Inspection Reports for Homelife on Glynco
1550 GLYNCO PARKWAY, BRUNSWICK, GA, 31525
Back to Facility ProfileInspection Report Summary
The most recent inspection on April 28, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies related mainly to staffing issues, resident care documentation, and facility maintenance, including failure to provide adequate hot water and insufficient licensed staff in the Memory Care Unit. Complaint investigations substantiated concerns about incident reporting, supervision, and staff training, but recent complaint investigations were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows some improvement over time, with the most recent inspections indicating resolution of prior issues.
Deficiencies (last 9 years)
Deficiencies (over 9 years)
5.1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% worse than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
8 residents
Based on a September 2024 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 28, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50002703.
Complaint Details
Investigation was started and completed on 04/28/2025 with an on-site visit at 10:30 am. No violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 3, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50001396, #GA50001742, and #GA50001467.
Complaint Details
Investigation was unannounced and completed on 3/3/2025. No rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 4, 2025
Visit Reason
The purpose of this visit was to investigate multiple intakes (#GA50001097, #GA50001252, #GA50001334, #GA50001123, and GA50001156) concerning the facility's lack of hot water for residents' usage.
Complaint Details
The investigation was initiated due to multiple complaints alleging the facility had no hot water for residents for about two to three weeks, confirmed by interviews with residents, family members, and staff. The issue was ongoing as of the inspection date.
Findings
The facility failed to provide an adequate hot water system supplying heated water not exceeding 120 degrees Fahrenheit for 11 sampled residents. Hot water temperatures measured ranged from 62.4°F to 70.3°F, well below the recommended 120°F, resulting in residents being unable to take hot showers for about two to three weeks and resorting to sponge baths or alternative methods.
Deficiencies (1)
Facility failed to have an adequate hot water system supplying heated water comfortable to the touch but not exceeding 120 degrees Fahrenheit for residents' usage.
Report Facts
Intakes investigated: 5
Sampled residents affected: 11
Hot water temperature range: 62.4 to 70.3
Building size: 30192
Days without hot water: 30
Dates without hot water: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Witnessed hot water temperature measurements and stated facility used microwave to warm towels while waiting for repair parts | |
| Staff E | Witnessed hot water temperature measurements | |
| Staff F | Witnessed hot water temperature measurements and noted unexpected low kitchen sink temperature | |
| Staff D | Interviewed regarding warming towels in microwave to sponge bathe residents | |
| Staff H | Interviewed regarding warming towels in microwave to sponge bathe residents | |
| Staff I | Interviewed regarding warming towels in microwave to sponge bathe residents | |
| Staff J | Interviewed about obtaining quotes to replace water heating system | |
| DE | Interviewed about estimated job completion time for water heating system repair | |
| BC | Interviewed family member who visited facility and reported no hot water on 1/29/2025 | |
| CD | Interviewed family member reporting residents lacked hot water since 12/27/2024 | |
| AB | Interviewed family member expressing concern about ongoing lack of hot water |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jan 23, 2025
Visit Reason
The visit was conducted to perform a compliance inspection and to investigate complaint intake #GA50000940.
Complaint Details
Investigation of intake #GA50000940 was completed with no rule violations found.
Findings
No rule violations were cited as a result of the inspection and investigation.
Inspection Report
Complaint Investigation
Census: 8
Deficiencies: 3
Date: Sep 23, 2024
Visit Reason
The purpose of this visit was to investigate complaint intakes #GA00249996, #GA0025021, and #GA00250284, focusing on incidents involving Resident #1.
Complaint Details
The investigation was initiated due to complaint intakes #GA00249996, #GA0025021, and #GA00250284. The complaint involved allegations of lack of supervision and failure to investigate a fall incident involving Resident #1, who subsequently fractured a hip and passed away. The complaint was substantiated by findings of failure to investigate, document, and provide adequate staffing.
Findings
The facility failed to investigate serious incidents involving Resident #1 who fell and fractured a hip, did not document required safety checks or vital monitoring, lacked documentation of staff responsible for care plan implementation, and failed to staff the Memory Care Unit with a registered nurse, licensed practical nurse, or certified medication aide at all times.
Deficiencies (3)
Failure to investigate serious incidents involving residents resulting in injuries or death to identify and implement opportunities for improvement in care.
Written care plan did not include staff primarily responsible for implementing the care plan.
Failure to staff the Memory Care Unit with one registered professional nurse, licensed practical nurse, or certified medication aide on-site at all times.
