High School Diploma, the Dean of Students? High school diploma Assistant Director and Director (acting)? ORCC gave this a Scope and Severity rating of a (D).. no adverse action, no fine, nada.
Another attempted suicide violating ORCC regulations and Ridge Creek School's own admission policies. Take a guess - a child's life and it garnished a (C) in the Scope and Severity rating from the ORCC. No fine, no adverse action ... all during a time where there was/is no Director with any qualifications.
Scope and Severity rating, indeed - ORCC = "Z"
And that's my take!
THE REPORT
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
R 0000 Opening Comments.
The purpose of this visit on May 3, 2011 was to investigate 95777 linked to 95984 and 95789.
R 0524 290-2-5-.05(5) Criminal History Background Checks
SS=D
Criminal History Background Checks for Director and Employees Required. Prior to serving as a director of a
licensed institution, a person shall submit a records check application and receive a satisfactory determination.
This Requirement is not met as evidenced by:
Based on record review and staff interview, the agency failed to submit a records check
application and receive a satisfactory determination prior to staff serving as a director in two of
two personnel files reviewed (GA00095789).
Findings Include:
(1) Record review on May 3, 2011 of Staff A's file revealed that Staff A was employed 02/2011 in
the position as clinical director. Staff A received a local background check on 02-09-2011 which
indicated no record however there was no documentation on file that Staff A received a
satisfactory national background check. Staff A has been assisting in the management of the
facility since 02-09-2011.
(2) Record review on May 3, 2011 of Staff B's file revealed that Staff B was employed 03/2011 in
the position as dean of students however since 04-08-2011, Staff B has been serving in the role
as assistant director. Staff B received a local background check on 03-11-2011 which indicated
no record however there was no documentation on file that Staff B received a satisfactory
national background check.
(3) During an interview on May 3, 2011 at about 12:30 PM with Staff C, Staff C acknowledged that
a national background check had not been completed on Staff A and Staff B due to the fact that
the agency had be registered to conduct national background checks. Staff C indicated that the
agency received authorization on 05-03-2011 to submit national background checks for
Page 1 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
processing.
(4) During an interview on May 11, 2011 at about 2:21 PM with Staff A, Staff A indicated that Staff
B is no longer serving in the role as director due to the fact that she/he did not meet the
educational qualifications. Staff A also indicated that another staff member, Staff E was promoted
to assist in the management of the organization along with him/herself. Staff A further indicated
that Staff E and his/herself completed a national background check last week.
R 0803 290-2-5-.08(3)(a) Director.
SS=D
Any director employed on or after the effective date of these rules shall possess at least one of the following
qualifications:
1. A master ' s degree from an accredited college or university in the area of social sciences, social work,
childhood education, or business or public administration or a related field plus two years of experience in the field
of child care;
2. A bachelor ' s degree from an accredited college or university in the area of social sciences, social work,
childhood education, or business or public administration or a related field plus four years of experience in the field
of child care:
3. A licensed registered nurse, doctor or other health care professional where the child-caring institution chooses
to serve primarily children with special medical needs.
This Requirement is not met as evidenced by:
Based on record review and staff interview, the agency failed to document proof of director's
required education in one of two personnel files reviewed (GA00095789).
Findings Include
(1) Record review on May 3, 2011 of Staff B's file revealed that the agency did not document that
the Director possesses the necessary qualifications to manage the institution. Staff B was hired
03-02-2011 as dean of students and promoted 04-08-2011 as assistant director of the program.
There was no documentation of a bachelor's degree in the area of social sciences, social work,
childhood education, or business or public administration. A record review of Staff B's Employee
Personal Information Sheet dated 02-20-2011 documented the highest level of education was a
high school diploma.
Page 2 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
(2) During an interview on May 11, 2011 at about 2:21 PM with Staff A, Staff A indicated that Staff
B was no longer serving in the role as director as of today due to the fact that she/he did not
meet the educational qualifications. Staff A also indicated that another staff member, Staff E, was
promoted to assist in the management of the organization along with him/herself. Staff A further
indicated that Staff E and his/herself completed a national background check last week.
R 0861 290-2-5-.08(7) Reporting.
SS=C
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 Department of Human Services-Office of Residential Child Care
(DHS-ORCC) via e-mail or fax on the required incident intake information form (IIIF) within 24
hours in one of one incident reviewed (GA00095777).
Findings Include:
(1) Record review on May 3, 2011 of DHS-ORCC Intake Information form dated 04-21-2011
revealed that on April 16, 2011, Resident #1 was transported to the emergency room for a
psychiatric evaluation and medical treatment after Resident #1 displayed suicidal
ideation/attempt. This incident was not reported to the Department until 04-19-2011.
(2) Record review on May 3, 2011 of e-mail correspondence received on 04-27-2011 by Staff A,
Staff A indicated that she/he was not aware that the 24 hour time frame included weekends and
holidays.
