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Texas › L'Amor Village Emergency Shelter

L'Amor Village Emergency Shelter

Child care center · , TX · License 254110

0Compliance score
Poor

Capacity 8. 5-17

Violation history (248)

SeverityDateStandard / narrativeCorrected
4 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
One of four staff members was observed to have a delinquent annual normalcy training: last taken 01/18/23.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The Recreational Activity Calendar does not depict planned daily indoor and outdoor recreational activities.
3 748.363(11) - Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months.
One of four employee files reviewed was observed to have an expired driver's license as of 11/05/2023.
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation's annual fire inspection was not completed, with all items passing, by the due date.
4 748.4007(8) - Overnight Excursion-Each vehicle must have an operable flashlight
Vehicle used to transport children was not equipped with a flashlight.
Yes
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The Recreational Activity Calendar does not depict planned daily indoor and outdoor recreational activities.
4 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The emergency evacuation & relocation diagram does not include a designated location inside of the operation to take shelter from threatening weather.
4 748.1693(c) - Nutrition-must ensure drinking water is always available to each child and served in a safe and sanitary manner
During the walkthrough, water was not observed to be readily available.
4 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
During the inspection, it was found that there were two chairs located in the common living area being used by children in care. The chairs had cuts on the leather thereby exposing the filling under it.
3 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The unauthorized annual summary log was reviewed and is missing the component of how long the child was gone for or if the child did not return.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
The operation's 2022 quarter 4 EBI numbers have not been reported.
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
During the inspection, it was discovered that the operation's fire inspection was expired.
2 748.1217(b)(11) - Admission Assessment-At admission, must include documentation of efforts to obtain required information, if any information is not obtainable
3 out of the 4 files reviewed did not contain an admission assessment.
3 748.311(6) - Serious Incident Documentation-Includes nature of the incident
During the inspection it was discovered that one out of four serious incident forms reviewed did not contain a description of the nature of the incident as well as the names of the witnesses to the incident.
3 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection, it was found that the flooring in 3 bedrooms, common living area, and in the kitchen was peeling and in a state of disrepair. There was also an exposed nail around the siding of the house.
4 748.983(a) - First-aid-CPR renewal-Each caregiver must complete any new first-aid training, as required to maintain a current certification
One of four staff member files reviewed was observed to have an expired CPR Certification: expired June 2024.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
The vehicle used for transportation was observed to have the ABS light, tire pressure light on, torn seat cushions, and no a/c flow.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
There were no signed child rights forms in 3 of 4 files that were reviewed.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
The medication log for a child in care indicated that the child is being given one tablet at bedtime and not two as prescribed.
2 748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
It was found in 4 out 4 files reviewed that the facility did not attain the immunization records or place the documentation attempts in the child's file.
4 748.1545(a) - Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
4 out of the 4 files reviewed did not obtain any record of any child being screened for vision or hearing.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
The vehicle used to transport children was observed to have a broken seatbelt on the second row and no air conditioning flowing from the vents on the very last row. The side window in the back row was also observed to be broke.
1 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
5 of 5 children receiving emergency care services have been in care longer than 15 days without an extension.
5 748.4007(6) - Overnight Excursion-Each vehicle must have approved fire extinguisher, secured in passenger compartment & accessible to adults
Vehicle used to transport children was not equipped with a fire extinguisher.
Yes
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There was mold observed on the upper walls near the ceiling in one of the restrooms.
3 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The unauthorized annual summary log was reviewed and is missing the component of how long the child was gone for or if the child did not return.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
1 out of 4 child files observed was not accurate as the front of the file stated that the child had no food allergies however in the file placement summary it was indicated that the child was allergic to fish, shellfish, dust, insects, and moss.
3 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
In 1 out of 4 files reviewed there was no TB exam conducted.
3 748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
During the inspection, it was discovered that the AWOL Summary Log form was missing information regarding the gender of the child involved.
4 748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint
1 out of 4 files reviewed did not include the orientation or EBI notification.
2 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
In 1 out of 1 discharge file reviewed was observed to not contain any discharge documentation.
4 748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint
1 out of 4 files reviewed did not include the orientation or EBI notification.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
There were no signed child rights forms in 3 of 4 files that were reviewed.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
