Capacity 69. 0-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation documentation provided revealed no evidence that the operation reported a child in care's positive COVID 19 test results to the DFPS hotline within 24 hours. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
Psychotropic medications were not under double lock. |
Yes |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
During the walk through it was observed that paint cans were stored in bottom cabinets underneath the sink in the kitchen. |
— |
| 3 | — |
748.103(a) - Policies & procedures to submit-must comply or exceed Chapter 42 of HRC, Chapters 745,748,& all other applicable laws and rules
Provided Policies and Procedures did not comply with Standards found in Subsection C. |
— |
| 5 | — |
748.1791(c) - Care requirements for a toddler-caregiver must never leave toddler unsupervised; caregiver must be within eyesight/hearing range of sleeping toddler
Interview with staff confirmed that a resident caregiver was still expected to supervise a child in care while under the influence of a suspect illegal substance and or prescribed medication. Staff also confirmed resident admitted to their struggle with substance abuse. Review of the safety support plan indicated one of the purposes of the safety plan states the resident is responsible for not being under the influence while caring for their child, however the plan does not provide staff with direction on what they are allowed to do with the child under these circumstances. Staff interviewed confirmed they were instructed to follow the safety support plan to conduct their checks and document any incidents. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Form 2912 was not found in the reviewed personnel files. |
— |
| 3 | — |
748.1531(b)(2) - Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
While reviewing the medical documentation for the child's medical exam, it was advised that the child follow up with her PCP within 3 days. Staff was unable to take child to follow up with her PCP within that time frame. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
The annual trainings for a caregiver were reviewed and taken over 13 days past the required annual training date. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Medication logs were missing information. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Operation did not have verification severe weather drills were being completed every 6 months. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
During the walk through it was observed that multiple beds did not have either mattress covers or protective covers on the resident's beds. |
— |
| 3 | — |
748.1269(a) - Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission
Admission Assessment for one child was not completed within 40 days of emergency admission. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Operation staff verbally admitted a child in care's positive test result for COVID was not reported within 24 hours. The operation documentation indicated the test result was 10-06-2023 and the report was 10-11-2023. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member playfully hit a child on their arm. This staff member also used profane language in the presence of children. |
— |
| 3 | — |
748.103(a) - Policies & procedures to submit-must comply or exceed Chapter 42 of HRC, Chapters 745,748,& all other applicable laws and rules
Provided Policies and Procedures did not comply with Standards found in Subsection C. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
During the walk through it was observed that paint cans were stored in bottom cabinets underneath the sink in the kitchen. |
— |
| 3 | — |
748.1269(a) - Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission
Admission Assessment for one child was not completed within 40 days of emergency admission. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Operation did not have verification severe weather drills were being completed every 6 months. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Form 2912 was not found in the reviewed personnel files. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
During the walk through it was observed that multiple beds did not have either mattress covers or protective covers on the resident's beds. |
— |
| 5 | — |
748.1791(c) - Care requirements for a toddler-caregiver must never leave toddler unsupervised; caregiver must be within eyesight/hearing range of sleeping toddler
Interview with staff confirmed that a resident caregiver was still expected to supervise a child in care while under the influence of a suspect illegal substance and or prescribed medication. Staff also confirmed resident admitted to their struggle with substance abuse. Review of the safety support plan indicated one of the purposes of the safety plan states the resident is responsible for not being under the influence while caring for their child, however the plan does not provide staff with direction on what they are allowed to do with the child under these circumstances. Staff interviewed confirmed they were instructed to follow the safety support plan to conduct their checks and document any incidents. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member playfully hit a child on their arm. This staff member also used profane language in the presence of children. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
The annual trainings for a caregiver were reviewed and taken over 13 days past the required annual training date. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation documentation provided revealed no evidence that the operation reported a child in care's positive COVID 19 test results to the DFPS hotline within 24 hours. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
Psychotropic medications were not under double lock. |
