Texas › Houston › Miracal's Place

Miracal's Place

Child care center · 11960 BRAES PARK DR, Houston, TX 77071-3278 · License 1540737

0Compliance score
Poor

Capacity 14. 5-17

Violation history (319)

Severity	Date	Standard / narrative	Corrected
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During the inspection, a fence in the backyard was observed to have two loose boards with multiple nails exposed creating a risk of harm. Two spots on the kitchen floor were also observed to have missing wooden floorboards. One electrical wall plug on the kitchen island was also observed to be loose and hanging off the wall.	—
3	—	748.3115(2) - Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers During walk through, fire extinguisher on upper level was observed to be locked in storage closet.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Three of 5 children stated staff was used. A/N investigator confirmed this during an investigation. Three of 5 children indicated favoritism. Two of 5 children stated belittling language was present.	—
3	—	748.453(a)(2) - Unauthorized Absence ? Annual summary log must include time and date absence was discovered During the inspection while viewing the unauthorized log it does not include the date and time the absence was discovered.	—
3	—	748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references. During the inspection while viewing staff files 2 out of the 4 files viewed did not contain reference checks in the staff files.	—
2	—	748.361(a) - Personnel records - All active records maintained at the operation Training records for active employees were not available to review at the operation.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below During the physical walkthrough the freezer was observed to not have a thermometer.	—
3	—	748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 During the inspection it was observed when reviewing staff files that 2 out of 4 records viewed form 2985 is not signed by the employee although it was notarized. Form 2912 is also missing	—
1	—	748.1341(b) - Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents Three out of three youth files reviewed did not include documentation showing a 2 week advance notice to parents regarding the youth's service plan meetings.	—
4	—	748.983(b) - First-aid-CPR renewal-The caregiver counted in the ratio who must have current CPR certification must maintain a current certification One staff member file reviewed had an expired CPR/First Aid training.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Medication directives changed to administer three times a day instead of two times a day. For dates 12/5-12/10, this medication was given twice a day instead of three times.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A youth in care was found to be physically abused by a caregiver.	—
3	—	748.705(b)(7) - Reasonable & prudent parent standard-must consider the surrounding circumstances, hazards, and risks of the activity A caregiver didn't demonstrate prudent judgement when they did not report a sighting of a youth in care on AWOL status that later was placed in a hazardous situation.	—
4	—	748.2151(b)(2) - Medication record - update cumulative record within 24 hours of administering medication if operate on a cottage home model During the inspection while viewing the medication log it was observed that two out of four child records reviewed did not contain documentation of PRN medications administered.	—
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 a result of a DFPS investigation.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Multiple medication records were reviewed for children in care. Medication errors were not documented until several months after the errors occurred.	—
4	—	748.461(4) - Unauthorized Absence Triggered Review must include a written plan to reduce unauthorized absences of child, which must be in child?s record During the inspection while viewing the unauthorized absense log it was observed that the log did not contain a triggered review after a child in care ran away three times.	—
3	—	748.125(d)(6) - Suicide Screening- Must be documented. There was no suicide screening conducted.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards During the walkthrough the blinds in the dinning common area were observed not on the middle windowpane and were on the floor. The blinds in the bedrooms were not in good repair.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model During the inspection viewing the medication log four out of four child records did not include the correct remaining count on the medication log.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period Records reviewed show an active staff did not renew annual trainings timely.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline It was not reported to the hotline that there was an allegation of an employee was sleeping during her night shift.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child An incident occurred and an incident report was completed regarding suicide which included making verbal threats and a physical attempt on 3/26/23 however it was not reported to Licensing until 3/27/23 when the child was actually hospitalized.	—
3	—	748.363(12) - 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. During the inspection while reviewing staff files 2 out of the 4 files viewed contained expired driver's license.	—
2	—	748.945(2) - Annual Training-Caregiver that administers psychotropic medication must receive annual psychotropic medication training every 12 months One caregiver who administers psychotropic medication does not have an updated training.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. Licensing was not informed within the proper time frame when law enforcement responded to the operation.	—
3	—	748.363(4) - Personnel records-Personnel records-Include current job description. During the inspection while viewing staff files a job description was missing, no verification of background check, no hire date were missing from staff file.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection it was observed that the toilet in the bathroom upstairs is broken. The seat is not properly attached to the base of the toilet.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Requested documentation to complete an inspection was not available to Licensing upon request.	—
3	—	748.3239(a)(3) - Evacuation-During each fire drill, children must be able to safely exit building to designated meeting place within 3 minutes Upon reviewing the emergency drill log, it was found that the drill dated 5/6/2023 was over the 3-minute allotted time.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline It was not reported to the hotline that there was an allegation of an employee was sleeping during her night shift.	—
5	—	748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent One out of four youth records reviewed did not have the medical consent form signed.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period A required annual training taken by staff on November 15, 2023 was not completed in a subsequent 12-month period. Training was not completed again until April 7, 2025.	—
