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Renewed Strength, Inc. East

Child care center · 2814 ALDINE BENDER RD, Houston, TX 77032-3502 · License 1678450

0Compliance score
Poor

Capacity 14. 7-14

Violation history (398)

Severity	Date	Standard / narrative	Corrected
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions One of three child records reviewed did not have the immunizations records.	Yes
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 Two out of two personnel records did not have documentation of a TB screening for the employee.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards During the walkthrough, the outside patio bench was damaged, and nails were visible, and perturbing from bench. Also, in one of the rooms, a chair was observed to be damaged on the seating area.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave Raw pork product was left to thaw in the kitchen sink. Pork product was not sealed in a leak proof bag or container.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean The toilet in bathroom 3 does not flush.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below The thermometer in the refrigerator was seen to be at 48 degrees Fahrenheit and the freezer was seen to be at 3 degrees Fahrenheit .	—
3	—	748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position One of two personnel records reviewed did not have documentation to show the staff meets minimum age for the position held.	—
4	—	748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location In the child's records, there is no visible notation of the child's allergies status.	Yes
3	—	748.3301(g) - Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner It was found on the premises of the operation that there is an accumulation of trash and debris items located on the outer quarters behind the buildings.	Yes
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 There is a background check listed as active however the individual is not employed at this operation, he is employed at a different location.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Three children in care were to remain standing as a form of discipline after returning from runaway.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. It was founded in this investigation the caregivers were not following the child's supervision requirements.	—
3	—	748.3017(a)(1) - Animals-allowed if operation has documentation showing dogs and cats are vaccinated for rabies as required by TX Health and Safety Code, Ch 826 Cat at operation does not have vaccines on record.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean One of the restrooms had a water leakage from one of the handles in the shower.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation One employee does not have an active background check and is presently working for the faciity.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children in placement are being left long periods of time without supervision.	—
4	—	748.3475(b)(1) - Safety Requirements-Ensure that hazards or defects identified during the playground inspection are removed or repaired promptly Final determination of this deficiency is pending compliance with fixing the damaged fence brought about by inclement weather.	—
2	—	748.2853(4) - EBI Documentation-Content of the post discussion, if applicable The post discussion with the child section is missing some elements - such as the content of the discussion, the date and time it was offered, and the date and time it took place.	—
3	—	748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention There was no documentation of the restraint that occurred.	—
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. During a review of records it was determined that EBI numbers were not reported for the first quarter.	Yes
3	—	748.303(a)(10)(B) - Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older. During the investigation it was found that a serious incident was not reported to the caregiver timely.	—
3	—	748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position One of two employee files did not have the qualifications of the staff member.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being The caregiver in charge of the children was not aware of the children going into one bedroom closet	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children A caregiver was observed to be out of ratio for at least one hour.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Medication records were observed to not include the reason the medication or the prescribing physician's name.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the course of the investigation, the victim child admitted to having access to and using the hot tub at the operation. During the walk through of the operation the hot tub was observed to be unclean and unsanitary. Staff acknowledged being aware that the child had used the hot tub. The child was diagnosed with a UTI following the incident.	—
5	—	745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions Staff at the operation whom have provisional background checks with conditions, are not following their conditions concerning medication administration, supervision, and Transportation.	—
4	—	748.2101(6) - Medication storage & destruction-remove discontinued medication immediately & destroy it in a way that ensures children do not have access to it During the course of the investigation it was determined that medication was not discontinued as needed.	—
4	—	748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid Two out of two personnel records did not have First-aid-CPR training documented for staff.	—
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 During the investigation while reviewing records, it was found that CPR/First aid training was expired on a caregiver.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered Medication administration was not documented for the full seven days prescribed.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free A switch in the one of the bathrooms was missing the switch plate covering. An outlet in the classroom area was missing a face plate.	Yes
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model During the investigation it was noticed that the medication log for a child in care did not have an accurate count of medication on the log and in the pill packet.	—
4	—	748.685(d)(3) - Caregiver responsibility- Child participating in unsupervised activity - caregiver must provide/arrange/ confirm transportation to & from activity The operation did not provide, arrange or confirm transportation for a child in care.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Four children in care ran away from the operation in the night, staff was not aware of their absence until they returned in the morning hours.	—
