2)(f) System provides a x
continuous supply of hot and cold water to
taps located throughout the facility
413-215-0511(2)(h) Building is well x
ventilated and room temperature is within a
normal comfort range
413-215-0516(1) All parts of the facility x
ensure the safety of children
Room and Space Requirements Corrective Action
Yes No N/A Corrective Actions
Bedrooms 413-215-0516(3) Completed
(a) Adequate furnishings and personal items x
(b) Separate from rooms used for dining, x
living, laundry, kitchen, and storage
(c) Outside room with window allowing x
egress from building
(d) Ceiling at least 90 inches x
(e) Minimum 60 SF per bed x
(f) No more than 25 if dorm style x
(g) Permanently wired fixtures x
(h) Window covering x
(i) Beds are 3 feet apart and maintained to x
ensure safety
5
Room and Space Requirements Corrective Action
Yes No N/A Corrective Actions
Bathrooms 413-215-0516(4) Completed
(a)(A)&(B) 1:8 ratio for toilets and sinks x
(a)(D) Hot and cold running water, soap, and x
approved hand drying options
(a)(E) 1:10 ratio for shower or bathtub x
(a)(E) Individual privacy x
(a)(F) Window covering x
(a)(G) Permanently wired fixtures x
(a)(H) Adequate ventilation x
(b)&(c) Wooden racks on floors are x
prohibited and impervious shower mats are
disinfected & dried daily
Room and Space Requirements Corrective Action
Yes No N/A Corrective Actions
Kitchen 413-215-0516(6) Completed
(a) Used exclusively for storage, food x
preparation, dish washing and activities
related to eating
(b) Walls, floors are easily cleanable x
(c) Equipment and utensils are easily x
cleanable, durable, nontoxic, and kept clean
(e) Equipment is easy to clean beneath, x
between and behind
Room and Space Requirements Corrective Action
Yes No N/A Corrective Actions
413-215-0516 Completed
(2) There is a separate living room or lounge x
area – 15 SF minimum per child
(5) There is a separate dining room with x
capacity for ½ of children in care and 15 SF
per child in care
(7) Laundry is separate from living areas, x
kitchen and dining
(8) Separate storage areas are provided for x
food, kitchen supplies, utensils, clean linens,
soiled linens and clothing, cleaning supplies
and equip, poisons, chemicals, outdoor
recreational and maintenance equipment
(9) Outdoor activity area is protected from x
vehicles and other hazards and of a size and
availability appropriate to the age and needs
of children in care
(11) & 413-215-0076(3)(c)(C)Time out rooms x
have adequate space, heat, light and
ventilation and is not capable of locking
6
Furnishings and Personal Items Corrective Action
Yes No N/A Corrective Actions
413-215-0521 Completed
(1) There is a bed with frame, clean mattress x
and pillow and personal storage (dresser,
closet)
(2) Linens are in good repair. There is a x
waterproof mattress cover or mattress.
Linens are appropriate and towels and
washcloths are provided
(3) Bedding is changed weekly or when x
soiled
(4)&(5) Personal hygiene supplies and x
appropriate clothing are provided
Food Services Corrective Action
Yes No N/A Corrective Actions
413-215-0536(1)&(2) Completed
(1)(a) Meals are arranged daily, consistent x
with normal mealtimes that occur during the
hours of operation
(1)(b) Menus are prepared in advance in x
accordance with USDA guidelines, provide a
variety of foods and are adjusted for
seasonal changes.
(1)(b) Menus are kept for at least 6 months x
(1)(c) Drinking water is freely available x
(2)(a) Food is stored, prepared & served in a x
sanitary manner
(2)(c) & (d) Food products are obtained from x
commercial suppliers (exception of fruits &
vegetables), unpasteurized juice is
prohibited, and only Grade A pasteurized
and fortified milk in appropriate container.
Safety Corrective Action
Yes No N/A Corrective Actions
413-215-0541 Completed
(2)(a) Written emergency plan x
(2)(b) Telephone numbers for local police x
and fire are posted near all telephones
(2)(c) Operative flashlights sufficient in x
number are readily available to staff
(3)(a) Evacuation drill occurs monthly under x
varying conditions, is retained 2 yrs and
contains;
(A) identify of person conducting drill
(B) date & time
(C) notification method
(D) staff participating
7
(E) # of children & staff evacuated
(F) special conditions simulated
(G) problems encountered
(H) time to complete
Safety – Transportation Corrective Action
Yes No N/A Corrective Actions
413-215-0541 Completed
(5)(b) Vehicle has insurance policy, is smoke x
free, safe operating condition, and has first
aid kit and fire extinguisher 2-A:10-BC
Medication Corrective Action
Yes No N/A Corrective Actions
413-215-0551 Completed
(3)&(7)(e) Medications have a prescription x  (10) Written record of the administration of
and are stored in the original container with medication is missing (h) possible adverse reactions
prescription label
(4)&(5) Herbal supplements and remedies, x
medical treatments, special diets, physical
therapy, physical aides or limitations have a
written order signed by a physician or
qualified medical professional.
(7)(c) Medications are inaccessible to x
children
(8) Medications are disposed in accordance x
with state and federal law
(9) Written record of the disposal of x
medications is maintained and includes:
(a) description and amount
(b) name
(c) reason
(d) method
(e) staff & witness signature
(10) Written record of the administration of x
medication includes:
(a) name
(b) description
(c) dates and times
(d) missed doses
(e) medication disposed
(f) method of administration
(g) ID of person administering
(h) possible adverse reactions
(i) medication taken outside facility
8
Extracurricular, Enrichment, Cultural &
Corrective Action
Social Activities Yes No N/A Corrective Actions
Completed
413-215-0554
(2) Children have ongoing opportunities to x
participate in at least one age-appropriate or
developmentally appropriate activity
Minimum Staffing Requirements Corrective Action
Yes No N/A Corrective Actions
413-215-0561 Completed
(1)&(2) Supervision is adequate for the type x  NWYD has not been training staff or aware of the
of program, location, age and type of reasonable prudent parent standard.
children, ability of supervisor to respond,
electronic back-up systems.
Minimum ratios are maintained:
Under 30 months of age: 1:4
30 months to ˃ 6 yrs or non-ambulatory: 1:6
Ages 6 and older: 1:7
Overnight (staff awake)
1:10
(4)(a) When one staff on duty, there is x
additional staff immediately available with
max response time of 30 minutes
(5) There is at least one on-site employee x
authorized to apply the reasonable and
prudent parent standard
Separation of Residents Corrective Action
Yes No N/A Corrective Actions
413-215-0566 Completed
(1) Children are in separate bedrooms than x
adults, unless parent and child, or there is
written approval from guardian/parent and
licensing coordinator
(2) There is adequate supervision of children x
if both males and females are served by the
program
Supplemental Information Provided by Yes No N/A Comments Corrective Action
CCA Completed
Documents as indicated on the form titled x
“Renewal Licensing Required Documents”
Documents as indicated on form titled x
“Required Financial Documents and
Information”
All required policies and procedures as x
identified in the “Umbrella Rules”
9
All required policies and procedures as x
identified in “Agency Type Specific Rules”
Personnel Files Corrective Action
Yes No N/A Corrective Actions
413-215-0061 Completed
Staff Name/Position
(3)(g) Date of Hire
(3)(a) record of education, training and
x
previous employment
(1)(b) & (3)(b) reference checks completed
x
and documented
(1)(a) & (3)(c) Background check completed
x
and documented
(3)(d) Annual performance evaluations x
(3)(f) Record of personnel actions x
(3)(g) Termination date, reason for
x
termination
(3)(h) Current job description (1)(c)
Employee meets minimum qualifications x
stated in current job description
New Employee Orientation – Umbrella
Corrective Action
Requirements (30 days) Yes No N/A Corrective Actions
Completed
413-215-0061(4)
(a) Agency policies and procedures x
(b) Ethical and professional guidelines x
(c) Organizational lines of authority x
(d) Attributes of population served x
(e) & (5)(a) to (c) Mandatory reporting that
includes:
(a) legal definition of child abuse ORS
419B.005, Oregon Laws 2016, chapter 106,
x
section 36
(b) legal responsibility to immediately report
(c) legal responsibility to report is personal to
the employee
(f) Privacy laws x
(g) Emergency procedures x
10
New Employee Orientation – Residential
Corrective Action
(30 days) Yes No N/A Corrective Actions
Completed
413-215-0556
(1)(a) Discipline and behavior management
including de-escalation, crisis prevention,
positive behavior management, and x
disciplinary techniques that are non-punitive
in nature
(1)(b) Restraint and seclusion (if applicable) x
Ongoing Training Corrective Action
Yes No N/A Corrective Actions
Completed
413-215-0536(2)(b) Employees who handle x  Repeated Finding: NWYD will need to ensure staff
food served to children have a valid food are trained in 413-215-0556(4). Program is not
handler’s card training to the standard and will need to ensure
413-215-0541(5)(a) Employees transporting
designated staff authorized to apply reasonable and
children have: current driver’s license,
prudent parent standard are trained in application of
the standard.
insurance, trained in emergency procedures x
and behavior management, and training for
15+ passenger vans if applicable)
413-215-0556(2)(a) Environmental
x
emergencies
413-215-0556(2)(b) Universal Precautions x
413-215-0556(2)(c) Discipline and Behavior
x
Management
413-215-0556(3) Staff providing direct care
must maintain current CPR/First Aid x
certification
413-215-0556(4) Designated staff authorized
to apply reasonable and prudent parent
x
standard are trained in application of the
standard
413-215-0061(5) Mandatory reporting
(annually) that includes:
(a) legal definition of child abuse ORS
419B.005, Oregon Laws 2016, chapter 106,
x
section 36
(b) legal responsibility to immediately report
(c) legal responsibility to report is personal to
the employee
11
Contractors (if applicable) Corrective Action
Yes No N/A Corrective Actions
413-215-0061(6) Completed
(a) Agency ensures the contractor meets the
requirements of this rule and Chapter 413 x
division 215
(b)(B) Contract includes the following:
(i) Services provided
(ii) Contractor fees
(iii) Disclosure of information from contractor
to agency
(iv) Lines of authority x
(v) Adherence to rules, including background
check
(vi) Any liability of the agency for acts of the
contractor, rights of indemnity and limitations
on liability
Comments:
Children’s Records Corrective Action
Yes No N/A Corrective Actions
Completed
Health Services
413-215-0546
(2) Medical history obtained within 30 days
(significant findings, current immunizations,
history of surgical procedures-health issues- x
injuries, allergies, dental, vision, hearing,
behavioral health, and physician orders)
(2)(e) Documentation of age appropriate
instruction – pregnancy prevention, nutrition,
prevention of HIV & AIDS, and prevention x
and treatment of sexually transmitted
disease
(4)(a) to (f) Medical exams (3 in first year of
life, 2,4,6,9,14) x
12
Consents Corrective Action
Yes No N/A Corrective Actions
413-215-0576(1) Completed
(a) Provide routine and emergency medical
x
care
(b) Use the discipline and behavior
x
management system
(c) Use restraint or seclusion (if applicable).
Must specify the reasons for the intervention x
and how staff are trained and supervised
(d) Restrict contact with persons outside of
x
the agency
(e) Allow access as defined in 413-215-0091
x
& 0101
(f) Impose a dress code x
(g) Apply the reasonable and prudent parent
x
standard
Disclosures
Corrective Action
413-215-0576(2) Parent/guardian has Yes No N/A Corrective Actions
Completed
acknowledged in writing:
(a) Information regarding personal or room
searches and protocols for confiscation of x
contraband  Repeated Finding: Disclosures were missing that
(b) Statement of Rights of Children and parent/guardian can request, (c) any policies and
x
Parents/Guardians procedures upon request.
(c) Any policies and procedures upon
x
request
Authorizations Corrective Action
Yes No N/A Corrective Actions
413-215-0576(3) Completed
(a) Disclose or exchange information with
x
others
(b) Child specific visitors x
(c) Visitation resources are pre-approved x
(d) Activity specific authorizations are pre-
approved to allow children to participate in
potentially hazardous activities, including but x
not limited to using motorized yard
equipment, swimming, and horseback riding.
13
Information about Children in Care
Corrective Action
413-215-0581(1) Summary sheet contains Yes No N/A Corrective Actions
Completed
the following:
(a)The name, gender, date of birth, religious
x
preference, and previous address
(b) Name and location of previous and
x
current school
(c) Date of admission x
(d) Legal custody x
 NWYD currently has two face sheets that were
(e) The name, address, and telephone
missing many of the requirements in a summary
number of:
sheet. NWYD will need to develop a summary sheet
(A) The child in care's parents.
including the requirements listed in 413-215-0581 (1)
(B) The child in care's legal guardian, if
a through e.
different than the parents, and a copy of
x
the document that provides for his or her
authority over the child in care.
(C) Other persons significant to child
(D) Other professionals to be involved in
service planning (if applicable)
Service Planning Corrective Action
Yes No N/A Corrective Actions
413-215-0581(2) Completed
(b) Intake document is completed the date
child accepted into care (emergency x
placement 48 hours)
(d) Assessment is completed within 30 days
and contains relevant historical info., current
behavioral observations, identified need for x
services, and how agency will provide
services
(e) (A)&(B) Service plan within 60 days
(parent, guardian and child actively
involved). Describes how child’s issues will x
be addressed, anticipated outcomes and
reviewed by child and guardian/parent.
(e)(C)&(D) Service plan is reviewed quarterly
and revised when information indicates other x
services should be provided
14
Case Management Corrective Action
Yes No N/A Corrective Actions
413-215-0581(3) Completed
(a) Services are documented, progress
x
toward achieving goals is tracked
(b)-(d) discharge planning and instructions x
(f) Incident Reports x
Financial Records Corrective Action
Yes No N/A Corrective Actions
413-215-0581(4) Completed
Records contain date, amount, source,
x
purpose, signatures
Personal Possessions Records Corrective Action
Yes No N/A Corrective Actions
413-215-0581(5) Completed
Individual written inventory of all personal
possessions is maintained and updated as x
needed
Records and Documentation Corrective Action
Yes No N/A Corrective Actions
413-215-0071 Completed
(1) Stored safely x
(2) Permanent, legible, dated, and signed x
(3)&(4) Uniform in organization, readily
identifiable and accessible, current, and
x
complete, containing all required info. No
eraser tape or white out.
(7) Permanent registry for each child
includes:
Name
Gender
x
Birth date
Names, addresses of parents or guardians
Dates of admission
Placement upon discharge
Comments: Additional Findings:
 OAR 413-215-0056: NWYD will need to update their mandatory abuse policy to meet the requirements in OAR 413-215-0056.
 OAR 413-215-0051: During the renewal review it was found that medication policy did not meet all the requirements. NWYD
has submitted a revised policy that now meets this requirement and will no longer require corrective action.
15
4-5-2021
Licensing Coordinator’s Signature: ________________________ Date: ___________________
4-2-2021
Manager Review: ______________________________________ Date: __________________
16

