More Disturbing ORS Reports

[Guest3]

Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
11/8/2010
1/13/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
As of: Saturday, February 26, 2011
R 0000 Opening Comments.
The purpose of this visit was to investigate 88739 linked to 88735.
R 0840 290-2-5-.08(6) Staffing.
SS=F
Staffing. 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
This Requirement is not met as evidenced by:
****Based on record review, resident and staff interviews, the agency failed to provide for the
needs, care, protection, and supervision of the children in care.
Findings Include:
Incident #1
(1) During an interview on November 8, 2010 at about 12:39 PM with Resident #1, Resident #1
indicated she/he had engaged in consensual sexual activity with Resident #2 in the school
bathroom on 10-21-2010. Resident #1 indicated that two weeks prior to the incident on 10-21-10,
Resident #1 and Resident #2 engaged in sexual activity several times in various locations on
campus in which one incident (date unknown) occurred behind a tree on the soccer field while
another incident occurred (date unknown) on the downstairs balcony lodge. Resident #1
indicated that there was neither staff supervision nor witnesses to either of the incidents.
(2) During an interview on January 13, 2011 at about 4:15 PM with Resident #3, Resident #3
indicated that she/he was informed by Resident #2 that Resident #2 had engaged in several
sexual encounters with Resident #1 on the campus to include sexual activity which occurred on
the soccer field.
(3) Record review on November 8, 2010 of Incident Report dated 10-22-2010 completed by Staff C,
Page 1 of 3
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Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
11/8/2010
1/13/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
As of: Saturday, February 26, 2011
Staff C documented that she/he received notification of a report of two residents who had
engaged in sexual activity in the bathroom at school. An investigation was conducted and
camera records were reviewed on 10-21-2010 which revealed that around 8:17 AM Resident #1
was observed entering the girls bathroom and approximately 2 minutes later Resident #2 was
observed entering the same bathroom. The residents were observed 8 minutes later exiting the
bathroom and returning to their respective classrooms. There was no staff present to monitor the
residents as they went to the bathroom.
0
(4) During an interview on November 8, 2010 at about 1:06 PM with Staff A, Staff A indicated that
it is the agency's protocol that residents are not allowed to go to the bathroom during class (they
have designated breaks). However, if they are allowed to go to the bathroom during class, then
the teachers are to notify staff in order to monitor residents in the hallway. The protocol was not
followed and the residents were allowed to go to the bathroom unsupervised.
Incident #2
(5) Record review on November 8, 2010 of Incident Report dated 10-21-2010 revealed that
Resident #2 was placed on one to one staff escort after displaying suicidal ideations/attempts
several times during the day. The incident report indicated that on 10-21-2010 an emergency
safety intervention was utilized to prevent Resident #2 from causing harm to him/herself.
Resident #2 was placed on staff escort pending transport and admission to a treatment facility. In
addition, a review of Incident Report dated 10-22-2010 indicated that Resident #2 went to the
bathroom, while still on one to one staff escort, followed by another resident (unknown) who
found Resident #2 with a cord around his neck. Neither of the residents were escorted by staff to
the bathroom. The unknown resident then sought staff assistance who was able to cut Resident
#2 down before she/he lost consciousness. Resident #2 did not suffer any injury. Resident #2
was transported to the hospital for evaluation in which she/he was 1013'd.
(6) During an interview on November 8, 2010 at about 11:13 am with Staff B, Staff B indicated that
Resident #2 has a history of self injurious behaviors which occurred several months prior to the
incident on 10-22-10. Resident #1 had not exhibited any suicidal ideations since August 2010.
Resident #2 was placed on supervision precaution after exhibiting suicidal ideations a couple of
days prior to the incident.
This rule was previously cited on 09-09-2010 and 07-21-2010.
Page 2 of 3
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Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
11/8/2010
1/13/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
As of: Saturday, February 26, 2011
R 9999 Closing Comments.
A brief exit conference was conducted on December 4, 2010. A preliminary report was e-mailed to
the agency on December 10, 2010. A formal written plan of correction is due to the surveyor 10
days after receipt of this final Statement of Deficiencies.
Page 3 of 3
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[Guest3]

Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
11/23/2010
12/9/2010
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
As of: Saturday, February 26, 2011
R 0000 Opening Comments.
The purpose of this survey is to conduct an investigation for self reported incident #GA00089613
and self reported incident #GA00089358.
R 0861 290-2-5-.08(7) Staffing.
SS=B
Reporting. 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.
This Requirement is not met as evidenced by:
Based on record review and staff interview, the agency failed to submit a detailed written
summary report to the Office of Residential Child Care within 24 hours for one of two incidents
reviewed. #GA89358
Findings Include
1) Review on 11/23/2010 at 8:00 am of intake report, submitted on 11/8/2010, revealed that on
11/4/2010 at 10:00am, Resident #1 reported to staff that on 10/29/10 Resident #2 got into his/her
bed and performed a sexual act on him/her. This report stated that Resident #1 said Resident #2
threatened him/her if he/she told anyone.
2) During interview with Staff A on 11/23/2010 at 3:15 pm, he/she stated that this incident was
reported outside the 24 hours requirement because he/she didn't think the incident was
reportable until after the police were involved.
3) Review on 11/23/2010 at 2:20 pm of Resident #2's Incident Report, dated 10/17/2010, revealed
that he/she grabbed another resident inappropriately because the resident sat on Resident #2's
face without clothing on. This report stated that the other resident was bleeding as a result of
Resident #2 pinching him/her.
Page 1 of 4
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Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
11/23/2010
12/9/2010
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
As of: Saturday, February 26, 2011
4) Review on 11/23/2010 at 2:20 pm of Resident #4's incident report, dated 9/3/2010 at 11:15 pm,
revealed that Resident #4 had scratches from his/her wrist to his/her elbow on the inner side of
his/her left forearm. This report stated that Resident #4 said he/she wanted to use glass, but was
on 1:1 supervision all day. According to this report, Resident #4 had done the self harming with
a rock and hid it in his/her underwear. This report stated that a full body search was conducted
and a quarter size rock with blood was recovered. The scratches were cleaned and wrapped.
5) Review on 11/23/2010 of Resident #4's incident report, dated 9/7/2010, revealed that staff
entered the academic building and noticed Resident #4 holding his/her arm and showing signs of
pain. The report indicated that staff noticed Resident #4's forearm was bleeding and Resident #4
stated that he/she picked at scars to reopen his/her wounds. The staff cleaned and bandaged
Resident #4's arms.
6) Review on 12/9/2010 at 9:00 am of Aspen Complaints/Incident Tracking System, revealed that
the 9/3/2010, 9/7/2010, and 10/17/2010 incidents were not reported to the Office of Residential
Child Care.
On 12/9/2010 at 3:19 pm via, Staff A was informed of the citation for not reporting the 9/3/2010,
9/7/2010, and 10/17/2010 incidents.
This tag was previously cited on 9/9/2010.
R 0862 290-2-5-.08(7)(a-g) Staffing.
SS=B
This [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;
(
Page 2 of 4
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Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
11/23/2010
12/9/2010
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
As of: Saturday, February 26, 2011
This Requirement is not met as evidenced by:
Based on record review and staff interview, the agency failed to submit a report regarding
serious occurrences involving children in care.
Findings Include
1) Review on 11/23/2010 at 2:20 pm of Resident #4's incident report, dated 9/3/2010 at 11:15 pm,
revealed that Resident #4 had scratches from his/her wrist to his/her elbow on the inner side of
his/her left forearm. This report stated that Resident #4 said he/she wanted to use glass, but was
on 1:1 supervision all day. According to this report Resident #4 had done the self harming with a
rock, which he/she hid in his/her underwear. This report stated that a full body search was
conducted and a quarter size rock with blood was recovered. The scratches were cleaned and
wrapped.
2) Review on 11/23/2010 of Resident #4's incident report, dated 9/7/2010, revealed that Resident
#4 had self harmed. This report stated that Staff entered the academic building and noticed
Resident #4 holding his/her arm and showing signs of pain. The report indicated that the staff
noticed that Resident #4's forearm was bleeding and Resident #4 stated that he/she picked at
scars to reopen his/her wounds.
3) Review on 11/23/2010 at 2:20 pm of Resident #2's Incident Report, dated 10/17/2010, revealed
that he/she inappropriately touched a resident because the resident sat on Resident #2's face
without clothing on. This report stated that the other resident was bleeding as a result of
Resident #2 pinching.
4) Review on 12/9/2010 at 9:00 am of Aspen Complaints/Incident Tracking System, revealed that
the above three incidents were not reported to the Office of Residential Child Care.
On 12/9/2010 at 3:19 pm via email correspondence, Staff A was informed of this citation.
This tag was previously cited on 9/9/2010.
R 9999 Closing Comments.
Page 3 of 4
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Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
11/23/2010
12/9/2010
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
As of: Saturday, February 26, 2011
An exit conference was conducted onsite on 11/23/2010 and offsite on 12/9/2010. There were two
citations found during the investigations. There was one citation related to the self reported
incident #GA00089358. There were no citations related to the self reported incident
#GA00089613. The preliminary report was e-mailed on 12/2/2010. The final report was e-mailed on
12/22/2010 and plan of correction is due 1/7/2011.
Page 4 of 4
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[Guest3]

These reports are so disturbing. Why wasn't the attempted suicide called into 911? You have a 16 year old kid RAPE a 12 year old girl and it's not reported until two weeks later???

PARENTS: Someone is going to die at RCS. I hope it's not your child.