3	—	748.1203(a) - Admission-Operation may only admit children and young adults who meet admission policy and whose needs can be met at the operation A child was admitted not meeting the age requirements per the license.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Medication Administration Records for two residents have conflicting information regarding the reason their medication was prescribed. The medication log for two children indicated errors with the pill count on 4 separate occasions. There is one instance of the initials of the staff administering the medication not being legible.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401, which resulted in a child being injured.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication During the investigation it was noted that a child in care's medication log did not have a signature of the person who administrated the medication.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization During the investigation it was found that the agency failed to call into the hotline a serious incident for the child in care J.M.	—
4	—	748.303(a)(4)(B) - Serious Incident-Report to parents immediately after ensuring the safety of the child. During the investigation this standard was found to be deficient due to the parent not being notified after their child was injured.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair During a walkthrough of the operation, it was observed that several hanging rods in the closets of the children's bedroom were loose and could be easily removed.	Yes
3	—	748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures The operation failed to follow safety plan put in place and allowed two children to be together in one of the bedrooms.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication The signatures of personnel administering medication were not included in the medical record.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being During the course of the investigation this standard was found to be deficient due to a child being injured while a caregiver left the children unsupervised.	—
4	—	748.3271(3) - First Aid Kits-Each one must be in good condition and not have expired medications or supplies First aid kits were observed missing required items such as bandages, thermometers, antiseptic solutions.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Medication records were observed to not include the reason the medication or the prescribing physician's name.	—
3	—	748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures The operation failed to follow safety plan put in place and allowed two children to be together in one of the bedrooms.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation One employee does not have an active background check and is presently working for the faciity.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401, which resulted in a child being injured.	—
4	—	748.685(d)(3) - Caregiver responsibility- Child participating in unsupervised activity - caregiver must provide/arrange/ confirm transportation to & from activity The operation did not provide, arrange or confirm transportation for a child in care.	—
3	—	748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention There was no documentation of the restraint that occurred.	—
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization During the investigation it was found that the agency failed to call into the hotline a serious incident for the child in care J.M.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean During the course of the investigation, the victim child admitted to having access to and using the hot tub at the operation. During the walk through of the operation the hot tub was observed to be unclean and unsanitary. Staff acknowledged being aware that the child had used the hot tub. The child was diagnosed with a UTI following the incident.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean One of the restrooms had a water leakage from one of the handles in the shower.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards During the walkthrough, the outside patio bench was damaged, and nails were visible, and perturbing from bench. Also, in one of the rooms, a chair was observed to be damaged on the seating area.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Four children in care ran away from the operation in the night, staff was not aware of their absence until they returned in the morning hours.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions One of three child records reviewed did not have the immunizations records.	Yes
4	—	748.2101(6) - Medication storage & destruction-remove discontinued medication immediately & destroy it in a way that ensures children do not have access to it During the course of the investigation it was determined that medication was not discontinued as needed.	—
3	—	748.3301(g) - Physical Site-The grounds must be free of garbage & debris & maintained in a sanitary manner It was found on the premises of the operation that there is an accumulation of trash and debris items located on the outer quarters behind the buildings.	Yes
4	—	748.303(a)(4)(B) - Serious Incident-Report to parents immediately after ensuring the safety of the child. During the investigation this standard was found to be deficient due to the parent not being notified after their child was injured.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children in placement are being left long periods of time without supervision.	—
3	—	748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position One of two employee files did not have the qualifications of the staff member.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication During the investigation it was noted that a child in care's medication log did not have a signature of the person who administrated the medication.	—
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. During a review of records it was determined that EBI numbers were not reported for the first quarter.	Yes
4	—	748.3475(b)(1) - Safety Requirements-Ensure that hazards or defects identified during the playground inspection are removed or repaired promptly Final determination of this deficiency is pending compliance with fixing the damaged fence brought about by inclement weather.	—
4	—	748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location In the child's records, there is no visible notation of the child's allergies status.	Yes
