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Kirby's Place

Child care center · 6218 BANKSIDE DR, Houston, TX 77096-5609 · License 1617305

0Compliance score
Poor

Capacity 8. 7-15

Violation history (72)

SeverityDateStandard / narrativeCorrected
4 748.3101(1) - Fire Inspection-Must have fire inspection before initial permit issued
The operation's fire inspection has expired and was not requested until after the expiration date.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
Two out of two children did not have suicide screenings completed,
4 748.985(a) - First-aid-CPR training-Certification must be obtained from specific persons/organizations
The EBI training was conducted by an instructor who was not certified.
2 748.1437(7) - Discharge/Transfer Documentation-For emergency discharge/transfer, document reason for discharge/transfer explained to child, and child's reaction
1 child file reviewed did not have the required discharge documentation.
3 748.125(c)(1)(C) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of suicide screening.
Two staff file records reviewed were missing documentation of the required annual suicide prevention training.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Required annual trainings (The Preventing and Recognizing Youth Sexual Abuse & DFPS Trauma Informed Care) for multiple employees were not completed in the required subsequent 12-month period.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
There is no documentation to support weekly individual & group therapy services occurring as required in child service plans reviewed.
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
During the inspection I observed that two of the staff members had expired CPR training. Both staff members are direct care staff and are alone with the children in care.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
One child s record was missing medication logs for the period of 2/25 to 4/25.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
One child s record was missing medication logs for the period of 2/25 to 4/25.
2 748.1437(7) - Discharge/Transfer Documentation-For emergency discharge/transfer, document reason for discharge/transfer explained to child, and child's reaction
1 child file reviewed did not have the required discharge documentation.
4 748.3101(1) - Fire Inspection-Must have fire inspection before initial permit issued
The operation's fire inspection has expired and was not requested until after the expiration date.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
Two out of two children did not have suicide screenings completed,
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
During the inspection I observed that two of the staff members had expired CPR training. Both staff members are direct care staff and are alone with the children in care.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Required annual trainings (The Preventing and Recognizing Youth Sexual Abuse & DFPS Trauma Informed Care) for multiple employees were not completed in the required subsequent 12-month period.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
There is no documentation to support weekly individual & group therapy services occurring as required in child service plans reviewed.
3 748.125(c)(1)(C) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of suicide screening.
Two staff file records reviewed were missing documentation of the required annual suicide prevention training.
4 748.985(a) - First-aid-CPR training-Certification must be obtained from specific persons/organizations
The EBI training was conducted by an instructor who was not certified.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
One child s record was missing medication logs for the period of 2/25 to 4/25.
4 748.985(a) - First-aid-CPR training-Certification must be obtained from specific persons/organizations
The EBI training was conducted by an instructor who was not certified.
3 748.125(c)(1)(C) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of suicide screening.
Two staff file records reviewed were missing documentation of the required annual suicide prevention training.
4 748.3101(1) - Fire Inspection-Must have fire inspection before initial permit issued
The operation's fire inspection has expired and was not requested until after the expiration date.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
Two out of two children did not have suicide screenings completed,
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Required annual trainings (The Preventing and Recognizing Youth Sexual Abuse & DFPS Trauma Informed Care) for multiple employees were not completed in the required subsequent 12-month period.
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
During the inspection I observed that two of the staff members had expired CPR training. Both staff members are direct care staff and are alone with the children in care.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
There is no documentation to support weekly individual & group therapy services occurring as required in child service plans reviewed.
2 748.1437(7) - Discharge/Transfer Documentation-For emergency discharge/transfer, document reason for discharge/transfer explained to child, and child's reaction
1 child file reviewed did not have the required discharge documentation.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
Two out of two children did not have suicide screenings completed,
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Required annual trainings (The Preventing and Recognizing Youth Sexual Abuse & DFPS Trauma Informed Care) for multiple employees were not completed in the required subsequent 12-month period.
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
During the inspection I observed that two of the staff members had expired CPR training. Both staff members are direct care staff and are alone with the children in care.
4 748.985(a) - First-aid-CPR training-Certification must be obtained from specific persons/organizations
The EBI training was conducted by an instructor who was not certified.
2 748.1437(7) - Discharge/Transfer Documentation-For emergency discharge/transfer, document reason for discharge/transfer explained to child, and child's reaction
1 child file reviewed did not have the required discharge documentation.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
One child s record was missing medication logs for the period of 2/25 to 4/25.
3 748.125(c)(1)(C) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of suicide screening.
Two staff file records reviewed were missing documentation of the required annual suicide prevention training.
4 748.3101(1) - Fire Inspection-Must have fire inspection before initial permit issued
The operation's fire inspection has expired and was not requested until after the expiration date.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
There is no documentation to support weekly individual & group therapy services occurring as required in child service plans reviewed.
