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Youth Reach

Child care center · 8113 RESERVOIR ST, Houston, TX 77049-1733 · License 1530337

0Compliance score
Poor

Capacity 18. 12-17

Violation history (208)

SeverityDateStandard / narrativeCorrected
3 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In one bedroom, it was observed that the light fixture was wobbly. In the kitchen, it was observed that there is a loose board under the sink.
4 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
according to medication log, medication was not recorded on log to reflect administration of pain medication due to injury.
4 748.3005 - Sanitation Inspection-Must correct deficiencies & comply with corrections, restrictions, or conditions that sanitation inspector specifies
The deficiencies noted on the sanitation inspection report dated 6/28/24 were not corrected as required by the inspector. The agency is being recited for failure to respond by due date.
2 748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
During the inspection 2 out of 3 employees files reviewed did not have the previous employment verified and did not have reference checks documented.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the inspection it was found that the 3 out of the 3 employee files did not have a pre-employment drug screening on file. 1 out of 3 employees files reviewed did not have the form 2985 signed by the employee. And a review of the recent discharge file had an incorrect date on the discharge paperwork.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
It was observed that the tire pressure was low on two vans that transport children and one van the heat did not properly work.
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One staff record reviewed missing documentation of Trauma Informed Care training for 2024.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
During the walk through of the grounds it was observed that there was were significant plain-sight hazards. Those hazards were loose pile of bricks (photo taken), broken outside door frame where grounds equipment is stored (photo taken)Water damage in the weight room near air-conditioning, back of weight room building there was visible debris such as a washing machine, roof shingles, old table, and wood boards. (photos taken)
1 748.1433(d) - Discharge-If child not receiving tx svcs, tell him of non-emergency discharge/transfer 4 days in advance, unless LCCA or PLSP justifies not doing so
While observing records, it was noted that a child was informed one day before discharge instead of four days.
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One staff's file reviewed did not have a trauma informed care training.
Yes
2 748.3395(b)(3) - Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children
During the inspection the operation water pressure was observed to be low. The water pressure was not hot in both homes. It was observed that only the kitchen sink had adequate pressure.
3 748.1331(b)(4) - Preliminary Service Plan-For child receiving treatment services, identify any issues or concerns child may have that could escalate child's behavior
While observed records, there was no information observed of issues that could escalate the child's behavior.
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
While reviewing records, it was observed that one staff did not have normalcy training.
3 748.363(3) - Personnel records-Include current job description
One out of two employee files reviewed did not include a job description.
5 748.2101(1) - Medication Storage-Store medication in a locked container
Several bottles of OTC medications were found on top of the medicine cabinet.
2 748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
There is no documentation of server weather drills being conducted.
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
A staff members background check was not made inactive in a timely manner.
3 748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
Documentation provided indicated the operation conducted fire drills longer than the required six months from the last drill conducted.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
It was observed that the operation built a new shed and items from the shed was sitting on the basketball court for a number of days.
3 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
During the inspection it was found that 2 of the 3 employee records reviewed did not have the affidavit form 2912.
4 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
It was observed that some food items were placed in Ziploc bags with no expiration date.
4 748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
One staff record reviewed finds that staff member did not receive EBI training every 6 months as required by minimum standards.
3 748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented
No documentation provided to show that the smoke detectors are tested monthly.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Staff list, child list, staff files, and child files contained inaccurate and incomplete information.
4 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During the inspection it was observed that the operation had two homes with expired food. stored This is not safe and shows poorly maintained quality food control for the children in care. There were expired milk, canned goods, bread.
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
One staff and one child did not have proof of a TB test.
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
One staff and one child did not have proof of a TB test.
3 748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
Documentation provided indicated the operation conducted fire drills longer than the required six months from the last drill conducted.
4 748.3005 - Sanitation Inspection-Must correct deficiencies & comply with corrections, restrictions, or conditions that sanitation inspector specifies
The deficiencies noted on the sanitation inspection report dated 6/28/24 were not corrected as required by the inspector. The agency is being recited for failure to respond by due date.
3 748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented
No documentation provided to show that the smoke detectors are tested monthly.
3 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
During the inspection it was found that 2 of the 3 employee records reviewed did not have the affidavit form 2912.
3 748.1331(b)(4) - Preliminary Service Plan-For child receiving treatment services, identify any issues or concerns child may have that could escalate child's behavior
While observed records, there was no information observed of issues that could escalate the child's behavior.
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
While reviewing records, it was observed that one staff did not have normalcy training.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