2	—	748.363(14) - Personnel records - Include any documentation of the person's performance with the operation. During the inspection when reviewing staff files, none of the files contained documentation of staff performance	—
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 while viewing staff files 1 out of 4 files viewed did not contain results of the employment history check.	—
2	—	748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan Service plans were reviewed. Three out of six service plans were not completed in a timely manner.	—
3	—	748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history. During the inspection 3 out of 4 staff files viewed employment history check results were not present in staff files.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A caregiver engaged in a physical altercation with a youth in care.	—
4	—	748.1101(b)(3)(C) - Children's rights-Adhere to the child's rights to have religious needs met A child in care was not having their religious needs met and was denied going to church due to the operation's staffing.	—
3	—	748.463(a) - Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period During the inspection while reviewing the unauthorized log it was noted that there was no evaluation of absences in the past 6 months at the operation.	—
3	—	748.453(a)(2) - Unauthorized Absence ? Annual summary log must include time and date absence was discovered During the inspection while viewing the unauthorized log it does not include the date and time the absence was discovered.	—
2	—	748.1381(1) - Service Plan Review-If child not receiving treatment services, review at least 180 days from date of last service plan Service plans were reviewed. Three out of six service plans were not completed in a timely manner.	—
4	—	748.461(4) - Unauthorized Absence Triggered Review must include a written plan to reduce unauthorized absences of child, which must be in child?s record During the inspection while viewing the unauthorized absense log it was observed that the log did not contain a triggered review after a child in care ran away three times.	—
2	—	748.945(2) - Annual Training-Caregiver that administers psychotropic medication must receive annual psychotropic medication training every 12 months One caregiver who administers psychotropic medication does not have an updated training.	—
4	—	748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child An incident occurred and an incident report was completed regarding suicide which included making verbal threats and a physical attempt on 3/26/23 however it was not reported to Licensing until 3/27/23 when the child was actually hospitalized.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Requested documentation to complete an inspection was not available to Licensing upon request.	—
4	—	748.1101(b)(3)(C) - Children's rights-Adhere to the child's rights to have religious needs met A child in care was not having their religious needs met and was denied going to church due to the operation's staffing.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period A required annual training taken by staff on November 15, 2023 was not completed in a subsequent 12-month period. Training was not completed again until April 7, 2025.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting A caregiver engaged in a physical altercation with a youth in care.	—
4	—	748.2151(b)(2) - Medication record - update cumulative record within 24 hours of administering medication if operate on a cottage home model During the inspection while viewing the medication log it was observed that two out of four child records reviewed did not contain documentation of PRN medications administered.	—
5	—	748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent One out of four youth records reviewed did not have the medical consent form signed.	—
3	—	748.125(d)(6) - Suicide Screening- Must be documented. There was no suicide screening conducted.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. During the inspection, a fence in the backyard was observed to have two loose boards with multiple nails exposed creating a risk of harm. Two spots on the kitchen floor were also observed to have missing wooden floorboards. One electrical wall plug on the kitchen island was also observed to be loose and hanging off the wall.	—
3	—	748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history. During the inspection 3 out of 4 staff files viewed employment history check results were not present in staff files.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline It was not reported to the hotline that there was an allegation of an employee was sleeping during her night shift.	—
3	—	748.3115(2) - Fire Extinguisher-Must ensure fire extinguishers are accessible for immediate use by employees, caregivers, & volunteers During walk through, fire extinguisher on upper level was observed to be locked in storage closet.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A youth in care was found to be physically abused by a caregiver.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards During the walkthrough the blinds in the dinning common area were observed not on the middle windowpane and were on the floor. The blinds in the bedrooms were not in good repair.	—
2	—	748.363(14) - Personnel records - Include any documentation of the person's performance with the operation. During the inspection when reviewing staff files, none of the files contained documentation of staff performance	—
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 a result of a DFPS investigation.	—
3	—	748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references. During the inspection while viewing staff files 2 out of the 4 files viewed did not contain reference checks in the staff files.	—
4	—	748.983(b) - First-aid-CPR renewal-The caregiver counted in the ratio who must have current CPR certification must maintain a current certification One staff member file reviewed had an expired CPR/First Aid training.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Three of 5 children stated staff was used. A/N investigator confirmed this during an investigation. Three of 5 children indicated favoritism. Two of 5 children stated belittling language was present.	—
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 while viewing staff files 1 out of 4 files viewed did not contain results of the employment history check.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period Records reviewed show an active staff did not renew annual trainings timely.	—
3	—	748.463(a) - Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period During the inspection while reviewing the unauthorized log it was noted that there was no evaluation of absences in the past 6 months at the operation.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Multiple medication records were reviewed for children in care. Medication errors were not documented until several months after the errors occurred.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below During the physical walkthrough the freezer was observed to not have a thermometer.	—
