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Family Link Treatment Services, Inc.

Child care center · , TX · License 1508898

0Compliance score
Poor

Capacity 105. 0-17

Violation history (328)

SeverityDateStandard / narrativeCorrected
4— 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
A broken toilet tank cover was observed in Brave.		 —
1— 748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
The menu did not have a food substitution listed		 —
5— 748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
A child in care's car seat was expired and dirty.		 —
5— 748.4011(3) - AP General requirements-Must never leave a child under eight years old unattended in a vehicle
Staff admitted to leaving two children in vehicle unattended.		 —
4— 748.3233(b)(1) - Evacuation-Emergency evacuation & relocation diagram must include a floor plan of the operation
2 out of the 4 homes did not have a floor plan for an emergency evacuation.		 Yes
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Hole in one of the bedroom closet ay Joy house.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Multiple children confirmed staff yelling at them and shared their personal information with other kids without their permission.		 —
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
Child in care had a severe diaper rash and was not seen by the doctor until the next day.		 —
2— 748.1337(a) - Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
During the review of a child's files, the initial service plan was not in the child's file.		 —
5— 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Operation did not submit controlling persons for last two administrators, current board members and governing body.		 —
4— 748.3441(c) - Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair
During the walk through it was observed there was an unknown substance spilled in the freezer.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Staff did not administer medication prescribed due to medication refills not completed in a timely manner.		 —
4— 748.1545(a) - Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
1 of 2 children's files did not have documentation of vision and hearing screening being completed		 —
3— 748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
Fire Extinguisher's inspection in the Kind house was expired.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Opertion did not send the requested document in a reasonable timeframe. Multiple requests were made prior to the opertion, before the documents were provided to the investigator.		 —
3— 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
Staff file did not have a Pre-Employment Affidavit		 —
4— 748.1101(b)(1)(C) - Children's rights-Adhere to the child's right to receive fair treatment
It was confirmed a staff member shows favoritism towards residents by bringing individual gifts and food for children who the staff is close with and does not bring these items for another resident. The staff member uses this as a consequence to get back at the resident.		 —
4— 748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
Children in care are wearing dirty clothes and shoes.		 —
4— 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
Review of the serious incident report indicates the incident was reported to licensing three days after staff were made aware of the incident.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care admitted to choking another child in care and staff were not aware or present when the incident occurred.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During walk thru child in care mae outcry staff had told another child in care to shup up. Staff did state they had told the child in care this.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Staff did not administer a child's medication at the required time per the medication instructions and did not document the reason medication dosage was missed.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff interviewed were not able to explain how they missed a female child in care make their way into the male bedroom.		 —
5— 745.8411(b)(4) - Responsibilities - Not delay or prevent inspection or investigation
The designated on-call Administrator did not respond to repeated attempts to contact her via phone, preventing an inspection being conducted by a Contracts Monitor.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff took children out for an unauthorized period of time.		 —
4— 748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave
During walkthrough of Promise house meat was found to be defrosting in a crockpot with part of the meat not covered. In Hope house two alumiunim container were found on the counter defrosting.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Staff interviewed were not aware of the citation for medication. Staff confirmed there is no set plan in place when it comes to refilling medication. Staff confirmed they do not know who refills medications. Compliance plan was never received.		 —
4— 748.1101(b)(1)(C) - Children's rights-Adhere to the child's right to receive fair treatment
During the investigation, a child in care reported that staff tell children to go to bed hungry if they don't like or choose not to eat the meals served.		 —
4— 748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds
One expired medication was observed in Promise, and two expired medications were observed in Brave and Joy. During the inspection, staff removed the medications and disposed of them.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff admitted to letting a child in care use their cell phone to look something up.		 —
4— 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
A staff witness indicated the operation director plus one other staff walked from the school to the residential area with at least 21 children in care. The director didn't know with how many children in care they were walking.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through I observed a long amount of dust in the light fixture in the restroom that children in care are using.		 —
4— 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The posted evacuation plan all four homes didn't have the meet up location documented.		 Yes
