Child care center ·
2501 E SEMINARY DR, Fort Worth, TX 76119-5602 ·
License 1699024
Capacity 33. 5-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A 17-year-old child in care was hit several times and put in chokehold by a caregiver resulting in the child needing medical treatment. |
— |
| 1 | — |
748.395(1) - Active child record - All documentation in the record no later than 30 days after occurrence or event
The initial service plan was not in the youth's file within 30 days. |
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| 5 | — |
748.2605(a)(1) - Personal Restraints Prohibited-Restraints that impair child's breathing by putting pressure on child's torso
A caregiver was observed putting her entire body weight on a child's torso while the child was being restrained. |
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| 5 | — |
748.2605(a)(2) - Personal Restraints Prohibited-Restraints that obstruct child's airway
The caregiver placed a child in a choke hold resulting in the child not being able to breath and caused discomfort. |
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| 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
The unauthorized log does not document how long the child was gone, the the name of the caregiver responsible for the child at the time the child's absence, the intake report number, and whether law enforcement was contacted, including the name of any law enforcement agency that was contacted and the number of the police report. |
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| 5 | — |
748.1207(a)(2) - Placement agreement-Must include a medical consent form signed by a person legally authorized by Texas Family Code to provide consent
Two of the two medical consenter forms designated staff from the operation. |
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| 4 | — |
748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation did not obtain a current fire inspection by 6/12/23. |
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| 5 | — |
748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
Several staff members failed to effectively intervene when three children were involved in a physical altercation which failed to protect the children's safety in the operation. |
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| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
A child's initial service plan has the name and electronic signature of an individual that did not participate in the service plan development for a child in care. |
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| 5 | — |
745.8641 - Requirements during probation
Condition 1 was met. Condition 2 was not met. The videos were not reviewed during the proper hours. There were not at least two visits per week for a minimum of two hours. Condition 3 was met. Condition 4 was met. Feedback was provided. Condition 5 was met. Condition 6 was not met. There was an EBI not documented. |
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| 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 an EBI conducted an and documentation was not completed. |
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| 4 | — |
748.461(1) - Unauthorized Absence-Triggered Review must include review of child?s records abt previous unauth absences, including previous debriefings
The trigger review did not document the previous unauthorized absences, including previous debriefings, alternatives to minimize the unauthorized absences, and a written plan to reduce the unauthorized absences of the child. |
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| 1 | — |
748.1347(b) - Initial Service Plan-PLSP must sign and date the plan; If PLSP disagrees with any portion of the plan, he must document issue(s) before signing it
The PLSP did not sign the child's service plan. |
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| 3 | — |
748.2857(a) - No later than 72 hours after the initiation of the intervention, you must provide written notice to the parent.
The operation did not notify the parents of a child in care, that a restraint was conducted. |
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| 3 | — |
748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
RCCR Investigator requested the footage for certain days on multiple occasions and it was never obtained. The footage was for different days that was regarding the investigation. |
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| 5 | — |
748.685(c)(2) - Caregiver responsibility - provide a safe environment
A child was allowed to throw an object at another child who was involved with an incident with a caregiver. A child was also allowed to pick up a broom during the incident. There was a staff member who did not intervene with the child to prevent injury to another child. |
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| 2 | — |
748.361(b) - Personnel records-Archived records maintained at the operation and/or in a designated location
A staff file was unavailable for review. |
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| 5 | — |
748.685(c)(2) - Caregiver responsibility - provide a safe environment
Several staff allowed another staff member to sleep during their shift. |
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| 4 | — |
748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
A caregiver immediately put a child in a restraint without using any de-escalation method with the child. |
— |
| 1 | — |
748.4111(b)(1) - Transportation records-Must maintain the insurance verification in the vehicle
There were not copies of the current insurances cards in the two vehicles used for transportation during the inspection. The insurance cards were obtained during the inspection and placed in the vehicles. |
Yes |
| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
A staff member ignored a child's numerous verbal requests to be left alone and engaged in discussion and activities that antagonized the child. |
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| 3 | — |
748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
One out of two children files reviewed did not document the reason for the medication for three medications and the time or initials for one day. |
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| 3 | — |
748.1101(b)(2) - Children's rights-Family contacts: maintaining regular contact with parents and siblings, unless restrictions needed because of child's best interest
A staff member denied youth in care the right to make phone calls. |
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| 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