agency_name: Northwest Youth Discovery (NYD)

program_name: Bend

report_type: License Renewals

board_chairperson: Jennifer Weeks

visit_date: March 30th, 2021

licensing_coordinator: Ed Wyller

other_regulatory_agencies: Oregon Youth Authority (OYA)

program_description:
NWYD reports the following description of their program, "Northwest Youth Discovery (NWYD) serves adolescent
females ages 12-21 within a therapeutic milieu supported by professionally trained staff. Most of our clients have experienced some form of trauma
in their lives which has contributed to school failure, drug and alcohol abuse, emotional dysregulation, poor self-esteem, and the development of
maladaptive coping strategies. NWYD serves youth who have not met success within a less restrictive level of care and demonstrate a need for 24-
hour supervision.
NWYD provides Behavior Rehabilitation Services (BRS) by utilizing evidence-based approaches to target those psychosocial, emotional, and
behavioral issues that have impeded our clients from achieving their full potential. Our high staff to youth ratio enables us to meet success at
providing physical, emotional, and psychological support while remediating our risk factors. NWYD's services include but are not limited to case
management, treatment planning, goal development, aftercare services, individual / group counseling, psycho-education, therapeutic work
experience, crisis support, therapeutic recreation, educational support, culinary experience, cultural / spiritual involvement, milieu therapy, and
independent living skills. NWYD employ interventions and strategies from evidence based models such as Dialectical Behavior Therapy and
Therapeutic Crisis Intervention."

