DaycareLens
Texas › › K Star Emergency Shelter

K Star Emergency Shelter

Child care center · , TX · License 254646

0Compliance score
Poor

Capacity 20. 0-17

Violation history (344)

SeverityDateStandard / narrativeCorrected
3— 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
A review of one of the records revealed that the pre-employment affidavit form was not included.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member was placing children in their lap.		 —
3— 748.363(11) - Personnel records-Include record of training and training hours
Training records are missing hours.		 —
5— 745.4151(c)(4)(C) - Mandatory drug testing-employee that is subject of child abuse or neglect investigation must be drug tested within 24 hours of notification by DFPS
The operation did not conduct drug testing for the requested staff member within 24 hours of notification.		 —
4— 748.1545(a) - Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
A child record did not have a hearing exam.		 —
2— 748.363(12) - Personnel records - Include any documentation of the person's performance with the operation
No performance evaluation was provided for one of the two employee records reviewed. That same employee has been at the facility for about 2 years while a 90 day performance evaluation was received for the other employee.		 —
3— 748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
1 out of 2 employee records had signed and dated statement present.		 —
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Children medication logs did not provide the reason for medication being prescribed.		 —
4— 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
Staff did not complete EBI training within the appropriate time frame.		 —
3— 748.3443(a)(5) - Food Preparation-Food items must be refrigerated immediately after use & after meals, if the food requires refrigeration
A bowl of cooked bacon was observed improperly stored on the kitchen counter.		 Yes
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Medication logs reviewed did not have an accurate cumulative daily count following medication being dispensed to child.		 —
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 inappropriate interaction between them and a child in care during the child's residency.		 —
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.
Quarterly EBI was not reported after multiple notifications made to facility.		 —
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
Staff file showed a TB tested conducted outside of the given time frame from the date of hire.		 —
4— 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
A serious incident involving an injury to a child in care requiring treatment from an outside healthcare provider was not reported to the hotline. Verification call was made could not be provided.		 —
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
Child Rights Signature for child in care was not present in the child record.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Operation did not have a preliminary service plan for the child.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has not completed a severe weather drill in over a year.		 —
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
A damaged picnic table was present with protruding nails. A damaged bench was present. Over grown grass was present in the playground.		 —
4— 748.1205(a)(7) - Admission Documentation-Includes child's immunization record
4 out of 4 records did not have immunization records present.		 —
4— 748.930(b)(5) - Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
Operation had two staff records with expired trainings for psychotropic medication, trauma informed care and preventing and recognizing youth sexual abuse training.		 Yes
2— 748.191(1) - Required Postings-Post the permit in a prominent and publicly accessible place where others may easily view it at all times
Permit was not present in a public and accessible area of the operation.		 —
3— 748.863(a)(1) - Pre-Service Training-All caregivers must receive 8 hrs of general pre-service training & 4hrs before being counted in child/caregiver ratio.
General Pre-service trainings are absent from the operation.		 —
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.
A staff member physically prevented a child from exiting an enclosed toy box as a form of punishment.		 —
4— 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
A review of two non-prescription medication logs indicated that several entries were incomplete, as they did not consistently document the strength and/or dosage of the medication administered to the child(ren) in care.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
While reviewing a child's medication log it was found the child was administered medication on two dates and this was not documented on the medication log.		 —
4— 748.2203(c)(5) - Medication Error-Document the health-care professional's medical recommendations
Review of the medication error incident report revealed that it did not include guidance provided by Poison Control. Specifically, Poison Control advised against administering the prescribed antibiotics following the accidental administration of Nyquil to children in care. This advisory was omitted from the documented incident report.		 —
2— 748.1331(c) - Preliminary Service Plan-Must be compatible with the information in the admission assessment
4 out of 4 records showed that the preliminary service plan did not contain all the information previously gathered from the admission assessment with the new information.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard was found deficient as part of a DFPS Investigation.		 —
3— 748.563(c) - Professional level service provider-must meet specific educational and professional qualifications
Staff responsible for professional service level activities does not have the required education.		 —
1— 748.1337(b)(1)(N) - Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
4 out of 4 records did not include all signatures of the required service planning team members.		 —
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
Two bunk bed rails were loose in the red and blue room. The screws were loose on multiple bunkbeds. The blue room also contained a damaged bunk bed. Two of the showers had the shower handle loose.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff was asleep during visit from licensing.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
Two of the childrens records contained no "Chronic Health Condition" on the front cover and on the Allergies section it contain "N/A" instead of "No Known Drug Allergies".		 —
4— 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
Food was observed to be expired.		 Yes
