Moving Forward

Child care center · 1034 CONDOR DR, Grand Prairie, TX 75051-3349 · License 1690684

0Compliance score
Poor

Capacity 9. 10-17

Violation history (208)

Severity	Date	Standard / narrative	Corrected
4	—	748.913(a) - CPR Training- Must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing The CPR trainings certificates show that the organization used is National CPR foundation which only offers online trainings.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Child records reviewed did not contain any medication logs. One child does not have any medication logs for one medication. One child's total medication count on the medication log did not match the medication remaining in the container. Medication logs do not have the signatures of staff and only have initials.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. The operation was not following safety requirements listed in a child's service plan. The operation allowed a child in care to possess a sharp object and have access to social media.	—
1	—	748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign One of the service plans reviewed was not signed by the child in care.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures Four of four staff interviewed were not aware of the operation's policies and procedures regarding searches.	—
5	—	748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication The operation did not receive written consent from the child's conservator before allowing a physician to change the child's psychotropic medication.	—
3	—	748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return 2 children records were review and both did not have dates entered on the unauthorized log summary for how long they were away from the operation.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver did not exercise prudent judgement when they provided a vape pen to two children in care.	—
3	—	748.455(a)(2) - Unauthorized Absence?Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies Two unauthorized debriefing forms were reviewed, and they did not document the trauma strategies that a child can use to avoid any future runaway behaviors.	—
3	—	748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care The first aid kit in the vehicle used for transporting children in care does not contain tape, scissors, thermometer, tweezers or disposable loves.	—
1	—	748.1337(b)(1)(N) - Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan An initial service plan did not include all required signatures of the service planning team.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others Service plan did not include a plan to address the three high-risk behaviors documented.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Five children were administrator medications at the wrong time. Medications log was not documented correctly. Medications log shows that medications were administer at 8:00 PM. Medications and medications log were review at 7:38 PM.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container A child in care was able to access and ingest a staff member's prescription medication.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. Police responded to a GRO due to a serious incident that a child could have had criminal charges pressed against them.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Prescribed medication was not being administered to child as per health care professional orders.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Information gathered indicates that the operation failed to give a child in care the prescribed dosage of 1 ? tablets (75mg) of Seroquel on 09/21/2022. The medication log shows the child was administered 1 (50mg) tablet instead.	—
3	—	748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures Caregiver did not follow the operation's policies that states staff cannot sleep during their shift.	—
3	—	748.463(c)(2) - Unauthorized Absence Evaluation must include specific trauma informed strategies to reduce the number of unauthorized absences at operation The operation did not meet criteria for 2022 unauthorized absence evaluation. Compliance was met the operation provided documentation for 2023.	Yes
3	—	748.685(c)(6) - Implement and follow the children's service plans. Caregiver did not follow the service plans of children in care that require 24 hours supervision and 15 minute bed checks during sleeping hours.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model While reviewing medication logs, it was discovered that the pill count on a child's medication log did not match the number of pills in the medication bottle.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. One bedroom has a blind with broken slats and a hole in the door. Another bedroom has a hole in the closet and writing on the wall.	—
5	—	748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers Children in care had possession of a vape pen and used the vape while residing at the operation.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved The child's age, gender and date of admission was missing in eight of the eight serious incident reports reviewed.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. A locked used by children displayed inappropriate content.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record 1 out of 5 children did not have their child rights sign in their file.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Five children were administrator medications at the wrong time. Medications log was not documented correctly. Medications log shows that medications were administer at 8:00 PM. Medications and medications log were review at 7:38 PM.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. One bedroom has a blind with broken slats and a hole in the door. Another bedroom has a hole in the closet and writing on the wall.	—
1	—	748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign One of the service plans reviewed was not signed by the child in care.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures Four of four staff interviewed were not aware of the operation's policies and procedures regarding searches.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record 1 out of 5 children did not have their child rights sign in their file.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Child records reviewed did not contain any medication logs. One child does not have any medication logs for one medication. One child's total medication count on the medication log did not match the medication remaining in the container. Medication logs do not have the signatures of staff and only have initials.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved The child's age, gender and date of admission was missing in eight of the eight serious incident reports reviewed.	—
