respiratory therapist

licensed practical nurse

resident counselor

nursing assistant

family therapist

Home of the Innocents

This could be such a phenomenal place as a health care worker but is severely handicapped in a number of areas, namely staffing and a flat out refusal to grow and evolve as an organization. The upper levels of leadership are severely disconnected from the front line work - this is a program in many organizations across a multitude of industries, but it is a very serious problem at this facility that creates a domino effect for everything downhill. The convalescent center itself, which is really at the core of Home of the Innocents, feels like an afterthought and is not a priority. My assumption is because it is not very profitable and thus they are not invested in improving or even maintaining the facility. Front line clinical leadership is not given the support or resources they need to lead their departments effectively. Staffing, while also a problem at many facilities, is another serious issue and in the convalescent center it is a real safety issue. What few full time workers remain are burnt out and exhausted, front line leadership is on call 24/7 and equally spent, and this is just not sustainable. Many jobs are posted but human resources moves at sloth-like speeds, refuses to send departments applicants, loses paperwork constantly, micromanages the hiring process, and I can't help but feel like that is by design in an effort to keep staffing at a bare minimum.

Your work with the children is the one saving grace and it is the only thing that keeps employees in the building. The kids are amazing and they are hard to walk away from. I think this is almost used against you as a health care practitioner at this facility though and the hope is that you feel trapped and will not be willing to step away while they run you into the ground.

Working directly alongside your teams in the Residential Program Houses is a great experience. Home of the Innocents has been working to embrace a sanctuary model of approach to facilitate a more healthy work environment. 

The difficulty in the residential department is that there is nepotism within residential leadership. If you are friendly with residential leadership you will see plenty of opportunities for success or growth, in the case that you do not stay within the in-group you will likely be denied opportunities for growth, receive expedient disciplinary action, and slowly be pushed out of the organization. There are two directors within the same department that are involved in a romantic relationship. This causes several issues for teams and programs under their observation. There are frequent boundary violations that occur resulting in team members not feeling safe in disclosing matters of concern as their privacy will not be maintained. This has never been observably properly addressed or handled by executive leadership.

There are many people on the floor who give a strong effort towards representing the best standard for treatment for the residents, its really a wonderful thing to see. When you get the opportunity to work alongside them you will be able to see firsthand what involved care and support means for a teams success. It is a great shame that some of the most incredible people in terms of education and, experience, and community involvement are represented by such inept and poor leadership.

There are many great things about HOTI that makes the job itself a wonderful place to work. 
The staff ,  clients you meet , and new CEO trying to make a difference but has a very long way to go.
On the flipside the supervisors CAN NOT be trusted. They don't do their job and blame staff for their mistakes. Hiding things from CEO and covering for each other.
Many many things are not done properly. 
Favoritism with employees. Just very unprofessional.
HR needs help as well, there is too much gossip and not enough reinforcement of the policies and procedures.
Until supervisors are held accountable, and upper management sees there is a true problem there will always be issues. 
It is such a beautiful facility, the mission to help and there are great people that work at the home. But change needs to happen now, or all that is great will continue to be lost. 
If choosing HOTI for a job make sure to keep track of all hours, keep and document everything. Most importantly stray away from becoming too friendly with supervisor. That makes sure you can't be involved with anything, and will be less stressful.
Overall not a bad place to be, but supervisors make it difficult to come to work sometimes. Most of the time it isn't the job itself that makes you leave, it is poor management. Never have I seen as much gossip, and unprofessional behavior from supervisors , and then throw the best staff they have ever had under the bus. Which then completely ruins the program, and all it is supposed to be.
Hoping the new CEO will change things soon.

Home of the Innocents is for nurses and CNAs with huge hearts.  I have worked at a few other places and all have their challenges.  I have been at the Home for several years and yes it also has it challenges.  I have read some great reviews of the Home and some not so great.  My observations the past year have been these.  I love working with coworkers who truly care for the residents with their whole heart.  The smiles from the residents are priceless.  Coworkers who are team players, and if sees a possible issue helps to resolve them.  I can go on and on.  But what breaks my heart is seeing workers who are at the Home for just a paycheck.  These are the workers who are spoken to regarding job performance and/or attitude.  These are workers who call in more then coming to work.  These are the workers who speak negative about everything to make themselves look better.  The Home is a great place to work if you have job knowledge and a huge heart.  If you are someone just wanting a paycheck, this may not be the place for you.

