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South Texas Adolescent Rehabilitation & Education - STARE

Child care center · 8835 N GREEN RIVER DR, Houston, TX 77078-4221 · License 1695157

0Compliance score
Poor

Capacity 15. 8-17

Violation history (288)

Severity	Date	Standard / narrative	Corrected
3	—	748.363(4) - Personnel records-Personnel records-Include current job description. It was found during the inspection that a job description was not included in staffs' file.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards A bedroom window was observed to have the plexiglass kicked out, granting access to the outside backyard.	Yes
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Staff is using profane language towards children and around children.	—
3	—	748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request. The operation has not developed an unauthorized absence log.	—
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 During files being reviewed during inspection, a staff member file did not have a tuberculosis screening showing the employee is free of contagious TB.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During inspection staff files were observed to be missing current and updated files, documents, and mandatory paperwork needed prior to hire and re-hire.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair Multiple mattresses on the top bunks were observed to have the bottoms ripped out of them.	—
5	—	745.621(a)(3) - AP Initial background checks submitted - At the time you contract with someone who requires a background check An contract worker does not have an active background check.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection The operation has not had a sanitation/Health inspection completed.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards The backyard of the operation has two broken wooden planks on the fence	Yes
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 failed to report quarterly EBI numbers for 1st quarter January-March 2025.	—
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 Three of three children files reviewed did not consist of an updated service plan.	—
5	—	748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety There was no safety contract in place addressing high risk behaviors documented on service plan.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model In review of four child medication records, there were discrepancies found in the pill count vs. the medication log.	—
3	—	748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling During inspection a staff member was observed to have no documentation or verification of education from a high school, college, or equivalency.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication In review of seven child medication records, there were four discrepancies found in the pill count vs. the medication log.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean The shower in one of the bathrooms has mold and the sink in that same bathroom is not draining properly.	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. During the inspection a staff member file was observed to have no current record of TB screening conducted prior to re-hire.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff was upset and did not control his physical response to a child in care.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Child received an injury to the face after an inappropriate restraint.	—
5	—	745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access During inspection staff members files were reviewed and there was no current drug test prior to date of hire and re-hire.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection Operation's last sanitation inspection was 12/5/2024. The next inspection is not scheduled until 12/26-12/27 per Administrator.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The logs to document the nightly checks that were required for the safety plan were pre-filled. One staff admitted that logs were regularly pre-filled.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair Two showers at the operation had mildrew built up around the showers corners.	Yes
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A safety plan requiring two staff members be present at night was not followed when there was only one staff member inside the operation for a period of time on .	—
3	—	748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill It was found during the inspection that the annual fire drill was not completed per the log that was reviewed.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Two serious incident reports lacked sufficient detail and time frame of when the incident occurred.	—
4	—	748.505(b)(6) - Minimum qualifications for employees- Must have cleared pre-employment screening assessment. During inspection staff members files observed did not have verified employment history and/or references.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times One of the 16 seats in the van the children are transported in has a seat belt that does not buckle.	—
4	—	748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed Staff did not use any method of de-escalation prior to using an inappropriate restraint that caused an injury to a child.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Both staff were interviewed multiple times and continued to be inconsistent with their stories about the whereabouts of one of the staff.	—
3	—	748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563 During inspection staff files observed did not have signed affidavits prior to hire and re-hire.	—
4	—	748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid First aid/ CPR certification expired 6/1/22.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times The last row in the 12 passenger van had one seat belt that would not pull out and one of the seats buckle is broken	—
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 Operation did not report the Serious incident timely to the hotline timely. The child sustained injury on March 7th and was taken to the doctor on March 8th. The doctor refereed the child for an Xray of his hand on March 11th and the Xray was completed on March 14th and the result indicated the child sustained fracture to his finger and was referred to orthopedic for a higher level of care. The operation did not report the incident to the hotline until March 21st which is 14 days after the incident.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation The allegations are related to a DFPS abuse/neglect investigation.	—
3	—	748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request. The operation has not developed an unauthorized absence log.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times One of the 16 seats in the van the children are transported in has a seat belt that does not buckle.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Both staff were interviewed multiple times and continued to be inconsistent with their stories about the whereabouts of one of the staff.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Child received an injury to the face after an inappropriate restraint.	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times The last row in the 12 passenger van had one seat belt that would not pull out and one of the seats buckle is broken	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation The allegations are related to a DFPS abuse/neglect investigation.	—
4	—	748.505(b)(6) - Minimum qualifications for employees- Must have cleared pre-employment screening assessment. During inspection staff members files observed did not have verified employment history and/or references.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff was upset and did not control his physical response to a child in care.	—
3	—	748.363(4) - Personnel records-Personnel records-Include current job description. It was found during the inspection that a job description was not included in staffs' file.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The logs to document the nightly checks that were required for the safety plan were pre-filled. One staff admitted that logs were regularly pre-filled.	—
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 Operation did not report the Serious incident timely to the hotline timely. The child sustained injury on March 7th and was taken to the doctor on March 8th. The doctor refereed the child for an Xray of his hand on March 11th and the Xray was completed on March 14th and the result indicated the child sustained fracture to his finger and was referred to orthopedic for a higher level of care. The operation did not report the incident to the hotline until March 21st which is 14 days after the incident.	—
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 failed to report quarterly EBI numbers for 1st quarter January-March 2025.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model In review of four child medication records, there were discrepancies found in the pill count vs. the medication log.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair Multiple mattresses on the top bunks were observed to have the bottoms ripped out of them.	—
