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Quote from: "Jill Ryan"Georgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsR 0000 Opening Comments.The purpose of this visit was to conduct an investigation into Ga., 77483.R 0709 290-2-5-.07(d) Inspections and Investigations.SS=DFailure to Allow Access. Failure to allow access of the department's representative to the institution, its staff, orthe children receiving care at the institution or the books, records, papers, or other information related to initial orcontinued licensThis Requirement is not met as evidenced by:Based on a requested record review and staff interview the agency failed to allow acces to theinstitution's resident case records.Findings include:Upon a request by the surveyor to review the facility's residential case records on 1/26/2010 at11:00 am, the surveyor was told by Staff A that the requested records were not accessible at thetime of the inspection due to the agency having technical difficulties with their electronic filingsystem.Interview conducted on 1/26/2010 at 5:00 pm with Staff A revealed that their system " Best Note"is down and that all information is stored there.R 0840 290-2-5-.08(6) Staffing.SS=DPage 1 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsStaffing. The institution shall have sufficient numbers of qualified and trained staff as required by these rules toprovide for the needs, care, protection, and supervision of children. All staff and volunteers shall be supervised toensure that assigneThis Requirement is not met as evidenced by:****Based on file review and staff interview the agency failed to provide for the needs, care,protection, and supervision of children.Findings include:Interview conducted on 1/26/2010 at 11:30 am with Resident #1 revealed that ( he/she recalls theincident in question and it began when- on the day of the incident (1/9/2010),) all of the studentswere in the Student Activity Center (SAC). Resident #1 stated that he/she was approached byResident #2 who inquired if he/she made a derogatory statement, referencing two other studentsthat are known by all of the students to be "a couple" and whom Resident #1 had written a racialslur on the wall approximately a week prior. Resident #1 stated that as the confrontationcontinued, a group of other students became involved . ( and the argument began to becomethreatening.- delete) Resident #1 stated that during the argument, Resident #4 approachedhim/her from behind and "punched him/her in the back of the head twice". Resident #1 reportedthat Resident #4 was then restrained by staff? and that Resident #2 responded by becomingirate and blocked the exit doorway that staff members were attempting to exit thru with Resident#4. Resident #1 stated that he/she could hear the remaining students "plotting on how to hithim/her" and then Resident #2 began to approach him/her, but "was restrained on the ground byStaff B". Resident #1 reported that Resident #2 accompanied by Resident #3 began to fight StaffB, punching and kicking the staff member in the face and torso area while the remaining groupof students attempted to bombard him/her. Resident #1 stated that he/she ran out of thebuilding, slipped on the ice covering the walkway, and fell into some shrubbery. Resident #1stated that he/she could hear the other resident attempting to follow after him/her; however,Resident #7 "blocked the exit way and instructed him/her to run" . Resident #1 stated thathe/she and another student left the area; however, he/she was soon stopped by a group ofresidents who continued to strike him/her. The other students held them off while he/she lockedhim/herself in a car until staff members arrived. The police responded shortly afterwards.(Resident #1 stated that upon returning to his/her room, it was discovered that someone hadbroken his/her electric guitar which he/she estimated to be worth four thousand dollars.- Pamquestioned the relevance. I thought you were trying to show that the residents were obviouslyunsupervised at that time as well to have been able to destroy property in a bedroom, but she feltthe connection needed to be made more clear. You can either leave as is, delet or add more)Page 2 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultResident #1 stated that he/she received an injury to the eye when hit by Resident #4 andscrapes/scratches from falling into the shrubs. Resident #1 reported that he/she recalls four staffmembers on duty; however; one had gone to get lunch. Resident #1 stated that staff membersdid not intervene during the onset of the altercation and only responded once he/she had beenstruck by Resident #4.Interview conducted on 1/26/2010 at 12:00 pm with Resident #4 revealed that ( he/she recalls theincident in question. Resident #4 stated that - delete ) on the day of the incident (1/9/2010),Resident #1 was "being racist" and wrote derogatory statements using inappropriate languagein reference to ( African Americans- race ) . Resident #4 stated that while in the SAC, Resident #1then verbalized derogatory statements using inappropriate language ( in reference to AfricanAmericans- regarding race ) and that "a group of students got mad and beat Resident #1 up".Resident #4 stated ("staff members- do we know which ones so that we can add theirnon-identifiers? If not, leave as is) were attempting to contain the situation and deal with all ofthe other students but that other students ultimately pulled ( him/her- use non identifier. unclearif this is referring to staff or resident) away so that Resident #1 would not get beat up that bad".Resident #4 stated that he/she recalls three to four staff members being present at the time of theincident.Interview conducted on 1/26/2010 at 12:30 pm with Resident #5 revealed that he/she recalls the1/9/2010 incident ( in question- delete) and that "all of the trouble started a few weeks ago whenResident #1 wrote "a racial slur" on the bathroom wall and staff members did not give Resident#1 a consequence for the act. Resident # 5 stated that specifically, the incident in questionbegan when the students were made aware that Resident #1 had made a ( verbal- delete) racialslur when Resident #1 and #2 began to argue. Resident #5 reported that a group of studentsattempted to "fight" Resident #1 and were "able to get a few hits in when Resident #1 ran out ofthe building". Resident # 5 stated that he/she and a group of other residents attempted to follow,however were stopped by Resident #7, who ultimately "restrained and then drug him/her backinto the building. " Is this where the end of quote goes?Interview conducted on 1/26/2010 at 1:00 pm with Resident #6 revealed that (he/she recalls theincident in question. Resident #6 stated that on the day of the incident (1/9/2010), ( he/she-Resident #6?) became involved in a conflict with Resident #1 upon gaining knowledge thatResident # 1 wrote a derogatory statement ( towards African Americans- regarding race) on thewall. Resident #6 stated, during this occurrence, he/she confronted Resident #1 about the actand Resident #1 assured him/her that "nothing like that would happen again". Resident #6stated that on the day of the incident in question, which was approximately a week later,Page 3 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultResident #1 verbalized a racial slur directed at two students of different races that are involved ina relationship.File review conducted on 3/30/2010 of the agency's incident report, dated 1/9/2010, revealed thatthe incident occurred on 1/9/2010 at approximately 4:00 pm, when staff members heard anargument going on in the movie room of the Student Activity Center (SAC). The report states thatStaff members B, C and D observed Resident #1 being confronted by Resident #2, #4, #5, and #6in regards to "a racist comment that he/she made towards another student". The report statesthat the students surrounded Resident #1 and that staff members "tried to defuse the situation"when Resident #4 moved behind Resident#1 and "began to repeatedly hit Resident #1 in the head". The report stated that Staff D placedResident #4 into a "double arm bar restraint" while Resident #1 was escorted by Staff membersB and C into the main room of the SAC. The report states that Staff C instructed Resident #1 toleave and go to the dorm, but Resident #1 refused to comply. The report then states thatResident #2 "jumped in front of" Resident #1 and stated that Resident #1 was not leaving.Resident #2 then yelled to Resident #4, #5, and # 6 asking "do they have his/her back" and willthey participate in assaulting Resident #1. The report continues to describe various effortsemployed by Resident #2 to rally residents and instances in which the residents weredisobedient and disrespectful to staff members. Ultimately the report states that Staff B gotbetween Resident #1 and #2 and that Resident #2 "shoved Staff B and then slapped Resident#1". The report states that Staff B then "escorted Resident #2 to the ground and that Staff Cgrabbed his/her legs". The report states that while Staff B attempted "to get into the properseated double arm bar restraint, Resident #3 "ran up and repeatedly kicked Staff B in his/her facecausing his/her lips to split, nose to bleed, and bruising on the forehead". The report states that"other students and Staff D pulled Resident #3 off of Staff B and that Staff C got up to help withthe restraint. The report then states that Resident #1 ran out of the front door of the SAC and thatResident #4, #5, #6, and #8 followed after him/her. The report continues to state that Resident #2attempted to follow and that ultimately Staff B "placed him/her in a standing double arm barrestraint" when Resident #3 intervened and attempted to punch Staff B. The report states thatStaff B was able " to dodge the punch and that two other residents restrained Resident #3"followed by Staff D". The report states that "outside of the dorm, Resident #1 was hit severaltimes in the face; his/her right eye was swollen the next day.Interview conducted on 1/26/2010 at 5:05 pm., with Staff A revealed that staff to client ratio at thetime of the incident was 6 staff members to 40 students. Staff A stated that he/she believes thatthe number of staff members was suitable; however, he/she believes that staff members reactionto the incident was inappropriate- was it indicated how so? If not, leave as is.). Staff A statedPage 4 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection Resultsthat additionally there was "one clinical worker on call that lived on campus and that he/she andanother staff member arrived on campus" after being notified of the incident.R 0861 290-2-5-.08(7) Staffing.SS=DReporting. Detailed written summary reports shall be made to the Department of Human Resources, Office ofRegulatory Services, Residential Child Care Unit via email or fax on the required incident intake information form(IIIF) within 24 hours.This Requirement is not met as evidenced by:Based on file review and staff interview , the agency failed to submit a detailed written summaryreport to the Department of Human Resources, Office of Regulatory Services, Residential ChildCare Unit within 24 hours.Findings include:File review conducted on 1/26/2010 at 12:00 pm of the agency's incident report, dated 1/9/2010,revealed