Report Facts
Census: 8
Incident date: Aug 24, 2024
Admission date: Jul 17, 2023
Death date: Aug 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Caregiver | Prepared incident report and provided statements regarding Resident #1 fall and care |
| Staff B | Proxy Caregiver | Provided statements regarding fall incident and staffing |
| Staff F | Certified Medication Aide | Administered medications to Memory Care Unit residents |
| Staff D | Caregiver | Provided watchful oversight to residents during onsite visit |
| Staff A | Provided statements regarding fall incident | |
| CD | Notified by Staff C about fall incident |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Sep 6, 2024
Visit Reason
The visit on 9/6/24 was conducted to investigate complaint intakes #GA00249159 and #GA00249364, with the investigation completed on 9/17/24.
Complaint Details
The investigation was complaint-driven based on intake numbers #GA00249159 and #GA00249364. The facility failed to provide nurses notes, skin assessments, or incident reports for Resident #1 and Resident #2 despite multiple requests and follow-up emails.
Findings
The facility was found to have multiple deficiencies including lack of a valid license for the administrator, poor physical plant conditions such as stained carpeting and unclean floors, and incomplete resident files missing critical documentation for two residents.
Deficiencies (3)
Administrator lacked a valid license from the State Board of Long-Term Care Facility Administrators as required for homes licensed for 25 or more beds.
Floors, walls, and ceilings were not kept clean and in good repair; carpeting had large stains and white powder was observed along floorboards.
Resident files for 2 of 5 residents were incomplete and missing required documentation including physician medical evaluations, resident rights forms, admission agreements, and other critical personal and financial records.
Report Facts
Residents with incomplete files: 2
Beds licensed: 25
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jun 27, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00247282. The investigation started on 2024-06-24 and was completed on 2024-06-27 with an onsite visit on 2024-06-27.
Complaint Details
Investigation of intake #GA00247282 was conducted and no rule violations were found.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Routine
Deficiencies: 1
Date: Nov 6, 2023
Visit Reason
The purpose of this visit was to conduct a compliance inspection.
Findings
The facility failed to report serious injuries to the Department for residents who required medical treatment, including multiple falls resulting in facial contusions, fractures, and hospital admissions.
Deficiencies (1)
Facility failed to report to the Department any serious injury to a resident that requires medical treatment for 1 of 4 sampled residents.
Report Facts
Date of fall incident: Oct 21, 2021
Date of fall incident: Sep 30, 2023
Date of fall incident: Nov 3, 2023
Time of fall incident: 100
Number of stitches: 2
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jan 18, 2023
Visit Reason
The purpose of this visit was to investigate intake #GA00230537, #GA00230667, #GA00230760, and #GA00230755.
Complaint Details
The visit was complaint-related, investigating four intake numbers: #GA00230537, #GA00230667, #GA00230760, and #GA00230755.
Findings
The administrator failed to ensure that Staff B, hired as office manager on 7/14/2022, received required work-related training including emergency first aid, CPR, medical and social needs training within sixty days of employment, and failed to ensure documentation of tuberculosis screening and physical examination within twelve months prior to employment.
Deficiencies (4)
Failure to ensure Staff B had current certification in emergency first aid within sixty days of employment.
Failure to ensure Staff B had current certification in cardiopulmonary resuscitation (CPR) within sixty days of employment.
Failure to ensure Staff B received training on medical and social needs and characteristics of the resident population within sixty days of employment.
Failure to ensure Staff B had tuberculosis screening and physical examination within twelve months prior to employment.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Office Manager | Named in deficiencies related to lack of required training and documentation. |
Inspection Report
Complaint Investigation
Capacity: 65
Deficiencies: 3
Date: Jul 5, 2022
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00224405.
Complaint Details
Investigation was triggered by intake #GA00224405. The complaint was substantiated based on findings of regulatory noncompliance.
Findings
The facility failed to ensure that the memory care unit operated without a current certificate, the administrator did not hold a valid license as required for homes licensed for 24 or more beds, and one resident received a pureed diet without a physician's order or medical evaluation.
Deficiencies (3)
Facility operated memory care unit without a current certificate posted.
Administrator of home licensed for 24 or more beds did not hold a valid license from the State Board.
Resident #2 received a pureed diet without a physician's order or medical evaluation supporting the diet.
