Child care center ·
121 OLD SAN ANTONIO RD, Boerne, TX 78006-3415 ·
License 251707
Capacity 16. 6-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff had knowledge a child in care had vape pen and did not remove from possession immediately. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
Child in care was given restrictions for completing an activity that was authorized by a staff member. |
— |
| 4 | — |
748.2851(d) - EBI Follow-Up-Supervisor(s) of caregivers involved in an EBI must review the use of the emergency behavior intervention within 72 hours
Reviewed two EBI reports. One report is missing supervisors/administrative signature indicating the EBI report was reviewed. The second report was signed by the employee involved in the restraint not their supervisor. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
The following was observed that a faucet was loose, tiles were missing in the shower, there was a hole in the wall and a sink drain was clogged. |
— |
| 5 | — |
748.3601(9) - Swimming Pool-swimming area rules & emergency procedures must be posted at the swimming area & explained to the children
Emergency procedures were not posted in swimming pool area. |
— |
| 4 | — |
748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
Incident occurred on 8/28 and was reported to the hotline on 9/21. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
It was confirmed through interviews, staff members did not ensure child made it to school from medical evaluations regardless of runaway risk in child's service plan. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A report was not document for a medication error within 24 hours of the operation, becoming aware of a child in care receiving another child's inhaler to take on an outing. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
The time was missing on 2 children's medication records. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Children in care with history of self-harming behaviors were given unsupervised access to scissors. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
748.535(2): The licensed administrator must ensure the operation complies with the current heightened monitoring plan. During a review conducted on 6/18/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
748.3471(4) - Safety Requirements-Equipment must not have protrusions or openings that can entangle something around a child's neck or a child's clothing
It was observed that the playground equipment had protruding screws. |
— |
| 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
During the course of an investigation the doors to the medication room were seen opened and unattended by staff, leaving psychotropic mediations only single-locked. |
— |
| 5 | — |
748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
A child in care requested to call the Texas Abuse Hotline but was not allowed to do so. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
748.535(2): The licensed administrator must ensure the operation complies with the current heightened monitoring plan. During a review conducted on 12/22/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 2 | — |
748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
During a walkthrough of the cabin, the "Keeping Children Safe" poster was not posted. It was posted after the walkthrough. |
Yes |
| 5 | — |
748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Staff was aware of the vape being on campus and did not say anything. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care was able to crawl passed the window of the office area without staff noticing. During the walk-thru of the cabin it was found when staff are in the office they do not have a clear view of outside of the office. The video of the incident also shows that the staff did not have a clear view of the outside area. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
According to video footage, a staff member left children in care unattended for approximately 9 minutes and in addition, did not complete their 30 minute checks on the children. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child's prescribed medication was not reorder in a timely manner, resulting in the child going without 3 required doses. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
it was discovered that staff did not conduct night checks within the appropriate 10-15minute time frames. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the review of medication record, there were two (2) prescribed medication with incorrect pill counts documented on the med logs. |
Yes |
| 5 | — |
748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
During the course of an investigation the child in care reported not receiving medical attention after reporting to staff of possibly having a concussion and needing to go to the hospital to be check after being restraint. There was no evidence to support the child had a concussion or that staff cause the child to hit their head during the implementation of a restraint. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on 12/18/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
748.3601(9) - Swimming Pool-swimming area rules & emergency procedures must be posted at the swimming area & explained to the children
Emergency procedures were not posted in swimming pool area. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on 12/18/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
The following was observed that a faucet was loose, tiles were missing in the shower, there was a hole in the wall and a sink drain was clogged. |
— |
| 5 | — |
748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
A child in care requested to call the Texas Abuse Hotline but was not allowed to do so. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care was able to crawl passed the window of the office area without staff noticing. During the walk-thru of the cabin it was found when staff are in the office they do not have a clear view of outside of the office. The video of the incident also shows that the staff did not have a clear view of the outside area. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A report was not document for a medication error within 24 hours of the operation, becoming aware of a child in care receiving another child's inhaler to take on an outing. |
— |
| 5 | — |
748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Staff was aware of the vape being on campus and did not say anything. |
— |
| 2 | — |
748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
During a walkthrough of the cabin, the "Keeping Children Safe" poster was not posted. It was posted after the walkthrough. |
Yes |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
748.535(2): The licensed administrator must ensure the operation complies with the current heightened monitoring plan. During a review conducted on 12/22/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 4 | — |
748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
Incident occurred on 8/28 and was reported to the hotline on 9/21. |
— |
| 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
