| 340:110-3-154.5(d)(2) | In accordance with state law, insurance verification is kept in the vehicle used to transport residents. | Current insurance documentation not located in program vehicle. | Current insurance verification will be placed in program vehicle. | 02/11/2025 | No |
| 340:110-3-157(h) | Bathrooms. Bathrooms are maintained in a clean and sanitary condition with adequate ventilation. | Bathroom presented with stains on wall, rust stains appear on caulking around top of tub and sink and toilet needs to be cleaned. | Bathroom will be cleaned to remove stains and debris from wall, tub area, toilet and sink. | 02/11/2025 | No |
| 340:110-3-153.1(g)(1) | References. The program obtains three references for personnel prior to employment. Copies are maintained in the employee's personnel record. | One personnel with references obtained after hire. | Program will obtain three references prior to hire for all employees. | 02/11/2025 | No |
| 340:110-3-153.1(h)(1)(C) | personnel applicants, prior to hire; however, the program may hire individuals, when: | One personnel with result obtained after being hire. | Program will obtain result from OBI that is complete, preliminary or an exception prior to hiring personnel. | 02/11/2025 | Yes |
| 340:110-3-153.1(l) | Orientation. Personnel receive orientation after employment date and within 30-calendar days of employment. | One personnel employed for more than 30 days have not completed orientation. | Personnel identified will complete orientation and verification submitted to licensing. | 02/21/2025 | No |
| 340:110-3-153.1(m)(2) | Social services personnel, including licensed mental health professionals and those providing casework services, obtain at least 12-clock hours professional development annually. Hours are prorated at one hour per month for personnel not employed for a full-calendar year. The content pertains to the position roles and responsibilities. | One personnel without verification of annual training for 2024. | Documentation for personnel identified will be submitted to licensing. | 02/14/2025 | No |
| 340:110-3-153.1(m)(5) | Within 90-calendar days of employment, and prior to being solely responsible for residents, child care personnel and support personnel providing occasional instruction to residents provide current certification in OKDHS-approved behavioral intervention techniques, to include | One personnel without verification of required TCI training. | Personnel identified will obtain required TCI training and documentation will be submitted to licensing. | 02/21/2025 | No |
| 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; | Four personnel information forms were not submitted within two weeks of hire date. | Personnel forms are to submitted to licensing for all employees. | 02/14/2025 | No |
| 340:110-3-153.1(o)(2)(F) | annual performance evaluation reports and notes relating to the individual's program employment; | One personnel without verification of annual evaluation being performed for 2024. | Documentation for personnel identified will be submitted to licensing. | 02/14/2025 | No |
| 340:110-3-153(c)(2) | When completed, a copy of the auditor's letter including a statement verifying the programs financial records accurately reflect its financial operations per generally accepted accounting principles, is submitted to Licensing. | Financial audit letter was not available at the time of this visit. | Program will submit documentation to licensing. | 02/21/2025 | No |