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High Sky Children's Ranch

Child care center · 8701 W C R 60 # A, Midland, TX 79707 · License 251047- 165

0Compliance score
Poor

Violation history (64)

Severity	Date	Standard / narrative	Corrected
3	—	749.503(e)(4)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease. The operation did not report a foster parent having COVID 19 timely.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement A safety plan was designed for the child in care in order to reduce risk. The increased supervision measure that is part of the safety plan was not carried out, resulting in harm taking place.	—
3	—	749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease It was found that the operation did not notify licensing within 24 hours about an adult in the foster home testing positive for COVID.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Caregiver did not administer Guanfacine medication as recommended by Pediatric Nurse Practitioner (PNP) to decrease medication to 1x daily on 11/30/2021.	—
3	—	749.1565(2) - Medication label error-Have the label on the medication container corrected as soon as possible, but no later than the next business day Medication label for Guanfacine was not corrected as soon as possible by caregiver after dose was recommended to be changed to 1x daily on 11/30/2022. The medication label was not corrected until the end of January 2022.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old Variance was requested on 12/08/2021 after the child had turned 3 years old on 9/21/2021.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants In a review of the contacts for the abuse/neglect investigation, there were two documented contacts stating that a baby-walker is used with an 8-month-old child in care.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Upon reviewing documentation it is determined that medication was not properly locked in a container resulting in child having access to the medication.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement A safety plan was designed for the child in care in order to reduce risk. The increased supervision measure that is part of the safety plan was not carried out, resulting in harm taking place.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Caregiver did not administer Guanfacine medication as recommended by Pediatric Nurse Practitioner (PNP) to decrease medication to 1x daily on 11/30/2021.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Upon reviewing documentation it is determined that medication was not properly locked in a container resulting in child having access to the medication.	—
3	—	749.1565(2) - Medication label error-Have the label on the medication container corrected as soon as possible, but no later than the next business day Medication label for Guanfacine was not corrected as soon as possible by caregiver after dose was recommended to be changed to 1x daily on 11/30/2022. The medication label was not corrected until the end of January 2022.	—
3	—	749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease It was found that the operation did not notify licensing within 24 hours about an adult in the foster home testing positive for COVID.	—
3	—	749.503(e)(4)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease. The operation did not report a foster parent having COVID 19 timely.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants In a review of the contacts for the abuse/neglect investigation, there were two documented contacts stating that a baby-walker is used with an 8-month-old child in care.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old Variance was requested on 12/08/2021 after the child had turned 3 years old on 9/21/2021.	—
3	—	749.1565(2) - Medication label error-Have the label on the medication container corrected as soon as possible, but no later than the next business day Medication label for Guanfacine was not corrected as soon as possible by caregiver after dose was recommended to be changed to 1x daily on 11/30/2022. The medication label was not corrected until the end of January 2022.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old Variance was requested on 12/08/2021 after the child had turned 3 years old on 9/21/2021.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants In a review of the contacts for the abuse/neglect investigation, there were two documented contacts stating that a baby-walker is used with an 8-month-old child in care.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement A safety plan was designed for the child in care in order to reduce risk. The increased supervision measure that is part of the safety plan was not carried out, resulting in harm taking place.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Upon reviewing documentation it is determined that medication was not properly locked in a container resulting in child having access to the medication.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Caregiver did not administer Guanfacine medication as recommended by Pediatric Nurse Practitioner (PNP) to decrease medication to 1x daily on 11/30/2021.	—
3	—	749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease It was found that the operation did not notify licensing within 24 hours about an adult in the foster home testing positive for COVID.	—
3	—	749.503(e)(4)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease. The operation did not report a foster parent having COVID 19 timely.	—
3	—	749.503(e)(4)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease. The operation did not report a foster parent having COVID 19 timely.	—
3	—	749.1565(2) - Medication label error-Have the label on the medication container corrected as soon as possible, but no later than the next business day Medication label for Guanfacine was not corrected as soon as possible by caregiver after dose was recommended to be changed to 1x daily on 11/30/2022. The medication label was not corrected until the end of January 2022.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants In a review of the contacts for the abuse/neglect investigation, there were two documented contacts stating that a baby-walker is used with an 8-month-old child in care.	—
3	—	749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease It was found that the operation did not notify licensing within 24 hours about an adult in the foster home testing positive for COVID.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement A safety plan was designed for the child in care in order to reduce risk. The increased supervision measure that is part of the safety plan was not carried out, resulting in harm taking place.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Caregiver did not administer Guanfacine medication as recommended by Pediatric Nurse Practitioner (PNP) to decrease medication to 1x daily on 11/30/2021.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Upon reviewing documentation it is determined that medication was not properly locked in a container resulting in child having access to the medication.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old Variance was requested on 12/08/2021 after the child had turned 3 years old on 9/21/2021.	—