During the course of an investigation the doors to the medication room were seen opened and unattended by staff, leaving psychotropic mediations only single-locked. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Children in care with history of self-harming behaviors were given unsupervised access to scissors. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child's prescribed medication was not reorder in a timely manner, resulting in the child going without 3 required doses. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
According to video footage, a staff member left children in care unattended for approximately 9 minutes and in addition, did not complete their 30 minute checks on the children. |
— |
| 5 | — |
748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
During the course of an investigation the child in care reported not receiving medical attention after reporting to staff of possibly having a concussion and needing to go to the hospital to be check after being restraint. There was no evidence to support the child had a concussion or that staff cause the child to hit their head during the implementation of a restraint. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
748.535(2): The licensed administrator must ensure the operation complies with the current heightened monitoring plan. During a review conducted on 6/18/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 4 | — |
748.2851(d) - EBI Follow-Up-Supervisor(s) of caregivers involved in an EBI must review the use of the emergency behavior intervention within 72 hours
Reviewed two EBI reports. One report is missing supervisors/administrative signature indicating the EBI report was reviewed. The second report was signed by the employee involved in the restraint not their supervisor. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
It was confirmed through interviews, staff members did not ensure child made it to school from medical evaluations regardless of runaway risk in child's service plan. |
— |
| 5 | — |
748.3471(4) - Safety Requirements-Equipment must not have protrusions or openings that can entangle something around a child's neck or a child's clothing
It was observed that the playground equipment had protruding screws. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
it was discovered that staff did not conduct night checks within the appropriate 10-15minute time frames. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
The time was missing on 2 children's medication records. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the review of medication record, there were two (2) prescribed medication with incorrect pill counts documented on the med logs. |
Yes |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
Child in care was given restrictions for completing an activity that was authorized by a staff member. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff had knowledge a child in care had vape pen and did not remove from possession immediately. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
The following was observed that a faucet was loose, tiles were missing in the shower, there was a hole in the wall and a sink drain was clogged. |
— |
| 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
During the course of an investigation the doors to the medication room were seen opened and unattended by staff, leaving psychotropic mediations only single-locked. |
— |
| 4 | — |
748.2851(d) - EBI Follow-Up-Supervisor(s) of caregivers involved in an EBI must review the use of the emergency behavior intervention within 72 hours
Reviewed two EBI reports. One report is missing supervisors/administrative signature indicating the EBI report was reviewed. The second report was signed by the employee involved in the restraint not their supervisor. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
The time was missing on 2 children's medication records. |
— |
| 5 | — |
748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
During the course of an investigation the child in care reported not receiving medical attention after reporting to staff of possibly having a concussion and needing to go to the hospital to be check after being restraint. There was no evidence to support the child had a concussion or that staff cause the child to hit their head during the implementation of a restraint. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff had knowledge a child in care had vape pen and did not remove from possession immediately. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
Child in care was given restrictions for completing an activity that was authorized by a staff member. |
— |
| 5 | — |
748.3471(4) - Safety Requirements-Equipment must not have protrusions or openings that can entangle something around a child's neck or a child's clothing
It was observed that the playground equipment had protruding screws. |
— |
| 4 | — |
748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
Incident occurred on 8/28 and was reported to the hotline on 9/21. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on 12/18/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the review of medication record, there were two (2) prescribed medication with incorrect pill counts documented on the med logs. |
Yes |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care was able to crawl passed the window of the office area without staff noticing. During the walk-thru of the cabin it was found when staff are in the office they do not have a clear view of outside of the office. The video of the incident also shows that the staff did not have a clear view of the outside area. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
It was confirmed through interviews, staff members did not ensure child made it to school from medical evaluations regardless of runaway risk in child's service plan. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A report was not document for a medication error within 24 hours of the operation, becoming aware of a child in care receiving another child's inhaler to take on an outing. |
— |
| 5 | — |
748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Staff was aware of the vape being on campus and did not say anything. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
748.535(2): The licensed administrator must ensure the operation complies with the current heightened monitoring plan. During a review conducted on 12/22/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
According to video footage, a staff member left children in care unattended for approximately 9 minutes and in addition, did not complete their 30 minute checks on the children. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child's prescribed medication was not reorder in a timely manner, resulting in the child going without 3 required doses. |
— |
| 5 | — |
748.3601(9) - Swimming Pool-swimming area rules & emergency procedures must be posted at the swimming area & explained to the children
Emergency procedures were not posted in swimming pool area. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
