Texas › › Sophies House for Children

Sophies House for Children

Name: Sophies House for Children
Address: TX, US

Child care center · , TX · License 1693740

0Compliance score
Poor

Capacity 8. 10-17

Violation history (192)

Severity	Date	Standard / narrative	Corrected
3	—	748.1271(8) - Emergency Admission Documentation-Include the results of the suicide screening at admission, if required. It was noted that a child was missing their suicide screening assessment.	—
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. The 2nd quarter EBI report has not been submitted to Child Care Regulation.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error There is no documentation to show that there is a medication error. The medication error is in relation to the child missing doses of two different medications.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record During an inspection record review for one child in care, an admission assessment was not completed prior to admission for a non-emergency placement.	—
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan One child's service plan review was completed 10 days late.	—
3	—	748.2951(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. The operation did not have an annual evaluation for review.	—
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations There is no documentation to show that the Administrator contacted a health care professional for the missed doses. The email contact only notes that the child?s medication was out and that a refill was needed. The email contact does not support contacting a health care professional in response to the missed doses.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions A container of dressing in the refrigerator was found expired. This was corrected at inspection by disposing of the dressing.	Yes
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan Upon review of documentation, it was found that five service plan reviews were completed past the 90-day mark.	—
3	—	748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request. When requested, the operation was unable to provide an annual summary log of the previous runaways.	—
2	—	748.915(b)(6) - Pediatric CPR training documentation must include length of the training in hours A record review of the staff training records show that the number or hours of training are not documented on the training record.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Annual Fire Inspection was due May 2022.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders The child missed their dose of Concerta 36mg, on 5/4, 5/5, 5/21, 5/22, and 5/23. The child also missed the second dose of Divalproex Sodium, for multiple days. The instructions state to take one tablet by mouth twice a day, but the child is only documented to get one pill a day. The child is missing their second dose.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission Upon review of documentation, it was found that two of the initial service plans were completed past the 45-day mark.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication log for Concerta does not contain and accurate count of the medication. There is a discrepancy between two counts.	—
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 child was missing a TB test.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event Four of the four child records were missing documentation that is past 30 days of being completed.	—
3	—	748.2951(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. The operation did not have the results of their 2025 overall EBI evaluation available for us to review.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During an inspection, a record review completed for a child in care revealed the initial service plan and subsequent service plan reviews had areas that were both incomplete and discrepancies in age. Further the dates of participation/copy provided were not entered.	—
3	—	748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position Two of the four staff records reviewed did not contain a copy of their educational records/certifications.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards A closet door from room number two had come loose from the track and was leaning in the closet. This was corrected at inspection by removing the door and placed in the administrator's office.	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 of four child records is missing a documentated TB Test.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on emergency behavior interventions must be reported to Licensing quarterly The 2nd quarter EBI report has not been submitted to Child Care Regulation.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication log for Concerta does not contain and accurate count of the medication. There is a discrepancy between the two counts.	—
3	—	748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request. When requested, the operation was unable to provide an annual summary log of the previous runaways.	—
3	—	748.2951(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. The operation did not have the results of their 2025 overall EBI evaluation available for us to review.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on emergency behavior interventions must be reported to Licensing quarterly The 2nd quarter EBI report has not been submitted to Child Care Regulation.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error There is no documentation to show that there is a medication error. The medication error is in relation to the child missing doses of two different medications.	—
3	—	748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position Two of the four staff records reviewed did not contain a copy of their educational records/certifications.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication log for Concerta does not contain and accurate count of the medication. There is a discrepancy between the two counts.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions A container of dressing in the refrigerator was found expired. This was corrected at inspection by disposing of the dressing.	Yes
2	—	748.915(b)(6) - Pediatric CPR training documentation must include length of the training in hours A record review of the staff training records show that the number or hours of training are not documented on the training record.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record During an inspection record review for one child in care, an admission assessment was not completed prior to admission for a non-emergency placement.	—