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member threw a child onto the bed and child sustained physical injuries.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
The inspector observed dog food, chips, and hair on the floor of one of the homes.		 —
4— 748.3109(a) - Smoke Detector-Smoke detectors installed & maintained according to manufacturer's instructions or in compliance with fire inspector's instructions
Staff confirmed there was no drill or emergency when the smoke detector went off explaining there was an issue with the system.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The operation was unable to provide documentation of an incident involving children in care being inappropriate. The operation staff confirmed that an incident report was completed, but it was never found.		 —
3— 748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies
Staff did not have access to emergency medication.		 —
3— 748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care
During the walk-through of the homes, all four homes had multiple items missing from the first aid kits.		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The posted evacuation plan at Promis House didn't have the meet up location documented.		 —
3— 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Staff background check was not inactivated timely.		 Yes
4— 748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
Children in care are wearing dirty clothes and shoes.		 —
4— 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
A broken toilet tank cover was observed in Brave.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Child in care admitted to choking another child in care and staff were not aware or present when the incident occurred.		 —
3— 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
Staff file did not have a Pre-Employment Affidavit		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
The inspector observed dog food, chips, and hair on the floor of one of the homes.		 —
5— 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Operation did not submit controlling persons for last two administrators, current board members and governing body.		 —
3— 748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
Fire Extinguisher's inspection in the Kind house was expired.		 —
1— 748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
The menu did not have a food substitution listed		 —
5— 748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
A child in care's car seat was expired and dirty.		 —
4— 748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds
One expired medication was observed in Promise, and two expired medications were observed in Brave and Joy. During the inspection, staff removed the medications and disposed of them.		 Yes
4— 748.3109(a) - Smoke Detector-Smoke detectors installed & maintained according to manufacturer's instructions or in compliance with fire inspector's instructions
Staff confirmed there was no drill or emergency when the smoke detector went off explaining there was an issue with the system.		 —
3— 748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care
During the walk-through of the homes, all four homes had multiple items missing from the first aid kits.		 —
2— 748.1337(a) - Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals
During the review of a child's files, the initial service plan was not in the child's file.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member threw a child onto the bed and child sustained physical injuries.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff interviewed were not able to explain how they missed a female child in care make their way into the male bedroom.		 —
4— 748.3441(c) - Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair
During the walk through it was observed there was an unknown substance spilled in the freezer.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Multiple children confirmed staff yelling at them and shared their personal information with other kids without their permission.		 —
5— 748.4011(3) - AP General requirements-Must never leave a child under eight years old unattended in a vehicle
Staff admitted to leaving two children in vehicle unattended.		 —
4— 748.1101(b)(1)(C) - Children's rights-Adhere to the child's right to receive fair treatment
It was confirmed a staff member shows favoritism towards residents by bringing individual gifts and food for children who the staff is close with and does not bring these items for another resident. The staff member uses this as a consequence to get back at the resident.		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The posted evacuation plan at Promis House didn't have the meet up location documented.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During walk thru child in care mae outcry staff had told another child in care to shup up. Staff did state they had told the child in care this.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff took children out for an unauthorized period of time.		 —
5— 745.8411(b)(4) - Responsibilities - Not delay or prevent inspection or investigation
The designated on-call Administrator did not respond to repeated attempts to contact her via phone, preventing an inspection being conducted by a Contracts Monitor.		 —
4— 748.1545(a) - Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
1 of 2 children's files did not have documentation of vision and hearing screening being completed		 —
3— 748.535(3)(C) - Child-care administrator responsibilities-Having system in place to ensure an employee is available for emergencies
Staff did not have access to emergency medication.		 —
4— 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
A staff witness indicated the operation director plus one other staff walked from the school to the residential area with at least 21 children in care. The director didn't know with how many children in care they were walking.		 —
4— 748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave
During walkthrough of Promise house meat was found to be defrosting in a crockpot with part of the meat not covered. In Hope house two alumiunim container were found on the counter defrosting.		 —
4— 748.3233(b)(1) - Evacuation-Emergency evacuation & relocation diagram must include a floor plan of the operation
