This is a first pass and there may be items that are missing and/or I may not have seen all the ORS Reports. I will provide links to all the reports but they are presently scattered about the forum.
My notes are in Blue
Summary of ORS Reports for RCS year ending 2010:
Staffing:
A) The institution shall have sufficient numbers of qualified and trained staff as required by these rules to provide for the needs, care, protection, and supervision of children. All staff and volunteers shall be supervised to ensure that assigne
• 1/26/2010 – 3/30/2010 – Kids got out of hand over racial slur.
• 6/28/2010 – 7/21/2010 – Resident threw computer and attacked another resident.
• 9/1/2010 Sexual activity among residents, fractured head
Reporting:
A) Detailed written summary reports shall be made to the Department of Human Resources, Office of Regulatory Services, Residential Child Care Unit via email or fax on the required incident intake information form (IIIF) within 24 hours.
• 1/26/2010 – 3/30/2010 Based on file review and staff interview , the agency failed to submit a detailed written summary report to the Department of Human Resources, Office of Regulatory Services, Residential Child Care Unit within 24 hours. Police called and children were arrested.
• 9/1/2010 Not reporting accidents, mis medication administered
• 11/23/2010 – 12/9/2010 -- Based on file review and staff interview , the agency failed to submit a detailed written summary report to the Department of Human Resources, Office of Regulatory Services, Residential Child Care Unit within 24 hours. Kids sexually attacking each other and girl cutting herself.
Behavior Management:
A) Residents shall not be permitted to participate in the behavior management of other residents or to discipline other residents, except as part of an organized therapeutic self-governing program in accordance with accepted standards of practice that is con
• 1/26/2010 – 3/30/2010 – Based on file review and staff interview, residents were allowed to participate in the behavior management of other residents. Fight in Movie room over racial slur.
B) Behavior management shall be limited to the least restrictive appropriate method, as described in the child's service plan pursuant to Rule
• 6/28/2010 – 7/21/2010 -- 8 days in wilderness for fighting.
Emergency Safety Interventions:
• 1/26/2010 – 3/30/2010 - Based on file review and staff interview the agency failed to document provisions for the documentation of each use of an emergency safety intervention. Fight in the Movie Room.
• 9/1/2010 Based on review of resident files and staff interview, the agency failed to ensure when an emergency safety intervention (ESI) is utilized, staff is trained in the proper use of such
interventions in one of one file reviewed;
Based on record review and staff interview, the agency failed to submit to the Department within 24 hours in which three or more instances of emergency safety interventions of a specific child occurred and/or whenever the institution has had a total of 10 emergency safety interventions (ESIs) for all children in care within the 30-day period;
Assessment and Planning:
A) A service and room, board and watchful oversight plan shall be developed by the child's Human Services Professional in concert with the child's primary Child Care Worker, meaning the worker who has responsibility for supervision of the child in the living.
• 6/28/2010 – 7/21/2010 --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.
• 9/1/2010 -- Based on review of resident files and staff interview, the agency failed to develop a complete service and room, board and watchful oversight (SRBWO) plan in four of five files reviewed;
Physical Plant and Safety:
A) Each child shall be provided his or her own personal bed and mattress that is no shorter than the child's height and at least thirty inches wide. Clean sheets, pillows and pillow cases, blankets or bed covering shall be provided and sheets and pillow case.
• 6/28/2010 – 7/21/2010 – no mattress in wilderness
Administration and Organization:
A) Program Description and Implementation. In accordance with these rules and regulations, a licensed child caringinstitution shall develop, implement and comply with written policies and procedures that describe the range ofservices including room, board
• 9/1/2010 Bases on record review and staff interview, the agency failed to develop and comply with policies and procedures as to how services will be provided by the facility;
Wrong medication was administered.
Recordkeeping. Personnel Records:
A) Documentation of at least two professional, educational, or personal references that attest to the person's capabilities of performing the duties for which they are employed and to t
• 9/1/2010 Based on a review of personnel files and staff interview, the agency failed to document at least two professional, educational, or personal references that attest to the person's capabilities of performing the duties for which they are employed and to the person's suitability of working with or around children in four of ten files reviewed.
Maintenance of files
B) Satisfactory preliminary criminal history background check determination and a satisfactory fingerprint records check determination as required by law for the director and foster par
• 9/1/2010 Based on a review of resident files and e-mail correspondence with staff, the facility failed to document a satisfactory preliminary criminal history background check on adults aged eighteen
or older who reside at the home;
C) Documentation of orientation and training, including dates of all such training, as required by Rule .08(6)(d) of these rules;
• 9/1/2010 Based on review of personnel files and staff interview, the agency failed to document orientation and training in eight of ten files reviewed;
Staff were trained but not documented.
Health Services:
A) Such [general physical] examination shall be done by a medical doctor, physician's assistant, or public health department and shall include basic diagnostic laboratory work, including but not limited to a Complete Blood Count (CBC) and basic urinanalysis;
• 9/1/2010 Based on review of resident files and staff interview, the agency failed to document a Complete Blood Count (CBC) in five of fourteen files reviewed. In addition, the agency failed to document that a basic urinanalysis (UA) was included in the physical examination in twelve of fourteen files reviewed;
B) A general dental examination of the child shall be provided for unless such an examination has been completed within six months prior to admission. Such examinations shall be done by either a dentist or a dental hygienist that is employed by the department
• 9/1/2010 Based on review of resident files and staff interview, the facility failed to document a dental exam dated less than six months prior to admission or within thirty days after admission in four of fourteen files reviewed;
C) Prescription medications shall only be given to a child as ordered in the child's prescription. An institution shall not permit such medications prescribed for
• 9/1/2010 Based on record review and staff interviews, the agency failed to ensure that prescribed medications for one child shall not be given to another child.
D) Psychotropic medications. No child shall be given psychotropic medications unless use is in accordance with the goals and objectives of the child's service plan.
• 9/1/2010 Based on record review and interviews with staff, the facility failed to administer residents' psychotropic medications in accordance with the goals and objectives of the child's service plan in one of one incidents reviewed.
E) Psychotropic medication shall only be given to a child as ordered in the child's prescription. An institution shall not permit such medications prescribed for on
• 9/1/2010 -- Based on record review, review of agency medication policy and staff interviews, the agency failed to ensure medication was given to a child as ordered by the physician in one of one file reviewed;
F) The prescribing physician shall be notified in cases of dosage errors, drug reactions, or if the psychotropicmedication does not appear to be effective. ...
• 9/1/2010 Based on record review and interviews with staff, the facility failed to notifying a child's attending physician in cases of dosage errors, drug reactions, or if the prescription medication does not appear to be effective to in 255 of 255 incidents reviewed.
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