3	—	748.685(c)(6) - Implement and follow the children's service plans. It was founded in this investigation the caregivers were not following the child's supervision requirements.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being During the course of the investigation this standard was found to be deficient due to a child being injured while a caregiver left the children unsupervised.	—
2	—	748.2853(4) - EBI Documentation-Content of the post discussion, if applicable The post discussion with the child section is missing some elements - such as the content of the discussion, the date and time it was offered, and the date and time it took place.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being The caregiver in charge of the children was not aware of the children going into one bedroom closet	—
3	—	748.1203(a) - Admission-Operation may only admit children and young adults who meet admission policy and whose needs can be met at the operation A child was admitted not meeting the age requirements per the license.	—
5	—	745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions Staff at the operation whom have provisional background checks with conditions, are not following their conditions concerning medication administration, supervision, and Transportation.	—
4	—	748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered Medication administration was not documented for the full seven days prescribed.	—
4	—	748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid Two out of two personnel records did not have First-aid-CPR training documented for staff.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free A switch in the one of the bathrooms was missing the switch plate covering. An outlet in the classroom area was missing a face plate.	Yes
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Three children in care were to remain standing as a form of discipline after returning from runaway.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean The toilet in bathroom 3 does not flush.	—
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 During the investigation while reviewing records, it was found that CPR/First aid training was expired on a caregiver.	—
3	—	748.3017(a)(1) - Animals-allowed if operation has documentation showing dogs and cats are vaccinated for rabies as required by TX Health and Safety Code, Ch 826 Cat at operation does not have vaccines on record.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children A caregiver was observed to be out of ratio for at least one hour.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication The signatures of personnel administering medication were not included in the medical record.	—
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 There is a background check listed as active however the individual is not employed at this operation, he is employed at a different location.	—
3	—	748.303(a)(10)(B) - Serious Incident-Report to parents no later than 6 hours after determining unauthorized absence of a child 13 years old or older. During the investigation it was found that a serious incident was not reported to the caregiver timely.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below The thermometer in the refrigerator was seen to be at 48 degrees Fahrenheit and the freezer was seen to be at 3 degrees Fahrenheit .	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair During a walkthrough of the operation, it was observed that several hanging rods in the closets of the children's bedroom were loose and could be easily removed.	Yes
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model During the investigation it was noticed that the medication log for a child in care did not have an accurate count of medication on the log and in the pill packet.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave Raw pork product was left to thaw in the kitchen sink. Pork product was not sealed in a leak proof bag or container.	—
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 Two out of two personnel records did not have documentation of a TB screening for the employee.	—
4	—	748.3271(3) - First Aid Kits-Each one must be in good condition and not have expired medications or supplies First aid kits were observed missing required items such as bandages, thermometers, antiseptic solutions.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Medication Administration Records for two residents have conflicting information regarding the reason their medication was prescribed. The medication log for two children indicated errors with the pill count on 4 separate occasions. There is one instance of the initials of the staff administering the medication not being legible.	—
3	—	748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position One of two personnel records reviewed did not have documentation to show the staff meets minimum age for the position held.	—
5	—	748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free A switch in the one of the bathrooms was missing the switch plate covering. An outlet in the classroom area was missing a face plate.	Yes
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards During the walkthrough, the outside patio bench was damaged, and nails were visible, and perturbing from bench. Also, in one of the rooms, a chair was observed to be damaged on the seating area.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records In review of the unauthorized absence log and evaluation, the evaluation states there were 3 awols between 1/1/23 and 5/31/23 but the log shows only 2 awols during that time frame.	—
4	—	748.3271(3) - First Aid Kits-Each one must be in good condition and not have expired medications or supplies First aid kits were observed missing required items such as bandages, thermometers, antiseptic solutions.	—
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. During a review of records it was determined that EBI numbers were not reported for the first quarter.	Yes
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being The caregiver in charge of the children was not aware of the children going into one bedroom closet	—
4	—	748.457(a) - Unauthorized Absence?Triggered Review of child?s unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days There was no triggered review completed for a child that went awol 3 times in June 2022.	—
3	—	748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication During the investigation it was noted that a child in care's medication log did not have a signature of the person who administrated the medication.	—

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

Inspections (230)

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

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