2 out of the 4 homes did not have a floor plan for an emergency evacuation.		 Yes
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Staff did not administer a child's medication at the required time per the medication instructions and did not document the reason medication dosage was missed.		 —
4— 748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet
The posted evacuation plan all four homes didn't have the meet up location documented.		 Yes
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff admitted to letting a child in care use their cell phone to look something up.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Staff did not administer medication prescribed due to medication refills not completed in a timely manner.		 —
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
Child in care had a severe diaper rash and was not seen by the doctor until the next day.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Hole in one of the bedroom closet ay Joy house.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the walk through I observed a long amount of dust in the light fixture in the restroom that children in care are using.		 —
4— 748.1101(b)(1)(C) - Children's rights-Adhere to the child's right to receive fair treatment
During the investigation, a child in care reported that staff tell children to go to bed hungry if they don't like or choose not to eat the meals served.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Staff interviewed were not aware of the citation for medication. Staff confirmed there is no set plan in place when it comes to refilling medication. Staff confirmed they do not know who refills medications. Compliance plan was never received.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The operation was unable to provide documentation of an incident involving children in care being inappropriate. The operation staff confirmed that an incident report was completed, but it was never found.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
Opertion did not send the requested document in a reasonable timeframe. Multiple requests were made prior to the opertion, before the documents were provided to the investigator.		 —
4— 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
Review of the serious incident report indicates the incident was reported to licensing three days after staff were made aware of the incident.		 —
3— 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Staff background check was not inactivated timely.		 Yes
3— 748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing
Fire Extinguisher's inspection in the Kind house was expired.		 —
4— 748.1101(b)(1)(C) - Children's rights-Adhere to the child's right to receive fair treatment
It was confirmed a staff member shows favoritism towards residents by bringing individual gifts and food for children who the staff is close with and does not bring these items for another resident. The staff member uses this as a consequence to get back at the resident.		 —
4— 748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children
A staff witness indicated the operation director plus one other staff walked from the school to the residential area with at least 21 children in care. The director didn't know with how many children in care they were walking.		 —
4— 748.3441(c) - Food Preparation-Must keep furniture, equipment, surfaces & other areas where food is prepared, eaten or stored clean & in good repair
During the walk through it was observed there was an unknown substance spilled in the freezer.		 —
5— 748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain
Child in care had a severe diaper rash and was not seen by the doctor until the next day.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff interviewed were not able to explain how they missed a female child in care make their way into the male bedroom.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Multiple children confirmed staff yelling at them and shared their personal information with other kids without their permission.		 —
4— 748.1101(b)(1)(C) - Children's rights-Adhere to the child's right to receive fair treatment
During the investigation, a child in care reported that staff tell children to go to bed hungry if they don't like or choose not to eat the meals served.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Staff did not administer medication prescribed due to medication refills not completed in a timely manner.		 —
4— 748.3233(b)(1) - Evacuation-Emergency evacuation & relocation diagram must include a floor plan of the operation
2 out of the 4 homes did not have a floor plan for an emergency evacuation.		 Yes
3— 748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care
During the walk-through of the homes, all four homes had multiple items missing from the first aid kits.		 —
1— 748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
The menu did not have a food substitution listed		 —
4— 748.1101(b)(1)(A) - Children's rights-rights to good care and treatment that meets the child's needs in the most family-like setting possible
Children in care are wearing dirty clothes and shoes.		 —
4— 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The posted evacuation plan at Promis House didn't have the meet up location documented.		 —
3— 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
Hole in one of the bedroom closet ay Joy house.		 —
5— 745.8411(b)(4) - Responsibilities - Not delay or prevent inspection or investigation
The designated on-call Administrator did not respond to repeated attempts to contact her via phone, preventing an inspection being conducted by a Contracts Monitor.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A staff member threw a child onto the bed and child sustained physical injuries.		 —
4— 748.2103(a) - Medication Storage & Destruction-Discontinued or expired meds & meds left at the operation must be inventoried & stored separately from current meds
One expired medication was observed in Promise, and two expired medications were observed in Brave and Joy. During the inspection, staff removed the medications and disposed of them.		 Yes

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

Inspections (248)

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

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