program_services: Residential - Behavior Rehabilitation Services

funding_sources: Oregon Youth Authority

contracts_and_referrals: Oregon Youth Authority

average_length_of_stay: 161 days

average_daily_population_served: 7-8 youth

number_of_children_served_annually: 24 youth

use_of_seclusion_or_restraint: No

interviews_observations:
I interviewed two youth on March 30th, 2021 onsite at Northwest Youth Discovery outside on the back deck as to
ensure privacy of the conversations. Both youths indicated that they feel safe at NWYD. Both youths indicated that if they did not feel safe, they
would be able to talk with staff about why they are feeling unsafe. Youth reported learning several skills at Northwest Youth Discovery. One youth
reported learning coping skills in managing her anger and the ability to advocate for herself. One youth reported the following treatment groups:
DBT, house group, treatment group, and life skills group. Additional reported counseling included two counseling sessions a week on-site and an
additional counseling session off-site once a week. The other youth spoke about the community meetings which occur on Wednesdays and include
all staff and youth. This includes the Executive Director and clinical team. This youth is on the youth leadership team that meets with staff to
discuss items that youth would like addressed by NWYD employees. This youth was able to state that changes have resulted from these meetings
through this process.
On a scale from (0-10 where 0=worst program in the State and 10=best program in the State). Youth reported Northwest Youth Discovery to be a 6
and an 8 on that scale. The youth that indicated NWYD to be a 6 could not think of anything to improve the program and reports if she had a magic
wand to improve the program, she would leave it as it is. The one youth who indicated the program to be an 8 reported she would wish for more
outings. She reported now that all who are eligible at NWYD have been vaccinated, they are able to do more. Youth reported the following
activities during Covid-19: hikes, going to park, going on walks, gym, reading, coloring, scrapbooking, knitting, and watching movies - Netflix. Both
youths indicated having plenty of food to eat and that the quality of the meals to be, "pretty good" and "good". Both youth were able to articulate
their goals and their next placement they are working towards after NWYD.
I toured the facility, and many capital improvements have occurred. These include a new counseling office and space on site. A new sand
volleyball court and fire ring on the property. A new locked space for yard equipment. Trex decking materials were on site for replacement of the
back deck. NWYD is scheduled to be repainted in May of 2021. In addition, another project will be creating and expanded a space in an
outbuilding for more common space for youth. The facility is well maintained as NWYD has hired an individual to assist in maintaining the property.
I observed positive supportive interactions between NWYD employees and youth that were on-site. When checking in with employees, they
reported they enjoy working at NWYD and have learned from the Clinical Team.
2

program_strengths:
Northwest Youth Discovery reports Northwest employs multicultural staff that frequently exceed licensing and contractual
requirements. For example: the Executive Director has two master's degrees in a related field and over twenty five years of experience, the clinical
director has a master's degree and over ten years' experience, the director of operations has a master's degree and over ten years' experience, etc.
Northwest also exceeds staffing ratios by an average of 1.75 FTE each week to ensure adequate support for clients and staff. Northwest utilizes
two evidence-based curricula with extreme efficacy, Therapeutic Crisis Intervention and Dialectical Behavior Therapy, as well as having a
relationship-based program, designed by the Executive Director, over the past twenty-five years. Generally, there are administrative staff on
premises Sunday through Friday. There is a large outdoor area for clients and staff.

program_challenges:
Northwest Youth Discovery reports, "Like all programs, Northwest experienced significant challenges over the past year due
to Covid. Additionally, even though Northwest has made several structural improvements over the past year, additional living space would be
beneficial. However, Northwest has saved the financial resources, and is in discussions with their contractor to renovate the detached garage to
address this need."

changes_in_last_two_years:
Northwest Youth Discovery reports, "In April of 2020 Northwest started to utilize their outpatient
therapy services for another level of support for the residential clients. This change also led to other structural changes such as adding a clinical
director position. Northwest also constructed another office space on the property."

lawsuits: None reported.

grievances_and_complaints:
Northwest Youth Discovery reports, "clients have submitted two grievances. After
reviewing the concern, they did not rise to the level of a formal grievance (i.e., clients were concerned about not having privileges, not that their
rights were being violated)."

excerpt:
(10) Written record of the administration of
medication includes:
(a) name
(b) description
(c) dates and times
(d) missed doses
(e) medication disposed
(f) method of administration
(g) ID of person administering
(h) possible adverse reactions
(i) medication taken outside facility

excerpt:
(5) There is at least one on-site employee
authorized to apply the reasonable and
prudent parent standard

excerpt:
Designated staff authorized
to apply reasonable and prudent parent
standard are trained in application of the
standard

excerpt:
(c) Any policies and procedures upon
request

excerpt:
(a)The name, gender, date of birth, religious
preference, and previous address  NWYD currently has two face sheets that were
missing many of the requirements in a summary
sheet. NWYD will need to develop a summary sheet
including the requirements listed in 413-215-0581 (1)
a through e.

excerpt:
(b) Name and location of previous and
current school

excerpt: (c) Date of admission

excerpt: (d) Legal custody

excerpt:
(e) The name, address, and telephone
number of:
(A) The child in care's parents.
(B) The child in care's legal guardian, if
different than the parents, and a copy of
the document that provides for his or her
authority over the child in care.
(C) Other persons significant to child
(D) Other professionals to be involved in
service planning (if applicable)


state: OR

summary: Unannounced - 13 findings

raw_content:
Licensed Child Caring Agency Unannounced Site Visit Report
Licensee: Northwest Youth Discovery
Executive Director: Rich Streeter
Board Chairperson: Jennifer Weeks
Date of Unannounced: 10.13.2021
Licensing Coordinator: Aubrey Kelly
Other Regulatory or Accrediting Agencies: Oregon Youth Authority (OYA)
Purpose: Per OAR 413-215-0101 (1) (b) Children’s Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings: Repeat Comments
License Renewal Site Visit 03-30-2021 Findings
Further Action
Needed
413-215-0551(10) Written record of the Yes☐ No Required documentation was found in files reviewed.
administration of medication includes:
(h) possible adverse reactions: “(10) Written
record of the administration of medication is
missing (h) possible adverse reactions”
413-215-0561(5) There is at least one on-site Yes☐ No Required documentation was found in files reviewed.
employee authorized to apply the reasonable
and prudent parent standard: “NWYD has not
been training staff or aware of the reasonable
prudent parent standard.”
413-215-0556(4) Designated staff authorized Yes☐ No Required documentation was found in files reviewed.
to apply reasonable and prudent parent
standard are trained in application of the
standard: “Repeated Finding: NWYD will
need to ensure staff are trained in 413-215-
0556(4). Program is not training to the
standard and will need to ensure designated
staff authorized to apply reasonable and
prudent parent standard are trained in
application of the standard.”
1
I:\LICENSING\CCLU Forms & Templates\Site Visit Checklists (rev. 200115)
413-215-0576(2) Parent/guardian has Yes☐ No Required documentation was found in files reviewed.
acknowledged in writing: (c) Any policies and
procedures upon request: “Repeated
Finding: Disclosures were missing that
parent/guardian can request, (c) any policies
and procedures upon request.”
413-215-0581(1) Summary sheet contains the Yes No☐ It was reported during the visit by staff a new summary sheet
following: (a)The name, gender, date of birth,
was created, however it does not appear it is currently being
religious preference, and previous address:
“NWYD currently has two face sheets that used. The program shall ensure the summary sheet that is used
were missing many of the requirements in contains all the required information.
a summary sheet. NWYD will need to
develop a summary sheet including the
requirements listed in 413-215-0581 (1) a
through e.”
413-215-0581(1) Summary sheet contains the Yes No☐ See above comment regarding summary sheet
following: (b) Name and location of previous
and current school.
413-215-0581(1) Summary sheet contains the Yes No☐ See above comment regarding summary sheet
following: (c) Date of admission.
413-215-0581(1) Summary sheet contains the Yes No☐ See above comment regarding summary sheet
following: (d) Legal custody.
413-215-0581(1) Summary sheet contains the Yes No☐ See above comment regarding summary sheet
following: (e) The name, address, and
telephone number of:
(A) The child in care's parents.
(B) The child in care's legal guardian, if
different than the parents, and a copy of
the document that provides for his or her
authority over the child in care.
(C) Other persons significant to child
(D) Other professionals to be involved in
service planning (if applicable)
OAR 413-215-0056: NWYD will need to Yes No☐ See above comment regarding summary sheet
update their mandatory abuse policy to meet
the requirements in OAR 413-215-0056
OAR 413-215-0051: During the renewal Yes No The policy was reviewed and approved.
review it was found that medication policy did
not meet all the requirements. NWYD has
submitted a revised policy that now meets this
requirement and will no longer require
corrective action.
2
I:\LICENSING\CCLU Forms & Templates\Site Visit Checklists (rev. 200115)
New Findings from Site Visit Comments
None
Interview Summary
Client #1: The client likes it, previously was at another program and didn’t like it here. This program feels more
homey, staff care about the clients and respects boundaries. They are hoping to discharge in Dec. They currently
have a job. Their favorite staff is Taylor. They get along with all staff and peers and tries to support peers. They
talk to family a lot, they are going on their first home pass soon. They have a therapist at the program and
doesn’t feel like they are connecting with their therapist. They feel safe here and no one has put their hands on
them since admission. The food is good. Chores are rotated. They have had cabin fever due to Covid but staff is
making an effort to get clients out of the house.
Observations
The program was very clean. The program has done a significant amount of work in the backyard and the
garage area, which is now office space. The backyard now has a sand volleyball court.
Corrective Actions and Timeframes:
Please submit the following to verify compliance.
Within 45 days of receipt of this report NW Youth Discovery must submit a letter of verification indicating the agency is in compliance with the
specific rules cited above and describing how compliance will be maintained going forward. Along with the letter of verification, the agency must
submit any and all specific documentation requested in the body of this report. The letter of verification and any additional requested documents can
be emailed directly to Aubrey Kelly, Aubrey.J.Kelly@dhsoha.state.or.us or sent by regular mail to the following address:
Department of Human Services
Children’s Care Licensing Program
Attn: Aubrey Kelly
3
I:\LICENSING\CCLU Forms & Templates\Site Visit Checklists (rev. 200115)
201 High St. SE Suite 500
Salem, OR 97301
11-22-2021
Licensing Coordinator’s Signature: ________________________ Date: ___________________
11-17-2021
Manager Review: ______________________________________ Date: __________________
4
I:\LICENSING\CCLU Forms & Templates\Site Visit Checklists (rev. 200115)

