Texas › Dayton › Open Arms Open Hearts Foundation, LLC

Open Arms Open Hearts Foundation, LLC

Child care center · 252 COUNTY ROAD 4111, Dayton, TX 77535-4088 · License 1701291

0Compliance score
Poor

Capacity 14. 8-16

Violation history (212)

Severity	Date	Standard / narrative	Corrected
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders upon review of records it was notice that medication was not administered on the date prescribed by the doctor on Aug 11th. Medication was administered on Aug 17th after it was delivered to the operation on Aug 13th. The delivery is according to medication documentation from pharmacy.	—
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 operation failed to report Quarterly EBI data to CLASS within 15 days of the end of the quarter.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The operation does not have an updated fire inspection.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Evacuation diagram doesn t have the designated shelter in place nor the meeting place outside locations.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction During the inspection, the operation was not able to provide us immediate access to their records for review, requrining the permit holder to travel to the operation which took over two hours from the start of the inspection.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions A child in care had access and consumed raw foods from Open Arms Open Hearts Foundation refrigerator.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed A child's medication was not increased as per the psychological, for a month.	—
4	—	748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision A child in care that needs to be supervised closely with a history of eloping/AWOL was able to get Open Arms Open Hearts Foundations roof of the house.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication A child's medication record was not in the medication binder for 3 days and the administered medication was not recorded.	—
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 the inspection, I observed one of four staff records reviewed did not include documentation of a pre-employment drug test.	—
3	—	748.3357(b)(2) - Bedroom Space-Must have at least 60 square feet of space for each occupant & no more than 4 occupants per bedroom unless certain exemptions met One bedroom was observed with five beds.	—
3	—	748.2151(c)(2) - Medication record - must include prescribing health-care professional's name Two medication records were observed without a treating physicians name and one did not include what the medication was prescribed for.	—
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 operation has not reported EBI quarter 2 ? April through June.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model A damaged pill was included in the count of the medication administered to a child.	—
3	—	748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. During inspection of staff files it was noted that 1 out of 4 staff files reviewed did not have report abuse and neglect form.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave A package of thawing meat was observed in the refrigerator without any plastic bag. The meat was removed from the refrigerator and prepared for dinner.	Yes
3	—	748.683(1) - Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being children in care were not being properly supervised as they were allowed into a body of water to fish for crawfish and horseplay around the body of water.	—
2	—	748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility It was noted that 3 out of 4 child records did not have TB test result in their file.	—
3	—	748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care The first aid kits were observed to be missing adhesive tape, scissors, thermometer, and tweezers. Staff place thermometer and scissor in first aid kit.	Yes
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record Upon review of admission assessment it was noticed the signature page was incorrect with dates signed. The cover page of the assessment had an incorrect date of admission for child	—
4	—	748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective A staff member initiated a restraint (by placing her hands on the child in care and began pulling him out of the car) for non-compliance which led to a nosebleed.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation During the inspection, I observed the administrator was not present at the operation and three of three staff questioned stated they did not recognize the administrator's name.	—
2	—	748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs During inspection, it was noticed that 4 of 4 of the reviewed records were without medication side effects in their 72 hr prelimary service plan.	—
4	—	748.1531(d) - Medical care-Obtain follow-up medical treatment as recommended by the health-care professional During the inspection, I observed one of four child records showed a medical follow-up due on 3/26/26 with no documentation indicating the completion of this follow-up.	—
5	—	748.3765(a) - Swimming in a body of water-dangers of the body of water & rules of the activity must be explained to children before activity Child in care were able to fish for crawfish in a large ditch in front of the operation. Multiple children in care were horseplaying in a body of water that was not permitted to be in as a water activity. Staff allowed children in care to fish in the ditch.	—
4	—	748.3367(1) - Bedding-Triple-deck beds are not allowed One bedroom was observed with a triple decker bunk bed.	—
4	—	748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation 3 of the 3 staff files reviewed did not include the required abuse and neglect training.	—
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 operation has not reported EBI quarter 2 ? April through June.	—
3	—	748.3357(b)(2) - Bedroom Space-Must have at least 60 square feet of space for each occupant & no more than 4 occupants per bedroom unless certain exemptions met One bedroom was observed with five beds.	—
3	—	748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care The first aid kits were observed to be missing adhesive tape, scissors, thermometer, and tweezers. Staff place thermometer and scissor in first aid kit.	Yes
3	—	748.2151(c)(2) - Medication record - must include prescribing health-care professional's name Two medication records were observed without a treating physicians name and one did not include what the medication was prescribed for.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model A damaged pill was included in the count of the medication administered to a child.	—
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 the inspection, I observed one of four staff records reviewed did not include documentation of a pre-employment drug test.	—
4	—	748.1531(d) - Medical care-Obtain follow-up medical treatment as recommended by the health-care professional During the inspection, I observed one of four child records showed a medical follow-up due on 3/26/26 with no documentation indicating the completion of this follow-up.	—