Page 3 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
(3) During an interview on May 3, 2011 at about 11:00 AM with Staff A, Staff A acknowledged
findings.
This rule was previously cited 04-13-2011, 03-10-2011, 12-09-2010 and 09-09-2010.
R 1000 290-2-5-.10(1) Assessment and Planning.
SS=C
An institution shall complete a full written assessment of each child admitted for care and of each child's family
within thirty days of admission and develop an individual written service plan for each child based on the
assessments within thirty days of admission. If an assessment is not completed within thirty days, the reasons for
the delay shall be documented in the child's case record and such documentation shall include statements
indicating when the assessment is expected to be completed.
This Requirement is not met as evidenced by:
Based on review of resident files and staff interview, the agency failed to develop a full written
assessment and an individual service plan within thirty days of admission in one of one file
reviewed (GA00095777 linked to GA00095984).
Findings Include:
Page 4 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
(1) Record review on May 3, 2011 of Resident #1's file revealed that Resident #1 was admitted to
the facility December 2010; however the agency failed to develop a full written assessment and
an individual service plan within 30 days of admission. There was no documentation that an
assessment was completed. The agency developed an individual service plan for Resident #1 on
04-11-2011 which is four months after admission.
(2) During an interview on May 19, 2011 at about 3:35 PM with Staff A, Staff A indicated that
she/he reviewed Resident #1's file as well as therapy notes for Resident #1 in which she/he was
unable to locate any service plans for Resident #1. Staff A indicated that the service plan for
Resident #1 was developed as a result of the deficiency noted in Resident #1's file.
This rule was previously cited 12-15-2010 and 12-10-2009.
R 9999 Closing Comments.
A brief exit conference was conducted on May 3, 2011 with Staff A. There were several citations
related to the allegations. The investigation for GA00095777 linked to GA00095984 and
GA00095789 are currently pending. A preliminary report was e-mailed to the agency on May 9,
2011. Although a formal written plan of correction is not due to the surveyor until 10 days after
receipt of the final Statement of Deficiencies, all citations are expected to immediately be brought
into compliance with the Rules and Regulations.
The Final Statement of Deficiency was e-mailed to the agency on May 26, 2011. A plan of
correction is due to the surveyor June 9, 2011.
Page 5 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
http://167.193.144.170:7001/ORSINV/PDFS_CCI/CCI001710XUBB11.pdf
Another attempted suicide violating ORCC regulations and Ridge Creek School's own admission policies. Take a guess - a child's life and it garnished a (C) in the Scope and Severity rating from the ORCC. No fine, no adverse action ... all during a time where there was/is no Director with any qualifications.
Scope and Severity rating, indeed - ORCC = "Z"
And that's my take!
THE REPORT
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
R 0000 Opening Comments.
The purpose of this visit on May 3, 2011 was to investigate 95777 linked to 95984 and 95789.
R 0524 290-2-5-.05(5) Criminal History Background Checks
SS=D
Criminal History Background Checks for Director and Employees Required. Prior to serving as a director of a
licensed institution, a person shall submit a records check application and receive a satisfactory determination.
This Requirement is not met as evidenced by:
Based on record review and staff interview, the agency failed to submit a records check
application and receive a satisfactory determination prior to staff serving as a director in two of
two personnel files reviewed (GA00095789).
Findings Include:
(1) Record review on May 3, 2011 of Staff A's file revealed that Staff A was employed 02/2011 in
the position as clinical director. Staff A received a local background check on 02-09-2011 which
indicated no record however there was no documentation on file that Staff A received a
satisfactory national background check. Staff A has been assisting in the management of the
facility since 02-09-2011.
(2) Record review on May 3, 2011 of Staff B's file revealed that Staff B was employed 03/2011 in
the position as dean of students however since 04-08-2011, Staff B has been serving in the role
as assistant director. Staff B received a local background check on 03-11-2011 which indicated
no record however there was no documentation on file that Staff B received a satisfactory
national background check.
(3) During an interview on May 3, 2011 at about 12:30 PM with Staff C, Staff C acknowledged that
a national background check had not been completed on Staff A and Staff B due to the fact that
the agency had be registered to conduct national background checks. Staff C indicated that the
agency received authorization on 05-03-2011 to submit national background checks for
Page 1 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
processing.
(4) During an interview on May 11, 2011 at about 2:21 PM with Staff A, Staff A indicated that Staff
B is no longer serving in the role as director due to the fact that she/he did not meet the
educational qualifications. Staff A also indicated that another staff member, Staff E was promoted
to assist in the management of the organization along with him/herself. Staff A further indicated
that Staff E and his/herself completed a national background check last week.
R 0803 290-2-5-.08(3)(a) Director.
SS=D
Any director employed on or after the effective date of these rules shall possess at least one of the following
qualifications:
1. A master ' s degree from an accredited college or university in the area of social sciences, social work,
childhood education, or business or public administration or a related field plus two years of experience in the field
of child care;
2. A bachelor ' s degree from an accredited college or university in the area of social sciences, social work,
childhood education, or business or public administration or a related field plus four years of experience in the field
of child care:
3. A licensed registered nurse, doctor or other health care professional where the child-caring institution chooses
to serve primarily children with special medical needs.
