GRETCHEN WHITMER GOVERNOR STATE OF MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES LANSING ROBERT GORDON DIRECTOR June 23, 2020 Steve Laidacker Lakeside 3921 Oakland Dr Kalamazoo, MI 49008 RE: License #: CI390201235 Investigation #: 2020C0223034 Lakeside Dear Mr. Laidacker Attached is the Special Investigation Report for the above referenced facility. Due to the severity of the violations, disciplinary action against your license is recommended. You will be notified in writing of the department’s action and your options for resolution of this matter. Please review the enclosed documentation for accuracy and contact me with any questions. In the event that I am not available, and you need to speak to someone immediately, please contact the area manager at (616) 552-3662. Sincerely, Jessica VandenHeuvel, Licensing Consultant MDHHS\Division of Child Welfare Licensing Suite 200 121 Franklin Street SE Grand Rapids, MI 49507 (616) 204-6992 enclosure 1 MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF CHILD WELFARE LICENSING SPECIAL INVESTIGATION REPORT I. IDENTIFYING INFORMATION License #: CI390201235 Investigation #: 2020C0223034 Complaint Receipt Date: 05/05/2020 Investigation Initiation Date: 05/08/2020 Report Due Date: 07/04/2020 Licensee Name: Lakeside Licensee Address: 3921 Oakland Dr Kalamazoo, MI 49008 Licensee Telephone #: Unknown Administrator: Steve Laidacker, Administrator Licensee Designee: Sandra Lealofi, Designee Name of Facility: Lakeside Facility Address: 3921 Oakland Drive Kalamazoo, MI 49008 Facility Telephone #: (269) 381-4760 Original Issuance Date: 04/01/1990 License Status: REGULAR Effective Date: 09/18/2019 Expiration Date: 09/17/2021 Capacity: 126 Program Type: CHILD CARING INSTITUTION, PRIVATE 2 II. ALLEGATION(S) Facility was unable to tell when Resident A went AWOL and there are concerns Resident A had been out of the facility longer than suspected by staff member. Additional Findings III. Violation Established? Yes No METHODOLOGY 05/05/2020 05/08/2020 05/08/2020 05/08/2020 05/08/2020 05/08/2020 05/08/2020 05/08/2020 05/08/2020 05/11/2020 05/11/2020 Special Investigation Intake 2020C0223034 Special Investigation Initiated - Telephone Discussion with Interim Chief Administrator Contact - Telephone call made Interview with Foster Care Case Manager Contact - Document Received DCWL and Lakeside email communication received Contact - Telephone call made Interview with Regional Quality Compliance Coordinator Contact - Telephone call made Interview with case manager Contact - Document Received Received dorm assignments and case note Contact - Document Received Reviewed MiSACWIS Contact - Document Received Email verification from case manager Inspection Completed-BCAL Sub. Compliance Exit Conference Discussion with Interim Chief Administrator ALLEGATION: Facility was unable to tell when Resident A went AWOL and there are concerns Resident A had been out of the facility longer than suspected by staff member. INVESTIGATION: A complaint was received on this mental health behavioral stabilization contracted abuse and neglect program. Foster Care Case Manager was interviewed via telephone on May 8, 2020. He reported he was notified by Case Manager on May 4, 2020 at 10:30am that Resident A was absent without legal permission (AWOL) on May 3, 2020 as verified in the MiSACWIS case record. Foster Care Case Manager indicated he reviewed Resident A’s Facebook page as well as spoke with Resident A’s siblings, both of which appeared to show that Resident A had been AWOL prior to May 3, 2020. Regional Director of Compliance and Quality was interviewed via telephone on May 8, 2020. She reported Resident A was listed AWOL on May 2, 2020 at 7:45PM. She notified Kalamazoo Department of Public Safety on that date. This was confirmed by an email sent to Division of Child Welfare Licensing by Regional Director of Compliance and Quality on May 5, 2020. Case Manager was interviewed on May 8, 2020. She did not specifically recall if Resident A went AWOL on May 2 or May 3, 2020. She referred to her worker contact log to verify she notified the Foster Care Case Manager on Sunday May 3, 2020 of Resident A’s AWOL status on Saturday May 2, 2020. The Worker Contact Log for Lakeside Academy documented Case Manager contacted the Foster Care Case Manager on May 3, 2020 at 9:46AM to notify of Resident A’s AWOL status. I reviewed the following information:  Resident A’s MiSACWIS case record  Dorm assignment  Daily Census/Truant email exchanges between Lakeside Academy and Division of Child Welfare Licensing.  Lakeside Academy Worker Contact Log APPLICABLE RULE R 400.4150 Incident reporting. (3) If an institution determines that a youth is absent without legal permission, then the institution shall immediately report the information to law enforcement, the parent/legal guardian or next of kin, the licensing authority, and the referring agency. ANALYSIS: The facility is found in non-compliance as they did not provide immediate notification to the referring agency of Resident A’s AWOL status. CONCLUSION: VIOLATION ESTABLISHED 4 IV. RECOMMENDATION SIR #2020C0207030 recommends revocation of the license. This recommendation remains unchanged. May 11, 2020 ________________________________________ Jessica VandenHeuvel Date Licensing Consultant Approved By: May 18, 2020 ________________________________________ Claudia Triestram Date Area Manager 5