3 of 3 children files reviewed did not have allergy information documented on the exterior of the file. |
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| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
The pill count was off by one pill on two days for two count the ten medication logs reviewed. |
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| 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
A restraint was conducted on a child and the child's parent/case worker was not informed. |
— |
| 3 | — |
748.125(b) - All employees and caregivers must be aware of and follow your operation's policies and procedures
A staff member fell asleep during the her shift and supervising children. |
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| 4 | — |
748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
There were two medications reviewed where the medication count was incorrect. |
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| 4 | — |
748.535(2)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
The administrator did not ensure the child's needs were met by having a staff member who was a risk to children continue to provide care. |
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| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
A caregiver used an inappropriate technique on a child which caused him to the be thrown on the ground with excessive force. |
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| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
The staff engaged in aggressive behavior with the security guard in front of a child in care and made the child feel unsafe. |
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| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child that has a history of running away and was required to be in visual sight of a caregiver was allowed out of sight of caregivers which allowed him to run away twice within two days. |
— |
| 5 | — |
745.8641 - Requirements during probation
Condition 1 was met. Condition 2 was met. Feedback was provided. Condition 3 was met. Posttest will be completed by November 30. Condition 4 was not met. The service plan and date of the service plan were not documented on the staffs? monthly conference. Condition 5 was met. Feedback was provided. Condition 6 was met. |
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| 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
The caregivers did not document or inform management that multiple EBI restraints were conducted with a child in care. |
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| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
A caregiver admitted to sitting on a couch and placing his arm across the chest of a child in care in order to keep him from getting up, prior to de-escalating the situation. |
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| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
A staff member's last day of employment was 3/15/22. However, the background check was inactive on 4/21/22. |
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| 4 | — |
748.903(c)(3) - Pre-service training for emergency behavior intervention-Includes safe restraint techniques and procedures appropriate for child's age and weight
A staff member did not have the complete training on restraints that are used in the operation. |
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| 5 | — |
748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children.
The hallway floors in House 2 and House 3 had were had soft spots and uneven portions posing a trip hazard. 2 bedrooms in House 2 had a square of uneven flooring in the center of the rooms. |
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| 4 | — |
748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
A caregiver called a child names and taunted a child instead of de-escalating the situation which resulted in an inappropriate restraint hold. |
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| 5 | — |
745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
A staff person was present at the operation, after notification that they were ineligible. |
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| 5 | — |
748.2461(b)(1) - Short Personal Restraint-Caregiver may not use a prone or supine restraint
A staff member used a supine restraint on a child in care. |
— |
| 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.
A child was arrested on 8/22. The incident was not reported for 42 hours later. |
Yes |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
The service plan for a child in care was not developed specifically for that individual. There were several different names listed throughout the service plan indicating that the service plan was copied and pasted. |
— |
| 3 | — |
748.2855(a)(2) - EBI Documentation-Must include a description and assessment of the circumstances and specific behaviors that were the basis for EBI
The EBI documentation did not include any details of what occurred prior to the restraint. Further the caregiver who performed the restraint could not recall what the situation was prior to the restraint. |
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| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
Two of the children's service plans document a supervision of 1:1 during awake hours. There was only one staff with the two children. |
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| 4 | — |
748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
One out of three medication logs that were reviewed did not have the time the medication was administered. |
— |
| 3 | — |
748.2551(d)(1) - EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers
The caregivers did not provide privacy for a child that was being restrained and allowed two children to observe the incident. |
— |
| 4 | — |
748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
A child that was having a behavioral crisis and destroying property and breaking windows. The caregivers did not implement a restraint to ensure the child didn?t injure themselves. The child did have to seek medical treatment. |
— |
| 4 | — |
748.1337(b)(1)(D)(vi) - Initial Service Plan-Include instructions to caregivers about behavior intervention techniques
One of the child service plan's was assessed and it listed 3 different children's names that were not applicable to the child's service plan that was reviewed. |
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| 5 | — |
748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