Yes |
| 3 | — |
748.1531(b)(2) - Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
While reviewing the medical documentation for the child's medical exam, it was advised that the child follow up with her PCP within 3 days. Staff was unable to take child to follow up with her PCP within that time frame. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Operation staff verbally admitted a child in care's positive test result for COVID was not reported within 24 hours. The operation documentation indicated the test result was 10-06-2023 and the report was 10-11-2023. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Medication logs were missing information. |
— |
| 3 | — |
748.1531(b)(2) - Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
While reviewing the medical documentation for the child's medical exam, it was advised that the child follow up with her PCP within 3 days. Staff was unable to take child to follow up with her PCP within that time frame. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member playfully hit a child on their arm. This staff member also used profane language in the presence of children. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Operation staff verbally admitted a child in care's positive test result for COVID was not reported within 24 hours. The operation documentation indicated the test result was 10-06-2023 and the report was 10-11-2023. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Form 2912 was not found in the reviewed personnel files. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Medication logs were missing information. |
— |
| 5 | — |
748.1791(c) - Care requirements for a toddler-caregiver must never leave toddler unsupervised; caregiver must be within eyesight/hearing range of sleeping toddler
Interview with staff confirmed that a resident caregiver was still expected to supervise a child in care while under the influence of a suspect illegal substance and or prescribed medication. Staff also confirmed resident admitted to their struggle with substance abuse. Review of the safety support plan indicated one of the purposes of the safety plan states the resident is responsible for not being under the influence while caring for their child, however the plan does not provide staff with direction on what they are allowed to do with the child under these circumstances. Staff interviewed confirmed they were instructed to follow the safety support plan to conduct their checks and document any incidents. |
— |
| 3 | — |
748.1269(a) - Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission
Admission Assessment for one child was not completed within 40 days of emergency admission. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
The annual trainings for a caregiver were reviewed and taken over 13 days past the required annual training date. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation documentation provided revealed no evidence that the operation reported a child in care's positive COVID 19 test results to the DFPS hotline within 24 hours. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
During the walk through it was observed that paint cans were stored in bottom cabinets underneath the sink in the kitchen. |
— |
| 3 | — |
748.103(a) - Policies & procedures to submit-must comply or exceed Chapter 42 of HRC, Chapters 745,748,& all other applicable laws and rules
Provided Policies and Procedures did not comply with Standards found in Subsection C. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
During the walk through it was observed that multiple beds did not have either mattress covers or protective covers on the resident's beds. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
Psychotropic medications were not under double lock. |
Yes |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Operation did not have verification severe weather drills were being completed every 6 months. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Medication logs were missing information. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
The annual trainings for a caregiver were reviewed and taken over 13 days past the required annual training date. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Operation did not have verification severe weather drills were being completed every 6 months. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Operation staff verbally admitted a child in care's positive test result for COVID was not reported within 24 hours. The operation documentation indicated the test result was 10-06-2023 and the report was 10-11-2023. |
— |
| 5 | — |
748.1791(c) - Care requirements for a toddler-caregiver must never leave toddler unsupervised; caregiver must be within eyesight/hearing range of sleeping toddler
Interview with staff confirmed that a resident caregiver was still expected to supervise a child in care while under the influence of a suspect illegal substance and or prescribed medication. Staff also confirmed resident admitted to their struggle with substance abuse. Review of the safety support plan indicated one of the purposes of the safety plan states the resident is responsible for not being under the influence while caring for their child, however the plan does not provide staff with direction on what they are allowed to do with the child under these circumstances. Staff interviewed confirmed they were instructed to follow the safety support plan to conduct their checks and document any incidents. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Form 2912 was not found in the reviewed personnel files. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
During the walk through it was observed that multiple beds did not have either mattress covers or protective covers on the resident's beds. |
— |
| 3 | — |
748.1269(a) - Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission
Admission Assessment for one child was not completed within 40 days of emergency admission. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
Psychotropic medications were not under double lock. |
Yes |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
During the walk through it was observed that paint cans were stored in bottom cabinets underneath the sink in the kitchen. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member playfully hit a child on their arm. This staff member also used profane language in the presence of children. |
— |
| 3 | — |
748.1531(b)(2) - Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
While reviewing the medical documentation for the child's medical exam, it was advised that the child follow up with her PCP within 3 days. Staff was unable to take child to follow up with her PCP within that time frame. |
— |
| 3 | — |
748.103(a) - Policies & procedures to submit-must comply or exceed Chapter 42 of HRC, Chapters 745,748,& all other applicable laws and rules
Provided Policies and Procedures did not comply with Standards found in Subsection C. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation documentation provided revealed no evidence that the operation reported a child in care's positive COVID 19 test results to the DFPS hotline within 24 hours. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Form 2912 was not found in the reviewed personnel files. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
The annual trainings for a caregiver were reviewed and taken over 13 days past the required annual training date. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation documentation provided revealed no evidence that the operation reported a child in care's positive COVID 19 test results to the DFPS hotline within 24 hours. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member playfully hit a child on their arm. This staff member also used profane language in the presence of children. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Medication logs were missing explanation for skipped or late medication. |
— |
| 3 | — |
748.1269(a) - Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission
Admission Assessment for one child was not completed within 40 days of emergency admission. |
— |
| 5 | — |
748.1791(c) - Care requirements for a toddler-caregiver must never leave toddler unsupervised; caregiver must be within eyesight/hearing range of sleeping toddler
Interview with staff confirmed that a resident caregiver was still expected to supervise a child in care while under the influence of a suspect illegal substance and or prescribed medication. Staff also confirmed resident admitted to their struggle with substance abuse. Review of the safety support plan indicated one of the purposes of the safety plan states the resident is responsible for not being under the influence while caring for their child, however the plan does not provide staff with direction on what they are allowed to do with the child under these circumstances. Staff interviewed confirmed they were instructed to follow the safety support plan to conduct their checks and document any incidents. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Medication logs were missing information. |
— |
| 3 | — |
748.1531(b)(2) - Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
While reviewing the medical documentation for the child's medical exam, it was advised that the child follow up with her PCP within 3 days. Staff was unable to take child to follow up with her PCP within that time frame. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
Psychotropic medications were not under double lock. |
Yes |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Operation did not have verification severe weather drills were being completed every 6 months. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
During the walk through it was observed that paint cans were stored in bottom cabinets underneath the sink in the kitchen. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Operation staff verbally admitted a child in care's positive test result for COVID was not reported within 24 hours. The operation documentation indicated the test result was 10-06-2023 and the report was 10-11-2023. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
During the walk through it was observed that multiple beds did not have either mattress covers or protective covers on the resident's beds. |
— |
| 3 | — |
748.103(a) - Policies & procedures to submit-must comply or exceed Chapter 42 of HRC, Chapters 745,748,& all other applicable laws and rules
Provided Policies and Procedures did not comply with Standards found in Subsection C. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member playfully hit a child on their arm. This staff member also used profane language in the presence of children. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
During the walk through it was observed that multiple beds did not have either mattress covers or protective covers on the resident's beds. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
The annual trainings for a caregiver were reviewed and taken over 13 days past the required annual training date. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation documentation provided revealed no evidence that the operation reported a child in care's positive COVID 19 test results to the DFPS hotline within 24 hours. |
— |
| 3 | — |
748.1531(b)(2) - Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
While reviewing the medical documentation for the child's medical exam, it was advised that the child follow up with her PCP within 3 days. Staff was unable to take child to follow up with her PCP within that time frame. |
— |
| 5 | — |