748.535(2): The licensed administrator must ensure the operation complies with the current heightened monitoring plan. During a review conducted on 6/18/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
A child in care requested to call the Texas Abuse Hotline but was not allowed to do so. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
it was discovered that staff did not conduct night checks within the appropriate 10-15minute time frames. |
— |
| 2 | — |
748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
During a walkthrough of the cabin, the "Keeping Children Safe" poster was not posted. It was posted after the walkthrough. |
Yes |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Children in care with history of self-harming behaviors were given unsupervised access to scissors. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
748.535(2): The licensed administrator must ensure the operation complies with the current heightened monitoring plan. During a review conducted on 12/22/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
748.3471(4) - Safety Requirements-Equipment must not have protrusions or openings that can entangle something around a child's neck or a child's clothing
It was observed that the playground equipment had protruding screws. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
Child in care was given restrictions for completing an activity that was authorized by a staff member. |
— |
| 4 | — |
748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision
Children in care with history of self-harming behaviors were given unsupervised access to scissors. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
The following was observed that a faucet was loose, tiles were missing in the shower, there was a hole in the wall and a sink drain was clogged. |
— |
| 4 | — |
748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs
A report was not document for a medication error within 24 hours of the operation, becoming aware of a child in care receiving another child's inhaler to take on an outing. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
748.535(2): The licensed administrator must ensure the operation complies with the current heightened monitoring plan. During a review conducted on 6/18/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
During the course of an investigation the child in care reported not receiving medical attention after reporting to staff of possibly having a concussion and needing to go to the hospital to be check after being restraint. There was no evidence to support the child had a concussion or that staff cause the child to hit their head during the implementation of a restraint. |
— |
| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
The time was missing on 2 children's medication records. |
— |
| 4 | — |
748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child's prescribed medication was not reorder in a timely manner, resulting in the child going without 3 required doses. |
— |
| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the review of medication record, there were two (2) prescribed medication with incorrect pill counts documented on the med logs. |
Yes |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
It was confirmed through interviews, staff members did not ensure child made it to school from medical evaluations regardless of runaway risk in child's service plan. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child in care was able to crawl passed the window of the office area without staff noticing. During the walk-thru of the cabin it was found when staff are in the office they do not have a clear view of outside of the office. The video of the incident also shows that the staff did not have a clear view of the outside area. |
— |
| 4 | — |
748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
Incident occurred on 8/28 and was reported to the hotline on 9/21. |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
it was discovered that staff did not conduct night checks within the appropriate 10-15minute time frames. |
— |
| 4 | — |
748.2851(d) - EBI Follow-Up-Supervisor(s) of caregivers involved in an EBI must review the use of the emergency behavior intervention within 72 hours
Reviewed two EBI reports. One report is missing supervisors/administrative signature indicating the EBI report was reviewed. The second report was signed by the employee involved in the restraint not their supervisor. |
— |
| 2 | — |
748.191(2) - Required Postings-Post Licensing notice Keeping Children Safe in prominent and publicly accessible place where others may easily view it at all times
During a walkthrough of the cabin, the "Keeping Children Safe" poster was not posted. It was posted after the walkthrough. |
Yes |
| 5 | — |
748.3601(9) - Swimming Pool-swimming area rules & emergency procedures must be posted at the swimming area & explained to the children
Emergency procedures were not posted in swimming pool area. |
— |
| 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
During the course of an investigation the doors to the medication room were seen opened and unattended by staff, leaving psychotropic mediations only single-locked. |
— |
| 5 | — |
748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
A child in care requested to call the Texas Abuse Hotline but was not allowed to do so. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
According to video footage, a staff member left children in care unattended for approximately 9 minutes and in addition, did not complete their 30 minute checks on the children. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on 12/18/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff had knowledge a child in care had vape pen and did not remove from possession immediately. |
— |
| 5 | — |
748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Staff was aware of the vape being on campus and did not say anything. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
748.535(2): The licensed administrator must ensure the operation complies with the current heightened monitoring plan. During a review conducted on 12/22/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
748.1101(b)(4)(A) - Children's rights-The right to be free from any harsh, cruel, unusual, unnecessary, demeaning, or humiliating treatment or punishment.
Child in care was given restrictions for completing an activity that was authorized by a staff member. |
— |
| 4 | — |
748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable.
During a review conducted on 12/18/2024 it was determined that: -the Administrator failed to ensure compliance with the current HM Plan; and -12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: -Operation failed to satisfy the conditions of the plan -Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and -Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation. |
— |
| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
According to video footage, a staff member left children in care unattended for approximately 9 minutes and in addition, did not complete their 30 minute checks on the children. |
— |
152 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.