Report Facts
Approved capacity: 65
Sampled staff: 4
Sampled residents: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Interviewed regarding administrator license and diet prescription for Resident #2. | |
| Staff F | Interviewed regarding memory care unit certificate requirement. |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Apr 21, 2021
Visit Reason
The purpose of this visit was to conduct a compliance inspection and investigate intake #GA00213454. An unannounced on-site visit was made on 4/21/2021 and the investigation was completed on 4/23/2021.
Complaint Details
Investigation was triggered by intake #GA00213454. The complaint was substantiated based on missing personnel files and failure to obtain required record check applications for staff.
Findings
The facility failed to ensure personnel files for employees were maintained and available for inspection, with missing certifications, training, and documentation for multiple staff members. Additionally, the facility failed to obtain record check applications for 4 of 8 sampled staff prior to employment or placement.
Deficiencies (2)
Personnel files missing current certifications in emergency first aid and CPR, medical and social needs documentation, resident rights, abuse reporting act receipt, infection control principles, continuing education, and physical exams and TB screening for multiple staff.
Failure to obtain record check application for each direct access employee upon application or prior to placement for 4 of 8 sampled staff.
Report Facts
Number of sampled staff with missing personnel file documents: 7
Number of sampled staff without record check application: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Had expired certifications and missing required documentation in personnel file | |
| Staff C | Missing required certifications and record check application | |
| Staff D | Missing required certifications and documentation | |
| Staff E | Missing required documentation and record check application | |
| Staff F | Missing required documentation and record check application | |
| Staff G | Missing required documentation and record check application | |
| Staff H | Missing required documentation | |
| Staff A | Interviewed regarding missing files and record check applications |
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID 19 cases and assess infection control processes.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the facility's infection control procedures.
Inspection Report
Follow-Up
Deficiencies: 0
Date: Apr 3, 2019
Visit Reason
The purpose of this visit was to conduct a follow-up to the 7/24/18 inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Routine
Deficiencies: 1
Date: Nov 15, 2018
Visit Reason
The purpose of this visit was to conduct the compliance inspection.
Findings
The facility failed to have documentation by an appropriately licensed healthcare professional that the medications and assistance being provided to residents were health maintenance activities that could be safely performed by proxy caregivers for 2 of 3 sampled residents (Resident #2 and Resident #3).
Deficiencies (1)
Failed to have documentation by an appropriately licensed healthcare professional that the medications and assistance being provided to residents were health maintenance activities that could be safely performed by proxy caregivers for 2 of 3 sampled residents.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Aug 9, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00190549.
Complaint Details
Complaint #GA00190549 was investigated and found to have no rule violations.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Follow-Up
Deficiencies: 1
Date: Jul 24, 2018
Visit Reason
The purpose of this visit was to conduct a follow-up to the 5/14/18 investigation.
Findings
The facility failed to ensure compliance with fire and safety rules requiring six fire drills annually, including two during sleeping hours. Specifically, fire drills conducted on 5/23/18 and 6/15/18 did not include evacuation of residents from the building.
Deficiencies (1)
Facility failed to ensure compliance with fire and safety rules requiring six fire drills annually, with two during sleeping hours; residents were not evacuated during fire drills on 5/23/18 and 6/15/18.
Report Facts
Fire drills required annually: 6
Fire drills reviewed: 2
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: May 14, 2018
Visit Reason
The purpose of this visit was to investigate self reported incident #GA00188462.
Complaint Details
The visit was complaint-related, investigating a self-reported incident involving Resident #2's capability for self-preservation and Resident #1's report of inappropriate touching by Staff C. Police investigated the latter case and closed it with no action.
Findings
The facility failed to ensure it retained only ambulatory residents capable of self-preservation with minimal assistance, as evidenced by Resident #2 being non-ambulatory in a locked memory care unit. Additionally, the facility failed to treat Resident #1 with dignity and respect, as Staff C inappropriately touched the resident during personal care, leading to Staff C's suspension and termination.
Deficiencies (2)
Facility failed to retain only ambulatory residents capable of self-preservation with minimal assistance (Resident #2 observed in wheelchair in locked memory care unit).
Facility failed to treat resident with dignity, kindness, consideration and respect; Staff C touched Resident #1 inappropriately during personal care.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A, Staff B, and Staff C are mentioned in relation to findings; Staff C was suspended and terminated for inappropriate touching. |
Inspection Report
Follow-Up
Deficiencies: 2
Date: Apr 25, 2018
Visit Reason
The purpose of this visit was to conduct a follow up to the 1/29/18 annual inspection and to investigate self-reported incidents #GA00187513 and GA00188037.