This Requirement is not met as evidenced by:
Based on record review and staff interview, the agency failed to document proof of director's
required education in one of two personnel files reviewed (GA00095789).
Findings Include
(1) Record review on May 3, 2011 of Staff B's file revealed that the agency did not document that
the Director possesses the necessary qualifications to manage the institution. Staff B was hired
03-02-2011 as dean of students and promoted 04-08-2011 as assistant director of the program.
There was no documentation of a bachelor's degree in the area of social sciences, social work,
childhood education, or business or public administration. A record review of Staff B's Employee
Personal Information Sheet dated 02-20-2011 documented the highest level of education was a
high school diploma.
Page 2 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
(2) During an interview on May 11, 2011 at about 2:21 PM with Staff A, Staff A indicated that Staff
B was no longer serving in the role as director as of today due to the fact that she/he did not
meet the educational qualifications. Staff A also indicated that another staff member, Staff E, was
promoted to assist in the management of the organization along with him/herself. Staff A further
indicated that Staff E and his/herself completed a national background check last week.
R 0861 290-2-5-.08(7) Reporting.
SS=C
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 Department of Human Services-Office of Residential Child Care
(DHS-ORCC) via e-mail or fax on the required incident intake information form (IIIF) within 24
hours in one of one incident reviewed (GA00095777).
Findings Include:
(1) Record review on May 3, 2011 of DHS-ORCC Intake Information form dated 04-21-2011
revealed that on April 16, 2011, Resident #1 was transported to the emergency room for a
psychiatric evaluation and medical treatment after Resident #1 displayed suicidal
ideation/attempt. This incident was not reported to the Department until 04-19-2011.
(2) Record review on May 3, 2011 of e-mail correspondence received on 04-27-2011 by Staff A,
Staff A indicated that she/he was not aware that the 24 hour time frame included weekends and
holidays.
Page 3 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
(3) During an interview on May 3, 2011 at about 11:00 AM with Staff A, Staff A acknowledged
findings.
This rule was previously cited 04-13-2011, 03-10-2011, 12-09-2010 and 09-09-2010.
R 1000 290-2-5-.10(1) Assessment and Planning.
SS=C
An institution shall complete a full written assessment of each child admitted for care and of each child's family
within thirty days of admission and develop an individual written service plan for each child based on the
assessments within thirty days of admission. If an assessment is not completed within thirty days, the reasons for
the delay shall be documented in the child's case record and such documentation shall include statements
indicating when the assessment is expected to be completed.
This Requirement is not met as evidenced by:
Based on review of resident files and staff interview, the agency failed to develop a full written
assessment and an individual service plan within thirty days of admission in one of one file
reviewed (GA00095777 linked to GA00095984).
Findings Include:
Page 4 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
Georgia Department of Human Resources,
Office of Regulatory Services State Form
Statement of Deficiencies
and Plan of Correction
Inspection begin date
Inspection end date:
5/3/2011
5/3/2011
Name of Provider or Supplier
RIDGE CREEK, INC
Street Address, City, State Zip Code
830 HIDDEN LAKE RD
DAHLONEGA, GA 30533
Inspection Results
(1) Record review on May 3, 2011 of Resident #1's file revealed that Resident #1 was admitted to
the facility December 2010; however the agency failed to develop a full written assessment and
an individual service plan within 30 days of admission. There was no documentation that an
assessment was completed. The agency developed an individual service plan for Resident #1 on
04-11-2011 which is four months after admission.
(2) During an interview on May 19, 2011 at about 3:35 PM with Staff A, Staff A indicated that
she/he reviewed Resident #1's file as well as therapy notes for Resident #1 in which she/he was
unable to locate any service plans for Resident #1. Staff A indicated that the service plan for
Resident #1 was developed as a result of the deficiency noted in Resident #1's file.
This rule was previously cited 12-15-2010 and 12-10-2009.
R 9999 Closing Comments.
A brief exit conference was conducted on May 3, 2011 with Staff A. There were several citations
related to the allegations. The investigation for GA00095777 linked to GA00095984 and
GA00095789 are currently pending. A preliminary report was e-mailed to the agency on May 9,
2011. Although a formal written plan of correction is not due to the surveyor until 10 days after
receipt of the final Statement of Deficiencies, all citations are expected to immediately be brought
into compliance with the Rules and Regulations.
The Final Statement of Deficiency was e-mailed to the agency on May 26, 2011. A plan of
correction is due to the surveyor June 9, 2011.
Page 5 of 5
More Information Return to Facility Location and Information Guide Return to Inspection Screen
http://167.193.144.170:7001/ORSINV/PDFS_CCI/CCI001710XUBB11.pdf
