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TexasLewisville › Journey to Dream - Kyle's Place

Journey to Dream - Kyle's Place

Child care center · 1960 ARCHER AVE, Lewisville, TX 75077-7602 · License 1665832

0Compliance score
Poor

Capacity 19. 14-17

Violation history (184)

SeverityDateStandard / narrativeCorrected
3 745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
The operations background list was last validated on 5/21/2025.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
As a form of discipline, operation staff pulled a child's mattress to the floor while the child was still on it.
3 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
One of two staff files did not contain a Pre-Employment Affidavit (form 2912).
2 748.1501(b)(1) - Dental Care-Written record of each dental examination must include a copy of the examination results
Two of two child files reviewed did not include dental results with the dental exam forms.
3 748.453(a)(6) - Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable
The operation's unauthorized absence log was incomplete. The log was missing the age of the child, gender of the child, date of admission, when the child returned, which caregiver was responsible for the child at the time of the unauthorized absence, the intake number and if law enforcement was contacted.
4 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A staff member uses yelling as a form of discipline with the children in care.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child was not given their medication as prescribed on three separate occasions by three different staff members.
3 748.935(a)(1) - Annual Training Timeline-Each person must complete the required annual training within 12 months from the date of hire
It was determined that a few staff members annual trainings were delinquent.
4 748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
Administrator was made aware of an unforeseen circumstance and failed to implement a plan for proper supervision.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Operation staff failed to use prudent judgement when children in care were denied access to the facility.
1 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
While reviewing the children files one of the records did not have a signature for the PLSP on the admission assessment.
3 748.1331(f) - Preliminary Service Plan-Implement and follow the preliminary service plan
One of two child files reviewed documented action items in a preliminary service plan that were not followed.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The unauthorized absence log was not available for review when requested during the inspection.
3 748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
One of the twelve beds inspected did not have a mattress cover. Staff corrected the deficiency at inspection.
Yes
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
Two of two child's files that were reviewed did not contain medication logs for the past months.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children were not properly supervised which allowed for an altercation between two children to occur.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The operation did not have an unauthorized absence annual summary log.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
Operation did not submit EBI information for quarter 3.
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
A child's service plan was not followed when a child was unsupervised which led to an altercation.
2 748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications.
Two of two files reviewed contained CPR certificates that did not include the trainers name and qualifications.
4 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The service plan for a youth in care discussion the supervision for the first 30 days of placement. However, the plan does not document the supervision requirements after 30 days.
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 member was released on October 3, 2024, and is still active as of November 6, 2024.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member leaned in with her body and forcefully spoke to a child after an altercation.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Operation staff failed to use prudent judgement when children in care were denied access to the facility.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member leaned in with her body and forcefully spoke to a child after an altercation.
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 member was released on October 3, 2024, and is still active as of November 6, 2024.
4 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A staff member uses yelling as a form of discipline with the children in care.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The unauthorized absence log was not available for review when requested during the inspection.
3 748.935(a)(1) - Annual Training Timeline-Each person must complete the required annual training within 12 months from the date of hire
It was determined that a few staff members annual trainings were delinquent.
3 748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
One of the twelve beds inspected did not have a mattress cover. Staff corrected the deficiency at inspection.
Yes
3 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
One of two staff files did not contain a Pre-Employment Affidavit (form 2912).
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
Operation did not submit EBI information for quarter 3.
4 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The service plan for a youth in care discussion the supervision for the first 30 days of placement. However, the plan does not document the supervision requirements after 30 days.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
Two of two child's files that were reviewed did not contain medication logs for the past months.
3 745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
The operations background list was last validated on 5/21/2025.
3 748.453(a)(6) - Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable
The operation's unauthorized absence log was incomplete. The log was missing the age of the child, gender of the child, date of admission, when the child returned, which caregiver was responsible for the child at the time of the unauthorized absence, the intake number and if law enforcement was contacted.
2 748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications.
Two of two files reviewed contained CPR certificates that did not include the trainers name and qualifications.
3 748.1331(f) - Preliminary Service Plan-Implement and follow the preliminary service plan
One of two child files reviewed documented action items in a preliminary service plan that were not followed.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
As a form of discipline, operation staff pulled a child's mattress to the floor while the child was still on it.
4 748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
Administrator was made aware of an unforeseen circumstance and failed to implement a plan for proper supervision.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child was not given their medication as prescribed on three separate occasions by three different staff members.
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
A child's service plan was not followed when a child was unsupervised which led to an altercation.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children were not properly supervised which allowed for an altercation between two children to occur.
2 748.1501(b)(1) - Dental Care-Written record of each dental examination must include a copy of the examination results
Two of two child files reviewed did not include dental results with the dental exam forms.
1 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
While reviewing the children files one of the records did not have a signature for the PLSP on the admission assessment.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The operation did not have an unauthorized absence annual summary log.
4 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A staff member uses yelling as a form of discipline 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
Two of two child's files that were reviewed did not contain medication logs for the past months.
1 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
While reviewing the children files one of the records did not have a signature for the PLSP on the admission assessment.
3 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
One of two staff files did not contain a Pre-Employment Affidavit (form 2912).