that the local county sheriff's office was contacted regarding this incident and as aresult Resident #2 and #3 were arrested and detained. The agency did not make a report of theincident to the Department of Human Resources, Office of Regulatory Services, Residential ChildCare Unit within 24 hours of its occurrence.Interview conducted on 1/26/010 at 5:15 pm with Staff A revealed that the agency was not awarethat a report was required to be made to the department in connection to police involvement withresidents and that he/she was under the impression that charges had to have been filed by theagency.R 0862 290-2-5-.08(7)(a-g) Staffing.Page 5 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsSS=DThis [detailed written summary] report shall be made regarding serious occurrences involving children in care,including but not limited to:(a) Accidents or injuries requiring medical treatment and/or hospitalization;(b) Death;(c) Suicide attempts;(This Requirement is not met as evidenced by:Based on file review and staff interview, the agency failed to submit a detailed written summaryreport regarding serious occurrences involving children in care.Findings include:File review conducted on 1/26/2010 at 12:00 pm of the agency's incident report, dated 1/9/2010,revealed that the local county sheriff's office was contacted regarding this incident and as aresult Resident #2 and #3 were arrested and detained. The agency did not submit a detailedwritten summary report regarding serious occurrences involving children in care.Interview conducted on 1/26/010 at 5:15 pm with Staff A revealed that the agency was not awarethat a report was required to be made to the department in connection to police involvement withresidents and that he/she was under the impression that charges had to have been filed by theagency.R 1413 290-2-5-.14(1)(d) Behavior Management.SS=DResidents shall not be permitted to participate in the behavior management of other residents or to discipline otherresidents, except as part of an organized therapeutic self-governing program in accordance with acceptedstandards of practice that is conThis Requirement is not met as evidenced by:Based on file review and staff interview, residents were allowed to participate in the behaviormanagement of other residents.Page 6 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsFindings include:File review conducted on 3/30/2010 of the agency's incident report, dated 1/9/2010, revealed thatthe incident occurred on 1/9/2010 at approximately 4:00 pm, when staff members heard anargument going on in the movie room of the Student Activity Center (SAC). The report states thatStaff members B, C and D observed Resident #1 being confronted by Resident #2, #4, #5, and #6in regards to "a racist comment that he/she made towards another student". The report statesthat the students surrounded Resident #1 and that staff members "tried to defuse the situation"when Resident #4 moved behind Resident #1and "began to repeatedly hit Resident #1 in thehead". The report stated that Staff D placed Resident #4 into a "double arm bar restraint" whileResident #1 was escorted by Staff members B and C into the main room of the SAC. The reportstates that Staff C instructed Resident #1 to leave and go to the dorm, but Resident #1 refused tocomply. The report then states that Resident #2 "jumped in front of" Resident #1 and stated thatResident #1 was not leaving. Resident #2 then yelled to Resident #4, #5, and # 6 asking "dothey have his/her back" and will they participate in assaulting Resident #1. The reportcontinues to describe various efforts employed by Resident #2 to rally residents and instances inwhich the residents were disobedient and disrespectful to staff members. Ultimately the reportstates that Staff B got between Resident #1 and #2 and that Resident #2 "shoved Staff B andthen slapped Resident #1". The report states that Staff B then "escorted Resident #2 to theground and that Staff C grabbed his/her legs". The report states that while Staff B attempted "toget into the proper seated double arm bar restraint, Resident #3 "ran up and repeatedly kickedStaff B in his/her face causing his/her lips to split, nose to bleed, and bruising on the forehead".The report states that "other students and Staff D pulled Resident #3 off of Staff B and that StaffC got up to help with the restraint. The report then states that Resident #1 ran out of the frontdoor of the SAC and that Resident #4, #5, #6, and #8 followed after him/her. The report continuesto state that Resident #2 attempted to follow and that ultimately Staff B "placed him/her in astanding double arm bar restraint" when Resident #3 intervened and attempted to punch Staff B.The report states that Staff B was able " to dodge the punch and that two other residentsrestrained Resident #3 "followed by Staff D". The report states that "outside of the dorm,Resident #1 was hit several times in the face; his/her right eye was swollen the next day.Interview conducted on 1/26/2010 at 5:30 pm with Staff A revealed that he/she acknowledges that"students were involved in the behavior managment of other students; however, maintains thatthe agency does not allow students to participate in the behavioral management of otherstudents."Page 7 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsR 1420 290-2-5-.14(2)(c)2. Emergency Safety Interventions.SS=DEmergency safety interventions policies and procedures shall include: ...2. Provisions for the documentation of each use of an emergency safety intervention including:(i) Date and a description of the precipitating incident;(ii) Description of theThis Requirement is not met as evidenced by:Based on file review and staff interview the agency failed to document provisions for thedocumentation of each use of an emergency safety intervention.Findings include:A file review conducted of the agency's incident report, dated 1/9/2010, indicated that emergencysafety interventions were carried out on several residents; however, there was no provision forthe documentation (on the provisions - delete) for each use.File review conducted on 3/30/2010 of the agency's incident report, dated 1/9/2010, revealed thatthe incident occurred on 1/9/2010 at approximately 4:00 pm, when staff members heard anargument going on in the movie room of the Student Activity Center (SAC). The report states thatStaff members B, C and D observed Resident #1 being confronted by Resident #2, #4, #5, and #6in regards to "a racist comment that he/she made towards another student". The report statesthat the students surrounded Resident #1 and that staff members "tried to defuse the situation"when Resident #4 moved behind Resident #1 and "began to repeatedly hit Resident #1 in thehead". The report stated that Staff D placed Resident #4 into a "double arm bar restraint" whileResident #1 was escorted by Staff members B and C into the main room of the SAC. The reportstates that Staff C instructed Resident #1 to leave and go to the dorm, but Resident #1 refused tocomply. The report then states that Resident #2 "jumped in front of" Resident #1 and stated thatResident #1 was not leaving. Resident #2 then yelled to Resident #4, #5, and # 6 asking "do theyhave his/her back" and will they participate in assaulting Resident #1. The report continues todescribe various efforts employed by Resident #2 to rally residents and instances in which thePage 8 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection Resultsresidents were disobedient and disrespectful to staff members. Ultimately the report states thatStaff B got between Resident #1 and #2 and that Resident #2 "shoved Staff B and then slappedResident #1". The report states that Staff B then "escorted Resident #2 to the ground and thatStaff C grabbed his/her legs". The report states that while Staff B attempted "to get into theproper seated double arm bar restraint, Resident #3 "ran up and repeatedly kicked Staff B inhis/her face causing his/her lips to split, nose to bleed, and bruising on the forehead". The reportstates that "other students and Staff D pulled Resident #3 off of Staff B and that Staff C got up tohelp with the restraint. The report then states that Resident #1 ran out of the front door of theSAC and that Resident #4, #5, #6, and #8 followed after him/her. The report continues to statethat Resident #2 attempted to follow and that ultimately Staff B "placed him/her in a standingdouble arm bar restraint" when Resident #3 intervened and attempted to punch Staff B. Thereport states that Staff B was able " to dodge the punch and that two other residents restrainedResident #3 "followed by Staff D". The report states that "outside of the dorm, Resident #1 washit several times in the face; his/her right eye was swollen the next day.Interview conducted on 1/26/2010 at 5:35 pm with Staff A revealed that he/she acknowledges thatthere was no documentation of the identified emergency safety interventions described.R 9999 Closing Comments.This visit was concluded with an exit conference. A preliminary inspection report was submittedto the agency on 4/12/2010. A plan of correction is due ten days after receipt of the survey.Page 9 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenQuote from: "Jill Ryan"Georgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsR 0000 Opening Comments.The purpose of this survey is to conduct an investigation for self reported incident #GA00083346.R 0840 290-2-5-.08(6) Staffing.SS=GStaffing. The institution shall have sufficient numbers of qualified and trained staff as required by these rules toprovide for the needs, care, protection, and supervision of children. All staff and volunteers shall be supervised toensure that assigneThis Requirement is not met as evidenced by:****Based on record review and staff interview, the agency failed to have sufficient numbers oftrained staff to provide for the protection of children in care.Findings includeReview on 6/28/2010 at 4:00 pm of Resident #1's incident report, dated 6/10/2010, revealed that at9:15 pm, Staff A went into Resident #1's room to talk with him/her about some issues Resident #1has been struggling with throughout the day. This report indicated that Resident #1 was sitting atthe computer with another resident and Staff A began questioning Resident #1. This report statedthat at this time Resident #1 picked up the computer and threw it against the wall. The reportindicated that Resident #1 then proceeded to pick up his/her chair and broke the glass window.This report revealed that Staff A proceeded to direct Resident #1 outside to where he/she couldcalm down and regain his/her thoughts. The report then stated that Resident #1 said he/she wasnot going outside until he/she dealt with something first. The report went on to state thatResident #1 got up and ran to a room where Resident #2 was located, which was down the hall inthis dorm. This report stated that Resident #1 and #2 began fighting. According to this reportother residents began to jump in by punching and kicking Resident #1. Staff A wrote that otherstaff attempted to break up the fight and was assisted by Staff B.Review on 6/28/2010 at 4:00 pm of Staff A's training, revealed that on April 28-30, 2010 he/shereceived full certification in Therapeutic Aggression Control Techniques-2 (TACT-2). Staff