program_type: (RC) Residential Care Programs

report_type: Unannounced

view_code: RC

licensee: Northwest Youth Discovery

executive_director: Rich Streeter

licensing_coordinator: Aubrey Kelly

purpose:
Per OAR 413-215-0101 (1) (b) Children's Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings: Repeat Comments
License Renewal Site Visit 03-30-2021 Findings
Further Action
Needed
413-215-0551(10) Written record of the Yes[ ] No Required documentation was found in files reviewed.
administration of medication includes:
(h) possible adverse reactions: "(10) Written
record of the administration of medication is
missing (h) possible adverse reactions"
413-215-0561(5) There is at least one on-site Yes[ ] No Required documentation was found in files reviewed.
employee authorized to apply the reasonable
and prudent parent standard: "NWYD has not
been training staff or aware of the reasonable
prudent parent standard."
413-215-0556(4) Designated staff authorized Yes[ ] No Required documentation was found in files reviewed.
to apply reasonable and prudent parent
standard are trained in application of the
standard: "Repeated Finding: NWYD will
need to ensure staff are trained in 413-215-
0556(4). Program is not training to the
standard and will need to ensure designated
staff authorized to apply reasonable and
prudent parent standard are trained in
application of the standard."
1

413-215-0576(2) Parent/guardian has Yes[ ] No Required documentation was found in files reviewed.
acknowledged in writing: (c) Any policies and
procedures upon request: "Repeated
Finding: Disclosures were missing that
parent/guardian can request, (c) any policies
and procedures upon request."
413-215-0581(1) Summary sheet contains the Yes No[ ] It was reported during the visit by staff a new summary sheet
following: (a)The name, gender, date of birth,
was created, however it does not appear it is currently being
religious preference, and previous address:
"NWYD currently has two face sheets that used. The program shall ensure the summary sheet that is used
were missing many of the requirements in contains all the required information.
a summary sheet. NWYD will need to
develop a summary sheet including the
requirements listed in 413-215-0581 (1) a
through e."
413-215-0581(1) Summary sheet contains the Yes No[ ] See above comment regarding summary sheet
following: (b) Name and location of previous
and current school.
413-215-0581(1) Summary sheet contains the Yes No[ ] See above comment regarding summary sheet
following: (c) Date of admission.
413-215-0581(1) Summary sheet contains the Yes No[ ] See above comment regarding summary sheet
following: (d) Legal custody.
413-215-0581(1) Summary sheet contains the Yes No[ ] See above comment regarding summary sheet
following: (e) The name, address, and
telephone number of:
(A) The child in care's parents.
(B) The child in care's legal guardian, if
different than the parents, and a copy of
the document that provides for his or her
authority over the child in care.
(C) Other persons significant to child
(D) Other professionals to be involved in
service planning (if applicable)
OAR 413-215-0056: NWYD will need to Yes No[ ] See above comment regarding summary sheet
update their mandatory abuse policy to meet
the requirements in OAR 413-215-0056
OAR 413-215-0051: During the renewal Yes No The policy was reviewed and approved.
review it was found that medication policy did
not meet all the requirements. NWYD has
submitted a revised policy that now meets this
requirement and will no longer require
corrective action.
2

New Findings from Site Visit Comments
None
Interview Summary
Client #1: The client likes it, previously was at another program and didn't like it here. This program feels more
homey, staff care about the clients and respects boundaries. They are hoping to discharge in Dec. They currently
have a job. Their favorite staff is Taylor. They get along with all staff and peers and tries to support peers. They
talk to family a lot, they are going on their first home pass soon. They have a therapist at the program and
doesn't feel like they are connecting with their therapist. They feel safe here and no one has put their hands on
them since admission. The food is good. Chores are rotated. They have had cabin fever due to Covid but staff is
making an effort to get clients out of the house.
Observations
The program was very clean. The program has done a significant amount of work in the backyard and the
garage area, which is now office space. The backyard now has a sand volleyball court.

excerpt:
413-215-0051: During the renewal Yes No The policy was reviewed and approved.
review it was found that medication policy did
not meet all the requirements. NWYD has
submitted a revised policy that now meets this
requirement and will no longer require
corrective action.
2
New Findings from Site Visit Comments
None
None


summary: Unannounced - 7 findings

raw_content:
Licensed Child Caring Agency Unannounced Site Visit Report
Licensee: Northwest Youth Discovery
Executive Director: Rich Streeter
Date of Unannounced: August 26,2022
Licensing Coordinator: Aubrey Kelly
Other Regulatory or Accrediting Agencies: Oregon Youth Authority
Purpose: Per OAR 413-215-0101 (1) (b) Children’s Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Findings
Further Action
Needed
413-215-0581(1) Summary sheet contains the Yes☐ No The program’s summary sheet contains all the required information.
following: (a)The name, gender, date of birth,
religious preference, and previous address.
413-215-0581(1) Summary sheet contains the Yes☐ No
following: (b) Name and location of previous
and current school.
413-215-0581(1) Summary sheet contains the Yes☐ No
following: (c) Date of admission.
413-215-0581(1) Summary sheet contains the Yes☐ No
following: (d) Legal custody.
413-215-0581(1) Summary sheet contains the Yes☐ No
following: (e) The name, address and
telephone number of:
(A) The child in care’s parents
(B) The child in care’s legal guardian, if
different than the parents, and a copy
1
(rev. 200115)
of the documents that provides for his
or her authority over the child in care.
(C) Other persons significant to child.
413-215-0056: NWYD will need to update Yes☐ No
their mandatory abuse policy to meet the
requirements in OAR 413-215-0056
New Findings from Site Visit Comments
None
Interview Summary
Client #1: They have been at the program since the end of May. They think it’s a good program but the people suck, they do not like their peers. This is their
first program. They really like the staff, Autumn is their favorite and she is very relatable. The food is good, they call it “rich people’s food.” Clients help with
cooking. No one has put their hands on them at the program. They feel safe here and there has never been a time they felt unsafe. They are starting school in
13 days and are very excited. The program takes clients on outings such as hiking. They are hoping to be done with the program in 4 months.
Client #2: They have been at the program for five months. They have previously been at two other programs. They love it here. They don’t like they only get ½
a muffin and fruit for breakfasts on Sundays. They get enough to eat. They do not like one staff member at the program, they get along with the other clients at
the program. They completed summer school and is excited to start school soon. They have regular phone calls with family.
Observations
The program was clean and in good repair. The bedroom doors do not have door knobs, so a magnet system is used to close the bedroom doors. The
bedroom doors do not lock.
Corrective Actions and Timeframes:
Please submit the following to verify compliance.
Within 45 days of receipt of this report Northwest Youth Discovery must submit a letter of verification indicating the agency is in compliance with
the specific rules cited above and describing how compliance will be maintained going forward. Along with the letter of verification, the agency must
submit any and all specific documentation requested in the body of this report. The letter of verification and any additional requested documents can
be emailed directly to Aubrey.J.Kelly@dhsoha.state.or.us.
(rev. 07/21/2022)
9-13-2022
Licensing Coordinator’s Signature: ________________________ Date: ___________________
Manager Review: ______________________________________ Date: _ _9_-_6_-2__0_2_2_ ________
(rev. 07/21/2022)

other_regulatory_agencies: Oregon Youth Authority

purpose:
Per OAR 413-215-0101 (1) (b) Children's Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Findings
Further Action
Needed
413-215-0581(1) Summary sheet contains the Yes[ ] No The program's summary sheet contains all the required information.
following: (a)The name, gender, date of birth,
religious preference, and previous address.
413-215-0581(1) Summary sheet contains the Yes[ ] No
following: (b) Name and location of previous
and current school.
413-215-0581(1) Summary sheet contains the Yes[ ] No
following: (c) Date of admission.
413-215-0581(1) Summary sheet contains the Yes[ ] No
following: (d) Legal custody.
413-215-0581(1) Summary sheet contains the Yes[ ] No
following: (e) The name, address and
telephone number of:
(A) The child in care's parents
(B) The child in care's legal guardian, if
different than the parents, and a copy
1