The operation's 2022 quarter 4 EBI numbers have not been reported.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The Recreational Activity Calendar does not depict planned daily indoor and outdoor recreational activities.
4 748.1693(c) - Nutrition-must ensure drinking water is always available to each child and served in a safe and sanitary manner
During the walkthrough, water was not observed to be readily available.
3 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The unauthorized annual summary log was reviewed and is missing the component of how long the child was gone for or if the child did not return.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
1 out of 4 child files observed was not accurate as the front of the file stated that the child had no food allergies however in the file placement summary it was indicated that the child was allergic to fish, shellfish, dust, insects, and moss.
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There was mold observed on the upper walls near the ceiling in one of the restrooms.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The Recreational Activity Calendar does not depict planned daily indoor and outdoor recreational activities.
3 748.311(6) - Serious Incident Documentation-Includes nature of the incident
During the inspection it was discovered that one out of four serious incident forms reviewed did not contain a description of the nature of the incident as well as the names of the witnesses to the incident.
4 748.983(a) - First-aid-CPR renewal-Each caregiver must complete any new first-aid training, as required to maintain a current certification
One of four staff member files reviewed was observed to have an expired CPR Certification: expired June 2024.
3 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
In 1 out of 4 files reviewed there was no TB exam conducted.
4 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
During the inspection, it was found that there were two chairs located in the common living area being used by children in care. The chairs had cuts on the leather thereby exposing the filling under it.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
The vehicle used to transport children was observed to have a broken seatbelt on the second row and no air conditioning flowing from the vents on the very last row. The side window in the back row was also observed to be broke.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
The vehicle used for transportation was observed to have the ABS light, tire pressure light on, torn seat cushions, and no a/c flow.
2 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
In 1 out of 1 discharge file reviewed was observed to not contain any discharge documentation.
4 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The emergency evacuation & relocation diagram does not include a designated location inside of the operation to take shelter from threatening weather.
3 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The unauthorized annual summary log was reviewed and is missing the component of how long the child was gone for or if the child did not return.
2 748.1217(b)(11) - Admission Assessment-At admission, must include documentation of efforts to obtain required information, if any information is not obtainable
3 out of the 4 files reviewed did not contain an admission assessment.
3 748.363(11) - Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months.
One of four employee files reviewed was observed to have an expired driver's license as of 11/05/2023.
2 748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
It was found in 4 out 4 files reviewed that the facility did not attain the immunization records or place the documentation attempts in the child's file.
3 748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
During the inspection, it was discovered that the AWOL Summary Log form was missing information regarding the gender of the child involved.
5 748.4007(6) - Overnight Excursion-Each vehicle must have approved fire extinguisher, secured in passenger compartment & accessible to adults
Vehicle used to transport children was not equipped with a fire extinguisher.
Yes
4 748.1545(a) - Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
4 out of the 4 files reviewed did not obtain any record of any child being screened for vision or hearing.
4 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
One of four staff members was observed to have a delinquent annual normalcy training: last taken 01/18/23.
3 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection, it was found that the flooring in 3 bedrooms, common living area, and in the kitchen was peeling and in a state of disrepair. There was also an exposed nail around the siding of the house.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
The medication log for a child in care indicated that the child is being given one tablet at bedtime and not two as prescribed.
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
During the inspection, it was discovered that the operation's fire inspection was expired.
4 748.4007(8) - Overnight Excursion-Each vehicle must have an operable flashlight
Vehicle used to transport children was not equipped with a flashlight.
Yes
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation's annual fire inspection was not completed, with all items passing, by the due date.
1 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
5 of 5 children receiving emergency care services have been in care longer than 15 days without an extension.
4 748.930(b)(3) - Annual Training- Caregivers must have 1 hour normalcy training.
One of four staff members was observed to have a delinquent annual normalcy training: last taken 01/18/23.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
1 out of 4 child files observed was not accurate as the front of the file stated that the child had no food allergies however in the file placement summary it was indicated that the child was allergic to fish, shellfish, dust, insects, and moss.
3 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
During the inspection, it was found that the flooring in 3 bedrooms, common living area, and in the kitchen was peeling and in a state of disrepair. There was also an exposed nail around the siding of the house.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
There were no signed child rights forms in 3 of 4 files that were reviewed.
4 748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint
1 out of 4 files reviewed did not include the orientation or EBI notification.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