A'sdate of hire was 3/15/2010.Page 1 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsReview on 6/28/2010 at 4:00 pm of Staff B's training, revealed that on April 28-30, 2010, he/shereceived verbal certification on TACT 2. Staff B's date of hire was 1/29/2010.Review on 6/28/2010 at 4:00 pm of Staff C's file, revealed that he/she has not been trained on anyemergency safety interventions. Staff C's date of hire was 6/1/2010.Interview with Staff D was conducted on 6/28/2010 at 3:46 pm. Staff D stated that Staff B didcomplete the full TACT-2 training, but received verbal certification because she/he has a smallerstature than the residents.Interview with Staff A was conducted on 6/28/2010 at 2:15 pm. Staff A reported that the incidenthappened on 6/10/2010. Staff A said he/she was coming in the dorms around 9:15 pm and wasgoing to follow up with Resident #1 as he/she requested earlier for another issue. Staff Areported that Resident #1 was sitting at his/her computer and talking with another resident. StaffA said Resident #1 was crying and picked up the computer and pushed it away. Staff A saidhe/she offered to speak with Resident #1, but Resident #1 refused. Staff A said Resident #1 thenpicked up a chair and said "not until I finish some business." Staff A said Resident #1 then threwthe chair against the window causing it to shatter. Staff A went on to state that Resident #1 ranout of his/her room towards Resident #2's room. Staff A said Resident #1 was screaming andrunning causing residents to look. Staff A said when he/she got to the room there was Resident#1 and #2. Staff A said he/she arrived in the room the same time Resident #3 and #4 entered. StaffA reported that there was a split second where it was just Resident #1 and #2 alone in the room,so he/she was able to pull Resident #2 to the side. Staff A said Resident #1 was on the floor whenResident #3 and #4 started kicking Resident #1. Staff A then stated that he/she was trying tocover Resident #1 and deflect as many of the kicks as possible. Staff A said about 10 secondsafter he/she arrived in the room, Staff C entered; however, Staff C wasn't able to assist as muchbecause he/she was not trained in emergency safety interventions. Staff A said Resident #1received about 10-15 kicks to the face and blood was everywhere. Staff A then reported thatResident #3 pushed Staff C to the side. Staff A recalled that Staff B came in the room right afterStaff C. Staff A stated that Resident #4 pushed Staff B through a crowd of residents that wereoutside the room blocking the entrance. Staff A then reported that Staff B was able to get back upand restrain Resident #4. Staff A said when Resident #4 was restrained, he/she could be heardand got the residents to leave the area. Staff A said Staff B was able to get the aggressors out ofthe room. Staff A said he/she walked Resident #1 out of the room and and took Resident #1 tothe emergency room with Staff B. Staff A stated that Staff C was on his/her second day of work,so he/she was trying to get the residents away, but did not restrain anyone. Staff A indicated thatResident #1 had a broken nose, 2 chipped teeth, but no concussion. Staff A recalled that therePage 2 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection Resultswere about 15 residents present in the doorway at the time of the incident. Staff A reported that atthe time of the incident there were 29 residents total, including the ones that were fighting, andthree staff members on duty for that dorm.Interview with Resident #1 was conducted on 6/28/2010 at 2:42 pm. Resident #1 reported that atthe beginning of the day he/she had a fight with another resident that day, who was later pickedon by Resident #5. Resident #1 said she/he told his/her counselor about the issue and thecounselor spoke with Resident #5. Resident #1 said later that day Resident #2 came to his/herroom and threatened him/her. Resident #1 said he/she got angry and ran down the hall toResident #2's room. Resident #1 said they started fighting and all he/she can remember is beingattacked by others. Resident #1 said Staff A was trying to keep Resident #2 off of him/her, whileStaff B was trying to enter the room. Resident #1 stated that some residents blocking the door.Resident #1 said residents were hitting him/her. Resident #1 said he/she went to the hospital andwas diagnosed with a broken nose and swelling. Resident #1 said Staff A and B took him/her tothe emergency room. Resident #1 said he/she blacked out a little when he/she was hit to thehead. Resident #1 reported that staff knew he/she was getting angry throughout the day, but StaffA did what he/she could. Resident #1 said he/she told his/her counselor that day that he/she wasbeing antagonized by Resident #5. Resident #1 said he/she thinks that Staff A knew about theproblems he/she was having and that's why Staff A came to the room to talk. Resident #1 saidStaff C didn't get in the room, but Staff B was trying to keep people out of the room.Interview with Staff C was conducted on 6/28/2010 at 3:00 pm. Staff C said on June 10th, he/shenoticed something was going on when Resident #1 broke a window. Staff C said Staff A was withResident #1. Staff C said he/she was floating around the dorms when he/she heard yelling. StaffC said Resident #2 was in the hallway when Resident #1 made it into Resident #2's room. Staff Csaid it was a "mad rush" between residents and staff going to the room. Staff C said when he/shemade it in the room, he/she saw Resident #2, #3, and #4 beating on Resident #1. Staff C statedthat he/she grabbed the shoulder of Resident #3 while Staff A was shielding Resident #1. Staff Csaid Resident #3 was able to break free and kick Resident #1. Staff C said Staff B came in theroom after having some trouble entering due to residents blocking the doorway. Staff C said StaffB was able to get Resident #4 to leave the room. Staff C said he/she didn't know the cause of thefight and did not know there was tension going on that day. Staff C said he/she was with a groupof residents earlier that day when Resident #1 accidentally hit one of the residents with a stick.Staff C said he/she was told later that this was the cause of the tension throughout the day. StaffC recalled that there were approximately 27-30 residents present on the day of the incident andthere were 4 staff members assigned to that dorm. Staff C said he/she is not sure if all four staffmembers were present, but one could have been administering medication at that time.Page 3 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsInterview with Resident #2 was conducted on 6/28/2010 at 3:15 pm. Resident #2 stated thathe/she doesn't feel like staff did their job, because it took staff 5 minutes to intervene with thefight. Resident #2 reported that Resident #1 started the fight by coming after him/her. Resident #2said Resident #1 charged at him/her and there was no staff around. Resident #2 said Resident #1struck first and he/she doesn't remember what happened next. Resident #2 said he/she doesn'tremember how the fight ended because he/she "pretty much blacked out."Interview with Resident #4 was conducted on 6/28/2010 at 3:25 pm. Resident #4 did report thatstaff could have done more because they knew Resident #1 was "heated" that day, but they justlet everything unfold.Interview with Resident #3 was conducted on 6/28/2010 at 3:29 pm. Resident #3 stated that theday of the incident his/her roommate, Resident #5, came to him/her and said he/she was afraidthat Resident #1 would kill him/her. Resident #3 said later that night he/she and Resident #2asked Resident #1 why was he/she threatening Resident #5. Resident #3 said he/she was inResident #4's room when he/she heard a crash and screaming. Resident #3 said he/she sawResident #1 run by the room. Resident #3 said someone said that Resident #1 just broke awindow and was trying to attack Resident #2. Resident #3 said Resident #2 is one of his/her bestfriends and he/she thought about Resident #1's threats to others. Resident #3 said he/she wasafraid that Resident #1 would injure Resident #2. Resident #1 said he/she was thinking thatResident #1 had a piece of glass from the broken window. Resident #3 then admitted that he/shepushed Resident #1 away from Resident #2 and Resident #1 turned around and hit him/her.Resident #3 said he/she got angry and hit Resident #1 multiple times. Resident #3 said staffintervened when Resident #1 was on the floor knocked out. Resident #3 said Staff B waswatching at the door, and Staff C had his/her arm around Resident #3's body. Resident #3 saidhis/her arms were by his/her side in the hold by Staff C. Resident #3 indicated he/she stoppedfighting at that point. Resident #3 said it could have been prevented because staff knew Resident#1 was angry that day. Resident #3 said the counselor talked with Resident #5 and told him/herthat Resident #1 threatened to kill him/her. Resident #3 said he/she is not sure how many staffmembers were present this day or how long it took Staff A to enter the room.Interview with Staff B was conducted on 6/29/2010 at 2:50 pm. Staff B reported that all day therewere rumors about Resident #1 wanting to beat up Resident #5 and that Resident #5's friendswent into Resident #1's room and asked why he/she was threatening Resident #5. Staff Breported that Resident #1 got angry and Staff A tried to speak with Resident #1. Staff B indicatedthat Resident #1 threw a chair at the window and Staff B was standing in the doorway. Staff BPage 4 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection Resultssaid Resident #1 then came out of the room forcefully and pointed at Resident #2. Staff Bindicated that Resident #1 and #2 went into the room and Staff A and B ran down the hallwayafter them. Staff B said the other residents were there and Staff B stood over Resident #1. Staff Breported that Resident #3 and #4 were in the room kicking Resident #1. Staff B said she/he wentbehind Resident #4 and took him/her by the arm. Staff B said Resident #4 left the room. Staff Bsaid she/he doesn't know what Staff C was doing because everything happened so quickly. StaffB said she/he doesn't think that Staff C physically restrained anyone. Staff B said she/he did notuse a TACT2 restraint, she/he just took Resident #4 by the arm to escort out the room. Staff Bsaid Resident #4 wasn't fighting back. Staff B said Resident #4 was the only one she/hephysically touched. Staff B reported that Resident #4 is his/her size and has a good rapport withhim/her, so it was easier to get Resident #4 out of the room. Staff B said Resident #3 followedand then Resident #2 exited the room. Staff B said Staff A got Resident #1 out of the room. Staff Bindicated that there were about 35 residents total in the dorm this day. Staff B said there were 3staff members in the room. Staff B said one staff member was administering medication withabout 10 other residents. Staff B said 2 hours before the actual fight, a resident approached acounselor and said it might be a fight and Resident #1 should be monitored. Staff B said Resident#1's counselor told the leader of the reflections group (where Resident #1 was located at thetime). Staff B said the group leader sent Resident #5 off campus to keep his/her separated fromResident #1. Staff B reported that