A caregiver was observed with her arm around a child's neck while conducting a restraint. |
— |
| 1 | — |
748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
The service plan was not signed by the child in care. |
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| 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. |
— |
| 5 | — |
748.2461(b)(1) - Short Personal Restraint-Caregiver may not use a prone or supine restraint
The caregiver restrained a child in the prone position. |
— |
| 5 | — |
748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
A caregiver engaged in physical contact with the child after escalating the child's behaviors. |
— |
| 3 | — |
748.2851(b) - EBI Follow-Up-Caregivers involved in EBI must conduct a post discussion with child
The EBI report did not document any post discussion with the child |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
There were two bowls of uncovered food and a plate of uncovered burgers in the refrigerator. The uncovered food was removed during the inspection. The dishes were washed. There was no longer any food left uncovered in the refrigerator. |
Yes |
| 2 | — |
748.2853(2) - EBI Documentation-Child's reaction to the opportunity for post discussion
The EBI documentation does not document the conversation or the child's reaction. |
— |
| 3 | — |
748.2551(d)(1) - EBI Implementation-Caregiver must make every effort to protect the child's privacy, including shielding the child from onlookers
A child in care was allowed to remain in the same area during an incident involving multiple restraints of another child for eight minutes and fifteen seconds. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Medication logs observed during the inspection indicated administration of medications for a later time period. The medications had not been administered to the child. |
— |
| 4 | — |
748.535(3)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
The operational administrative staff failed to ensure that staff in ratio included staff that were capable of providing an appropriate EBI response to manage child behaviors. The staff at the time of an incident were relying on intervention from a contractor who was not readily available. |
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| 4 | — |
748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective
After a staff member made an aggressive gesture by removing his jacket and lanyard, a child in care was escalated. The child was not allowed to continue with his preferred de-escalation method of playing with the Legos. |
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| 5 | — |
748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing
A staff member wrapped his arm around a child's neck during a restraint. |
— |
| 3 | — |
748.311 - Serious Incident Documentation-Documented in written report
Of the 6 incident reports reviewed, 4 were missing informaiton required in 748.311(3) and 3 were msising informaiton required in 748.311(1) |
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| 5 | — |
748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
A youth in care was injured in the face during an attempt of a restraint by a staff member. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
A 15 year old child in care was provoked to engage in a physical altercation with a staff person where the child was slammed to the ground and held in an inappropriate hold. |
— |
| 5 | — |
745.8641 - Requirements during probation
Condition 1 was not met. The supervision of all the children were not reviewed. Condition 2 was not met. The minimum number for the unannounced visits were not met. The minimum number of hours per week of observing video were not met. Condition 3 was not met. One staff did not complete required trauma training. Condition 4 was not met. All staff and all children did not have a monthly meeting. Condition 5 was not met. There is no log with the current investigations. Condition 6 was not met. There was no documentation for the restraint conducted. |
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| 5 | — |
745.8641 - Requirements during evaluation or probation
Condition 1 was met. Condition 2 was met. Condition 3 was not met. Training information was not submitted to meet the condition. Condition 4 was met. Feedback was provided. Condition 5 was met. Feedback was provided. Condition 6 was met. |
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| 2 | — |
748.949(b)(4) - Annual Training Documentation-Includes the trainer's name and qualifications, or the source of the training for self-instructional training
The training certificate does not document the trainer's qualification for the staff's EBI training. |
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| 5 | — |
HRC42.04412(a) - Interference with an investigation
The operation reported a video was not available due to IT issues. This statement was not true. |
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| 4 | — |
748.507(2) - Employee general responsibilities-Report suspected abuse, neglect, and exploitation to Child Abuse Hotline and the designated employee/administrator
Multiple staff members were informed of an allegation of a staff member hitting a child and did not report the allegation. |
— |
| 5 | — |
745.8641 - Requirements during probation
Condition 1 was not met. The review before placement for one youth did not address supervision. The admission assessments for two new youths did not document specific information required in the plan for supervision. Condition 2 was met. Condition 3 was met. Condition 4 was not met. Monthly staff documents were missing detailed information. Condition 5 was met. Condition 6 was met. |
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| 4 | — |
748.2855(b) - EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident
A supervisor did not document their review of the use of the intervention. |
— |
| 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
One out of two employee files reviewed did not provide the high school or equivalate documentation. |
— |
| 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 intervene to prevent and remove harmful items a child in care used to pierce her own flesh. |
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| 5 | — |
748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A child was left unattended with high-risk cooking supplies in the kitchen without staff supervision. |
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| 2 | — |
748.864(d) - Pre-Service Training-Document the completion of each training requirement in the appropriate personnel record.