2 748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications.
Two of two files reviewed contained CPR certificates that did not include the trainers name and qualifications.
2 748.1501(b)(1) - Dental Care-Written record of each dental examination must include a copy of the examination results
Two of two child files reviewed did not include dental results with the dental exam forms.
3 745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
The operations background list was last validated on 5/21/2025.
4 748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
Administrator was made aware of an unforeseen circumstance and failed to implement a plan for proper supervision.
3 748.935(a)(1) - Annual Training Timeline-Each person must complete the required annual training within 12 months from the date of hire
It was determined that a few staff members annual trainings were delinquent.
4 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The service plan for a youth in care discussion the supervision for the first 30 days of placement. However, the plan does not document the supervision requirements after 30 days.
3 748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
One of the twelve beds inspected did not have a mattress cover. Staff corrected the deficiency at inspection.
Yes
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
As a form of discipline, operation staff pulled a child's mattress to the floor while the child was still on it.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child was not given their medication as prescribed on three separate occasions by three different staff members.
3 748.453(a)(6) - Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable
The operation's unauthorized absence log was incomplete. The log was missing the age of the child, gender of the child, date of admission, when the child returned, which caregiver was responsible for the child at the time of the unauthorized absence, the intake number and if law enforcement was contacted.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The unauthorized absence log was not available for review when requested during the inspection.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
Operation did not submit EBI information for quarter 3.
3 748.1331(f) - Preliminary Service Plan-Implement and follow the preliminary service plan
One of two child files reviewed documented action items in a preliminary service plan that were not followed.
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
A child's service plan was not followed when a child was unsupervised which led to an altercation.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Operation staff failed to use prudent judgement when children in care were denied access to the facility.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The operation did not have an unauthorized absence annual summary log.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children were not properly supervised which allowed for an altercation between two children to occur.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member leaned in with her body and forcefully spoke to a child after an altercation.
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 member was released on October 3, 2024, and is still active as of November 6, 2024.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children were not properly supervised which allowed for an altercation between two children to occur.
4 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A staff member uses yelling as a form of discipline with the children in care.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child was not given their medication as prescribed on three separate occasions by three different staff members.
3 748.1331(f) - Preliminary Service Plan-Implement and follow the preliminary service plan
One of two child files reviewed documented action items in a preliminary service plan that were not followed.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Operation staff failed to use prudent judgement when children in care were denied access to the facility.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member leaned in with her body and forcefully spoke to a child after an altercation.
4 748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
Administrator was made aware of an unforeseen circumstance and failed to implement a plan for proper supervision.
2 748.1501(b)(1) - Dental Care-Written record of each dental examination must include a copy of the examination results
Two of two child files reviewed did not include dental results with the dental exam forms.
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 member was released on October 3, 2024, and is still active as of November 6, 2024.
2 748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications.
Two of two files reviewed contained CPR certificates that did not include the trainers name and qualifications.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The operation did not have an unauthorized absence annual summary log.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The unauthorized absence log was not available for review when requested during the inspection.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
As a form of discipline, operation staff pulled a child's mattress to the floor while the child was still on it.
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
A child's service plan was not followed when a child was unsupervised which led to an altercation.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
Operation did not submit EBI information for quarter 3.
3 748.453(a)(6) - Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable
The operation's unauthorized absence log was incomplete. The log was missing the age of the child, gender of the child, date of admission, when the child returned, which caregiver was responsible for the child at the time of the unauthorized absence, the intake number and if law enforcement was contacted.
1 748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record
While reviewing the children files one of the records did not have a signature for the PLSP on the admission assessment.
3 748.935(a)(1) - Annual Training Timeline-Each person must complete the required annual training within 12 months from the date of hire
It was determined that a few staff members annual trainings were delinquent.
2 748.2151(g) - Medication record-medication records of prescription & non-prescription medication dispensed to the child must be incorporated into child's record
Two of two child's files that were reviewed did not contain medication logs for the past months.
4 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The service plan for a youth in care discussion the supervision for the first 30 days of placement. However, the plan does not document the supervision requirements after 30 days.
3 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
One of two staff files did not contain a Pre-Employment Affidavit (form 2912).
3 748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
One of the twelve beds inspected did not have a mattress cover. Staff corrected the deficiency at inspection.
Yes
3 745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
The operations background list was last validated on 5/21/2025.
4 748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
Administrator was made aware of an unforeseen circumstance and failed to implement a plan for proper supervision.
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 member was released on October 3, 2024, and is still active as of November 6, 2024.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The operation did not have an unauthorized absence annual summary log.
3 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
Operation did not submit EBI information for quarter 3.
3 748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request.
The unauthorized absence log was not available for review when requested during the inspection.
3 748.1331(f) - Preliminary Service Plan-Implement and follow the preliminary service plan
One of two child files reviewed documented action items in a preliminary service plan that were not followed.
2 748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications.
Two of two files reviewed contained CPR certificates that did not include the trainers name and qualifications.
3 748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment.
One of two staff files did not contain a Pre-Employment Affidavit (form 2912).

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

Inspections (112)

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

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