It was observed that the operation built a new shed and items from the shed was sitting on the basketball court for a number of days.
2 748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
During the inspection 2 out of 3 employees files reviewed did not have the previous employment verified and did not have reference checks documented.
1 748.1433(d) - Discharge-If child not receiving tx svcs, tell him of non-emergency discharge/transfer 4 days in advance, unless LCCA or PLSP justifies not doing so
While observing records, it was noted that a child was informed one day before discharge instead of four days.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
During the walk through of the grounds it was observed that there was were significant plain-sight hazards. Those hazards were loose pile of bricks (photo taken), broken outside door frame where grounds equipment is stored (photo taken)Water damage in the weight room near air-conditioning, back of weight room building there was visible debris such as a washing machine, roof shingles, old table, and wood boards. (photos taken)
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One staff record reviewed missing documentation of Trauma Informed Care training for 2024.
4 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
according to medication log, medication was not recorded on log to reflect administration of pain medication due to injury.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
It was observed that the tire pressure was low on two vans that transport children and one van the heat did not properly work.
3 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In one bedroom, it was observed that the light fixture was wobbly. In the kitchen, it was observed that there is a loose board under the sink.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Staff list, child list, staff files, and child files contained inaccurate and incomplete information.
4 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
It was observed that some food items were placed in Ziploc bags with no expiration date.
2 748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
There is no documentation of server weather drills being conducted.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the inspection it was found that the 3 out of the 3 employee files did not have a pre-employment drug screening on file. 1 out of 3 employees files reviewed did not have the form 2985 signed by the employee. And a review of the recent discharge file had an incorrect date on the discharge paperwork.
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
A staff members background check was not made inactive in a timely manner.
5 748.2101(1) - Medication Storage-Store medication in a locked container
Several bottles of OTC medications were found on top of the medicine cabinet.
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One staff's file reviewed did not have a trauma informed care training.
Yes
2 748.3395(b)(3) - Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children
During the inspection the operation water pressure was observed to be low. The water pressure was not hot in both homes. It was observed that only the kitchen sink had adequate pressure.
3 748.363(3) - Personnel records-Include current job description
One out of two employee files reviewed did not include a job description.
4 748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
One staff record reviewed finds that staff member did not receive EBI training every 6 months as required by minimum standards.
4 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During the inspection it was observed that the operation had two homes with expired food. stored This is not safe and shows poorly maintained quality food control for the children in care. There were expired milk, canned goods, bread.
3 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In one bedroom, it was observed that the light fixture was wobbly. In the kitchen, it was observed that there is a loose board under the sink.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
It was observed that the operation built a new shed and items from the shed was sitting on the basketball court for a number of days.
3 748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563
During the inspection it was found that 2 of the 3 employee records reviewed did not have the affidavit form 2912.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Staff list, child list, staff files, and child files contained inaccurate and incomplete information.
3 748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
Documentation provided indicated the operation conducted fire drills longer than the required six months from the last drill conducted.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
It was observed that the tire pressure was low on two vans that transport children and one van the heat did not properly work.
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One staff's file reviewed did not have a trauma informed care training.
Yes
4 748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
One staff record reviewed finds that staff member did not receive EBI training every 6 months as required by minimum standards.
2 748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
There is no documentation of server weather drills being conducted.
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
A staff members background check was not made inactive in a timely manner.
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
One staff and one child did not have proof of a TB test.
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
While reviewing records, it was observed that one staff did not have normalcy training.
3 748.1331(b)(4) - Preliminary Service Plan-For child receiving treatment services, identify any issues or concerns child may have that could escalate child's behavior
While observed records, there was no information observed of issues that could escalate the child's behavior.
5 748.2101(1) - Medication Storage-Store medication in a locked container
Several bottles of OTC medications were found on top of the medicine cabinet.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
During the walk through of the grounds it was observed that there was were significant plain-sight hazards. Those hazards were loose pile of bricks (photo taken), broken outside door frame where grounds equipment is stored (photo taken)Water damage in the weight room near air-conditioning, back of weight room building there was visible debris such as a washing machine, roof shingles, old table, and wood boards. (photos taken)
4 748.3005 - Sanitation Inspection-Must correct deficiencies & comply with corrections, restrictions, or conditions that sanitation inspector specifies
The deficiencies noted on the sanitation inspection report dated 6/28/24 were not corrected as required by the inspector. The agency is being recited for failure to respond by due date.