3	—	748.683(1) - Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being children in care were not being properly supervised as they were allowed into a body of water to fish for crawfish and horseplay around the body of water.	—
4	—	748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation 3 of the 3 staff files reviewed did not include the required abuse and neglect training.	—
5	—	748.3765(a) - Swimming in a body of water-dangers of the body of water & rules of the activity must be explained to children before activity Child in care were able to fish for crawfish in a large ditch in front of the operation. Multiple children in care were horseplaying in a body of water that was not permitted to be in as a water activity. Staff allowed children in care to fish in the ditch.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation During the inspection, I observed the administrator was not present at the operation and three of three staff questioned stated they did not recognize the administrator's name.	—
3	—	748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. During inspection of staff files it was noted that 1 out of 4 staff files reviewed did not have report abuse and neglect form.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders upon review of records it was notice that medication was not administered on the date prescribed by the doctor on Aug 11th. Medication was administered on Aug 17th after it was delivered to the operation on Aug 13th. The delivery is according to medication documentation from pharmacy.	—
4	—	748.3367(1) - Bedding-Triple-deck beds are not allowed One bedroom was observed with a triple decker bunk bed.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction During the inspection, the operation was not able to provide us immediate access to their records for review, requrining the permit holder to travel to the operation which took over two hours from the start of the inspection.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The operation does not have an updated fire inspection.	—
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 operation failed to report Quarterly EBI data to CLASS within 15 days of the end of the quarter.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave A package of thawing meat was observed in the refrigerator without any plastic bag. The meat was removed from the refrigerator and prepared for dinner.	Yes
2	—	748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility It was noted that 3 out of 4 child records did not have TB test result in their file.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Evacuation diagram doesn t have the designated shelter in place nor the meeting place outside locations.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed A child's medication was not increased as per the psychological, for a month.	—
2	—	748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs During inspection, it was noticed that 4 of 4 of the reviewed records were without medication side effects in their 72 hr prelimary service plan.	—
4	—	748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective A staff member initiated a restraint (by placing her hands on the child in care and began pulling him out of the car) for non-compliance which led to a nosebleed.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions A child in care had access and consumed raw foods from Open Arms Open Hearts Foundation refrigerator.	—
4	—	748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision A child in care that needs to be supervised closely with a history of eloping/AWOL was able to get Open Arms Open Hearts Foundations roof of the house.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record Upon review of admission assessment it was noticed the signature page was incorrect with dates signed. The cover page of the assessment had an incorrect date of admission for child	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication A child's medication record was not in the medication binder for 3 days and the administered medication was not recorded.	—
4	—	748.3367(1) - Bedding-Triple-deck beds are not allowed One bedroom was observed with a triple decker bunk bed.	—
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 operation has not reported EBI quarter 2 ? April through June.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions A child in care had access and consumed raw foods from Open Arms Open Hearts Foundation refrigerator.	—
4	—	748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation 3 of the 3 staff files reviewed did not include the required abuse and neglect training.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed A child's medication was not increased as per the psychological, for a month.	—
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 the inspection, I observed one of four staff records reviewed did not include documentation of a pre-employment drug test.	—
3	—	748.535(1) - Child-care administrator responsibilities-Daily supervision and on-site administrative responsibility for the overall operation During the inspection, I observed the administrator was not present at the operation and three of three staff questioned stated they did not recognize the administrator's name.	—
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication A child's medication record was not in the medication binder for 3 days and the administered medication was not recorded.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction During the inspection, the operation was not able to provide us immediate access to their records for review, requrining the permit holder to travel to the operation which took over two hours from the start of the inspection.	—
3	—	748.3273(1) - First Aid Kits-Each one must contain a current guide to first aid and emergency care The first aid kits were observed to be missing adhesive tape, scissors, thermometer, and tweezers. Staff place thermometer and scissor in first aid kit.	Yes
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders upon review of records it was notice that medication was not administered on the date prescribed by the doctor on Aug 11th. Medication was administered on Aug 17th after it was delivered to the operation on Aug 13th. The delivery is according to medication documentation from pharmacy.	—
4	—	748.3367(1) - Bedding-Triple-deck beds are not allowed One bedroom was observed with a triple decker bunk bed.	—
3	—	748.683(1) - Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being children in care were not being properly supervised as they were allowed into a body of water to fish for crawfish and horseplay around the body of water.	—
2	—	748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs During inspection, it was noticed that 4 of 4 of the reviewed records were without medication side effects in their 72 hr prelimary service plan.	—
3	—	748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. During inspection of staff files it was noted that 1 out of 4 staff files reviewed did not have report abuse and neglect form.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave A package of thawing meat was observed in the refrigerator without any plastic bag. The meat was removed from the refrigerator and prepared for dinner.	Yes
