Texas › Houston › Promise Rose Residential Care Home, Inc.

Promise Rose Residential Care Home, Inc.

Child care center · 9035 COMAL ST, Houston, TX 77051-2319 · License 1658373

0Compliance score
Poor

Capacity 16. 8-17

Violation history (240)

Severity	Date	Standard / narrative	Corrected
4	—	748.3001(a)(1) - Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued The sanatation inspection has not been completed since 3/4/2025.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff was responsible for supervising children doing an outing. Staff did not perform the assigned job duties and was sitting at the bar indulging in an alcoholic beverage.	—
4	—	748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old. 4 of 4 staff files reviewed were missing 1 hour of the required annual transportation training.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Based on a walk-through of the operation's three cottages, it was observed the evacuation plan did not contain a location inside each cottage where staff and children were to locate for shelter in place.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period The operation's Administrator was observed to have completed two annual trainings (Trauma Informed Care and Psychotropic Medication) on 01/04/24 and not again until 01/09/25; 5 days late.	—
1	—	748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting All children's records reviewed did not have a initial service plan meeting notice in the file.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking A copy of an employee's current First Aid Training Certificate could not be located.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline Three serious incidents observed were found to not have been reported to Licensing.	—
3	—	748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form 3 of 4 staff files have employment affidavits completed after employee date of hire.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being One of five staff interviewed failed to provide required constant supervision to a child in care as recommended in safety plan.	—
4	—	748.936(1) - Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services 4 of 4 staff files observed have EBI training in 03/2025 and again in 06/2025.	—
4	—	748.3307(b)(3) - Physical Site-Bathrooms must be lighted to avoid accidents The light bulb in a bathroom was blown out, there was no hand soap in the dispenser, and the paper towel dispenser didn't have paper towek in cottage one of three. Work orders provided for the missing window covers and broken window in cottages two and three. The light bulb was replaced, soap, and paper towel were added to the bathroon in cottage one.	Yes
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers Based on a review of documents, it was found three out of four children's initial service plans did not reflect at least one of the child's current caregivers participation as well as cargivers signature.	—
3	—	748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older. The report of a child's unauthorized absence from the facility was not submitted to Licensing until the following day.	—
1	—	748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value Based on a walk-through of the operation's three cottages' kitchens, it was observed the daily menu did not contain a daily food substitution for each meal.	—
1	—	748.1339(b) - Initial Service Plan-For treatment services, service planning team must include two professionals Based on review of documents, it was found three out of four children's service plan did not reflect two professionals' participation as well as two professionals' signatures. The three children's service plans reviewed only contained a signature from one professsional.	—
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 out of four children's records reviewed did not have a documented TB Skin Test.	—
4	—	748.863(a)(5) - Pre-Service Training- Caregivers who administer medication must have psych medication training before administering psych meds. A staff member hired on 01/08/2025 did not complete the Psychotropic Medication Training until three months later on 04/20/2025.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records One service plan was observed to be missing documentation, leaving a section of the plan blank. Documentation on a Texas Health Steps Dental Exam was observed with four blank pages omitting pertinent information.	—
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. One staff file was observed with one reference check.	—
5	—	748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back A child in care was inappropriately restrained at the operation.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child Operation failed to timely report allegations of abuse to a child.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff member failed to use prudent judgment by locking a child in care outside of the home.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Three Children in care and 1 collateral adult observed a staff member to be horseplaying with a child in care.	—
5	—	748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child A child expressed experiencing physical pain while being restrained.	—
4	—	748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old. 4 of 4 staff files observed contained certificates for transportation for 1 hour annually.	—
3	—	748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center. Based on an evaluation of documents, it was found four out of four active children's records did not contain documentation supporting a suicide screening was administed every 30 ays after admissionn.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain A child in care did not receive timely medical care for an injury.	—
5	—	748.363(11) - Personnel records-Include proof of request for background checks. One staff's file did not contain proof of a background check reflecting the staff's legal spelling of the last name.	—
3	—	748.3271 - First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips The first aid kit is being held in the administrative building instead of at each of the three cottage homes.	—
1	—	748.1339(b) - Initial Service Plan-For treatment services, service planning team must include two professionals Based on review of documents, it was found three out of four children's service plan did not reflect two professionals' participation as well as two professionals' signatures. The three children's service plans reviewed only contained a signature from one professsional.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline Three serious incidents observed were found to not have been reported to Licensing.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff was responsible for supervising children doing an outing. Staff did not perform the assigned job duties and was sitting at the bar indulging in an alcoholic beverage.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain A child in care did not receive timely medical care for an injury.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Based on a walk-through of the operation's three cottages, it was observed the evacuation plan did not contain a location inside each cottage where staff and children were to locate for shelter in place.	—