3	—	748.1271(8) - Emergency Admission Documentation-Include the results of the suicide screening at admission, if required. It was noted that a child was missing their suicide screening assessment.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During an inspection, a record review completed for a child in care revealed the initial service plan and subsequent service plan reviews had areas that were both incomplete and discrepancies in age. Further the dates of participation/copy provided were not entered.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event Four of the four child records were missing documentation that is past 30 days of being completed.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders The child missed their dose of Concerta 36mg, on 5/4, 5/5, 5/21, 5/22, and 5/23. The child also missed the second dose of Divalproex Sodium, for multiple days. The instructions state to take one tablet by mouth twice a day, but the child is only documented to get one pill a day. The child is missing their second dose.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards A closet door from room number two had come loose from the track and was leaning in the closet. This was corrected at inspection by removing the door and placed in the administrator's office.	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 child was missing a TB test.	—
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations There is no documentation to show that the Administrator contacted a health care professional for the missed doses. The email contact only notes that the child?s medication was out and that a refill was needed. The email contact does not support contacting a health care professional in response to the missed doses.	—
3	—	748.2951(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. The operation did not have an annual evaluation for review.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Annual Fire Inspection was due May 2022.	—
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan Upon review of documentation, it was found that five service plan reviews were completed past the 90-day mark.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission Upon review of documentation, it was found that two of the initial service plans were completed past the 45-day mark.	—
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 of four child records is missing a documentated TB Test.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication log for Concerta does not contain and accurate count of the medication. There is a discrepancy between two counts.	—
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. The 2nd quarter EBI report has not been submitted to Child Care Regulation.	—
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan One child's service plan review was completed 10 days late.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record During an inspection record review for one child in care, an admission assessment was not completed prior to admission for a non-emergency placement.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event Four of the four child records were missing documentation that is past 30 days of being completed.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication log for Concerta does not contain and accurate count of the medication. There is a discrepancy between two counts.	—
3	—	748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request. When requested, the operation was unable to provide an annual summary log of the previous runaways.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions A container of dressing in the refrigerator was found expired. This was corrected at inspection by disposing of the dressing.	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 of four child records is missing a documentated TB Test.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission Upon review of documentation, it was found that two of the initial service plans were completed past the 45-day mark.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards A closet door from room number two had come loose from the track and was leaning in the closet. This was corrected at inspection by removing the door and placed in the administrator's office.	Yes
3	—	748.2953(b) - Evaluation-Operation's quarterly data on emergency behavior interventions must be reported to Licensing quarterly The 2nd quarter EBI report has not been submitted to Child Care Regulation.	—
3	—	748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position Two of the four staff records reviewed did not contain a copy of their educational records/certifications.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Annual Fire Inspection was due May 2022.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders The child missed their dose of Concerta 36mg, on 5/4, 5/5, 5/21, 5/22, and 5/23. The child also missed the second dose of Divalproex Sodium, for multiple days. The instructions state to take one tablet by mouth twice a day, but the child is only documented to get one pill a day. The child is missing their second dose.	—
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. The 2nd quarter EBI report has not been submitted to Child Care Regulation.	—
2	—	748.915(b)(6) - Pediatric CPR training documentation must include length of the training in hours A record review of the staff training records show that the number or hours of training are not documented on the training record.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During an inspection, a record review completed for a child in care revealed the initial service plan and subsequent service plan reviews had areas that were both incomplete and discrepancies in age. Further the dates of participation/copy provided were not entered.	—
3	—	748.1271(8) - Emergency Admission Documentation-Include the results of the suicide screening at admission, if required. It was noted that a child was missing their suicide screening assessment.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication log for Concerta does not contain and accurate count of the medication. There is a discrepancy between the two counts.	—
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan Upon review of documentation, it was found that five service plan reviews were completed past the 90-day mark.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error There is no documentation to show that there is a medication error. The medication error is in relation to the child missing doses of two different medications.	—