Findings
The facility failed to include evidence of family involvement in the development of individual service plans for 2 of 3 sampled residents and failed to update service plans at least quarterly or more frequently when residents' needs changed for 1 of 3 sampled residents. These deficiencies were confirmed through record review and staff interview.
Deficiencies (2)
Failed to include evidence of family involvement in the development of the ISP for 2 of 3 sampled residents (#3, #4).
Failed to update resident individual service plans at least quarterly or more frequently if the needs of the resident changed substantially for 1 of 3 sampled residents (Resident #1).
Report Facts
Sampled residents: 3
Incident time: 2210
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Interviewed staff who stated family was not contacted and ISP changes were not addressed |
Inspection Report
Follow-Up
Deficiencies: 2
Date: Apr 25, 2018
Visit Reason
The purpose of this visit was to conduct an investigation of self-reported incidents GA00187513 and GA00188037 and to conduct a follow-up to the 1/29/18 compliance inspection.
Complaint Details
Investigation was triggered by self-reported incidents GA00187513 and GA00188037 involving resident supervision and staffing issues.
Findings
The facility failed to ensure adequate supervision of a resident during showering and failed to staff the specialized memory care unit with sufficient specially trained staff to meet residents' unique needs, resulting in a resident-to-resident physical altercation.
Deficiencies (2)
Facility failed to ensure a resident was supervised consistent with their needs during showering.
Facility failed to staff the specialized memory care unit at all times with sufficient specially trained staff to meet the unique needs of residents.
Report Facts
Sampled residents: 4
Sampled residents: 3
Incident time: 2210
Staffing policy: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff D | Named in supervision deficiency for leaving resident unattended in shower | |
| Staff B | Reported that Staff D left resident unattended in shower | |
| Staff E | Terminated for not scheduling enough staff on memory care unit | |
| Staff F | Only staff scheduled on memory care unit at time of incident; was giving care in another resident's room |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Mar 22, 2018
Visit Reason
The purpose of this visit was to investigate complaint GA00186214.
Complaint Details
Investigation of complaint GA00186214 with no rule violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 12, 2018
Visit Reason
The purpose of this visit was to investigate complaint #GA00184766 regarding mold contamination in resident rooms.
Complaint Details
Complaint #GA00184766 was investigated. The complaint involved mold contamination in resident rooms 308 and 310. The complaint was substantiated based on observations, interviews, and documentation review.
Findings
The facility failed to ensure the home was adequately maintained for residents' health, safety, and well-being due to untreated mold in rooms 308 and 310. Documentation showed duct cleaning in other rooms but no treatment or verification for mold removal in the affected rooms, and staff acknowledged lack of proper remediation and documentation.
Deficiencies (1)
Failure to maintain the home to provide for the health, safety, and well-being of residents due to mold contamination in rooms 308 and 310.
Report Facts
Date of duct cleaning invoice: Dec 14, 2017
Date of resident hospitalization: Nov 19, 2017
Date of resident death: Dec 4, 2017
Date belongings moved: Dec 2, 2017
Photo dates: Nov 9, 2017
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Manager | Named in relation to mold contamination findings and lack of documentation for mold treatment. |
| Staff GG | Submitted photos of rooms 308 and 310 showing mold. |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Jan 29, 2018
Visit Reason
The purpose of this visit was to conduct an annual inspection and to investigate complaint #GA00184347.
Complaint Details
The complaint investigation involved allegations of verbal abuse and physical assault by Staff B and Staff C against Resident #1, including verbal abuse, use of profanity, and physical pushing. Staff B and Staff C were terminated following an internal investigation. Additionally, Resident #2 was found bleeding after being struck by another resident. The facility failed to report these incidents to the Department and local police as required.
Findings
The facility failed to comply with fire and safety rules requiring six fire drills annually, failed to update one resident's individual service plan quarterly, lacked complete medication assistance records for one resident, failed to ensure residents were free from abuse and neglect, and failed to report incidents of abuse and assault to the Department and local police.
Deficiencies (5)
Facility failed to ensure compliance with fire and safety rules requiring six fire drills annually, bimonthly, with two during sleeping hours.
Facility failed to update the resident individual service plan at least quarterly for 1 of 2 sampled residents.
Facility failed to have a complete Medication Assistance Record (MAR) including required details for 1 of 4 sampled residents.
Facility failed to ensure all residents were free from abuse, neglect and/or exploitation for 1 of 34 residents.
Facility failed to report incidents of resident abuse, assault and battery to the Department and local police for 2 of 34 residents.