4	—	748.3001(a)(1) - Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued The sanatation inspection has not been completed since 3/4/2025.	—
4	—	748.936(1) - Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services 4 of 4 staff files observed have EBI training in 03/2025 and again in 06/2025.	—
5	—	748.363(11) - Personnel records-Include proof of request for background checks. One staff's file did not contain proof of a background check reflecting the staff's legal spelling of the last name.	—
5	—	748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child A child expressed experiencing physical pain while being restrained.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records One service plan was observed to be missing documentation, leaving a section of the plan blank. Documentation on a Texas Health Steps Dental Exam was observed with four blank pages omitting pertinent information.	—
1	—	748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting All children's records reviewed did not have a initial service plan meeting notice in the file.	—
4	—	748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old. 4 of 4 staff files observed contained certificates for transportation for 1 hour annually.	—
3	—	748.3271 - First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips The first aid kit is being held in the administrative building instead of at each of the three cottage homes.	—
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. One staff file was observed with one reference check.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child Operation failed to timely report allegations of abuse to a child.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking A copy of an employee's current First Aid Training Certificate could not be located.	—
5	—	748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back A child in care was inappropriately restrained at the operation.	—
3	—	748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form 3 of 4 staff files have employment affidavits completed after employee date of hire.	—
3	—	748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center. Based on an evaluation of documents, it was found four out of four active children's records did not contain documentation supporting a suicide screening was administed every 30 ays after admissionn.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Three Children in care and 1 collateral adult observed a staff member to be horseplaying with a child in care.	—
4	—	748.3307(b)(3) - Physical Site-Bathrooms must be lighted to avoid accidents The light bulb in a bathroom was blown out, there was no hand soap in the dispenser, and the paper towel dispenser didn't have paper towek in cottage one of three. Work orders provided for the missing window covers and broken window in cottages two and three. The light bulb was replaced, soap, and paper towel were added to the bathroon in cottage one.	Yes
3	—	748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older. The report of a child's unauthorized absence from the facility was not submitted to Licensing until the following day.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff member failed to use prudent judgment by locking a child in care outside of the home.	—
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers Based on a review of documents, it was found three out of four children's initial service plans did not reflect at least one of the child's current caregivers participation as well as cargivers signature.	—
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 out of four children's records reviewed did not have a documented TB Skin Test.	—
1	—	748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value Based on a walk-through of the operation's three cottages' kitchens, it was observed the daily menu did not contain a daily food substitution for each meal.	—
4	—	748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old. 4 of 4 staff files reviewed were missing 1 hour of the required annual transportation training.	—
4	—	748.863(a)(5) - Pre-Service Training- Caregivers who administer medication must have psych medication training before administering psych meds. A staff member hired on 01/08/2025 did not complete the Psychotropic Medication Training until three months later on 04/20/2025.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being One of five staff interviewed failed to provide required constant supervision to a child in care as recommended in safety plan.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period The operation's Administrator was observed to have completed two annual trainings (Trauma Informed Care and Psychotropic Medication) on 01/04/24 and not again until 01/09/25; 5 days late.	—
4	—	748.936(1) - Annual Training- Caregivers must have EBI w/in 6 months from the date they last received the training if operation provides treatment services 4 of 4 staff files observed have EBI training in 03/2025 and again in 06/2025.	—
5	—	748.911(a) - Each caregiver must have a current certificate of training with an expiration or renewal date in pediatric first aid with rescue breathing and choking A copy of an employee's current First Aid Training Certificate could not be located.	—
3	—	748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form 3 of 4 staff files have employment affidavits completed after employee date of hire.	—
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers Based on a review of documents, it was found three out of four children's initial service plans did not reflect at least one of the child's current caregivers participation as well as cargivers signature.	—
5	—	748.2551(c)(1) - EBI Implementation-Caregiver must minimize risk of physical discomfort, harm, or pain to the child A child expressed experiencing physical pain while being restrained.	—
5	—	748.363(11) - Personnel records-Include proof of request for background checks. One staff's file did not contain proof of a background check reflecting the staff's legal spelling of the last name.	—
3	—	748.3271 - First Aid Kits-All separate living areas & buildings must have first-aid kit available; first-aid kit must be available for field trips The first aid kit is being held in the administrative building instead of at each of the three cottage homes.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period The operation's Administrator was observed to have completed two annual trainings (Trauma Informed Care and Psychotropic Medication) on 01/04/24 and not again until 01/09/25; 5 days late.	—
4	—	748.3001(a)(1) - Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued The sanatation inspection has not been completed since 3/4/2025.	—
