Summary of Facility Monitoring
Facility Name: Excel Academy Date: 11/6/2026 Time: 6:09:50 AM
Case Number: K850054309



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Program Name Excel Academy Director Christopher Frisillo
Location 100 Sawmill Road

Kansas, Oklahoma 74347
E-Mail Address chris.frisillo@gmail.com
Program Phone (918) 504-0499 County of Facility Adair
Program Type Residential Program Subtype Residential
Residential Specialist Name Elizabeth Patterson Residential Specialist
Phone Number
(918) 776-7411
Capacity 10 Services Provided


Monitoring Summary since 11/6/2023
Listed below are the non-compliances OBSERVED during a visit. The regulation, its description, the non-compliance observed according to the regulation, and a plan of corrective action are all provided. The column "NRS" indicates Numerous, Repeated and/or Serious non-compliances with Licensing Requirements.
Visit Date 8/25/2026 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(m)(3)(E)When residents are in care on the facility premises or on a program-sponsored field trip, at least one personnel is present with current age-appropriate first aid and cardio-pulmonary resuscitation (CPR) documentation. All other child care personnel obtain and maintain age-appropriate first aid and CPR within 90-calendar days of employment. CPR and first aid training are conducted by a certified instructor from an OKDHS-approved source.One staff with no First Aid within 90 days of employment date. Current staff will have First Aid completed and program will notify Licensing. 09/08/2026No

Visit Date 4/7/2026 Visit Type Full Purpose of Visit Periodic
No non-compliances observed

Visit Date 12/11/2025 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(m)(3)(E)When residents are in care on the facility premises or on a program-sponsored field trip, at least one personnel is present with current age-appropriate first aid and cardio-pulmonary resuscitation (CPR) documentation. All other child care personnel obtain and maintain age-appropriate first aid and CPR within 90-calendar days of employment. CPR and first aid training are conducted by a certified instructor from an OKDHS-approved source.4 current staff with expired CPR and First Aid; one current staff with expired CPR. Staff will have current CPR and First Aid and maintain. Program will notify Licensing when completed. 12/19/2025No
340:110-3-157(h)(3)Hand sinks, bathtubs, and showers have cold and hot water with temperatures between 100 and 120 degrees Fahrenheit.Main lodge - bedroom 1 - bathroom - no hot water in sink. bedroom #2 - bathroom - no hot water in right sink. Spirit lodge - bedroom #1 -left side - bathroom - no hot water in sink. Will contact a plumber to ensure sinks have hot water. Will notify Licensing when corrected. 12/11/2026No
340:110-3-154(b)(1)(B)(vi)names and dated signatures of those participating in service plan development.One resident file initial service plan not signed by all those participating in the development of the plan. Will have all signatures for service plan or request signature and place in file. Program will notify Licensing when corrected. 12/12/2025No

Visit Date 8/7/2025 Visit Type Full Purpose of Visit Periodic
No non-compliances observed

Visit Date 4/9/2025 Visit Type Full Purpose of Visit Periodic
No non-compliances observed

Visit Date 12/10/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(o)(2)(A)an OKDHS-provided personnel information sheet, completed for each personnel upon employment and submitted to Licensing within two weeks of his or her employment;One personnel information sheet not provided to Licensing within 2 weeks of employment date. Will submit personnel information forms to Licensing within 2 weeks of employment date. 12/10/2024No

Visit Date 8/27/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(m)(3)(E)When residents are in care on the facility premises or on a program-sponsored field trip, at least one personnel is present with current age-appropriate first aid and cardio-pulmonary resuscitation (CPR) documentation. All other child care personnel obtain and maintain age-appropriate first aid and CPR within 90-calendar days of employment. CPR and first aid training are conducted by a certified instructor from an OKDHS-approved source.2 staff with expired CPR and First Aid. Will have staff complete CPR and First Aid and all staff will maintain current certification. 09/15/2024No
340:110-3-165(4)(B)Means of exit are adequately lighted by natural or electric light at all times to permit safe evacuation of occupants.East exit door emergency light is not working. Will have emergency light above East exit door repaired or replaced. 09/06/2024No
340:110-3-154(b)(1)(B)(vi)names and dated signatures of those participating in service plan development.One resident file with initial plan not signed by all parties participating in the service plan. Will have initial service plan signed by all parties and placed in file 08/29/2024No
340:110-3-154(b)(2)(C)(v)names and dated signatures of review participants.One resident file with 90 day service plan not signed by all parties participating in the service plan. Will have 90 day service plan signed by all parties and placed in the file. 08/29/2024No