3	—	748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care The first aid kit in the vehicle used for transporting children in care does not contain tape, scissors, thermometer, tweezers or disposable loves.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Prescribed medication was not being administered to child as per health care professional orders.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others Service plan did not include a plan to address the three high-risk behaviors documented.	—
3	—	748.455(a)(2) - Unauthorized Absence?Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies Two unauthorized debriefing forms were reviewed, and they did not document the trauma strategies that a child can use to avoid any future runaway behaviors.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Caregiver did not follow the service plans of children in care that require 24 hours supervision and 15 minute bed checks during sleeping hours.	—
3	—	748.463(c)(2) - Unauthorized Absence Evaluation must include specific trauma informed strategies to reduce the number of unauthorized absences at operation The operation did not meet criteria for 2022 unauthorized absence evaluation. Compliance was met the operation provided documentation for 2023.	Yes
4	—	748.913(a) - CPR Training- Must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing The CPR trainings certificates show that the organization used is National CPR foundation which only offers online trainings.	—
1	—	748.1337(b)(1)(N) - Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan An initial service plan did not include all required signatures of the service planning team.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model While reviewing medication logs, it was discovered that the pill count on a child's medication log did not match the number of pills in the medication bottle.	—
5	—	748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication The operation did not receive written consent from the child's conservator before allowing a physician to change the child's psychotropic medication.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. Police responded to a GRO due to a serious incident that a child could have had criminal charges pressed against them.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. A locked used by children displayed inappropriate content.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. The operation was not following safety requirements listed in a child's service plan. The operation allowed a child in care to possess a sharp object and have access to social media.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver did not exercise prudent judgement when they provided a vape pen to two children in care.	—
5	—	748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers Children in care had possession of a vape pen and used the vape while residing at the operation.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container A child in care was able to access and ingest a staff member's prescription medication.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Information gathered indicates that the operation failed to give a child in care the prescribed dosage of 1 ? tablets (75mg) of Seroquel on 09/21/2022. The medication log shows the child was administered 1 (50mg) tablet instead.	—
3	—	748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures Caregiver did not follow the operation's policies that states staff cannot sleep during their shift.	—
3	—	748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return 2 children records were review and both did not have dates entered on the unauthorized log summary for how long they were away from the operation.	—
3	—	748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care The first aid kit in the vehicle used for transporting children in care does not contain tape, scissors, thermometer, tweezers or disposable loves.	—
5	—	748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers Children in care had possession of a vape pen and used the vape while residing at the operation.	—
3	—	748.463(c)(2) - Unauthorized Absence Evaluation must include specific trauma informed strategies to reduce the number of unauthorized absences at operation The operation did not meet criteria for 2022 unauthorized absence evaluation. Compliance was met the operation provided documentation for 2023.	Yes
3	—	748.685(c)(6) - Implement and follow the children's service plans. Caregiver did not follow the service plans of children in care that require 24 hours supervision and 15 minute bed checks during sleeping hours.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container A child in care was able to access and ingest a staff member's prescription medication.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. A locked used by children displayed inappropriate content.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Prescribed medication was not being administered to child as per health care professional orders.	—
1	—	748.1337(b)(1)(N) - Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan An initial service plan did not include all required signatures of the service planning team.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. Police responded to a GRO due to a serious incident that a child could have had criminal charges pressed against them.	—
3	—	748.455(a)(2) - Unauthorized Absence?Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies Two unauthorized debriefing forms were reviewed, and they did not document the trauma strategies that a child can use to avoid any future runaway behaviors.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved The child's age, gender and date of admission was missing in eight of the eight serious incident reports reviewed.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Child records reviewed did not contain any medication logs. One child does not have any medication logs for one medication. One child's total medication count on the medication log did not match the medication remaining in the container. Medication logs do not have the signatures of staff and only have initials.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. The operation was not following safety requirements listed in a child's service plan. The operation allowed a child in care to possess a sharp object and have access to social media.	—
3	—	748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record 1 out of 5 children did not have their child rights sign in their file.	—
1	—	748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign One of the service plans reviewed was not signed by the child in care.	—