Staff A was waiting to speak with Resident #1 after thereflections group. Staff B reported that Resident #1 was supervised close that day, but by thetime he/she got into the dorms he/she was beyond calming. Staff B reiterated that one staffmember was dispensing medication at the time of the fight and one staff member was monitoringthe residents that were waiting for medication. Staff B said she/he did not have to physicallyrestrain anyone. Staff B stated that the ratio is typically 4 staff to 30 residents, but sometimesthere are just 3 staff members. Staff B said as far as she/he knew, staff was talking aboutmonitoring Resident #1 that day. Staff B said she/he was standing in the doorway of the roomwhen Resident #1 came out forcefully, but due to the size difference, she/he moved and couldonly follow Resident #1. Staff B said the incident happened fast and the residents moved towardthe room quickly. Staff B said the residents wouldn't move and hs/he had to push his/her waythrough the door to enter the room. Staff B said the fight started about 30 seconds before she/heentered the room.Page 5 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultR 1003 290-2-5-.10(b) Assessment and Planning.SS=CA service and room, board and watchful oversight plan shall be developed by the child's Human ServicesProfessional in concert with the child's primary Child Care Worker, meaning the worker who has responsibility forsupervision of the child in the livingThis Requirement is not met as evidenced by:Based on record review and staff interview, the agency failed to have completed Service, Room,Board, and Watchful Oversight plans to include activities to be followed by staff in pursuit ofstated goals and objectives for two of four plans reviewed.Findings IncludeReview on 6/28/2010 at 4:00 pm of Resident #1's Individual Service Plan, dated 5/11/2010,revealed that the plan did not include activities to be followed by staff in pursuit of stated goalsand objectives. Resident #1 was admitted nearly two months ago.Review on 6/28/2010 at 4:00 pm of Resident #4's Individual Service Plan, dated 2/11/2010,revealed that the plan did not include activities to be followed by staff in pursuit of stated goalsand objectives. Resident #4 was admitted nine months ago.During interview with Staff D on 6/28/2010 at 4:56 pm, he/she acknowledged the findings.This rule was previously cited on 12/10/2009 and 12/3/2008.Page 6 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsR 1011 290-2-5-.10(d) Assessment and Planning.SS=FThe service and room, board and watchful oversight plan shall be updated by the Human Services Professional ata minimum of every six months and pertinent progress notes and data shall be incorporated in the plan tomeasure attainment of stated goals andThis Requirement is not met as evidenced by:****Based on record review and staff interview, the agency failed to ensure that the ServiceRoom, Board, and Watchful Oversight Plan is updated by the Human Services Professional at aminimum of every six months for one of four files reviewed.Findings IncludeReview on 6/28/2010 at 4:00 pm of Resident #2's individual Service Plan, dated 10/30/2009,revealed that the plan is outdated. Resident #2 was admitted over eight months ago.During interview with Staff D on 7/16/2010 at 2:42 pm, he/she acknowledged the findings afterhe/she checked the agency's data base for the current plan.This rule was previously cited on 12/10/2009 and 12/3/2008.R 1402 290-2-5-.14(1)(b)2. Behavior Management.SS=DSuch Behavior management policies and procedures shall incorporate the following minimum requirements: ...Page 7 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection Results2. Behavior management shall be limited to the least restrictive appropriate method, as described in the child'sservice plan pursuant to RuleThis Requirement is not met as evidenced by:Based on record review and staff interview, the agency failed to ensure that behaviormanagement is limited to the least restrictive appropriate method, as described in the child'sRoom, Board, and Watchful Oversight Plan and in accordance with the prohibitions as specifiedin the rules and regulations.Findings IncludeInterview with Resident #2 was conducted on 6/2820/2010 at 3:15 pm. Resident #2 said he/shedoesn't remember what happened during the incident, but he/she knows that he/she was in afight. When asked if he/she received a consequence for fighting, Resident #2 indicated that staffsent him/her to the wilderness intervention program for 8 days.Review on 6/28/2010 at 4:00 pm of Resident #2's Individual Service Plan, dated 10/30/2009, didnot reveal that the wilderness intervention program would be used as a behavioral managementmethod.Interview with Resident #4 was conducted on 6/28/2010 at 3:25 pm. When asked if he/shereceived a consequence for involvement with the physical altercation, Resident #4 said first staffspoke with him/her then he/she was sent to the wilderness intervention program for 8 days.Resident #4 reported that the wilderness program is not on campus. It consists of a tavern andthe residents sleep on wooden boards.Review on 6/28/2010 at 4:00 pm of Resident #4's Individual Service Plan, dated 2/11/10, did notreveal that the wilderness intervention program would be used as a behavioral managementmethod.Interview with Resident #3 was conducted on 6/28/2010 at 3:29 pm. Resident #3 stated that on6/10/2010, Resident #5 came to him/her and said he/she was afraid that Resident #1 would killhim/her. Resident #3 said later that night he/she and Resident #2 asked Resident #1 why washe/she threatening Resident #5. Resident #3 said he/she was in Resident #4's room when he/sheheard a crash and screaming. Resident #3 said he/she saw Resident #1 run by the room.Resident #3 said someone said that Resident #1 just broke a window and was trying to attackPage 8 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsResident #2. Resident #3 said Resident #2 is one of his/her best friends and he/she thought aboutResident #1's problems and remembered Resident #1 threatened others. Resident #3 said he/shewas afraid that Resident #1 would injure Resident #2. Resident #1 said he/she was thinking thatResident #1 had a piece of glass from the broken window. Resident #3 then admitted that he/shepushed Resident #1 away from Resident #2 and Resident #1 turned around and hit him/her.Resident #3 said he/she got angry and hit Resident #1 multiple times. Resident #3 said he/shewas sent to the wilderness intervention program and slept on a flat sheet of wood. Resident #3said he/she was in the wilderness intervention program for 1 week.Review on 6/28/2010 at 4:00 pm of Resident #3's Individualized Service Plan, dated 4/1/2010, didnot reveal that the wilderness intervention program would be utilized as a behavioralmanagement method.During interview with Staff D on 6/28/2010 at 3:46 pm, Surveyor asked about the wildernessintervention program. Staff D reported that wilderness intervention is used as a behaviormanagement technique.Review on 6/28/2010 at 5:00 pm of the agency's Wilderness Intervention Curriculum, revealed aform labeled "Odds and Ends". This form states the following: "Students are responsible formaintaining their gear, equipment, and personal hygiene. If students break, lose, or do notmaintain equipment--they may have to do without (Stay within policies and procedures, andsafety). Keep wilderness student off main campus. No student is allowed in the shelter untilcompletion of Solo." This form also indicates that tents are utilized.Review on 6/28/2010 at 5:00 pm of the agency's Wilderness Initiative Daily Schedule, revealedexamples of rewards given to residents which includes: extra sleeping pad, pillows. Theschedule dated May 3, 2010 indicates the following: "solo starts at 9:00 pm, students can onlycommunicate with staff, journal about life goals, and objectives."Cross reference Tag 840Page 9 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultR 1808 290-2-5-.18(2)(c) Physical Plant and Safety.SS=DEach child shall be provided his or her own personal bed and mattress that is no shorter than the child's heightand at least thirty inches wide. Clean sheets, pillows and pillow cases, blankets or bed covering shall be providedand sheets and pillow caseThis Requirement is not met as evidenced by:Based on record review and staff interview, the agency failed to ensure that each child shall beprovided his/her own personal bed and mattress with pillows, blankets or bed covering.Findings IncludeReview on 6/28/2010 at 5:00 pm of the agency's Wilderness Initiative Daily Schedule, revealedexamples of rewards given to residents which includes extra sleeping pad and pillows.Interview with Resident #4 was conducted on 6/28/2010 at 3:25 pm. When asked if he/shereceived a consequence for involvement with the physical altercation, Resident #4 said that firststaff spoke with him/her then he/she was sent to the wilderness intervention program for 8 days.Resident #4 reported that the wilderness program is not on the campus. It consists of a tavernand the residents sleep on wooden boards.Interview with Resident #3 was conducted on 6/28/2010 at 3:29 pm. Resident #3 stated that on6/10/2010, he/she pushed Resident #1 away from Resident #2 and Resident #1 turned around andhit him/her. Resident #3 said he/she got angry and hit Resident #1 multiple times. Resident #3said he/she was sent to the wilderness intervention program as his/her consequence and slepton a flat sheet of wood. Resident #3 said he/she was in the wilderness intervention program for 1week.R 9999 Closing Comments.Page 10 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsAn exit conference was conducted onsite. There was one rule violation related to self reportedincident #GA00083346. There were four rule violations found during the investigation. Thepreliminary report was mailed on 7/12/2010. The plan of correction is due ten days after thereceipt of this report.Page 11 of 11More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsR 0000 Opening Comments.The purpose of this visit was to conduct an investigation into Ga., 77483.R 0709 290-2-5-.07(d) Inspections and Investigations.SS=DFailure to Allow Access. Failure to allow access of the department's representative to the institution, its staff, orthe children receiving care at the institution or the books, records, papers, or other information related to initial orcontinued licensThis Requirement is not met as evidenced by:Based on a requested record review and staff interview the agency failed to allow acces to theinstitution's resident case records.Findings include:Upon a request by the surveyor to review the facility's residential case records on 1/26/2010 at11:00 am, the surveyor was told by Staff A that the requested records were not accessible at thetime of the inspection due to the agency having technical difficulties with their electronic filingsystem.Interview conducted on 1/26/2010 at 5:00 pm with Staff A revealed that their system " Best Note"is down and that all information is stored there.R 0840 290-2-5-.08(6) Staffing.SS=DPage 1 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsStaffing. The institution shall have sufficient numbers of qualified and trained staff as required by these rules toprovide for the needs, care, protection, and supervision of children. All staff and volunteers shall be supervised toensure that assigneThis Requirement is not met as evidenced by:****Based on file review and staff interview the agency failed to provide for the needs, care,protection, and supervision of children.Findings include:Interview conducted on 1/26/2010 at 11:30 am with Resident #1 revealed that ( he/she recalls theincident in question and it began when- on the day of the incident (1/9/2010),) all of the studentswere in the Student Activity Center (SAC). Resident #1 stated that he/she was approached byResident #2 who inquired if he/she made a derogatory statement, referencing two other studentsthat are known by all of the students to be "a couple" and whom Resident #1 had written a racialslur on the wall approximately a week prior. Resident #1 stated that as the confrontationcontinued, a group of other students became involved . ( and the argument began to becomethreatening.