Visit Date 4/18/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-165(5)(B)Fire extinguishers. Fire extinguishers are provided in accordance with current adapted NFPA standard #10 "Portable Fire Extinguisher."No fire extinguisher available in the Spirit Lodge 2. Will place tagged fire extinguisher in Sprit Lodge 2. 04/18/2024No
340:110-3-157(h)(1)At least one flush toilet, hand sink, and bathtub or shower in good working condition is available for every six residents. Bathrooms are convenient to sleeping areas, living, and recreation areas.Toilet seat is loose in the bathroom on the left in Spirit Lodge 2. Will repair toilet seat in the bathroom in Spirit Lodge 2. 04/21/2024No
340:110-3-154(b)(1)(B)(vi)names and dated signatures of those participating in service plan development.Two resident files with initial service plans not signed and dated by all those participating. Will have intial service plans with all signatures and dated. 04/26/2024No
340:110-3-154(b)(2)(C)(v)names and dated signatures of review participants.One 90 day review service plan not signed by all those participating. Will have 90 day service plan with all signatures and date. 04/26/2024No

Visit Date 12/14/2023 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-163(1)(B)Windows and doors are in good repair, and free of broken glass or hazards.Window in the office located upstairs is broken out and has board covering the open area. Program has ordered plexiglass and is scheduled to be installed when it comes in. 12/24/2023No
340:110-3-153.1(m)(3)(E)When residents are in care on the facility premises or on a program-sponsored field trip, at least one personnel is present with current age-appropriate first aid and cardio-pulmonary resuscitation (CPR) documentation. All other child care personnel obtain and maintain age-appropriate first aid and CPR within 90-calendar days of employment. CPR and first aid training are conducted by a certified instructor from an OKDHS-approved source.3 staff with expired CPR and First Aid. Staff are scheduled to be recertified in CPR and First Aid and will maintain as current. 12/21/2023No




Complaint Summary since 11/6/2023
Any complaint investigation that rises to the level of abuse/neglect is referred to OKDHS Child Welfare Services for screening and investigation. All other complaint allegations are investigated by Oklahoma Child Care Services. Only substantiated complaints are available for viewing online.
Complaint Received 7/17/2026
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-153.1(b)Personnel and responsibilities. The program recruits personnel with specialized skills, knowledge, and the cultural understanding and competencies necessary for quality residential care services. Personnel demonstrate responsible behavior reasonably ensuring residents' care and safety. Personnel cooperate with Oklahoma Human Services (OKDHS) staff, including monitoring visits and investigations.Personnel: Staff making negative comments about previous staff to residents. Notice to Comply sent to the program for plan of correction. Completed Notice to Comply received with plan of correction documenting program completed training in therapeutic boundaries and professionalism in staff meeting on 07/23/2026; included showing professionalism toward youth and co-workers. Additionally, staff involved were spoken to on an individual basis regarding professionalism and gossip. Substantiated

Complaint Received 5/19/2025
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-152(f)(1)(G)incidents involving law enforcement, excluding residents absent without permission; orAdditional Non-Compliance Found During Investigation: Notifications: It was found during the course of the investigation that law enforcement was involved in the incident that occurred on 05/17/2025 and the program failed to notify Licensing within the next OKDHS-business day. Notice to Comply sent to program for plan of correction. Determined During Course of Investigation

Complaint Received 2/6/2024
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-154.2(d)Physical restraint. Restraint may only be used when less restrictive interventions, according to facility policy, have been attempted or when an immediate intervention is required to protect the resident, a staff member, or others. The restraint technique used must be the least restrictive intervention that will be effective to protect the resident or others from harm. Restraint must be discontinued at the earliest possible time. A written incident report is completed within 24-hours following each use of physical restraint.Additional Non-Compliance Found During Investigation: Improper restraint conducted on a resident.Notice to Comply received with plan of correction as staff has been directed that MAB does not utilize floor holds. Safety is our most important priority. We must follow MAB and facility protocol for containment. Staff underwent retraining immediately following the incident. Will continue to train all staff in this area. Determined During Course of Investigation