4 748.3101(1) - Fire Inspection-Must have fire inspection before initial permit issued
The operation's fire inspection has expired and was not requested until after the expiration date.
2 748.1437(7) - Discharge/Transfer Documentation-For emergency discharge/transfer, document reason for discharge/transfer explained to child, and child's reaction
1 child file reviewed did not have the required discharge documentation.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
There is no documentation to support weekly individual & group therapy services occurring as required in child service plans reviewed.
3 748.125(c)(1)(C) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of suicide screening.
Two staff file records reviewed were missing documentation of the required annual suicide prevention training.
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
During the inspection I observed that two of the staff members had expired CPR training. Both staff members are direct care staff and are alone with the children in care.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
One child s record was missing medication logs for the period of 2/25 to 4/25.
4 748.985(a) - First-aid-CPR training-Certification must be obtained from specific persons/organizations
The EBI training was conducted by an instructor who was not certified.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Required annual trainings (The Preventing and Recognizing Youth Sexual Abuse & DFPS Trauma Informed Care) for multiple employees were not completed in the required subsequent 12-month period.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
Two out of two children did not have suicide screenings completed,
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Required annual trainings (The Preventing and Recognizing Youth Sexual Abuse & DFPS Trauma Informed Care) for multiple employees were not completed in the required subsequent 12-month period.
3 748.125(c)(1)(C) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of suicide screening.
Two staff file records reviewed were missing documentation of the required annual suicide prevention training.
4 748.3101(1) - Fire Inspection-Must have fire inspection before initial permit issued
The operation's fire inspection has expired and was not requested until after the expiration date.
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
During the inspection I observed that two of the staff members had expired CPR training. Both staff members are direct care staff and are alone with the children in care.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
There is no documentation to support weekly individual & group therapy services occurring as required in child service plans reviewed.
2 748.1437(7) - Discharge/Transfer Documentation-For emergency discharge/transfer, document reason for discharge/transfer explained to child, and child's reaction
1 child file reviewed did not have the required discharge documentation.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
One child s record was missing medication logs for the period of 2/25 to 4/25.
4 748.985(a) - First-aid-CPR training-Certification must be obtained from specific persons/organizations
The EBI training was conducted by an instructor who was not certified.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
Two out of two children did not have suicide screenings completed,
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
Two out of two children did not have suicide screenings completed,
4 748.985(a) - First-aid-CPR training-Certification must be obtained from specific persons/organizations
The EBI training was conducted by an instructor who was not certified.
2 748.1437(7) - Discharge/Transfer Documentation-For emergency discharge/transfer, document reason for discharge/transfer explained to child, and child's reaction
1 child file reviewed did not have the required discharge documentation.
3 748.125(c)(1)(C) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of suicide screening.
Two staff file records reviewed were missing documentation of the required annual suicide prevention training.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
There is no documentation to support weekly individual & group therapy services occurring as required in child service plans reviewed.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Required annual trainings (The Preventing and Recognizing Youth Sexual Abuse & DFPS Trauma Informed Care) for multiple employees were not completed in the required subsequent 12-month period.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
One child s record was missing medication logs for the period of 2/25 to 4/25.
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
During the inspection I observed that two of the staff members had expired CPR training. Both staff members are direct care staff and are alone with the children in care.
4 748.3101(1) - Fire Inspection-Must have fire inspection before initial permit issued
The operation's fire inspection has expired and was not requested until after the expiration date.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
One child s record was missing medication logs for the period of 2/25 to 4/25.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
Two out of two children did not have suicide screenings completed,
3 748.125(c)(1)(C) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of suicide screening.
Two staff file records reviewed were missing documentation of the required annual suicide prevention training.
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
During the inspection I observed that two of the staff members had expired CPR training. Both staff members are direct care staff and are alone with the children in care.
2 748.1437(7) - Discharge/Transfer Documentation-For emergency discharge/transfer, document reason for discharge/transfer explained to child, and child's reaction
1 child file reviewed did not have the required discharge documentation.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
There is no documentation to support weekly individual & group therapy services occurring as required in child service plans reviewed.
4 748.3101(1) - Fire Inspection-Must have fire inspection before initial permit issued
The operation's fire inspection has expired and was not requested until after the expiration date.
4 748.985(a) - First-aid-CPR training-Certification must be obtained from specific persons/organizations
The EBI training was conducted by an instructor who was not certified.
3 748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Required annual trainings (The Preventing and Recognizing Youth Sexual Abuse & DFPS Trauma Informed Care) for multiple employees were not completed in the required subsequent 12-month period.

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

Inspections (40)

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

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