3	—	749.1565(2) - Medication label error-Have the label on the medication container corrected as soon as possible, but no later than the next business day Medication label for Guanfacine was not corrected as soon as possible by caregiver after dose was recommended to be changed to 1x daily on 11/30/2022. The medication label was not corrected until the end of January 2022.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old Variance was requested on 12/08/2021 after the child had turned 3 years old on 9/21/2021.	—
3	—	749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease It was found that the operation did not notify licensing within 24 hours about an adult in the foster home testing positive for COVID.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Caregiver did not administer Guanfacine medication as recommended by Pediatric Nurse Practitioner (PNP) to decrease medication to 1x daily on 11/30/2021.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants In a review of the contacts for the abuse/neglect investigation, there were two documented contacts stating that a baby-walker is used with an 8-month-old child in care.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Upon reviewing documentation it is determined that medication was not properly locked in a container resulting in child having access to the medication.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement A safety plan was designed for the child in care in order to reduce risk. The increased supervision measure that is part of the safety plan was not carried out, resulting in harm taking place.	—
3	—	749.503(e)(4)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease. The operation did not report a foster parent having COVID 19 timely.	—
3	—	749.1565(2) - Medication label error-Have the label on the medication container corrected as soon as possible, but no later than the next business day Medication label for Guanfacine was not corrected as soon as possible by caregiver after dose was recommended to be changed to 1x daily on 11/30/2022. The medication label was not corrected until the end of January 2022.	—
3	—	749.503(e)(4)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease. The operation did not report a foster parent having COVID 19 timely.	—
3	—	749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease It was found that the operation did not notify licensing within 24 hours about an adult in the foster home testing positive for COVID.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Upon reviewing documentation it is determined that medication was not properly locked in a container resulting in child having access to the medication.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants In a review of the contacts for the abuse/neglect investigation, there were two documented contacts stating that a baby-walker is used with an 8-month-old child in care.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old Variance was requested on 12/08/2021 after the child had turned 3 years old on 9/21/2021.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Caregiver did not administer Guanfacine medication as recommended by Pediatric Nurse Practitioner (PNP) to decrease medication to 1x daily on 11/30/2021.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement A safety plan was designed for the child in care in order to reduce risk. The increased supervision measure that is part of the safety plan was not carried out, resulting in harm taking place.	—
3	—	749.1565(2) - Medication label error-Have the label on the medication container corrected as soon as possible, but no later than the next business day Medication label for Guanfacine was not corrected as soon as possible by caregiver after dose was recommended to be changed to 1x daily on 11/30/2022. The medication label was not corrected until the end of January 2022.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old Variance was requested on 12/08/2021 after the child had turned 3 years old on 9/21/2021.	—
3	—	749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease It was found that the operation did not notify licensing within 24 hours about an adult in the foster home testing positive for COVID.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Upon reviewing documentation it is determined that medication was not properly locked in a container resulting in child having access to the medication.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants In a review of the contacts for the abuse/neglect investigation, there were two documented contacts stating that a baby-walker is used with an 8-month-old child in care.	—
3	—	749.503(e)(4)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease. The operation did not report a foster parent having COVID 19 timely.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement A safety plan was designed for the child in care in order to reduce risk. The increased supervision measure that is part of the safety plan was not carried out, resulting in harm taking place.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Caregiver did not administer Guanfacine medication as recommended by Pediatric Nurse Practitioner (PNP) to decrease medication to 1x daily on 11/30/2021.	—
3	—	749.503(e)(3)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease It was found that the operation did not notify licensing within 24 hours about an adult in the foster home testing positive for COVID.	—
5	—	749.1463(b)(5) - Administration of Medication-Ensure the child has taken the medication as prescribed Caregiver did not administer Guanfacine medication as recommended by Pediatric Nurse Practitioner (PNP) to decrease medication to 1x daily on 11/30/2021.	—
3	—	749.3027(a)(2) - Bedrooms-Child may share a bedroom with an adult caregiver if the child is under three years old Variance was requested on 12/08/2021 after the child had turned 3 years old on 9/21/2021.	—
3	—	749.503(e)(4)(A) - Serious Incident-Report to Licensing no later than 24 hours after awareness if an adult contracts a reportable communicable disease. The operation did not report a foster parent having COVID 19 timely.	—
5	—	749.1521(1) - Medication Storage-Store medication in a locked container Upon reviewing documentation it is determined that medication was not properly locked in a container resulting in child having access to the medication.	—
3	—	749.1565(2) - Medication label error-Have the label on the medication container corrected as soon as possible, but no later than the next business day Medication label for Guanfacine was not corrected as soon as possible by caregiver after dose was recommended to be changed to 1x daily on 11/30/2022. The medication label was not corrected until the end of January 2022.	—
4	—	749.1813(a)(1) - Infant requirements-A foster home may not use baby walkers with infants In a review of the contacts for the abuse/neglect investigation, there were two documented contacts stating that a baby-walker is used with an 8-month-old child in care.	—
5	—	749.1107(a)(12) - Child Admission Records-Include identification of child's high risk behaviors and related safety plan staff and caregivers will implement A safety plan was designed for the child in care in order to reduce risk. The increased supervision measure that is part of the safety plan was not carried out, resulting in harm taking place.	—

Severity 5 = most serious. Source: official state record.

Inspections (48)

48 inspection record(s) on file from TX-HHSC.

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