Two of the staff files reviewed did not have the pre-service training documented in the file. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member did not use proper de-escalation techniques before attempting to implement the EBI on a child. |
— |
| 3 | — |
748.2855(a)(3) - EBI Documentation-Must include the de-escalation attempted before and during the use of EBI and the child's reaction to those strategies
The EBI documentation did not include any details on the de-escalation techniques utilized prior to the restraint. The space for this on the form is blank |
— |
| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
A staff person did not provide the level of supervision required for a child as indicated in the service plan. |
— |
| 4 | — |
748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
A caregiver admitted to getting very close to a child?s face and yelling in order to intimidate him. |
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| 4 | — |
748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation did not obtain a current fire inspection by 6/12/23. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
15 year old child in care was left unsupervised in a kitchen with oil heating on in a pan on a stovetop. A fire started that resulted in evacuation of the home. |
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| 4 | — |
748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
A staff member used profane language and yelled at youth in care. |
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| 5 | — |
748.685(c)(2) - Caregiver responsibility - provide a safe environment
A caregiver was involved in an altercation with a child in care and did not provide a safe environment for other children in the area. |
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| 4 | — |
748.3161(c) - Heating Devices-Must ensure children do not have access to floor and wall furnace grates, steam and hot water pipes, and electric space heaters
The cord to a space heater plugged in the hallway caused a child to trip resulting in an injury requiring treatment by a medical professional. |
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| 2 | — |
748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
A child's service plan called for the child to be "given distance", along with use of "non-threatening and non verbals", and "avoid overacting by the caregivers". Staff did not use these techniques on the child prior physical intervention techniques. |
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| 5 | — |
745.8641 - Requirements during probation
Condition 1 was met. Condition 2 was not met. The videos were not reviewed during the week of December 11, 2022. Condition 3 was met. Condition 4 was met. Condition 5 was met. Feedback was provided. Condition 6 was met. There were no restraints conducted to review. |
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| 5 | — |
745.8641 - Requirements during evaluation or probation
Condition 1 was met. Feedback will be provided to operation. Condition 2 was not met. No visits were documented for the first week. The week for video observations was for week one was 2 hours. Week 2 for video observation was 2 hours and 40 minutes. Week 3 for video observation was 30 minutes. The documentation was missing the staff observed. Also, the master log was not signed by the LCCA or approved designed. Condition 3 was met. Feedback will be provided to operation. Condition 4 was not met. There is a log of the meetings but there is no summary of the meetings and the issues discussed. Condition 5 has been met. Condition 6 was not met. There was 2 restraints reviewed. There was only 1 reviewed for documentation by the operation. There was no documentation where the staff and children were debriefed. |
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| 3 | — |
748.685(c)(6) - Implement and follow the children's service plans.
The service plan indicates that a child in care requires a 2:1 supervision ratio and that was not followed. |
— |
| 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
An incident where a child swallowed an item and needed to be hospitalized was not reported within the proper time frame. |
— |
| 4 | — |
748.2855(b) - EBI Documentation-Supervisors of caregivers involved in EBI must document review of the intervention within 72 hours of the incident
A supervisor did not document their review of the use of the intervention. |
— |
| 4 | — |
748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A staff member shut a door on a child as an attempt to control a child's behavior. The child's de-escalation method of supervised separation was not implemented. |
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| 5 | — |
748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
Caregiver hit a child in the head and head butted a child because the child was not doing homework. |
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| 5 | — |
748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child who has a history of self-harm was unsupervised in the kitchen looking for items that could have caused harm. |
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| 4 | — |
748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
A staff member did not use any de-escalation methods with a youth in care. |
— |
| 2 | — |
748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record
One out of two staff files reviewed did not document the orientation completed. |
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| 2 | — |
748.3239(d) - Evacuation-Must document fire and severe weather drills, including date, time, type of drill, and length of time for evacuation/relocation
The fire or the severe weather drill do not document the time of evacuation or relocation. |
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| 4 | — |
748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
After a child was escalated. A caregiver was responsible for attempting to fight a child in care. The caregiver had to be restraint by another caregiver. |
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| 3 | — |
748.151(2) - Operational responsibilities - Operate according to your approved plans, policies, and procedures
Agency policy requires staff not sleep during their shifts; one staff member was found sleeping on their shift. |
— |
| 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
One out of two employee files reviewed did not provide the high school or equivalate documentation. |
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344 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.