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 in care was evaluated in the emergency department and subsequently prescribed antibiotics. The attending medical provider issued a prescription sufficient to treat both, the child who was examined and a sibling residing in the same placement, who exhibited similar but milder symptoms and was not formally assessed during the visit. While the provider conveyed verbal instructions regarding the administration of the medication, written orders were neither requested nor obtained. Despite the absence of written documentation, both children received the prescribed antibiotics.		 —
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
The operation failed to inactivate a background check for a staff member who has not been employed by the operation for over a month.		 —
5— 748.2307(10) - Other Prohibited Punishments-placing a child in a dark room, bathroom, or closet
A child was locked in a bathroom by a staff member while another staff member witnessed the incident and failed to intervene.		 —
2— 748.1111(b)(1) - Child Rights contact others-Document in the child's record any reason for restricting the child's mail or telephone calls
More than one child and staff interviewed stated that the they are not allowed to make calls if they are short staffed.		 —
3— 748.303(e)(5)(A) - Serious Incident-Report to Licensing within 24 hours of awareness of allegation a person under auspices of operation abused drugs in past 7 days.
A staff member possessed and offered to use drugs with another staff member on the operation's property, this was not reported to licensing.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Medication record for one child in care had errors on medication count being incorrect on three different medications and no error recorded.		 —
3— 748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
Bedroom with the blue door and bunkbed contained lower bed with no mattress cover. Pillow was ripped as well.		 Yes
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
The operation failed to inactivate the background check for three staff member who are no longer employed by the operation.		 —
2— 748.191(1) - Required Postings-Post the permit in a prominent and publicly accessible place where others may easily view it at all times
Permit was not present in a public and accessible area of the operation.		 —
5— 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Staff was asleep during visit from licensing.		 —
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.
Quarterly EBI was not reported after multiple notifications made to facility.		 —
4— 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
A review of two non-prescription medication logs indicated that several entries were incomplete, as they did not consistently document the strength and/or dosage of the medication administered to the child(ren) in care.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
While reviewing a child's medication log it was found the child was administered medication on two dates and this was not documented on the medication log.		 —
3— 748.303(e)(5)(A) - Serious Incident-Report to Licensing within 24 hours of awareness of allegation a person under auspices of operation abused drugs in past 7 days.
A staff member possessed and offered to use drugs with another staff member on the operation's property, this was not reported to licensing.		 —
2— 748.363(12) - Personnel records - Include any documentation of the person's performance with the operation
No performance evaluation was provided for one of the two employee records reviewed. That same employee has been at the facility for about 2 years while a 90 day performance evaluation was received for the other employee.		 —
4— 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member was placing children in their lap.		 —
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 in care was evaluated in the emergency department and subsequently prescribed antibiotics. The attending medical provider issued a prescription sufficient to treat both, the child who was examined and a sibling residing in the same placement, who exhibited similar but milder symptoms and was not formally assessed during the visit. While the provider conveyed verbal instructions regarding the administration of the medication, written orders were neither requested nor obtained. Despite the absence of written documentation, both children received the prescribed antibiotics.		 —
2— 748.1111(b)(1) - Child Rights contact others-Document in the child's record any reason for restricting the child's mail or telephone calls
More than one child and staff interviewed stated that the they are not allowed to make calls if they are short staffed.		 —
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
The operation failed to inactivate the background check for three staff member who are no longer employed by the operation.		 —
4— 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
A serious incident involving an injury to a child in care requiring treatment from an outside healthcare provider was not reported to the hotline. Verification call was made could not be provided.		 —
4— 748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
Two of the childrens records contained no "Chronic Health Condition" on the front cover and on the Allergies section it contain "N/A" instead of "No Known Drug Allergies".		 —
4— 748.2203(c)(5) - Medication Error-Document the health-care professional's medical recommendations
Review of the medication error incident report revealed that it did not include guidance provided by Poison Control. Specifically, Poison Control advised against administering the prescribed antibiotics following the accidental administration of Nyquil to children in care. This advisory was omitted from the documented incident report.		 —
4— 748.1205(a)(7) - Admission Documentation-Includes child's immunization record
4 out of 4 records did not have immunization records present.		 —
2— 748.1331(c) - Preliminary Service Plan-Must be compatible with the information in the admission assessment
4 out of 4 records showed that the preliminary service plan did not contain all the information previously gathered from the admission assessment with the new information.		 —
4— 748.930(b)(5) - Annual Training- Caregivers must have psychotropic medication training if the caregiver administers psychotropic medication.
Operation had two staff records with expired trainings for psychotropic medication, trauma informed care and preventing and recognizing youth sexual abuse training.		 Yes
3— 748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
Bedroom with the blue door and bunkbed contained lower bed with no mattress cover. Pillow was ripped as well.		 Yes
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
Child Rights Signature for child in care was not present in the child record.		 —
3— 748.863(a)(1) - Pre-Service Training-All caregivers must receive 8 hrs of general pre-service training & 4hrs before being counted in child/caregiver ratio.
General Pre-service trainings are absent from the operation.		 —
3— 748.363(11) - Personnel records-Include record of training and training hours
Training records are missing hours.		 —
4— 748.1545(a) - Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