3	—	748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563 During inspection staff files observed did not have signed affidavits prior to hire and re-hire.	—
5	—	745.621(a)(3) - AP Initial background checks submitted - At the time you contract with someone who requires a background check An contract worker does not have an active background check.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean The shower in one of the bathrooms has mold and the sink in that same bathroom is not draining properly.	—
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 During files being reviewed during inspection, a staff member file did not have a tuberculosis screening showing the employee is free of contagious TB.	—
3	—	748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill It was found during the inspection that the annual fire drill was not completed per the log that was reviewed.	—
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 Three of three children files reviewed did not consist of an updated service plan.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Staff is using profane language towards children and around children.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards A bedroom window was observed to have the plexiglass kicked out, granting access to the outside backyard.	Yes
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During inspection staff files were observed to be missing current and updated files, documents, and mandatory paperwork needed prior to hire and re-hire.	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. During the inspection a staff member file was observed to have no current record of TB screening conducted prior to re-hire.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection Operation's last sanitation inspection was 12/5/2024. The next inspection is not scheduled until 12/26-12/27 per Administrator.	—
5	—	748.1337(b)(1)(H)(ii) - Initial Service Plan-child w/ high risk behaviors, include specific safety contract developed btwn child & staff to ensure safety There was no safety contract in place addressing high risk behaviors documented on service plan.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A safety plan requiring two staff members be present at night was not followed when there was only one staff member inside the operation for a period of time on .	—
5	—	745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access During inspection staff members files were reviewed and there was no current drug test prior to date of hire and re-hire.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication In review of seven child medication records, there were four discrepancies found in the pill count vs. the medication log.	—
4	—	748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed Staff did not use any method of de-escalation prior to using an inappropriate restraint that caused an injury to a child.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection The operation has not had a sanitation/Health inspection completed.	—
4	—	748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid First aid/ CPR certification expired 6/1/22.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair Two showers at the operation had mildrew built up around the showers corners.	Yes
3	—	748.311 - Serious Incident Documentation-Documented in written report Two serious incident reports lacked sufficient detail and time frame of when the incident occurred.	—
3	—	748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling During inspection a staff member was observed to have no documentation or verification of education from a high school, college, or equivalency.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards The backyard of the operation has two broken wooden planks on the fence	Yes
4	—	748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid First aid/ CPR certification expired 6/1/22.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model In review of four child medication records, there were discrepancies found in the pill count vs. the medication log.	—
3	—	748.363(4) - Personnel records-Personnel records-Include current job description. It was found during the inspection that a job description was not included in staffs' file.	—
5	—	745.621(a)(3) - AP Initial background checks submitted - At the time you contract with someone who requires a background check An contract worker does not have an active background check.	—
4	—	748.505(b)(6) - Minimum qualifications for employees- Must have cleared pre-employment screening assessment. During inspection staff members files observed did not have verified employment history and/or references.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records During inspection staff files were observed to be missing current and updated files, documents, and mandatory paperwork needed prior to hire and re-hire.	—
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 Operation did not report the Serious incident timely to the hotline timely. The child sustained injury on March 7th and was taken to the doctor on March 8th. The doctor refereed the child for an Xray of his hand on March 11th and the Xray was completed on March 14th and the result indicated the child sustained fracture to his finger and was referred to orthopedic for a higher level of care. The operation did not report the incident to the hotline until March 21st which is 14 days after the incident.	—
3	—	748.453(c) - Unauthorized Absence - Annual summary logs should be available to Licensing for review and reproduction, upon request. The operation has not developed an unauthorized absence log.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Two serious incident reports lacked sufficient detail and time frame of when the incident occurred.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation The allegations are related to a DFPS abuse/neglect investigation.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair Two showers at the operation had mildrew built up around the showers corners.	Yes
3	—	748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling During inspection a staff member was observed to have no documentation or verification of education from a high school, college, or equivalency.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A safety plan requiring two staff members be present at night was not followed when there was only one staff member inside the operation for a period of time on .	—
4	—	748.4083(a) - Vehicle and maintenance-Must maintain a vehicle in a safe operating condition at all times The last row in the 12 passenger van had one seat belt that would not pull out and one of the seats buckle is broken	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. During the inspection a staff member file was observed to have no current record of TB screening conducted prior to re-hire.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards The backyard of the operation has two broken wooden planks on the fence	Yes
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff was upset and did not control his physical response to a child in care.	—
5	—	748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work. Child received an injury to the face after an inappropriate restraint.	—
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 Three of three children files reviewed did not consist of an updated service plan.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection The operation has not had a sanitation/Health inspection completed.	—
5	—	745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access During inspection staff members files were reviewed and there was no current drug test prior to date of hire and re-hire.	—
3	—	748.363(8) - Personnel records - Include a Pre-Employment Affidavit for Applicants for Employment as specified in Texas Human Resources Code ?42.0563 During inspection staff files observed did not have signed affidavits prior to hire and re-hire.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Staff is using profane language towards children and around children.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection Operation's last sanitation inspection was 12/5/2024. The next inspection is not scheduled until 12/26-12/27 per Administrator.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Both staff were interviewed multiple times and continued to be inconsistent with their stories about the whereabouts of one of the staff.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair Multiple mattresses on the top bunks were observed to have the bottoms ripped out of them.	—
3	—	748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill It was found during the inspection that the annual fire drill was not completed per the log that was reviewed.	—
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 During files being reviewed during inspection, a staff member file did not have a tuberculosis screening showing the employee is free of contagious TB.	—

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

Inspections (136)

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

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