Report Facts
Fire drills conducted: 5
Residents sampled: 34
Residents with abuse incidents: 2
Residents sampled for ISP update: 2
Residents sampled for MAR: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff B | Named in verbal abuse and physical assault findings against Resident #1; terminated after investigation. | |
| Staff C | Named in verbal abuse and physical assault findings against Resident #1; terminated after investigation. | |
| Staff A | Interviewed staff who provided information about fire drills, ISP updates, and reporting failures. | |
| Staff D | Interviewed regarding medication administration and MAR issues. | |
| Staff E | Interviewed regarding medication order and MAR issues. |
Inspection Report
Follow-Up
Deficiencies: 2
Date: Aug 8, 2017
Visit Reason
The purpose of this visit was to conduct a follow-up to the 2/14/17 inspection.
Findings
The facility failed to include evidence of family involvement in the development of the individual service plan for 1 of 3 sampled residents (Resident #11). Additionally, the facility failed to have a physician's order for a resident (#8) to keep medications at bedside as required.
Deficiencies (2)
Failed to include evidence of family involvement in the development of the ISP for 1 of 3 sampled residents (Resident #11).
Failed to have a physician's order for a resident (#8) to keep medications at bedside for the 12:00 a.m. dose of Tramadol 50 mg.
Report Facts
Sampled residents: 3
Sampled residents: 1
Medication dose: 50
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff P | Interviewed regarding family involvement and medication orders |
Inspection Report
Annual Inspection
Census: 43
Deficiencies: 13
Date: Feb 14, 2017
Visit Reason
The purpose of this visit was to conduct an annual inspection and to investigate complaints #GA00171197 and GA00171392.
Complaint Details
The visit included investigation of complaints #GA00171197 and GA00171392. The investigation found substantiated deficiencies related to staffing, medication administration, resident care, and reporting of incidents including elopements.
Findings
The facility was found deficient in multiple areas including workforce qualifications, staffing, medication administration, fire safety compliance, housekeeping, admission criteria, memory care unit staffing and medication administration, resident service plan updates, kitchen sanitation and equipment condition, therapeutic diet arrangements, resident care adequacy, and reporting of resident elopements.
Deficiencies (13)
Failed to ensure each employee received a physical examination and TB screening within 12 months prior to employment for 2 of 15 sampled staff.
Failed to obtain a satisfactory fingerprint records check determination prior to employment for the manager.
Failed to provide sufficient staff time to ensure residents received medications as prescribed for 1 of 13 sampled residents.
Failed to maintain compliance with Life Safety Code fire regulations including conducting required fire drills and sprinkler system inspection.
Failed to sanitize the kitchen daily and more often as needed to ensure cleanliness and sanitation.
Failed to maintain housekeeping standards to present a clean and orderly appearance, free from odors.
Failed to admit and retain only ambulatory residents capable of self-preservation with minimal assistance for 3 of 13 sampled residents.
Failed to ensure memory care residents' medications were provided by licensed nurses or proxy caregivers.
Failed to update resident individual service plans at least quarterly for 3 of 3 sampled residents.
Failed to have a properly equipped kitchen with appropriate cabinets and shelves or racks for storage of necessary equipment and utensils.
Failed to arrange for special therapeutic diets as prescribed by the resident's physician for 1 of 13 sampled residents.
Failed to ensure each resident received adequate and appropriate care and services for 6 of 13 sampled residents.
Failed to report the initiation and discontinuation of a Mattie's call to the Department within 30 minutes of communications with local law enforcement for 1 of 43 residents.
Report Facts
Sampled staff: 15
Sampled residents: 13
Residents with inadequate care: 6
Residents not ambulatory: 3
Fire drills conducted: 6
Residents on census: 43
Residents with elopement incidents: 1
Medication administration delays: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff A | Registered Nurse / Manager | Named in findings related to workforce qualifications, staffing, medication administration, fire safety, kitchen sanitation, and reporting |
| Staff B | Employee without physical exam and TB screening prior to employment | |
| Staff C | Employee without physical exam and TB screening prior to employment | |
| Staff H | Certified Medication Aide | Administered medications to memory care residents without being a nurse or proxy caregiver |
| Staff L | Responsible for scheduling agency nurse and reporting incidents | |
| Staff M | Corporate Nurse | Worked briefly and reported resident elopement history |
| Staff O | Came to work late to pass medications on 2/2/17 | |
| Staff I | Witnessed resident elopement and reported lack of supervision instructions |
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