A child record did not have a hearing exam.		 —
1— 748.1337(b)(1)(N) - Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
4 out of 4 records did not include all signatures of the required service planning team members.		 —
3— 748.3239(b) - Evacuation-Must practice severe weather drill at least once every 6 months from date of last severe weather drill
The operation has not completed a severe weather drill in over a year.		 —
3— 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
A review of one of the records revealed that the pre-employment affidavit form was not included.		 —
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Children medication logs did not provide the reason for medication being prescribed.		 —
3— 748.563(c) - Professional level service provider-must meet specific educational and professional qualifications
Staff responsible for professional service level activities does not have the required education.		 —
4— 748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs
Staff did not complete EBI training within the appropriate time frame.		 —
5— 748.2307(10) - Other Prohibited Punishments-placing a child in a dark room, bathroom, or closet
A child was locked in a bathroom by a staff member while another staff member witnessed the incident and failed to intervene.		 —
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
A damaged picnic table was present with protruding nails. A damaged bench was present. Over grown grass was present in the playground.		 —
2— 748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
Operation did not have a preliminary service plan for the child.		 —
5— 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard was found deficient as part of a DFPS Investigation.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Medication logs reviewed did not have an accurate cumulative daily count following medication being dispensed to child.		 —
4— 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
Food was observed to be expired.		 Yes
3— 748.3443(a)(5) - Food Preparation-Food items must be refrigerated immediately after use & after meals, if the food requires refrigeration
A bowl of cooked bacon was observed improperly stored on the kitchen counter.		 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 inappropriate interaction between them and a child in care during the child's residency.		 —
5— 745.4151(c)(4)(C) - Mandatory drug testing-employee that is subject of child abuse or neglect investigation must be drug tested within 24 hours of notification by DFPS
The operation did not conduct drug testing for the requested staff member within 24 hours of notification.		 —
4— 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
Medication record for one child in care had errors on medication count being incorrect on three different medications and no error recorded.		 —
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
Staff file showed a TB tested conducted outside of the given time frame from the date of hire.		 —
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.
A staff member physically prevented a child from exiting an enclosed toy box as a form of punishment.		 —
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
The operation failed to inactivate a background check for a staff member who has not been employed by the operation for over a month.		 —
3— 748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation.
1 out of 2 employee records had signed and dated statement present.		 —
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
Two bunk bed rails were loose in the red and blue room. The screws were loose on multiple bunkbeds. The blue room also contained a damaged bunk bed. Two of the showers had the shower handle loose.		 —
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
Children medication logs did not provide the reason for medication being prescribed.		 —
5— 745.4151(c)(4)(C) - Mandatory drug testing-employee that is subject of child abuse or neglect investigation must be drug tested within 24 hours of notification by DFPS
The operation did not conduct drug testing for the requested staff member within 24 hours of notification.		 —
2— 748.1331(c) - Preliminary Service Plan-Must be compatible with the information in the admission assessment
4 out of 4 records showed that the preliminary service plan did not contain all the information previously gathered from the admission assessment with the new information.		 —
4— 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
A review of two non-prescription medication logs indicated that several entries were incomplete, as they did not consistently document the strength and/or dosage of the medication administered to the child(ren) in care.		 —
4— 748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
A serious incident involving an injury to a child in care requiring treatment from an outside healthcare provider was not reported to the hotline. Verification call was made could not be provided.		 —
1— 748.1337(b)(1)(N) - Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan
4 out of 4 records did not include all signatures of the required service planning team members.		 —
3— 748.563(c) - Professional level service provider-must meet specific educational and professional qualifications
Staff responsible for professional service level activities does not have the required education.		 —
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
The operation failed to inactivate the background check for three staff member who are no longer employed by the operation.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
Medication logs reviewed did not have an accurate cumulative daily count following medication being dispensed to child.		 —
2— 748.363(12) - Personnel records - Include any documentation of the person's performance with the operation
No performance evaluation was provided for one of the two employee records reviewed. That same employee has been at the facility for about 2 years while a 90 day performance evaluation was received for the other employee.		 —
5— 748.2307(10) - Other Prohibited Punishments-placing a child in a dark room, bathroom, or closet
A child was locked in a bathroom by a staff member while another staff member witnessed the incident and failed to intervene.		 —
3— 748.363(11) - Personnel records-Include record of training and training hours
Training records are missing hours.		 —
4— 748.1545(a) - Vision and hearing screening-must ensure that each child is screened; must have professional exam if problems are detected
A child record did not have a hearing exam.		 —
4— 748.1205(a)(7) - Admission Documentation-Includes child's immunization record
4 out of 4 records did not have immunization records present.		 —

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

Inspections (160)

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

Get violation alerts for this daycare

We'll email you when a new inspection or violation is posted. Free.