- delete) Resident #1 stated that during the argument, Resident #4 approachedhim/her from behind and "punched him/her in the back of the head twice". Resident #1 reportedthat Resident #4 was then restrained by staff? and that Resident #2 responded by becomingirate and blocked the exit doorway that staff members were attempting to exit thru with Resident#4. Resident #1 stated that he/she could hear the remaining students "plotting on how to hithim/her" and then Resident #2 began to approach him/her, but "was restrained on the ground byStaff B". Resident #1 reported that Resident #2 accompanied by Resident #3 began to fight StaffB, punching and kicking the staff member in the face and torso area while the remaining groupof students attempted to bombard him/her. Resident #1 stated that he/she ran out of thebuilding, slipped on the ice covering the walkway, and fell into some shrubbery. Resident #1stated that he/she could hear the other resident attempting to follow after him/her; however,Resident #7 "blocked the exit way and instructed him/her to run" . Resident #1 stated thathe/she and another student left the area; however, he/she was soon stopped by a group ofresidents who continued to strike him/her. The other students held them off while he/she lockedhim/herself in a car until staff members arrived. The police responded shortly afterwards.(Resident #1 stated that upon returning to his/her room, it was discovered that someone hadbroken his/her electric guitar which he/she estimated to be worth four thousand dollars.- Pamquestioned the relevance. I thought you were trying to show that the residents were obviouslyunsupervised at that time as well to have been able to destroy property in a bedroom, but she feltthe connection needed to be made more clear. You can either leave as is, delet or add more)Page 2 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultResident #1 stated that he/she received an injury to the eye when hit by Resident #4 andscrapes/scratches from falling into the shrubs. Resident #1 reported that he/she recalls four staffmembers on duty; however; one had gone to get lunch. Resident #1 stated that staff membersdid not intervene during the onset of the altercation and only responded once he/she had beenstruck by Resident #4.Interview conducted on 1/26/2010 at 12:00 pm with Resident #4 revealed that ( he/she recalls theincident in question. Resident #4 stated that - delete ) on the day of the incident (1/9/2010),Resident #1 was "being racist" and wrote derogatory statements using inappropriate languagein reference to ( African Americans- race ) . Resident #4 stated that while in the SAC, Resident #1then verbalized derogatory statements using inappropriate language ( in reference to AfricanAmericans- regarding race ) and that "a group of students got mad and beat Resident #1 up".Resident #4 stated ("staff members- do we know which ones so that we can add theirnon-identifiers? If not, leave as is) were attempting to contain the situation and deal with all ofthe other students but that other students ultimately pulled ( him/her- use non identifier. unclearif this is referring to staff or resident) away so that Resident #1 would not get beat up that bad".Resident #4 stated that he/she recalls three to four staff members being present at the time of theincident.Interview conducted on 1/26/2010 at 12:30 pm with Resident #5 revealed that he/she recalls the1/9/2010 incident ( in question- delete) and that "all of the trouble started a few weeks ago whenResident #1 wrote "a racial slur" on the bathroom wall and staff members did not give Resident#1 a consequence for the act. Resident # 5 stated that specifically, the incident in questionbegan when the students were made aware that Resident #1 had made a ( verbal- delete) racialslur when Resident #1 and #2 began to argue. Resident #5 reported that a group of studentsattempted to "fight" Resident #1 and were "able to get a few hits in when Resident #1 ran out ofthe building". Resident # 5 stated that he/she and a group of other residents attempted to follow,however were stopped by Resident #7, who ultimately "restrained and then drug him/her backinto the building. " Is this where the end of quote goes?Interview conducted on 1/26/2010 at 1:00 pm with Resident #6 revealed that (he/she recalls theincident in question. Resident #6 stated that on the day of the incident (1/9/2010), ( he/she-Resident #6?) became involved in a conflict with Resident #1 upon gaining knowledge thatResident # 1 wrote a derogatory statement ( towards African Americans- regarding race) on thewall. Resident #6 stated, during this occurrence, he/she confronted Resident #1 about the actand Resident #1 assured him/her that "nothing like that would happen again". Resident #6stated that on the day of the incident in question, which was approximately a week later,Page 3 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultResident #1 verbalized a racial slur directed at two students of different races that are involved ina relationship.File review conducted on 3/30/2010 of the agency's incident report, dated 1/9/2010, revealed thatthe incident occurred on 1/9/2010 at approximately 4:00 pm, when staff members heard anargument going on in the movie room of the Student Activity Center (SAC). The report states thatStaff members B, C and D observed Resident #1 being confronted by Resident #2, #4, #5, and #6in regards to "a racist comment that he/she made towards another student". The report statesthat the students surrounded Resident #1 and that staff members "tried to defuse the situation"when Resident #4 moved behind Resident#1 and "began to repeatedly hit Resident #1 in the head". The report stated that Staff D placedResident #4 into a "double arm bar restraint" while Resident #1 was escorted by Staff membersB and C into the main room of the SAC. The report states that Staff C instructed Resident #1 toleave and go to the dorm, but Resident #1 refused to comply. The report then states thatResident #2 "jumped in front of" Resident #1 and stated that Resident #1 was not leaving.Resident #2 then yelled to Resident #4, #5, and # 6 asking "do they have his/her back" and willthey participate in assaulting Resident #1. The report continues to describe various effortsemployed by Resident #2 to rally residents and instances in which the residents weredisobedient and disrespectful to staff members. Ultimately the report states that Staff B gotbetween Resident #1 and #2 and that Resident #2 "shoved Staff B and then slapped Resident#1". The report states that Staff B then "escorted Resident #2 to the ground and that Staff Cgrabbed his/her legs". The report states that while Staff B attempted "to get into the properseated double arm bar restraint, Resident #3 "ran up and repeatedly kicked Staff B in his/her facecausing his/her lips to split, nose to bleed, and bruising on the forehead". The report states that"other students and Staff D pulled Resident #3 off of Staff B and that Staff C got up to help withthe restraint. The report then states that Resident #1 ran out of the front door of the SAC and thatResident #4, #5, #6, and #8 followed after him/her. The report continues to state that Resident #2attempted to follow and that ultimately Staff B "placed him/her in a standing double arm barrestraint" when Resident #3 intervened and attempted to punch Staff B. The report states thatStaff B was able " to dodge the punch and that two other residents restrained Resident #3"followed by Staff D". The report states that "outside of the dorm, Resident #1 was hit severaltimes in the face; his/her right eye was swollen the next day.Interview conducted on 1/26/2010 at 5:05 pm., with Staff A revealed that staff to client ratio at thetime of the incident was 6 staff members to 40 students. Staff A stated that he/she believes thatthe number of staff members was suitable; however, he/she believes that staff members reactionto the incident was inappropriate- was it indicated how so? If not, leave as is.). Staff A statedPage 4 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection Resultsthat additionally there was "one clinical worker on call that lived on campus and that he/she andanother staff member arrived on campus" after being notified of the incident.R 0861 290-2-5-.08(7) Staffing.SS=DReporting. Detailed written summary reports shall be made to the Department of Human Resources, Office ofRegulatory Services, Residential Child Care Unit via email or fax on the required incident intake information form(IIIF) within 24 hours.This Requirement is not met as evidenced by:Based on file review and staff interview , the agency failed to submit a detailed written summaryreport to the Department of Human Resources, Office of Regulatory Services, Residential ChildCare Unit within 24 hours.Findings include:File review conducted on 1/26/2010 at 12:00 pm of the agency's incident report, dated 1/9/2010,revealed that the local county sheriff's office was contacted regarding this incident and as aresult Resident #2 and #3 were arrested and detained. The agency did not make a report of theincident to the Department of Human Resources, Office of Regulatory Services, Residential ChildCare Unit within 24 hours of its occurrence.Interview conducted on 1/26/010 at 5:15 pm with Staff A revealed that the agency was not awarethat a report was required to be made to the department in connection to police involvement withresidents and that he/she was under the impression that charges had to have been filed by theagency.R 0862 290-2-5-.08(7)(a-g) Staffing.Page 5 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsSS=DThis [detailed written summary] report shall be made regarding serious occurrences involving children in care,including but not limited to:(a) Accidents or injuries requiring medical treatment and/or hospitalization;(b) Death;(c) Suicide attempts;(This Requirement is not met as evidenced by:Based on file review and staff interview, the agency failed to submit a detailed written summaryreport regarding serious occurrences involving children in care.Findings include:File review conducted on 1/26/2010 at 12:00 pm of the agency's incident report, dated 1/9/2010,revealed that the local county sheriff's office was contacted regarding this incident and as aresult Resident #2 and #3 were arrested and detained. The