5	—	748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back A child in care was inappropriately restrained at the operation.	—
4	—	748.3307(b)(3) - Physical Site-Bathrooms must be lighted to avoid accidents The light bulb in a bathroom was blown out, there was no hand soap in the dispenser, and the paper towel dispenser didn't have paper towek in cottage one of three. Work orders provided for the missing window covers and broken window in cottages two and three. The light bulb was replaced, soap, and paper towel were added to the bathroon in cottage one.	Yes
4	—	748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old. 4 of 4 staff files observed contained certificates for transportation for 1 hour annually.	—
1	—	748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value Based on a walk-through of the operation's three cottages' kitchens, it was observed the daily menu did not contain a daily food substitution for each meal.	—
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. One staff file was observed with one reference check.	—
3	—	748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older. The report of a child's unauthorized absence from the facility was not submitted to Licensing until the following day.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Based on a walk-through of the operation's three cottages, it was observed the evacuation plan did not contain a location inside each cottage where staff and children were to locate for shelter in place.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain A child in care did not receive timely medical care for an injury.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records One service plan was observed to be missing documentation, leaving a section of the plan blank. Documentation on a Texas Health Steps Dental Exam was observed with four blank pages omitting pertinent information.	—
4	—	748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old. 4 of 4 staff files reviewed were missing 1 hour of the required annual transportation training.	—
3	—	748.125(d)(4)(C) - Suicide Screening- Must be administered every 30 days after admission for children 10 years of age or older in a residential treatment center. Based on an evaluation of documents, it was found four out of four active children's records did not contain documentation supporting a suicide screening was administed every 30 ays after admissionn.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff member failed to use prudent judgment by locking a child in care outside of the home.	—
3	—	748.309 - Reporting Serious Incident - All serious incident reports to Licensing must be made to the Texas Abuse & Neglect Hotline Three serious incidents observed were found to not have been reported to Licensing.	—
1	—	748.1339(b) - Initial Service Plan-For treatment services, service planning team must include two professionals Based on review of documents, it was found three out of four children's service plan did not reflect two professionals' participation as well as two professionals' signatures. The three children's service plans reviewed only contained a signature from one professsional.	—
4	—	748.863(a)(5) - Pre-Service Training- Caregivers who administer medication must have psych medication training before administering psych meds. A staff member hired on 01/08/2025 did not complete the Psychotropic Medication Training until three months later on 04/20/2025.	—
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 out of four children's records reviewed did not have a documented TB Skin Test.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Three Children in care and 1 collateral adult observed a staff member to be horseplaying with a child in care.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child Operation failed to timely report allegations of abuse to a child.	—
1	—	748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting All children's records reviewed did not have a initial service plan meeting notice in the file.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff was responsible for supervising children doing an outing. Staff did not perform the assigned job duties and was sitting at the bar indulging in an alcoholic beverage.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being One of five staff interviewed failed to provide required constant supervision to a child in care as recommended in safety plan.	—
1	—	748.1339(a)(1) - Initial Service Plan-Service planning team must include at least one of the child's current caregivers Based on a review of documents, it was found three out of four children's initial service plans did not reflect at least one of the child's current caregivers participation as well as cargivers signature.	—
1	—	748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value Based on a walk-through of the operation's three cottages' kitchens, it was observed the daily menu did not contain a daily food substitution for each meal.	—
3	—	748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older. The report of a child's unauthorized absence from the facility was not submitted to Licensing until the following day.	—
4	—	748.3001(a)(1) - Sanitation Inspection-Sanitation official must conduct a sanitation inspection before initial permit issued The sanatation inspection has not been completed since 3/4/2025.	—
4	—	748.3307(b)(3) - Physical Site-Bathrooms must be lighted to avoid accidents The light bulb in a bathroom was blown out, there was no hand soap in the dispenser, and the paper towel dispenser didn't have paper towek in cottage one of three. Work orders provided for the missing window covers and broken window in cottages two and three. The light bulb was replaced, soap, and paper towel were added to the bathroon in cottage one.	Yes
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 out of four children's records reviewed did not have a documented TB Skin Test.	—
4	—	748.863(a)(5) - Pre-Service Training- Caregivers who administer medication must have psych medication training before administering psych meds. A staff member hired on 01/08/2025 did not complete the Psychotropic Medication Training until three months later on 04/20/2025.	—
4	—	748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child Operation failed to timely report allegations of abuse to a child.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Three Children in care and 1 collateral adult observed a staff member to be horseplaying with a child in care.	—
4	—	748.930(b)(4) - Annual Training- Caregivers must have 2 hours transportation safety training if caring for children younger than 9 yrs old. 4 of 4 staff files observed contained certificates for transportation for 1 hour annually.	—

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

Inspections (128)

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

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