4	—	748.1531(d) - Medical care-Obtain follow-up medical treatment as recommended by the health-care professional During the inspection, I observed one of four child records showed a medical follow-up due on 3/26/26 with no documentation indicating the completion of this follow-up.	—
2	—	748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility It was noted that 3 out of 4 child records did not have TB test result in their file.	—
3	—	748.3357(b)(2) - Bedroom Space-Must have at least 60 square feet of space for each occupant & no more than 4 occupants per bedroom unless certain exemptions met One bedroom was observed with five beds.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record Upon review of admission assessment it was noticed the signature page was incorrect with dates signed. The cover page of the assessment had an incorrect date of admission for child	—
4	—	748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective A staff member initiated a restraint (by placing her hands on the child in care and began pulling him out of the car) for non-compliance which led to a nosebleed.	—
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 operation failed to report Quarterly EBI data to CLASS within 15 days of the end of the quarter.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model A damaged pill was included in the count of the medication administered to a child.	—
5	—	748.3765(a) - Swimming in a body of water-dangers of the body of water & rules of the activity must be explained to children before activity Child in care were able to fish for crawfish in a large ditch in front of the operation. Multiple children in care were horseplaying in a body of water that was not permitted to be in as a water activity. Staff allowed children in care to fish in the ditch.	—
3	—	748.2151(c)(2) - Medication record - must include prescribing health-care professional's name Two medication records were observed without a treating physicians name and one did not include what the medication was prescribed for.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The operation does not have an updated fire inspection.	—
4	—	748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision A child in care that needs to be supervised closely with a history of eloping/AWOL was able to get Open Arms Open Hearts Foundations roof of the house.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Evacuation diagram doesn t have the designated shelter in place nor the meeting place outside locations.	—
4	—	748.3233(b)(3) - Evacuation-Emergency evacuation & relocation diagram must include designated location inside operation to take shelter from threatening weather Evacuation diagram doesn t have the designated shelter in place nor the meeting place outside locations.	—
4	—	748.3441(m) - Food Preparation-Food must be thawed in the refrigerator, in cold water in a leak-proof bag, or in the microwave A package of thawing meat was observed in the refrigerator without any plastic bag. The meat was removed from the refrigerator and prepared for dinner.	Yes
4	—	748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication A child's medication record was not in the medication binder for 3 days and the administered medication was not recorded.	—
4	—	748.1531(d) - Medical care-Obtain follow-up medical treatment as recommended by the health-care professional During the inspection, I observed one of four child records showed a medical follow-up due on 3/26/26 with no documentation indicating the completion of this follow-up.	—
2	—	748.1331(b)(2) - Preliminary Service Plan-For child receiving treatment services, include a description of child's immediate educational, medical, and dental needs During inspection, it was noticed that 4 of 4 of the reviewed records were without medication side effects in their 72 hr prelimary service plan.	—
4	—	748.3367(1) - Bedding-Triple-deck beds are not allowed One bedroom was observed with a triple decker bunk bed.	—
4	—	748.2455(a)(1) - Emergency Behavior Intervention-Before using EBI, the caregiver must attempt less restrictive interventions that prove to be ineffective A staff member initiated a restraint (by placing her hands on the child in care and began pulling him out of the car) for non-compliance which led to a nosebleed.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction During the inspection, the operation was not able to provide us immediate access to their records for review, requrining the permit holder to travel to the operation which took over two hours from the start of the inspection.	—
3	—	748.2151(c)(2) - Medication record - must include prescribing health-care professional's name Two medication records were observed without a treating physicians name and one did not include what the medication was prescribed for.	—
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 the inspection, I observed one of four staff records reviewed did not include documentation of a pre-employment drug test.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed A child's medication was not increased as per the psychological, for a month.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model A damaged pill was included in the count of the medication administered to a child.	—
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 operation failed to report Quarterly EBI data to CLASS within 15 days of the end of the quarter.	—
3	—	748.3357(b)(2) - Bedroom Space-Must have at least 60 square feet of space for each occupant & no more than 4 occupants per bedroom unless certain exemptions met One bedroom was observed with five beds.	—
4	—	748.685(c)(1) - Caregiver responsibility - be aware of children's habits, interests, and any special needs including supervision A child in care that needs to be supervised closely with a history of eloping/AWOL was able to get Open Arms Open Hearts Foundations roof of the house.	—
3	—	748.683(1) - Caregiver Supervision-Provide oversight of caregivers to protect children's health, safety and well-being children in care were not being properly supervised as they were allowed into a body of water to fish for crawfish and horseplay around the body of water.	—
4	—	748.881(2) - General pre-service training curriculum-Includes measures to prevent, identify, treat, report suspicion of child abuse, neglect, and exploitation 3 of the 3 staff files reviewed did not include the required abuse and neglect training.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders upon review of records it was notice that medication was not administered on the date prescribed by the doctor on Aug 11th. Medication was administered on Aug 17th after it was delivered to the operation on Aug 13th. The delivery is according to medication documentation from pharmacy.	—

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

Inspections (100)

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

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