agency did not submit a detailedwritten summary report regarding serious occurrences involving children in care.Interview conducted on 1/26/010 at 5:15 pm with Staff A revealed that the agency was not awarethat a report was required to be made to the department in connection to police involvement withresidents and that he/she was under the impression that charges had to have been filed by theagency.R 1413 290-2-5-.14(1)(d) Behavior Management.SS=DResidents shall not be permitted to participate in the behavior management of other residents or to discipline otherresidents, except as part of an organized therapeutic self-governing program in accordance with acceptedstandards of practice that is conThis Requirement is not met as evidenced by:Based on file review and staff interview, residents were allowed to participate in the behaviormanagement of other residents.Page 6 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsFindings include:File review conducted on 3/30/2010 of the agency's incident report, dated 1/9/2010, revealed thatthe incident occurred on 1/9/2010 at approximately 4:00 pm, when staff members heard anargument going on in the movie room of the Student Activity Center (SAC). The report states thatStaff members B, C and D observed Resident #1 being confronted by Resident #2, #4, #5, and #6in regards to "a racist comment that he/she made towards another student". The report statesthat the students surrounded Resident #1 and that staff members "tried to defuse the situation"when Resident #4 moved behind Resident #1and "began to repeatedly hit Resident #1 in thehead". The report stated that Staff D placed Resident #4 into a "double arm bar restraint" whileResident #1 was escorted by Staff members B and C into the main room of the SAC. The reportstates that Staff C instructed Resident #1 to leave and go to the dorm, but Resident #1 refused tocomply. The report then states that Resident #2 "jumped in front of" Resident #1 and stated thatResident #1 was not leaving. Resident #2 then yelled to Resident #4, #5, and # 6 asking "dothey have his/her back" and will they participate in assaulting Resident #1. The reportcontinues to describe various efforts employed by Resident #2 to rally residents and instances inwhich the residents were disobedient and disrespectful to staff members. Ultimately the reportstates that Staff B got between Resident #1 and #2 and that Resident #2 "shoved Staff B andthen slapped Resident #1". The report states that Staff B then "escorted Resident #2 to theground and that Staff C grabbed his/her legs". The report states that while Staff B attempted "toget into the proper seated double arm bar restraint, Resident #3 "ran up and repeatedly kickedStaff B in his/her face causing his/her lips to split, nose to bleed, and bruising on the forehead".The report states that "other students and Staff D pulled Resident #3 off of Staff B and that StaffC got up to help with the restraint. The report then states that Resident #1 ran out of the frontdoor of the SAC and that Resident #4, #5, #6, and #8 followed after him/her. The report continuesto state that Resident #2 attempted to follow and that ultimately Staff B "placed him/her in astanding double arm bar restraint" when Resident #3 intervened and attempted to punch Staff B.The report states that Staff B was able " to dodge the punch and that two other residentsrestrained Resident #3 "followed by Staff D". The report states that "outside of the dorm,Resident #1 was hit several times in the face; his/her right eye was swollen the next day.Interview conducted on 1/26/2010 at 5:30 pm with Staff A revealed that he/she acknowledges that"students were involved in the behavior managment of other students; however, maintains thatthe agency does not allow students to participate in the behavioral management of otherstudents."Page 7 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection ResultsR 1420 290-2-5-.14(2)(c)2. Emergency Safety Interventions.SS=DEmergency safety interventions policies and procedures shall include: ...2. Provisions for the documentation of each use of an emergency safety intervention including:(i) Date and a description of the precipitating incident;(ii) Description of theThis Requirement is not met as evidenced by:Based on file review and staff interview the agency failed to document provisions for thedocumentation of each use of an emergency safety intervention.Findings include:A file review conducted of the agency's incident report, dated 1/9/2010, indicated that emergencysafety interventions were carried out on several residents; however, there was no provision forthe documentation (on the provisions - delete) for each use.File review conducted on 3/30/2010 of the agency's incident report, dated 1/9/2010, revealed thatthe incident occurred on 1/9/2010 at approximately 4:00 pm, when staff members heard anargument going on in the movie room of the Student Activity Center (SAC). The report states thatStaff members B, C and D observed Resident #1 being confronted by Resident #2, #4, #5, and #6in regards to "a racist comment that he/she made towards another student". The report statesthat the students surrounded Resident #1 and that staff members "tried to defuse the situation"when Resident #4 moved behind Resident #1 and "began to repeatedly hit Resident #1 in thehead". The report stated that Staff D placed Resident #4 into a "double arm bar restraint" whileResident #1 was escorted by Staff members B and C into the main room of the SAC. The reportstates that Staff C instructed Resident #1 to leave and go to the dorm, but Resident #1 refused tocomply. The report then states that Resident #2 "jumped in front of" Resident #1 and stated thatResident #1 was not leaving. Resident #2 then yelled to Resident #4, #5, and # 6 asking "do theyhave his/her back" and will they participate in assaulting Resident #1. The report continues todescribe various efforts employed by Resident #2 to rally residents and instances in which thePage 8 of 9More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:1/26/20103/30/2010Name of Provider or SupplierRIDGE CREEK, INC- MOUNTAIN BROOK ACADEMYStreet Address, City, State Zip Code830 HIDDEN LAKE ROADDAHLONEGA, GA 30533Inspection Resultsresidents were disobedient and disrespectful to staff members. Ultimately the report states thatStaff B got between Resident #1 and #2 and that Resident #2 "shoved Staff B and then slappedResident #1". The report states that Staff B then "escorted Resident #2 to the ground and thatStaff C grabbed his/her legs". The report states that while Staff B attempted "to get into theproper seated double arm bar restraint, Resident #3 "ran up and repeatedly kicked Staff B inhis/her face causing his/her lips to split, nose to bleed, and bruising on the forehead". The reportstates that "other students and Staff D pulled Resident #3 off of Staff B and that Staff C got up tohelp with the restraint. The report then states that Resident #1 ran out of the front door of theSAC and that Resident #4, #5, #6, and #8 followed after him/her. The report continues to statethat Resident #2 attempted to follow and that ultimately Staff B "placed him/her in a standingdouble arm bar restraint" when Resident #3 intervened and attempted to punch Staff B. Thereport states that Staff B was able " to dodge the punch and that two other residents restrainedResident #3 "followed by Staff D". The report states that "outside of the dorm, Resident #1 washit several times in the face; his/her right eye was swollen the next day.Interview conducted on 1/26/2010 at 5:35 pm with Staff A revealed that he/she acknowledges thatthere was no documentation of the identified emergency safety interventions described.R 9999 Closing Comments.This visit was concluded with an exit conference. A preliminary inspection report was submittedto the agency on 4/12/2010. A plan of correction is due ten days after receipt of the survey.Page 9 of 9More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsR 0000 Opening Comments.The purpose of this survey is to conduct an investigation for self reported incident #GA00083346.R 0840 290-2-5-.08(6) Staffing.SS=GStaffing. The institution shall have sufficient numbers of qualified and trained staff as required by these rules toprovide for the needs, care, protection, and supervision of children. All staff and volunteers shall be supervised toensure that assigneThis Requirement is not met as evidenced by:****Based on record review and staff interview, the agency failed to have sufficient numbers oftrained staff to provide for the protection of children in care.Findings includeReview on 6/28/2010 at 4:00 pm of Resident #1's incident report, dated 6/10/2010, revealed that at9:15 pm, Staff A went into Resident #1's room to talk with him/her about some issues Resident #1has been struggling with throughout the day. This report indicated that Resident #1 was sitting atthe computer with another resident and Staff A began questioning Resident #1. This report statedthat at this time Resident #1 picked up the computer and threw it against the wall. The reportindicated that Resident #1 then proceeded to pick up his/her chair and broke the glass window.This report revealed that Staff A proceeded to direct Resident #1 outside to where he/she couldcalm down and regain his/her thoughts. The report then stated that Resident #1 said he/she wasnot going outside until he/she dealt with something first. The report went on to state thatResident #1 got up and ran to a room where Resident #2 was located, which was down the hall inthis dorm. This report stated that Resident #1 and #2 began fighting. According to this reportother residents began to jump in by punching and kicking Resident #1. Staff A wrote that otherstaff attempted to break up the fight and was assisted by Staff B.Review on 6/28/2010 at 4:00 pm of Staff A's training, revealed that on April 28-30, 2010 he/shereceived full certification in Therapeutic Aggression Control Techniques-2 (TACT-2). Staff A'sdate of hire was 3/15/2010.Page 1 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsReview on 6/28/2010 at 4:00 pm of Staff B's training, revealed that on April 28-30, 2010, he/shereceived verbal certification on TACT 2. Staff B's date of hire was 1/29/2010.Review on 6/28/2010 at 4:00 pm of Staff C's file, revealed that he/she has not been trained on anyemergency safety interventions. Staff C's date of hire was 6/1/2010.Interview with Staff D was conducted on 6/28/2010 at 3:46 pm. Staff D stated that Staff B didcomplete the full TACT-2 training, but received verbal certification because she/he has a smallerstature than the residents.Interview with Staff A was conducted on 6/28/2010 at 2:15 pm. Staff A reported that the incidenthappened on 6/10/2010. Staff A said he/she was coming in the dorms around 9:15 pm and wasgoing to follow up with Resident #1 as he/she requested earlier for another issue. Staff Areported that Resident #1 was sitting at his/her computer and talking with another resident. StaffA said Resident #1 was crying and picked up the computer and pushed it away. Staff A saidhe/she offered to speak with Resident #1, but Resident #1 refused. Staff A said Resident #1 thenpicked up a chair and said "not until I finish some business." Staff A said Resident #1 then