of the documents that provides for his
or her authority over the child in care.
(C) Other persons significant to child.
413-215-0056: NWYD will need to update Yes[ ] No
their mandatory abuse policy to meet the
requirements in OAR 413-215-0056
New Findings from Site Visit Comments
None
Interview Summary
Client #1: They have been at the program since the end of May. They think it's a good program but the people suck, they do not like their peers. This is their
first program. They really like the staff, Autumn is their favorite and she is very relatable. The food is good, they call it "rich people's food." Clients help with
cooking. No one has put their hands on them at the program. They feel safe here and there has never been a time they felt unsafe. They are starting school in
13 days and are very excited. The program takes clients on outings such as hiking. They are hoping to be done with the program in 4 months.
Client #2: They have been at the program for five months. They have previously been at two other programs. They love it here. They don't like they only get ½
a muffin and fruit for breakfasts on Sundays. They get enough to eat. They do not like one staff member at the program, they get along with the other clients at
the program. They completed summer school and is excited to start school soon. They have regular phone calls with family.
Observations
The program was clean and in good repair. The bedroom doors do not have door knobs, so a magnet system is used to close the bedroom doors. The
bedroom doors do not lock.

excerpt:
413-215-0056
New Findings from Site Visit Comments
None
None


summary: Unannounced - 12 findings

raw_content:
Licensed Child Caring Agency Unannounced Site Visit Report
Residential Care
Licensee: Northwest Youth Discovery (NWYD)
Executive Director: Richard Streeter
Board Chairperson: Jennifer Weeks
Date of Unannounced: December 4, 2023
Licensing Coordinator: Todd Cooley
Other Regulatory or Accrediting Agencies: Oregon Youth Authority (OYA)
Purpose: Per OAR 419-400-0240 (1)(b) Children’s Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
License Renewal 03/08/2023-03/09/2023 Findings
Further Action
Needed
Governance of the Agency Yes☐ No✓
419-400-0040 This was an approved waiver. No additional follow-up from licensing or further
(2)(h) Obtain and review an annual action from the program is necessary.
independent financial review or audit of
financial records.
• Approved exception on file
waiving the financial audit
requirement this review cycle.
Personnel Files 419-400-0120 Yes☐ No✓
(1)(a) & (3)(c) Background check There were no new internal promotions which would have required a new
completed and documented background check. This will be evaluated at the next licensing renewal.
1| P age
Form Rev. 01/23/2023
• New background checks were not
conducted upon promotion or
position changes.
Corrective action: Create process to
ensure new background checks are
performed when staff change position or
promote within the organization.
Ongoing Training Yes☐ No✓
419-400-0200 (1) Employees transporting Driver’s licenses were verified for all employees. No further action required.
children have: current driver’s license,
insurance, trained in emergency
procedures and behavior management,
and training for 15+ passenger vans if
applicable)
• 2 of the 4 files reviewed had
expired driver’s licenses in their
employee file. There was nothing
to indicate these staff did not have
a current and valid license.
Corrective action: Ensure employee files
are updated regularly to contain current
information.
Ongoing Training Yes✓ No☐
419-470-0120 (2)(a) Environmental There were only a few staff files with any documentation of ongoing training.
emergencies Those with documentation, none of it was current. Information provided by the
program indicates this training is being conducted but there is no documentation
• The ongoing training required by showing completion. Several staff had been with NWYD for less than a year and
licensing was not being properly would not have any ongoing training documented at this time.
documented in employee files.
None of the reviewed files had Corrective action: Create system to ensure all required ongoing training is
documentation for environmental provided to staff and documented in their files consistently.
emergencies.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
2| P age
Form Rev. 01/23/2023
Ongoing Training Yes✓ No☐
419-470-0120 (2)(b) Universal There were only a few staff files with any documentation of ongoing training.
Precautions Those with documentation, none of it was current. Information provided by the
program indicates this training is being conducted but there is no documentation
• The ongoing training required by showing completion. Several staff had been with NWYD for less than a year and
licensing was not being properly would not have any ongoing training documented at this time.
documented in employee files.
None of the reviewed files had Corrective action: Create system to ensure all required ongoing training is
documentation for universal provided to staff and documented in their files consistently.
precautions.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Ongoing Training Yes✓ No☐
419-470-0120 (2)(c) Discipline and There were only a few staff files with any documentation of ongoing training.
Behavior Management Those with documentation, none of it was current. Information provided by the
program indicates this training is being conducted but there is no documentation
• The ongoing training required by showing completion. Several staff had been with NWYD for less than a year and
licensing was not being properly would not have any ongoing training documented at this time.
documented in employee files.
None of the reviewed files had Corrective action: Create system to ensure all required ongoing training is
documentation for discipline and provided to staff and documented in their files consistently.
behavior management.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Ongoing Training Yes✓ No☐
419-470-0120 (4) Designated staff There were only a few staff files with any documentation of ongoing training.
authorized to apply reasonable and Those with documentation, none of it was current. Information provided by the
prudent parent standard are trained in program indicates this training is being conducted but there is no documentation
application of the standard showing completion. Several staff had been with NWYD for less than a year and
would not have any ongoing training documented at this time.
• The ongoing training required by
licensing was not being properly Corrective action: Create system to ensure all required ongoing training is
documented in employee files. provided to staff and documented in their files consistently.
3| P age
Form Rev. 01/23/2023
None of the reviewed files had
documentation for prudent parent
standard.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Ongoing Training Yes✓ No☐
419-400-0120(5) Mandatory reporting There were only a few staff files with any documentation of ongoing training.
(annually) that includes: Those with documentation, none of it was current. Information provided by the
(a) legal definition of child abuse in ORS program indicates this training is being conducted but there is no documentation
418.257 and 419B.005 showing completion. Several staff had been with NWYD for less than a year and
(b) legal responsibility to immediately would not have any ongoing training documented at this time.
report
(c) legal responsibility to report is Corrective action: Create system to ensure all required ongoing training is
personal to the employee provided to staff and documented in their files consistently.
• The ongoing training required by
licensing was not being properly
documented in employee files.
None of the reviewed files had
documentation for mandatory
reporter.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Health Services 419-470-0090 Yes☐ No✓
(2)(e) Documentation of age-appropriate This has been coordinated with the doctor’s office. Currently a memo is being
instruction – pregnancy prevention, signed by the examining physician stating all areas of age-appropriate instruction
nutrition, prevention of HIV & AIDS, and are covered and questions answered during the initial visit. Program is working on
prevention and treatment of sexually a process for a copy of the memo to be returned to the program for documenting in
transmitted disease client’s file.
• This education is being done at
intake and on multiple other
occasions during clients stay. It is
not currently being documented in
a manner that can be easily sorted
4| P age
Form Rev. 01/23/2023
from other day-to-day notes.
Program has already identified a
way to correct this by formalizing a
process with the primary care
provider with whom they have
established a fantastic working
relationship.
Corrective action: Create and
implement process for documenting age-
appropriate instruction.
Consents 419-470-0160(1) Yes☐ No✓
(g) Apply the reasonable and prudent This was added to the behavioral management section of the intake documents.
parent standard No further action required.
• The consents signed by
parent/guardian did not include
prudent parent standard.
Corrective action: Add a statement to
consents section of intake form regarding
the program’s ability to apply prudent
parent standard.
Records Relating to Restraint & Yes✓ No☐
Involuntary Seclusion There was not a process currently in place. Program will add this information to
419-400-0180(13)(e) Each child caring the Master Service Plan which the JPPO participates in and will satisfy the twice a
agency shall provide notice regarding year notification requirement.
how to access the quarterly reports to the
parents or guardians of children in care in Corrective Action: Provide notice to parent/guardian of where quarterly
the program. The child caring agency restraint reports can be found.
shall provide the notice upon the child in
care’s admission and at least two times Program intends to add this to the MSP. Licensing will review client MSPs at
each year thereafter. the next unannounced to ensure compliance.
• The program is currently not
providing this information in formal
documentation, although all of
their client’s guardians are OYA
JPPO’s and are familiar on where
to find the information. Discussed
adding language to the intake
5| P age
Form Rev. 01/23/2023
packet and service plans in order
to meet this requirement.
Corrective action: Provide notice to
parents/legal guardians on access to
quarterly reports.
Records Relating to Restraint & Yes✓ No☐
Involuntary Seclusion Clients are all in OYA custody and receive this information from their JPPO. The
419-400-0190(1) Information provided to OYA form was missing information on how to contact licensing.
children in care relating to Restraint &
Involuntary Seclusion Corrective Action: Provide all required information to clients regarding how
to report inappropriate restraint and/or seclusion.
• Clients are receiving the OYA
handout which provides all of the Program to add this information to the resource binder each client receives
relevant restraint information, but so it is readily available to each client.
is missing the required contact
info for licensing.
Corrective action: Ensure
documentation provided to clients
contains all of the necessary information
required by statute and rule.
New Findings from Site Visit Comments
No new findings
Interview Summary
At their request, the two clients on site were interviewed together.
- Clients had been at the program 3mo and 2yrs respectively.
- Both reported feeling safe and comfortable and said they “love” Ely and Tracy.
- School was good with first client only needing to pass one more module for their GED and the other had graduated early and was
preparing for college.
- Food was good, and clients had ability to provide input into the meals.
- They reported lots of outings like movies, ice skating, trampoline parks and kayaking.
- Clients reported more phone calls would be nice. Currently receive 3, 5 or negotiable amounts of approximately 10 min. depending on
level.
6| P age
Form Rev. 01/23/2023
- Stated the program does a good job of training staff and guiding the new staff during their on-the-job training.
Observations
At the time of the unannounced visit the main home was having all floors replaced. This was being done in stages in the bedrooms to allow the
program to shuffle sleeping spaces while the work is underway. The rest of the program was in great shape and well kept. Since the last visit
NWYD has added a greenhouse to the property.
The phone calls being limited to 10 minutes at various intervals throughout the week was discussed with staff. The main issue is just a matter
of time on school days. The clients typically ride the bus leaving early and returning to the program late. This allowed very little time for dinner,
homework, BRS assignments, etc. in the one-hour window of “free time” that is built into the schedule. Staff have begun to pick up clients from
school in order to get them back to the program at a reasonable time. Clients are also encouraged to write letters, and while onsite, I saw one
of the clients had approximately 7-8 letters they were going to mail out at lunchtime.
Documentation of initial training has improved since last visit. There was discussion with management on how to further improve the initial
training documentation for consistency and clarity. Ongoing training documentation continues to be an area in need of improvement.
Management states that the training is being conducted on all required topics, it has just been a challenge to get it properly documented in each
staff file. Conversations were had around this topic and suggestions provided. NWYD needs to find the right process that works in their system
to ensure timely and appropriate documentation of ongoing training.
Corrective Actions and Timeframes:
Please submit the following to verify compliance.
Within 45 days of receipt of this report Northwest Youth Discovery must submit a letter of verification indicating the agency is in compliance with
the specific rules cited above and describing how compliance will be maintained going forward. Along with the letter of verification, the agency must
submit any and all specific documentation requested in the body of this report. The letter of verification and any additional requested documents can
be emailed directly to Todd Cooley todd.cooley@odhsoha.oregon.gov.
Licensing Coordinator’s Signature: ________________________ Date: _1_2_-_1_9_-_2_0_2_3_ ________
Manager Review: ______________________________________ Date: _1_2_-1_8_-_2_0_2_3_ ________
7| P age
Form Rev. 01/23/2023