4	—	748.913(a) - CPR Training- Must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing The CPR trainings certificates show that the organization used is National CPR foundation which only offers online trainings.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication Five children were administrator medications at the wrong time. Medications log was not documented correctly. Medications log shows that medications were administer at 8:00 PM. Medications and medications log were review at 7:38 PM.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Information gathered indicates that the operation failed to give a child in care the prescribed dosage of 1 ? tablets (75mg) of Seroquel on 09/21/2022. The medication log shows the child was administered 1 (50mg) tablet instead.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures Four of four staff interviewed were not aware of the operation's policies and procedures regarding searches.	—
5	—	748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others Service plan did not include a plan to address the three high-risk behaviors documented.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model While reviewing medication logs, it was discovered that the pill count on a child's medication log did not match the number of pills in the medication bottle.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. One bedroom has a blind with broken slats and a hole in the door. Another bedroom has a hole in the closet and writing on the wall.	—
3	—	748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures Caregiver did not follow the operation's policies that states staff cannot sleep during their shift.	—
5	—	748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication The operation did not receive written consent from the child's conservator before allowing a physician to change the child's psychotropic medication.	—
3	—	748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return 2 children records were review and both did not have dates entered on the unauthorized log summary for how long they were away from the operation.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver did not exercise prudent judgement when they provided a vape pen to two children in care.	—
3	—	748.453(a)(3) - Unauthorized Absence ? Annual summary log must include how long the child was gone or if the child did not return 2 children records were review and both did not have dates entered on the unauthorized log summary for how long they were away from the operation.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Information gathered indicates that the operation failed to give a child in care the prescribed dosage of 1 ? tablets (75mg) of Seroquel on 09/21/2022. The medication log shows the child was administered 1 (50mg) tablet instead.	—
3	—	748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures Caregiver did not follow the operation's policies that states staff cannot sleep during their shift.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved The child's age, gender and date of admission was missing in eight of the eight serious incident reports reviewed.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. Police responded to a GRO due to a serious incident that a child could have had criminal charges pressed against them.	—
1	—	748.1337(b)(1)(N) - Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan An initial service plan did not include all required signatures of the service planning team.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. Caregiver did not follow the service plans of children in care that require 24 hours supervision and 15 minute bed checks during sleeping hours.	—
3	—	748.455(a)(2) - Unauthorized Absence?Debrief include trauma informed strategies child can use to avoid future unauth absences & how op. can support strategies Two unauthorized debriefing forms were reviewed, and they did not document the trauma strategies that a child can use to avoid any future runaway behaviors.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Child records reviewed did not contain any medication logs. One child does not have any medication logs for one medication. One child's total medication count on the medication log did not match the medication remaining in the container. Medication logs do not have the signatures of staff and only have initials.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container A child in care was able to access and ingest a staff member's prescription medication.	—
5	—	748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers Children in care had possession of a vape pen and used the vape while residing at the operation.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. A locked used by children displayed inappropriate content.	—
5	—	748.2001(b) - Administration of Medication-Must obtain written, signed, & dated consent for a new psychotropic medication The operation did not receive written consent from the child's conservator before allowing a physician to change the child's psychotropic medication.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver did not exercise prudent judgement when they provided a vape pen to two children in care.	—
1	—	748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign One of the service plans reviewed was not signed by the child in care.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model While reviewing medication logs, it was discovered that the pill count on a child's medication log did not match the number of pills in the medication bottle.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Prescribed medication was not being administered to child as per health care professional orders.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures Four of four staff interviewed were not aware of the operation's policies and procedures regarding searches.	—
4	—	748.913(a) - CPR Training- Must adhere to AHA guidelines & include curr. that incudes use of a CPR manikin & written & hands-on instruction/practice & testing The CPR trainings certificates show that the organization used is National CPR foundation which only offers online trainings.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. One bedroom has a blind with broken slats and a hole in the door. Another bedroom has a hole in the closet and writing on the wall.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. The operation was not following safety requirements listed in a child's service plan. The operation allowed a child in care to possess a sharp object and have access to social media.	—
3	—	748.463(c)(2) - Unauthorized Absence Evaluation must include specific trauma informed strategies to reduce the number of unauthorized absences at operation The operation did not meet criteria for 2022 unauthorized absence evaluation. Compliance was met the operation provided documentation for 2023.	Yes

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

Inspections (128)

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

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