threwthe chair against the window causing it to shatter. Staff A went on to state that Resident #1 ranout of his/her room towards Resident #2's room. Staff A said Resident #1 was screaming andrunning causing residents to look. Staff A said when he/she got to the room there was Resident#1 and #2. Staff A said he/she arrived in the room the same time Resident #3 and #4 entered. StaffA reported that there was a split second where it was just Resident #1 and #2 alone in the room,so he/she was able to pull Resident #2 to the side. Staff A said Resident #1 was on the floor whenResident #3 and #4 started kicking Resident #1. Staff A then stated that he/she was trying tocover Resident #1 and deflect as many of the kicks as possible. Staff A said about 10 secondsafter he/she arrived in the room, Staff C entered; however, Staff C wasn't able to assist as muchbecause he/she was not trained in emergency safety interventions. Staff A said Resident #1received about 10-15 kicks to the face and blood was everywhere. Staff A then reported thatResident #3 pushed Staff C to the side. Staff A recalled that Staff B came in the room right afterStaff C. Staff A stated that Resident #4 pushed Staff B through a crowd of residents that wereoutside the room blocking the entrance. Staff A then reported that Staff B was able to get back upand restrain Resident #4. Staff A said when Resident #4 was restrained, he/she could be heardand got the residents to leave the area. Staff A said Staff B was able to get the aggressors out ofthe room. Staff A said he/she walked Resident #1 out of the room and and took Resident #1 tothe emergency room with Staff B. Staff A stated that Staff C was on his/her second day of work,so he/she was trying to get the residents away, but did not restrain anyone. Staff A indicated thatResident #1 had a broken nose, 2 chipped teeth, but no concussion. Staff A recalled that therePage 2 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection Resultswere about 15 residents present in the doorway at the time of the incident. Staff A reported that atthe time of the incident there were 29 residents total, including the ones that were fighting, andthree staff members on duty for that dorm.Interview with Resident #1 was conducted on 6/28/2010 at 2:42 pm. Resident #1 reported that atthe beginning of the day he/she had a fight with another resident that day, who was later pickedon by Resident #5. Resident #1 said she/he told his/her counselor about the issue and thecounselor spoke with Resident #5. Resident #1 said later that day Resident #2 came to his/herroom and threatened him/her. Resident #1 said he/she got angry and ran down the hall toResident #2's room. Resident #1 said they started fighting and all he/she can remember is beingattacked by others. Resident #1 said Staff A was trying to keep Resident #2 off of him/her, whileStaff B was trying to enter the room. Resident #1 stated that some residents blocking the door.Resident #1 said residents were hitting him/her. Resident #1 said he/she went to the hospital andwas diagnosed with a broken nose and swelling. Resident #1 said Staff A and B took him/her tothe emergency room. Resident #1 said he/she blacked out a little when he/she was hit to thehead. Resident #1 reported that staff knew he/she was getting angry throughout the day, but StaffA did what he/she could. Resident #1 said he/she told his/her counselor that day that he/she wasbeing antagonized by Resident #5. Resident #1 said he/she thinks that Staff A knew about theproblems he/she was having and that's why Staff A came to the room to talk. Resident #1 saidStaff C didn't get in the room, but Staff B was trying to keep people out of the room.Interview with Staff C was conducted on 6/28/2010 at 3:00 pm. Staff C said on June 10th, he/shenoticed something was going on when Resident #1 broke a window. Staff C said Staff A was withResident #1. Staff C said he/she was floating around the dorms when he/she heard yelling. StaffC said Resident #2 was in the hallway when Resident #1 made it into Resident #2's room. Staff Csaid it was a "mad rush" between residents and staff going to the room. Staff C said when he/shemade it in the room, he/she saw Resident #2, #3, and #4 beating on Resident #1. Staff C statedthat he/she grabbed the shoulder of Resident #3 while Staff A was shielding Resident #1. Staff Csaid Resident #3 was able to break free and kick Resident #1. Staff C said Staff B came in theroom after having some trouble entering due to residents blocking the doorway. Staff C said StaffB was able to get Resident #4 to leave the room. Staff C said he/she didn't know the cause of thefight and did not know there was tension going on that day. Staff C said he/she was with a groupof residents earlier that day when Resident #1 accidentally hit one of the residents with a stick.Staff C said he/she was told later that this was the cause of the tension throughout the day. StaffC recalled that there were approximately 27-30 residents present on the day of the incident andthere were 4 staff members assigned to that dorm. Staff C said he/she is not sure if all four staffmembers were present, but one could have been administering medication at that time.Page 3 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsInterview with Resident #2 was conducted on 6/28/2010 at 3:15 pm. Resident #2 stated thathe/she doesn't feel like staff did their job, because it took staff 5 minutes to intervene with thefight. Resident #2 reported that Resident #1 started the fight by coming after him/her. Resident #2said Resident #1 charged at him/her and there was no staff around. Resident #2 said Resident #1struck first and he/she doesn't remember what happened next. Resident #2 said he/she doesn'tremember how the fight ended because he/she "pretty much blacked out."Interview with Resident #4 was conducted on 6/28/2010 at 3:25 pm. Resident #4 did report thatstaff could have done more because they knew Resident #1 was "heated" that day, but they justlet everything unfold.Interview with Resident #3 was conducted on 6/28/2010 at 3:29 pm. Resident #3 stated that theday of the incident his/her roommate, Resident #5, came to him/her and said he/she was afraidthat Resident #1 would kill him/her. Resident #3 said later that night he/she and Resident #2asked Resident #1 why was he/she threatening Resident #5. Resident #3 said he/she was inResident #4's room when he/she heard a crash and screaming. Resident #3 said he/she sawResident #1 run by the room. Resident #3 said someone said that Resident #1 just broke awindow and was trying to attack Resident #2. Resident #3 said Resident #2 is one of his/her bestfriends and he/she thought about Resident #1's threats to others. Resident #3 said he/she wasafraid that Resident #1 would injure Resident #2. Resident #1 said he/she was thinking thatResident #1 had a piece of glass from the broken window. Resident #3 then admitted that he/shepushed Resident #1 away from Resident #2 and Resident #1 turned around and hit him/her.Resident #3 said he/she got angry and hit Resident #1 multiple times. Resident #3 said staffintervened when Resident #1 was on the floor knocked out. Resident #3 said Staff B waswatching at the door, and Staff C had his/her arm around Resident #3's body. Resident #3 saidhis/her arms were by his/her side in the hold by Staff C. Resident #3 indicated he/she stoppedfighting at that point. Resident #3 said it could have been prevented because staff knew Resident#1 was angry that day. Resident #3 said the counselor talked with Resident #5 and told him/herthat Resident #1 threatened to kill him/her. Resident #3 said he/she is not sure how many staffmembers were present this day or how long it took Staff A to enter the room.Interview with Staff B was conducted on 6/29/2010 at 2:50 pm. Staff B reported that all day therewere rumors about Resident #1 wanting to beat up Resident #5 and that Resident #5's friendswent into Resident #1's room and asked why he/she was threatening Resident #5. Staff Breported that Resident #1 got angry and Staff A tried to speak with Resident #1. Staff B indicatedthat Resident #1 threw a chair at the window and Staff B was standing in the doorway. Staff BPage 4 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection Resultssaid Resident #1 then came out of the room forcefully and pointed at Resident #2. Staff Bindicated that Resident #1 and #2 went into the room and Staff A and B ran down the hallwayafter them. Staff B said the other residents were there and Staff B stood over Resident #1. Staff Breported that Resident #3 and #4 were in the room kicking Resident #1. Staff B said she/he wentbehind Resident #4 and took him/her by the arm. Staff B said Resident #4 left the room. Staff Bsaid she/he doesn't know what Staff C was doing because everything happened so quickly. StaffB said she/he doesn't think that Staff C physically restrained anyone. Staff B said she/he did notuse a TACT2 restraint, she/he just took Resident #4 by the arm to escort out the room. Staff Bsaid Resident #4 wasn't fighting back. Staff B said Resident #4 was the only one she/hephysically touched. Staff B reported that Resident #4 is his/her size and has a good rapport withhim/her, so it was easier to get Resident #4 out of the room. Staff B said Resident #3 followedand then Resident #2 exited the room. Staff B said Staff A got Resident #1 out of the room. Staff Bindicated that there were about 35 residents total in the dorm this day. Staff B said there were 3staff members in the room. Staff B said one staff member was administering medication withabout 10 other residents. Staff B said 2 hours before the actual fight, a resident approached acounselor and said it might be a fight and Resident #1 should be monitored. Staff B said Resident#1's counselor told the leader of the reflections group (where Resident #1 was located at thetime). Staff B said the group leader sent Resident #5 off campus to keep his/her separated fromResident #1. Staff B reported that Staff A was waiting to speak with Resident #1 after thereflections group. Staff B reported that Resident #1 was supervised close that day, but by thetime he/she got into the dorms he/she was beyond calming. Staff B reiterated that one staffmember was dispensing medication at the time of the fight and one staff member was monitoringthe residents that were waiting for medication. Staff B said she/he did not have to physicallyrestrain anyone. Staff B stated that the ratio is typically 4 staff to 30 residents, but sometimesthere are just 3 staff members. Staff B said as far as she/he knew, staff was talking aboutmonitoring Resident #1 that day. Staff B said she/he was standing in the doorway of the roomwhen Resident #1 came out forcefully, but due to the size difference, she/he moved and couldonly follow Resident #1. Staff B said the incident happened fast and the residents moved towardthe room quickly. Staff B said the residents wouldn't move and hs/he had to push his/her waythrough the door to enter the room. Staff B said the fight started about 30 seconds before she/heentered the room.Page 5 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultR 1003 290-2-5-.10(b) Assessment and Planning.SS=CA service and room, board and watchful oversight plan shall be developed by the child's Human