facility_type: Residential Care

licensee: Northwest Youth Discovery (NWYD)

executive_director: Richard Streeter

visit_date: December 4, 2023

licensing_coordinator: Todd Cooley

purpose:
Per OAR 419-400-0240 (1)(b) Children's Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
License Renewal 03/08/2023-03/09/2023 Findings
Further Action
Needed
Governance of the Agency Yes[ ] No✓
419-400-0040 This was an approved waiver. No additional follow-up from licensing or further
(2)(h) Obtain and review an annual action from the program is necessary.
independent financial review or audit of
financial records.
- Approved exception on file
waiving the financial audit
requirement this review cycle.
Personnel Files 419-400-0120 Yes[ ] No✓
(1)(a) & (3)(c) Background check There were no new internal promotions which would have required a new
completed and documented background check. This will be evaluated at the next licensing renewal.

- New background checks were not
conducted upon promotion or
position changes.
Corrective action: Create process to
ensure new background checks are
performed when staff change position or
promote within the organization.
Ongoing Training Yes[ ] No✓
419-400-0200 (1) Employees transporting Driver's licenses were verified for all employees. No further action required.
children have: current driver's license,
insurance, trained in emergency
procedures and behavior management,
and training for 15+ passenger vans if
applicable)
- 2 of the 4 files reviewed had
expired driver's licenses in their
employee file. There was nothing
to indicate these staff did not have
a current and valid license.
Corrective action: Ensure employee files
are updated regularly to contain current
information.
Ongoing Training Yes✓ No[ ]
419-470-0120 (2)(a) Environmental There were only a few staff files with any documentation of ongoing training.
emergencies Those with documentation, none of it was current. Information provided by the
program indicates this training is being conducted but there is no documentation
- The ongoing training required by showing completion. Several staff had been with NWYD for less than a year and
licensing was not being properly would not have any ongoing training documented at this time.
documented in employee files.
None of the reviewed files had Corrective action: Create system to ensure all required ongoing training is
documentation for environmental provided to staff and documented in their files consistently.
emergencies.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.

Ongoing Training Yes✓ No[ ]
419-470-0120 (2)(b) Universal There were only a few staff files with any documentation of ongoing training.
Precautions Those with documentation, none of it was current. Information provided by the
program indicates this training is being conducted but there is no documentation
- The ongoing training required by showing completion. Several staff had been with NWYD for less than a year and
licensing was not being properly would not have any ongoing training documented at this time.
documented in employee files.
None of the reviewed files had Corrective action: Create system to ensure all required ongoing training is
documentation for universal provided to staff and documented in their files consistently.
precautions.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Ongoing Training Yes✓ No[ ]
419-470-0120 (2)(c) Discipline and There were only a few staff files with any documentation of ongoing training.
Behavior Management Those with documentation, none of it was current. Information provided by the
program indicates this training is being conducted but there is no documentation
- The ongoing training required by showing completion. Several staff had been with NWYD for less than a year and
licensing was not being properly would not have any ongoing training documented at this time.
documented in employee files.
None of the reviewed files had Corrective action: Create system to ensure all required ongoing training is
documentation for discipline and provided to staff and documented in their files consistently.
behavior management.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Ongoing Training Yes✓ No[ ]
419-470-0120 (4) Designated staff There were only a few staff files with any documentation of ongoing training.
authorized to apply reasonable and Those with documentation, none of it was current. Information provided by the
prudent parent standard are trained in program indicates this training is being conducted but there is no documentation
application of the standard showing completion. Several staff had been with NWYD for less than a year and
would not have any ongoing training documented at this time.
- The ongoing training required by
licensing was not being properly Corrective action: Create system to ensure all required ongoing training is
documented in employee files. provided to staff and documented in their files consistently.

None of the reviewed files had
documentation for prudent parent
standard.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Ongoing Training Yes✓ No[ ]
419-400-0120(5) Mandatory reporting There were only a few staff files with any documentation of ongoing training.
(annually) that includes: Those with documentation, none of it was current. Information provided by the
(a) legal definition of child abuse in ORS program indicates this training is being conducted but there is no documentation
418.257 and 419B.005 showing completion. Several staff had been with NWYD for less than a year and
(b) legal responsibility to immediately would not have any ongoing training documented at this time.
report
(c) legal responsibility to report is Corrective action: Create system to ensure all required ongoing training is
personal to the employee provided to staff and documented in their files consistently.
- The ongoing training required by
licensing was not being properly
documented in employee files.
None of the reviewed files had
documentation for mandatory
reporter.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Health Services 419-470-0090 Yes[ ] No✓
(2)(e) Documentation of age-appropriate This has been coordinated with the doctor's office. Currently a memo is being
instruction - pregnancy prevention, signed by the examining physician stating all areas of age-appropriate instruction
nutrition, prevention of HIV & AIDS, and are covered and questions answered during the initial visit. Program is working on
prevention and treatment of sexually a process for a copy of the memo to be returned to the program for documenting in
transmitted disease client's file.
- This education is being done at
intake and on multiple other
occasions during clients stay. It is
not currently being documented in
a manner that can be easily sorted