1	—	748.1341(b) - Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents Three out of three youth files reviewed did not include documentation showing a 2 week advance notice to parents regarding the youth's service plan meetings.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model During the inspection viewing the medication log four out of four child records did not include the correct remaining count on the medication log.	—
3	—	748.363(4) - Personnel records-Personnel records-Include current job description. During the inspection while viewing staff files a job description was missing, no verification of background check, no hire date were missing from staff file.	—
3	—	748.705(b)(7) - Reasonable & prudent parent standard-must consider the surrounding circumstances, hazards, and risks of the activity A caregiver didn't demonstrate prudent judgement when they did not report a sighting of a youth in care on AWOL status that later was placed in a hazardous situation.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. Licensing was not informed within the proper time frame when law enforcement responded to the operation.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Medication directives changed to administer three times a day instead of two times a day. For dates 12/5-12/10, this medication was given twice a day instead of three times.	—
3	—	748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 During the inspection it was observed when reviewing staff files that 2 out of 4 records viewed form 2985 is not signed by the employee although it was notarized. Form 2912 is also missing	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the inspection it was observed that the toilet in the bathroom upstairs is broken. The seat is not properly attached to the base of the toilet.	—
2	—	748.361(a) - Personnel records - All active records maintained at the operation Training records for active employees were not available to review at the operation.	—
3	—	748.3239(a)(3) - Evacuation-During each fire drill, children must be able to safely exit building to designated meeting place within 3 minutes Upon reviewing the emergency drill log, it was found that the drill dated 5/6/2023 was over the 3-minute allotted time.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline It was not reported to the hotline that there was an allegation of an employee was sleeping during her night shift.	—
3	—	748.363(12) - 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. During the inspection while reviewing staff files 2 out of the 4 files viewed contained expired driver's license.	—
4	—	748.2151(b)(2) - Medication record - update cumulative record within 24 hours of administering medication if operate on a cottage home model During the inspection while viewing the medication log it was observed that two out of four child records reviewed did not contain documentation of PRN medications administered.	—
3	—	748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references. During the inspection while viewing staff files 2 out of the 4 files viewed did not contain reference checks in the staff files.	—
3	—	748.363(12) - 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. During the inspection while reviewing staff files 2 out of the 4 files viewed contained expired driver's license.	—
1	—	748.1341(b) - Initial Service Plan-Child's record must include documentation of advance notice to parents of planning meeting and any responses from the parents Three out of three youth files reviewed did not include documentation showing a 2 week advance notice to parents regarding the youth's service plan meetings.	—
4	—	748.983(b) - First-aid-CPR renewal-The caregiver counted in the ratio who must have current CPR certification must maintain a current certification One staff member file reviewed had an expired CPR/First Aid training.	—
5	—	748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent One out of four youth records reviewed did not have the medical consent form signed.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model During the inspection viewing the medication log four out of four child records did not include the correct remaining count on the medication log.	—
3	—	748.453(a)(2) - Unauthorized Absence ? Annual summary log must include time and date absence was discovered During the inspection while viewing the unauthorized log it does not include the date and time the absence was discovered.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A youth in care was found to be physically abused by a caregiver.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline It was not reported to the hotline that there was an allegation of an employee was sleeping during her night shift.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Multiple medication records were reviewed for children in care. Medication errors were not documented until several months after the errors occurred.	—
3	—	748.463(a) - Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period During the inspection while reviewing the unauthorized log it was noted that there was no evaluation of absences in the past 6 months at the operation.	—
3	—	748.3239(a)(3) - Evacuation-During each fire drill, children must be able to safely exit building to designated meeting place within 3 minutes Upon reviewing the emergency drill log, it was found that the drill dated 5/6/2023 was over the 3-minute allotted time.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period A required annual training taken by staff on November 15, 2023 was not completed in a subsequent 12-month period. Training was not completed again until April 7, 2025.	—
4	—	748.1101(b)(3)(C) - Children's rights-Adhere to the child's rights to have religious needs met A child in care was not having their religious needs met and was denied going to church due to the operation's staffing.	—
3	—	748.751(a)(2) - Pre-Employment Screening-You must contact the employer to verify if the applicant was employed as described in the applicant's employment history. During the inspection 3 out of 4 staff files viewed employment history check results were not present in staff files.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. Licensing was not informed within the proper time frame when law enforcement responded to the operation.	—
3	—	748.363(7) - Personnel records- Include notarized Licensing Affidavit for Applicants for Employment form as specified in Human Resources Code, 42.059 During the inspection it was observed when reviewing staff files that 2 out of 4 records viewed form 2985 is not signed by the employee although it was notarized. Form 2912 is also missing	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards During the walkthrough the blinds in the dinning common area were observed not on the middle windowpane and were on the floor. The blinds in the bedrooms were not in good repair.	—
2	—	748.945(2) - Annual Training-Caregiver that administers psychotropic medication must receive annual psychotropic medication training every 12 months One caregiver who administers psychotropic medication does not have an updated training.	—

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

Inspections (135)

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

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