The medication log for a child in care indicated that the child is being given one tablet at bedtime and not two as prescribed.
4 748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather
The emergency evacuation & relocation diagram does not include a designated location inside of the operation to take shelter from threatening weather.
3 748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
During the inspection, it was discovered that the AWOL Summary Log form was missing information regarding the gender of the child involved.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
The operation's 2022 quarter 4 EBI numbers have not been reported.
4 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
During the inspection, it was found that there were two chairs located in the common living area being used by children in care. The chairs had cuts on the leather thereby exposing the filling under it.
4 748.1545(a) - Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
4 out of the 4 files reviewed did not obtain any record of any child being screened for vision or hearing.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The Recreational Activity Calendar does not depict planned daily indoor and outdoor recreational activities.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
The vehicle used for transportation was observed to have the ABS light, tire pressure light on, torn seat cushions, and no a/c flow.
3 748.311(6) - Serious Incident Documentation-Includes nature of the incident
During the inspection it was discovered that one out of four serious incident forms reviewed did not contain a description of the nature of the incident as well as the names of the witnesses to the incident.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
The vehicle used to transport children was observed to have a broken seatbelt on the second row and no air conditioning flowing from the vents on the very last row. The side window in the back row was also observed to be broke.
3 748.363(11) - Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months.
One of four employee files reviewed was observed to have an expired driver's license as of 11/05/2023.
3 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The unauthorized annual summary log was reviewed and is missing the component of how long the child was gone for or if the child did not return.
4 748.1693(c) - Nutrition-must ensure drinking water is always available to each child and served in a safe and sanitary manner
During the walkthrough, water was not observed to be readily available.
3 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The unauthorized annual summary log was reviewed and is missing the component of how long the child was gone for or if the child did not return.
4 748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
There was mold observed on the upper walls near the ceiling in one of the restrooms.
2 748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
It was found in 4 out 4 files reviewed that the facility did not attain the immunization records or place the documentation attempts in the child's file.
5 748.4007(6) - Overnight Excursion-Each vehicle must have approved fire extinguisher, secured in passenger compartment & accessible to adults
Vehicle used to transport children was not equipped with a fire extinguisher.
Yes
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
During the inspection, it was discovered that the operation's fire inspection was expired.
4 748.4007(8) - Overnight Excursion-Each vehicle must have an operable flashlight
Vehicle used to transport children was not equipped with a flashlight.
Yes
1 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
5 of 5 children receiving emergency care services have been in care longer than 15 days without an extension.
2 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
In 1 out of 1 discharge file reviewed was observed to not contain any discharge documentation.
2 748.3701(a) - Recreation responsibility-Must provide daily indoor/outdoor recreational & other activities appropriate to needs, interests, and abilities of children
The Recreational Activity Calendar does not depict planned daily indoor and outdoor recreational activities.
4 748.983(a) - First-aid-CPR renewal-Each caregiver must complete any new first-aid training, as required to maintain a current certification
One of four staff member files reviewed was observed to have an expired CPR Certification: expired June 2024.
2 748.1217(b)(11) - Admission Assessment-At admission, must include documentation of efforts to obtain required information, if any information is not obtainable
3 out of the 4 files reviewed did not contain an admission assessment.
3 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
In 1 out of 4 files reviewed there was no TB exam conducted.
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation's annual fire inspection was not completed, with all items passing, by the due date.
4 748.1693(c) - Nutrition-must ensure drinking water is always available to each child and served in a safe and sanitary manner
During the walkthrough, water was not observed to be readily available.
2 748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions
It was found in 4 out 4 files reviewed that the facility did not attain the immunization records or place the documentation attempts in the child's file.
3 748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return
The unauthorized annual summary log was reviewed and is missing the component of how long the child was gone for or if the child did not return.
4 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
During the inspection, it was discovered that the operation's fire inspection was expired.
1 748.4205 - Placement Extension-child receiving emergency care services may stay in care without a placement extension for a maximum of 15 days
5 of 5 children receiving emergency care services have been in care longer than 15 days without an extension.
4 748.4007(8) - Overnight Excursion-Each vehicle must have an operable flashlight
Vehicle used to transport children was not equipped with a flashlight.
Yes
2 748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer
In 1 out of 1 discharge file reviewed was observed to not contain any discharge documentation.

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

Inspections (72)

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

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