I worked at the Pediatric Convalescent Center on the Vent unit.  Typically nurse to patient ratio was 1:8 and on the vent unit 1:3 or 1:4.  Because the nurse to patient ratio was so low on the vent unit and you still had a CNA and an RT it freed up time for you to spend with the residents.  You weren't constantly rushing in and out of their rooms.  If a baby was crying and just needed to be rocked you were able to do that.  The hardest part of my job was when resident's passed away.  They became your kids because a lot of them different have family.  The management was very supportive and always willing to help wherever needed.  The DON, ADON, ED, even head of the human resources office had an open door policy and was always willing to listen (even if you were just having a bad day).  I loved getting to spend time with the resident's.  The company spends so much time making the facility nice and keeping it updated for their residents.

As easy as this job should be compared to an acute setting, somehow it's not. The job itself is enjoyable, taking care of the kids is a privilege. I don't enjoy the environment. Gossip runs rampant, problem employees or their behaviors aren't addressed in anyway that leads to an actual resolution. Sanctuary is absolutely exhausting,  it's a nice concept but not actually followed.  I've dealt with behavior from RTs here that would have been a termination elsewhere, whether it be their interactions with others or the quality of their care. The nurses typically sit at the desk for 8 hours of their shift while they talk as loud as they can about all their coworkers. There's a few that like to remind respiratory that we aren't actually needed. There's just so much complaining, negativity, gossip, incompetence and cut corners. It is wonderful to take care of the kids, but don't come here if you're looking for a good work culture. 

Micro managing,  no appreciation or respect for staff. Management gossip along with staff and back stab and get many people fired. Even great people get fired. No one sticks up for each other because afraid of retaliation. Management doesn't stand up for the truth or there subordinates. Don't expect many pay raises. Management get frustrated when asking for help or understanding something.  No one to talk to when something is wrong because if they don't agree they will make sure your career here isn't long. To easy of a job for the amount of stress the staff causes. 

Read all the comments,  not much has changed with the place from what people said years ago to now :(

Workload varies depending on the season. Much busier in the winter to late Spring. The pay is low for this area.  He does not know how to talk to his staff or to empower his staff. The manager does not have good time management skills.   He has lack of communication and respect for his team. He is a micro manager. He will not listen to ideas from his staff to make things better for his department or for the residents.. He never remembers things when questioned about something. He shows favoritism.
The new CEO is trying to change things. However, this  manager is not following   the new core values of the agency.  He shows no compassion, or empowerment  for his staff. He does not strive for excellence. He does not care for the wellness of his department.

Good: The Sanctuary Model, which they follow, which is a trauma-based model and everything the staff does is supposed to be informed by the fact that everyone you deal with has experienced trauma, so treat them with that in mind. Relaxed dress code. Good peer support.

Bad: The workload for a professional in the position I held was too much, and I tried in myriad ways to communicate that to the supervisors. They acted like they listened and cared, but ultimately the expectations were hugely unrealistic to the point that it illly affected my psychiatric well-being and my blood pressure. 

Home of the Innocents has a lot of potential. Currently there are some individuals that are just there for a pay check and this is not the type of job where that can occur. We have leaders that are clueless to how certian departments operate and they fail to utilized those that have experience in the department.
The culture is not as bad as it once was but there is alot of work to do. 

Top Job Titles	Average Salary
Respiratory therapist 2 salaries reported	$31.25 per hour
Licensed practical nurse 10 salaries reported	$26.18 per hour
Resident counselor 6 salaries reported	$16.55 per hour
Nursing assistant 1 salary reported	$16.00 per hour
Family therapist 1 salary reported	$53,500 per year

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