from other day-to-day notes.
Program has already identified a
way to correct this by formalizing a
process with the primary care
provider with whom they have
established a fantastic working
relationship.
Corrective action: Create and
implement process for documenting age-
appropriate instruction.
Consents 419-470-0160(1) Yes[ ] No✓
(g) Apply the reasonable and prudent This was added to the behavioral management section of the intake documents.
parent standard No further action required.
- The consents signed by
parent/guardian did not include
prudent parent standard.
Corrective action: Add a statement to
consents section of intake form regarding
the program's ability to apply prudent
parent standard.
Records Relating to Restraint & Yes✓ No[ ]
Involuntary Seclusion There was not a process currently in place. Program will add this information to
419-400-0180(13)(e) Each child caring the Master Service Plan which the JPPO participates in and will satisfy the twice a
agency shall provide notice regarding year notification requirement.
how to access the quarterly reports to the
parents or guardians of children in care in Corrective Action: Provide notice to parent/guardian of where quarterly
the program. The child caring agency restraint reports can be found.
shall provide the notice upon the child in
care's admission and at least two times Program intends to add this to the MSP. Licensing will review client MSPs at
each year thereafter. the next unannounced to ensure compliance.
- The program is currently not
providing this information in formal
documentation, although all of
their client's guardians are OYA
JPPO's and are familiar on where
to find the information. Discussed
adding language to the intake

packet and service plans in order
to meet this requirement.
Corrective action: Provide notice to
parents/legal guardians on access to
quarterly reports.
Records Relating to Restraint & Yes✓ No[ ]
Involuntary Seclusion Clients are all in OYA custody and receive this information from their JPPO. The
419-400-0190(1) Information provided to OYA form was missing information on how to contact licensing.
children in care relating to Restraint &
Involuntary Seclusion Corrective Action: Provide all required information to clients regarding how
to report inappropriate restraint and/or seclusion.
- Clients are receiving the OYA
handout which provides all of the Program to add this information to the resource binder each client receives
relevant restraint information, but so it is readily available to each client.
is missing the required contact
info for licensing.
Corrective action: Ensure
documentation provided to clients
contains all of the necessary information
required by statute and rule.
New Findings from Site Visit Comments
No new findings
Interview Summary
At their request, the two clients on site were interviewed together.
- Clients had been at the program 3mo and 2yrs respectively.
- Both reported feeling safe and comfortable and said they "love" Ely and Tracy.
- School was good with first client only needing to pass one more module for their GED and the other had graduated early and was
preparing for college.
- Food was good, and clients had ability to provide input into the meals.
- They reported lots of outings like movies, ice skating, trampoline parks and kayaking.
- Clients reported more phone calls would be nice. Currently receive 3, 5 or negotiable amounts of approximately 10 min. depending on
level.

- Stated the program does a good job of training staff and guiding the new staff during their on-the-job training.
Observations
At the time of the unannounced visit the main home was having all floors replaced. This was being done in stages in the bedrooms to allow the
program to shuffle sleeping spaces while the work is underway. The rest of the program was in great shape and well kept. Since the last visit
NWYD has added a greenhouse to the property.
The phone calls being limited to 10 minutes at various intervals throughout the week was discussed with staff. The main issue is just a matter
of time on school days. The clients typically ride the bus leaving early and returning to the program late. This allowed very little time for dinner,
homework, BRS assignments, etc. in the one-hour window of "free time" that is built into the schedule. Staff have begun to pick up clients from
school in order to get them back to the program at a reasonable time. Clients are also encouraged to write letters, and while onsite, I saw one
of the clients had approximately 7-8 letters they were going to mail out at lunchtime.
Documentation of initial training has improved since last visit. There was discussion with management on how to further improve the initial
training documentation for consistency and clarity. Ongoing training documentation continues to be an area in need of improvement.
Management states that the training is being conducted on all required topics, it has just been a challenge to get it properly documented in each
staff file. Conversations were had around this topic and suggestions provided. NWYD needs to find the right process that works in their system
to ensure timely and appropriate documentation of ongoing training.

new_findings: No new findings

excerpt:
419-400-0190(1) Information provided to OYA form was missing information on how to contact licensing.
children in care relating to Restraint &
Involuntary Seclusion Corrective Action: Provide all required information to clients regarding how
to report inappropriate restraint and/or seclusion.
- Clients are receiving the OYA
handout which provides all of the Program to add this information to the resource binder each client receives
relevant restraint information, but so it is readily available to each client.
is missing the required contact
info for licensing.
Corrective action: Ensure
documentation provided to clients
contains all of the necessary information
required by statute and rule.
New Findings from Site Visit Comments
No new findings
No new findings


summary: Unannounced - 10 findings

raw_content:
Licensed Child Caring Agency Unannounced Site Visit Report
Licensee: Northwest Youth Discovery (NWYD)
Executive Director: Richard Streeter
Board Chair: Jennifer Weeks
Date of Unannounced: August 29, 2024
Licensing Coordinator: Todd Cooley
Other Regulatory or Accrediting Agencies: OYA
Purpose: Per OAR 419-400-0240 (1)(b) Children’s Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Findings
Further Action
Needed
Personnel Files 419-400-0120 Yes☐ No✓ There had still not been any internal promotions or position changes. The
• (1)(a) & (3)(c) Background check program is aware of this requirement and there will be no further action
completed and documented New required.
background checks were not
conducted upon promotion or
position changes.
Corrective action: Create process to
ensure new background checks are
performed when staff change position or
promote within the organization.
- There had been no new internal
promotions or position changes at
the 12/2023 Unannounced Visit.
Ongoing Training Yes✓ No☐ The updated recertification training checklist has all required ongoing training
419-470-0120 (2)(a) Environmental except for environmental emergencies.
emergencies
Form Rev. 11/14/2023 P age 1 | 6
419-470-0120 (2)(b) Universal Corrective action: Environmental emergencies needs to be added to the training
Precautions checklist to ensure this ongoing training is properly documented for all employees.
419-470-0120 (2)(c) Discipline and
Behavior Management
419-470-0120 (4) Designated staff
authorized to apply reasonable and
prudent parent standard are trained in
application of the standard
419-400-0120(5) Mandatory reporting
The ongoing training required by licensing
was not being properly documented in
employee files.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Health Services 419-470-0090 Yes☐ No✓
(2)(e) Documentation of age-appropriate Documentation can be found in the client file in hard copy or is accessible on
instruction – pregnancy prevention, MyChart as well. No further action required.
nutrition, prevention of HIV & AIDS, and
prevention and treatment of sexually
transmitted disease
• This education is being done at
intake and on multiple other
occasions during clients stay. It is
not currently being documented in
a manner that can be easily sorted
from other day-to-day notes.
Program has already identified a
way to correct this by formalizing a
process with the primary care
provider with whom they have
established a fantastic working
relationship.
Form Rev. 11/14/2023 P age 2 | 6
Records Relating to Restraint & Yes☐ No✓ This notice is now part of the MSP review process in which the JPPO’s sign off on
Involuntary Seclusion at least quarterly. No further action is required.
419-400-0180(13)(e) Each child caring
agency shall provide notice regarding
how to access the quarterly reports to the
parents or guardians of children in care in
the program. The child caring agency
shall provide the notice upon the child in
care’s admission and at least two times
each year thereafter.
419-400-0190(1) Information provided to
children in care relating to Restraint &
Involuntary Seclusion
• The program is currently not
providing this information in formal
documentation, although all of
their client’s guardians are OYA
JPPO’s and are familiar on where
to find the information. Discussed
adding language to the intake
packet and service plans in order
to meet this requirement.
New Findings from Site Visit Comments
419-400-0120 The new team member training checklist did not clearly address training for attributes of the
Licensing Umbrella Rules: Personnel population served. Privacy rules was also being covered with HIPAA training. The privacy training
needs to include privacy outside of health-related information as well. Staff should receive training
on not providing names, images, etc. to outside entities, in correspondence, or on social media
(4) Staff orientation. A child-caring
without prior consent.
agency must provide training to each
newly hired employee within 30 days of
Corrective action: Add training topics to new team member training checklist and augment privacy
employment on all of the following
training curriculum to include aspects of privacy beyond what is specific to HIPPA.
subjects:
Form Rev. 11/14/2023 P age 3 | 6
(a) Child-caring agency policies and
procedures.
(b) Ethical and professional guidelines.
(c) Suicide prevention and intervention.
(d) Attributes of population served.
(e) Child-abuse reporting laws and
requirements including the definitions of
abuse that apply specifically to a child in
care.
(f) Privacy laws.
(g) Emergency procedures.
Form Rev. 11/14/2023 P age 4 | 6
Interview Summary
During the unannounced visit licensing spoke with one staff and two clients.
Staff was a local student at the Oregon State University Cascades campus and said it was great experience to be able to work with youth. One
of their professors at the school actually recommended seeking employment with Northwest Youth Discovery. They enjoyed the work and the
flexibility of the program as they were getting ready to go back to school. This was the first residential program they had worked at, and they
had no concerns or issues. Staff felt there was plenty of training provided, and they were comfortable working there.
The two clients opted to be interviewed together. Both clients had been at the program for several months and had also been at multiple prior
placements. Clients provided the following information:
-
- They feel safe and comfortable in the program with multiple staff they can talk to if there are issues.
- The food is good. They get to help with food prep and have input on the menu with a Chef’s Choice once a week where they can
choose a favorite dish.
- Groups are good most of the time. Some of the facilitators are just okay and seem to be going through the motions. No specifics were
provided.
- They get to do a lot of activities. Some of the recent activities included golf lessons, kayaking, tie dying, roller skating, trampoline park,
hikes and much more.
- Clients said they receive 3-5 calls a week that are limited to 10 minutes. They said staff are pretty strict with the 10 min limit and they
don’t always get to finish up properly if they are discussing something emotional or sensitive due to the limits.
- They like they are able to attend public school, which is something not offered at any of the other programs they had attended.
- Enjoy having access to hygiene (makeup, perfume, etc.) without having to earn “levels” like at other programs.
- Clients felt the petition process could be more efficient. Currently if they would like to request things like personal walks, lashes/nails,
etc. they have to complete a form and get every full-time staff to sign it. They felt it would be better if they only had to get each
supervisor to sign off.
- They did not like the restriction on tv and movies to only G and PG rated programming because they were all over 13. Clients did say
this was also something they could petition for if there was a movie PG-13 or higher they wanted to watch.
Clients were very positive on Northwest Youth Discovery and their time there. One of the clients has a plan to return home in just another
month or two while the other is looking at options to do a variation of independent living while remaining at the home.
Observations
Program was at capacity with 10 clients. The home was clean and in good repair. Staff was preparing lunch during visit and the cupboards and
refrigerator both had sufficient food.
Discussed updating training checklists to ensure compliance licensing requirements for new employees and ongoing training. This would
include adding to new employee training checklist attributes of population served and expanding the privacy laws from just HIPAA to include
privacy of other personal information. Also add environmental emergencies to the ongoing training checklist.
Form Rev. 11/14/2023 P age 5 | 6
Corrective Actions and Timeframes:
Please submit the following to verify compliance.
Within 45 days of receipt of this report Northwest Youth Discovery must submit a letter of verification indicating the agency is in compliance with
the specific rules cited above and describing how compliance will be maintained going forward. Along with the letter of verification, the agency must
submit any and all specific documentation requested in the body of this report. The letter of verification and any additional requested documents can
be emailed directly to Todd Cooley todd.cooley@odhsoha.oregon.gov.
Licensing Coordinator’s Signature: ________________________ Date: _0_9_-_2_0_-_2_0_2_4_________
Manager Review: ______________________________________ Date: __________________
Form Rev. 11/14/2023 P age 6 | 6