1 748.1433(d) - Discharge-If child not receiving tx svcs, tell him of non-emergency discharge/transfer 4 days in advance, unless LCCA or PLSP justifies not doing so
While observing records, it was noted that a child was informed one day before discharge instead of four days.
2 748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
During the inspection 2 out of 3 employees files reviewed did not have the previous employment verified and did not have reference checks documented.
3 748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented
No documentation provided to show that the smoke detectors are tested monthly.
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
One staff record reviewed missing documentation of Trauma Informed Care training for 2024.
4 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During the inspection it was observed that the operation had two homes with expired food. stored This is not safe and shows poorly maintained quality food control for the children in care. There were expired milk, canned goods, bread.
2 748.3395(b)(3) - Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children
During the inspection the operation water pressure was observed to be low. The water pressure was not hot in both homes. It was observed that only the kitchen sink had adequate pressure.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the inspection it was found that the 3 out of the 3 employee files did not have a pre-employment drug screening on file. 1 out of 3 employees files reviewed did not have the form 2985 signed by the employee. And a review of the recent discharge file had an incorrect date on the discharge paperwork.
4 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
according to medication log, medication was not recorded on log to reflect administration of pain medication due to injury.
4 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
It was observed that some food items were placed in Ziploc bags with no expiration date.
3 748.363(3) - Personnel records-Include current job description
One out of two employee files reviewed did not include a job description.
4 748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times
It was observed that the tire pressure was low on two vans that transport children and one van the heat did not properly work.
5 748.2101(1) - Medication Storage-Store medication in a locked container
Several bottles of OTC medications were found on top of the medicine cabinet.
4 748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
One staff record reviewed finds that staff member did not receive EBI training every 6 months as required by minimum standards.
3 748.1331(b)(4) - Preliminary Service Plan-For child receiving treatment services, identify any issues or concerns child may have that could escalate child's behavior
While observed records, there was no information observed of issues that could escalate the child's behavior.
4 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
It was observed that some food items were placed in Ziploc bags with no expiration date.
4 748.930(b)(2) - Annual Training- Caregivers must have 2 hrs trauma informed care.
While reviewing records, it was observed that one staff did not have normalcy training.
3 748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented
No documentation provided to show that the smoke detectors are tested monthly.
3 748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill
Documentation provided indicated the operation conducted fire drills longer than the required six months from the last drill conducted.
3 748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
In one bedroom, it was observed that the light fixture was wobbly. In the kitchen, it was observed that there is a loose board under the sink.
2 748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
There is no documentation of server weather drills being conducted.
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
A staff members background check was not made inactive in a timely manner.
4 748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions
During the inspection it was observed that the operation had two homes with expired food. stored This is not safe and shows poorly maintained quality food control for the children in care. There were expired milk, canned goods, bread.
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
One staff and one child did not have proof of a TB test.
3 748.363(3) - Personnel records-Include current job description
One out of two employee files reviewed did not include a job description.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
During the inspection it was found that the 3 out of the 3 employee files did not have a pre-employment drug screening on file. 1 out of 3 employees files reviewed did not have the form 2985 signed by the employee. And a review of the recent discharge file had an incorrect date on the discharge paperwork.
4 748.3005 - Sanitation Inspection-Must correct deficiencies & comply with corrections, restrictions, or conditions that sanitation inspector specifies
The deficiencies noted on the sanitation inspection report dated 6/28/24 were not corrected as required by the inspector. The agency is being recited for failure to respond by due date.
2 748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file.
During the inspection 2 out of 3 employees files reviewed did not have the previous employment verified and did not have reference checks documented.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Staff list, child list, staff files, and child files contained inaccurate and incomplete information.
4 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
according to medication log, medication was not recorded on log to reflect administration of pain medication due to injury.
2 748.3395(b)(3) - Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children
During the inspection the operation water pressure was observed to be low. The water pressure was not hot in both homes. It was observed that only the kitchen sink had adequate pressure.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
During the walk through of the grounds it was observed that there was were significant plain-sight hazards. Those hazards were loose pile of bricks (photo taken), broken outside door frame where grounds equipment is stored (photo taken)Water damage in the weight room near air-conditioning, back of weight room building there was visible debris such as a washing machine, roof shingles, old table, and wood boards. (photos taken)
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
It was observed that the operation built a new shed and items from the shed was sitting on the basketball court for a number of days.

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

Inspections (56)

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

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