ServicesProfessional in concert with the child's primary Child Care Worker, meaning the worker who has responsibility forsupervision of the child in the livingThis Requirement is not met as evidenced by:Based on record review and staff interview, the agency failed to have completed Service, Room,Board, and Watchful Oversight plans to include activities to be followed by staff in pursuit ofstated goals and objectives for two of four plans reviewed.Findings IncludeReview on 6/28/2010 at 4:00 pm of Resident #1's Individual Service Plan, dated 5/11/2010,revealed that the plan did not include activities to be followed by staff in pursuit of stated goalsand objectives. Resident #1 was admitted nearly two months ago.Review on 6/28/2010 at 4:00 pm of Resident #4's Individual Service Plan, dated 2/11/2010,revealed that the plan did not include activities to be followed by staff in pursuit of stated goalsand objectives. Resident #4 was admitted nine months ago.During interview with Staff D on 6/28/2010 at 4:56 pm, he/she acknowledged the findings.This rule was previously cited on 12/10/2009 and 12/3/2008.Page 6 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsR 1011 290-2-5-.10(d) Assessment and Planning.SS=FThe service and room, board and watchful oversight plan shall be updated by the Human Services Professional ata minimum of every six months and pertinent progress notes and data shall be incorporated in the plan tomeasure attainment of stated goals andThis Requirement is not met as evidenced by:****Based on record review and staff interview, the agency failed to ensure that the ServiceRoom, Board, and Watchful Oversight Plan is updated by the Human Services Professional at aminimum of every six months for one of four files reviewed.Findings IncludeReview on 6/28/2010 at 4:00 pm of Resident #2's individual Service Plan, dated 10/30/2009,revealed that the plan is outdated. Resident #2 was admitted over eight months ago.During interview with Staff D on 7/16/2010 at 2:42 pm, he/she acknowledged the findings afterhe/she checked the agency's data base for the current plan.This rule was previously cited on 12/10/2009 and 12/3/2008.R 1402 290-2-5-.14(1)(b)2. Behavior Management.SS=DSuch Behavior management policies and procedures shall incorporate the following minimum requirements: ...Page 7 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection Results2. Behavior management shall be limited to the least restrictive appropriate method, as described in the child'sservice plan pursuant to RuleThis Requirement is not met as evidenced by:Based on record review and staff interview, the agency failed to ensure that behaviormanagement is limited to the least restrictive appropriate method, as described in the child'sRoom, Board, and Watchful Oversight Plan and in accordance with the prohibitions as specifiedin the rules and regulations.Findings IncludeInterview with Resident #2 was conducted on 6/2820/2010 at 3:15 pm. Resident #2 said he/shedoesn't remember what happened during the incident, but he/she knows that he/she was in afight. When asked if he/she received a consequence for fighting, Resident #2 indicated that staffsent him/her to the wilderness intervention program for 8 days.Review on 6/28/2010 at 4:00 pm of Resident #2's Individual Service Plan, dated 10/30/2009, didnot reveal that the wilderness intervention program would be used as a behavioral managementmethod.Interview with Resident #4 was conducted on 6/28/2010 at 3:25 pm. When asked if he/shereceived a consequence for involvement with the physical altercation, Resident #4 said first staffspoke with him/her then he/she was sent to the wilderness intervention program for 8 days.Resident #4 reported that the wilderness program is not on campus. It consists of a tavern andthe residents sleep on wooden boards.Review on 6/28/2010 at 4:00 pm of Resident #4's Individual Service Plan, dated 2/11/10, did notreveal that the wilderness intervention program would be used as a behavioral managementmethod.Interview with Resident #3 was conducted on 6/28/2010 at 3:29 pm. Resident #3 stated that on6/10/2010, Resident #5 came to him/her and said he/she was afraid that Resident #1 would killhim/her. Resident #3 said later that night he/she and Resident #2 asked Resident #1 why washe/she threatening Resident #5. Resident #3 said he/she was in Resident #4's room when he/sheheard a crash and screaming. Resident #3 said he/she saw Resident #1 run by the room.Resident #3 said someone said that Resident #1 just broke a window and was trying to attackPage 8 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsResident #2. Resident #3 said Resident #2 is one of his/her best friends and he/she thought aboutResident #1's problems and remembered Resident #1 threatened others. Resident #3 said he/shewas afraid that Resident #1 would injure Resident #2. Resident #1 said he/she was thinking thatResident #1 had a piece of glass from the broken window. Resident #3 then admitted that he/shepushed Resident #1 away from Resident #2 and Resident #1 turned around and hit him/her.Resident #3 said he/she got angry and hit Resident #1 multiple times. Resident #3 said he/shewas sent to the wilderness intervention program and slept on a flat sheet of wood. Resident #3said he/she was in the wilderness intervention program for 1 week.Review on 6/28/2010 at 4:00 pm of Resident #3's Individualized Service Plan, dated 4/1/2010, didnot reveal that the wilderness intervention program would be utilized as a behavioralmanagement method.During interview with Staff D on 6/28/2010 at 3:46 pm, Surveyor asked about the wildernessintervention program. Staff D reported that wilderness intervention is used as a behaviormanagement technique.Review on 6/28/2010 at 5:00 pm of the agency's Wilderness Intervention Curriculum, revealed aform labeled "Odds and Ends". This form states the following: "Students are responsible formaintaining their gear, equipment, and personal hygiene. If students break, lose, or do notmaintain equipment--they may have to do without (Stay within policies and procedures, andsafety). Keep wilderness student off main campus. No student is allowed in the shelter untilcompletion of Solo." This form also indicates that tents are utilized.Review on 6/28/2010 at 5:00 pm of the agency's Wilderness Initiative Daily Schedule, revealedexamples of rewards given to residents which includes: extra sleeping pad, pillows. Theschedule dated May 3, 2010 indicates the following: "solo starts at 9:00 pm, students can onlycommunicate with staff, journal about life goals, and objectives."Cross reference Tag 840Page 9 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultR 1808 290-2-5-.18(2)(c) Physical Plant and Safety.SS=DEach child shall be provided his or her own personal bed and mattress that is no shorter than the child's heightand at least thirty inches wide. Clean sheets, pillows and pillow cases, blankets or bed covering shall be providedand sheets and pillow caseThis Requirement is not met as evidenced by:Based on record review and staff interview, the agency failed to ensure that each child shall beprovided his/her own personal bed and mattress with pillows, blankets or bed covering.Findings IncludeReview on 6/28/2010 at 5:00 pm of the agency's Wilderness Initiative Daily Schedule, revealedexamples of rewards given to residents which includes extra sleeping pad and pillows.Interview with Resident #4 was conducted on 6/28/2010 at 3:25 pm. When asked if he/shereceived a consequence for involvement with the physical altercation, Resident #4 said that firststaff spoke with him/her then he/she was sent to the wilderness intervention program for 8 days.Resident #4 reported that the wilderness program is not on the campus. It consists of a tavernand the residents sleep on wooden boards.Interview with Resident #3 was conducted on 6/28/2010 at 3:29 pm. Resident #3 stated that on6/10/2010, he/she pushed Resident #1 away from Resident #2 and Resident #1 turned around andhit him/her. Resident #3 said he/she got angry and hit Resident #1 multiple times. Resident #3said he/she was sent to the wilderness intervention program as his/her consequence and slepton a flat sheet of wood. Resident #3 said he/she was in the wilderness intervention program for 1week.R 9999 Closing Comments.Page 10 of 11More Information Return to Facility Location and Information Guide Return to Inspection ScreenGeorgia Department of Human Resources,Office of Regulatory Services State FormStatement of Deficienciesand Plan of CorrectionInspection begin dateInspection end date:6/28/20107/21/2010Name of Provider or SupplierRIDGE CREEK, INCStreet Address, City, State Zip Code830 HIDDEN LAKE RDDAHLONEGA, GA 30533Inspection ResultsAn exit conference was conducted onsite. There was one rule violation related to self reportedincident #GA00083346. There were four rule violations found during the investigation. Thepreliminary report was mailed on 7/12/2010. The plan of correction is due ten days after thereceipt of this report.Page 11 of 11More Information Return to Facility Location and Information Guide Return to Inspection Screen
Just for clarification sake for those of you who don't actually have the insight that I do, the majority of the students at RCS are actually NOT inner city. Another point is that my daughter attended that school and luckily we were able to get her out of there. All of this is true, as well as incident in Dec. with my daughter, where she was severely beaten, at the same time as a counselor. Gues who had to pay the medical expenses ? I did, because the privacy rights, of the other student had to be protected, as well as even though inadequate staffing allowed for this to occur, RCS did not pay. Two points : 1) after reading these posts I definitely am pursuing legal action. 2) This school needs to be shut down immediately. The kids are running that place. Nearly all the kids are having sex in the dorms, in the bathrooms at the SAC, in the bathrooms in the "school" bldg, everywhere ! Poor education, unqualified staff, abuse and many other incidents. Some families are selling their homes and spending life savings to send their children there. Obviously filing complaints does not work. I also have reason to believe drug trafficking as I have filed complaints on this already. Complete mismanagement of medication, unmarked bottles, little baggies of drugs and no original prescriptions to be found. I gladly will provide more information on the specifics of the numerous incidents at RCS. All the children's health and safety are in danger there. Due to confidentiality, I have no contact information for any other parents, but to hope that they google and find this site. Nov 2009 to May 31, 2010 my daughter was at that "school". I am now paying for counseling for her to be treated for the trauma received from that school, in addition to the issues that were present prior to her attending. Having met many of the parents, during this time, they are most definitely not inner city. It is a sad situation. I do hope that this school gets shut down as soon as possible, and hopefully can refund me some of my money to put towards continued care now. Any attorney's please feel free to send me your information. So far the two I have seen are in LA and TX. I am in Nashville, TN.