other_regulatory_agencies: OYA

purpose:
Per OAR 419-400-0240 (1)(b) Children's Care Licensing is required to perform at least one unannounced site visit a year where children
in care reside.
Previous Findings Repeat Comments
Findings
Further Action
Needed
Personnel Files 419-400-0120 Yes[ ] No✓ There had still not been any internal promotions or position changes. The
- (1)(a) & (3)(c) Background check program is aware of this requirement and there will be no further action
completed and documented New required.
background checks were not
conducted upon promotion or
position changes.
Corrective action: Create process to
ensure new background checks are
performed when staff change position or
promote within the organization.
- There had been no new internal
promotions or position changes at
the 12/2023 Unannounced Visit.
Ongoing Training Yes✓ No[ ] The updated recertification training checklist has all required ongoing training
419-470-0120 (2)(a) Environmental except for environmental emergencies.
emergencies

419-470-0120 (2)(b) Universal Corrective action: Environmental emergencies needs to be added to the training
Precautions checklist to ensure this ongoing training is properly documented for all employees.
419-470-0120 (2)(c) Discipline and
Behavior Management
419-470-0120 (4) Designated staff
authorized to apply reasonable and
prudent parent standard are trained in
application of the standard
419-400-0120(5) Mandatory reporting
The ongoing training required by licensing
was not being properly documented in
employee files.
Corrective action: Create system to
ensure all required ongoing training is
provided to staff and documented in their
files consistently.
Health Services 419-470-0090 Yes[ ] No✓
(2)(e) Documentation of age-appropriate Documentation can be found in the client file in hard copy or is accessible on
instruction - pregnancy prevention, MyChart as well. No further action required.
nutrition, prevention of HIV & AIDS, and
prevention and treatment of sexually
transmitted disease
- This education is being done at
intake and on multiple other
occasions during clients stay. It is
not currently being documented in
a manner that can be easily sorted
from other day-to-day notes.
Program has already identified a
way to correct this by formalizing a
process with the primary care
provider with whom they have
established a fantastic working
relationship.

Records Relating to Restraint & Yes[ ] No✓ This notice is now part of the MSP review process in which the JPPO's sign off on
Involuntary Seclusion at least quarterly. No further action is required.
419-400-0180(13)(e) Each child caring
agency shall provide notice regarding
how to access the quarterly reports to the
parents or guardians of children in care in
the program. The child caring agency
shall provide the notice upon the child in
care's admission and at least two times
each year thereafter.
419-400-0190(1) Information provided to
children in care relating to Restraint &
Involuntary Seclusion
- The program is currently not
providing this information in formal
documentation, although all of
their client's guardians are OYA
JPPO's and are familiar on where
to find the information. Discussed
adding language to the intake
packet and service plans in order
to meet this requirement.
New Findings from Site Visit Comments
419-400-0120 The new team member training checklist did not clearly address training for attributes of the
Licensing Umbrella Rules: Personnel population served. Privacy rules was also being covered with HIPAA training. The privacy training
needs to include privacy outside of health-related information as well. Staff should receive training
on not providing names, images, etc. to outside entities, in correspondence, or on social media
(4) Staff orientation. A child-caring
without prior consent.
agency must provide training to each
newly hired employee within 30 days of
Corrective action: Add training topics to new team member training checklist and augment privacy
employment on all of the following
training curriculum to include aspects of privacy beyond what is specific to HIPPA.
subjects:

(a) Child-caring agency policies and
procedures.
(b) Ethical and professional guidelines.
(c) Suicide prevention and intervention.
(d) Attributes of population served.
(e) Child-abuse reporting laws and
requirements including the definitions of
abuse that apply specifically to a child in
care.
(f) Privacy laws.
(g) Emergency procedures.

Interview Summary
During the unannounced visit licensing spoke with one staff and two clients.
Staff was a local student at the Oregon State University Cascades campus and said it was great experience to be able to work with youth. One
of their professors at the school actually recommended seeking employment with Northwest Youth Discovery. They enjoyed the work and the
flexibility of the program as they were getting ready to go back to school. This was the first residential program they had worked at, and they
had no concerns or issues. Staff felt there was plenty of training provided, and they were comfortable working there.
The two clients opted to be interviewed together. Both clients had been at the program for several months and had also been at multiple prior
placements. Clients provided the following information:
-
- They feel safe and comfortable in the program with multiple staff they can talk to if there are issues.
- The food is good. They get to help with food prep and have input on the menu with a Chef's Choice once a week where they can
choose a favorite dish.
- Groups are good most of the time. Some of the facilitators are just okay and seem to be going through the motions. No specifics were
provided.
- They get to do a lot of activities. Some of the recent activities included golf lessons, kayaking, tie dying, roller skating, trampoline park,
hikes and much more.
- Clients said they receive 3-5 calls a week that are limited to 10 minutes. They said staff are pretty strict with the 10 min limit and they
don't always get to finish up properly if they are discussing something emotional or sensitive due to the limits.
- They like they are able to attend public school, which is something not offered at any of the other programs they had attended.
- Enjoy having access to hygiene (makeup, perfume, etc.) without having to earn "levels" like at other programs.
- Clients felt the petition process could be more efficient. Currently if they would like to request things like personal walks, lashes/nails,
etc. they have to complete a form and get every full-time staff to sign it. They felt it would be better if they only had to get each
supervisor to sign off.
- They did not like the restriction on tv and movies to only G and PG rated programming because they were all over 13. Clients did say
this was also something they could petition for if there was a movie PG-13 or higher they wanted to watch.
Clients were very positive on Northwest Youth Discovery and their time there. One of the clients has a plan to return home in just another
month or two while the other is looking at options to do a variation of independent living while remaining at the home.
Observations
Program was at capacity with 10 clients. The home was clean and in good repair. Staff was preparing lunch during visit and the cupboards and
refrigerator both had sufficient food.
Discussed updating training checklists to ensure compliance licensing requirements for new employees and ongoing training. This would
include adding to new employee training checklist attributes of population served and expanding the privacy laws from just HIPAA to include
privacy of other personal information. Also add environmental emergencies to the ongoing training checklist.