748.1791(c) - Care requirements for a toddler-caregiver must never leave toddler unsupervised; caregiver must be within eyesight/hearing range of sleeping toddler
Interview with staff confirmed that a resident caregiver was still expected to supervise a child in care while under the influence of a suspect illegal substance and or prescribed medication. Staff also confirmed resident admitted to their struggle with substance abuse. Review of the safety support plan indicated one of the purposes of the safety plan states the resident is responsible for not being under the influence while caring for their child, however the plan does not provide staff with direction on what they are allowed to do with the child under these circumstances. Staff interviewed confirmed they were instructed to follow the safety support plan to conduct their checks and document any incidents. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Operation did not have verification severe weather drills were being completed every 6 months. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Medication logs were missing explanation for skipped or late medication. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
Psychotropic medications were not under double lock. |
Yes |
| 3 | — |
748.103(a) - Policies & procedures to submit-must comply or exceed Chapter 42 of HRC, Chapters 745,748,& all other applicable laws and rules
Provided Policies and Procedures did not comply with Standards found in Subsection C. |
— |
| 3 | — |
748.1269(a) - Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission
Admission Assessment for one child was not completed within 40 days of emergency admission. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Medication logs were missing information. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Form 2912 was not found in the reviewed personnel files. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Operation staff verbally admitted a child in care's positive test result for COVID was not reported within 24 hours. The operation documentation indicated the test result was 10-06-2023 and the report was 10-11-2023. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
During the walk through it was observed that paint cans were stored in bottom cabinets underneath the sink in the kitchen. |
— |
| 4 | — |
748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container
Psychotropic medications were not under double lock. |
Yes |
| 3 | — |
748.1531(b)(2) - Medical Care-Written record of each medical examination must include the follow-up treatment recommended and any appointments scheduled
While reviewing the medical documentation for the child's medical exam, it was advised that the child follow up with her PCP within 3 days. Staff was unable to take child to follow up with her PCP within that time frame. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Medication logs were missing information. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
The operation documentation provided revealed no evidence that the operation reported a child in care's positive COVID 19 test results to the DFPS hotline within 24 hours. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member playfully hit a child on their arm. This staff member also used profane language in the presence of children. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
The annual trainings for a caregiver were reviewed and taken over 13 days past the required annual training date. |
— |
| 3 | — |
748.303(a)(11)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness that a child contracts reportable communicable disease
Operation staff verbally admitted a child in care's positive test result for COVID was not reported within 24 hours. The operation documentation indicated the test result was 10-06-2023 and the report was 10-11-2023. |
— |
| 3 | — |
748.103(a) - Policies & procedures to submit-must comply or exceed Chapter 42 of HRC, Chapters 745,748,& all other applicable laws and rules
Provided Policies and Procedures did not comply with Standards found in Subsection C. |
— |
| 3 | — |
748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
Operation did not have verification severe weather drills were being completed every 6 months. |
— |
| 3 | — |
748.1269(a) - Emergency Admission-Complete all requirements for an admission assessment within 40 days of admission
Admission Assessment for one child was not completed within 40 days of emergency admission. |
— |
| 5 | — |
748.1791(c) - Care requirements for a toddler-caregiver must never leave toddler unsupervised; caregiver must be within eyesight/hearing range of sleeping toddler
Interview with staff confirmed that a resident caregiver was still expected to supervise a child in care while under the influence of a suspect illegal substance and or prescribed medication. Staff also confirmed resident admitted to their struggle with substance abuse. Review of the safety support plan indicated one of the purposes of the safety plan states the resident is responsible for not being under the influence while caring for their child, however the plan does not provide staff with direction on what they are allowed to do with the child under these circumstances. Staff interviewed confirmed they were instructed to follow the safety support plan to conduct their checks and document any incidents. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
During the walk through it was observed that multiple beds did not have either mattress covers or protective covers on the resident's beds. |
— |
| 4 | — |
748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly.
During the walk through it was observed that paint cans were stored in bottom cabinets underneath the sink in the kitchen. |
— |
| 3 | — |
748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
Form 2912 was not found in the reviewed personnel files. |
— |
80 inspection record(s) on file from TX-HHSC.