3	—	748.2951(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. The operation did not have an annual evaluation for review.	—
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations There is no documentation to show that the Administrator contacted a health care professional for the missed doses. The email contact only notes that the child?s medication was out and that a refill was needed. The email contact does not support contacting a health care professional in response to the missed doses.	—
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan One child's service plan review was completed 10 days late.	—
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 child was missing a TB test.	—
3	—	748.2951(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. The operation did not have the results of their 2025 overall EBI evaluation available for us to review.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Annual Fire Inspection was due May 2022.	—
3	—	748.2951(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. The operation did not have an annual evaluation for review.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders The child missed their dose of Concerta 36mg, on 5/4, 5/5, 5/21, 5/22, and 5/23. The child also missed the second dose of Divalproex Sodium, for multiple days. The instructions state to take one tablet by mouth twice a day, but the child is only documented to get one pill a day. The child is missing their second dose.	—
3	—	748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position Two of the four staff records reviewed did not contain a copy of their educational records/certifications.	—
2	—	748.915(b)(6) - Pediatric CPR training documentation must include length of the training in hours A record review of the staff training records show that the number or hours of training are not documented on the training record.	—
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan Upon review of documentation, it was found that five service plan reviews were completed past the 90-day mark.	—
3	—	748.2953(b) - Evaluation-Operation's quarterly data on emergency behavior interventions must be reported to Licensing quarterly The 2nd quarter EBI report has not been submitted to Child Care Regulation.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions A container of dressing in the refrigerator was found expired. This was corrected at inspection by disposing of the dressing.	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 of four child records is missing a documentated TB Test.	—
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. The 2nd quarter EBI report has not been submitted to Child Care Regulation.	—
3	—	748.1271(8) - Emergency Admission Documentation-Include the results of the suicide screening at admission, if required. It was noted that a child was missing their suicide screening assessment.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication log for Concerta does not contain and accurate count of the medication. There is a discrepancy between the two counts.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record During an inspection record review for one child in care, an admission assessment was not completed prior to admission for a non-emergency placement.	—
1	—	748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event Four of the four child records were missing documentation that is past 30 days of being completed.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission Upon review of documentation, it was found that two of the initial service plans were completed past the 45-day mark.	—
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations There is no documentation to show that the Administrator contacted a health care professional for the missed doses. The email contact only notes that the child?s medication was out and that a refill was needed. The email contact does not support contacting a health care professional in response to the missed doses.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During an inspection, a record review completed for a child in care revealed the initial service plan and subsequent service plan reviews had areas that were both incomplete and discrepancies in age. Further the dates of participation/copy provided were not entered.	—
3	—	748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request. When requested, the operation was unable to provide an annual summary log of the previous runaways.	—
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan One child's service plan review was completed 10 days late.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication log for Concerta does not contain and accurate count of the medication. There is a discrepancy between two counts.	—
3	—	748.2951(d) - Evaluation-Results of each overall annual evaluation made available to Licensing for review. The operation did not have the results of their 2025 overall EBI evaluation available for us to review.	—
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 child was missing a TB test.	—
4	—	748.2203(c)(2) - Medication Error-Document the medication error There is no documentation to show that there is a medication error. The medication error is in relation to the child missing doses of two different medications.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards A closet door from room number two had come loose from the track and was leaning in the closet. This was corrected at inspection by removing the door and placed in the administrator's office.	Yes
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection Annual Fire Inspection was due May 2022.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The medication log for Concerta does not contain and accurate count of the medication. There is a discrepancy between two counts.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission Upon review of documentation, it was found that two of the initial service plans were completed past the 45-day mark.	—
4	—	748.2203(a) - Medication Error-If prescription medication, contact a health-care professional immediately & follow health-care professional's recommendations There is no documentation to show that the Administrator contacted a health care professional for the missed doses. The email contact only notes that the child?s medication was out and that a refill was needed. The email contact does not support contacting a health care professional in response to the missed doses.	—

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

Inspections (88)

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

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