Capacity 13. 7-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
Two of the children's beds on the second floor did not have a waterproof mattress protector. When made aware, the staff corrected the deficiency. |
Yes |
| 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
There is an entry on the annual AWOL log missing the duration of the unauthorized absence. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Staff file show that staff took medication and trauma informed care trainings late. |
— |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
The backyard has a piece of loose metal, sharp rocks, and a pile of metal poles with netting. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
A child went on a walk around 5pm and didn't return during the typical 1 hour timeframe. The unauthorized absence was not reported until 4:15am. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication logs are pre-filled with the date, time, amount given and amount remaining, when it should be a cumulative record written as medication is given. The medication log was not updated within two hours of the scheduled dose, after a child was admitted to the hospital. |
— |
| 3 | — |
748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
During the walk-through it was discovered the refrigerator temperature was 42 degrees and the freezer temperature was 10, which are both above the requirement. |
— |
| 4 | — |
748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit
The fire extinguisher located on the second floor was shown to be in the red meaning it has lost operating pressure and in need of service. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
While reviewing medication records, one of the four medication records reviewed indicated there were nine pills remaining when the actual count was ten. After careful review it was determined the dates were inaccurate. The child had been administered the medication; however, it was documented inaccurately. One of the four staff training records reviewed had incorrect spelling of the staff's name on multiple training records. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
While conducting the walk-through of the operation, it was discovered ceilings in two bedrooms and around the fire alarm were dusty. |
Yes |
| 3 | — |
748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
The child's service plan is not signed by the child, nor is there notes advising the child's desire/inability to not sign. |
— |
| 4 | — |
748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
One of the window's located on the rear of the home has a broken screen. The window located on the shed in the backyard is broken, leaving broken glass on the basketball court that the children use for activity time. The basketball goal was also damaged and left broken glass/acrylic on the grounds. Two of the children's window located on the second floor of the home did not have a protective screen and were not in good repair. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During the walk-through, a waffle was laying in the freezer uncovered, and the actual waffle packaging was not properly sealed. |
Yes |
| 5 | — |
HRC Sec. 42.068 - Required Postings-Residential Treatment Center's must have "No Trespassing Signs" posted.
While completing the walk-through, it was observed the operation did not have "No Trespassing Signs" posted, and the operaion is classified as an RTC. |
— |
| 4 | — |
748.3233(a) - Evacuation-Must have written emergency evacuation & relocation diagram specifying directions for egress on file at operation
The evacuation map did not include a marker specifying where the children and staff would meet within the home or outside of the home in the case of an emergency. The staff created an updated map and corrected during the inspection. |
Yes |
| 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
A training certificate was provided for one of the four staff records reviewed that did not include the trainer's name. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
The toilet seat in the bathroom upstairs was broken. There was a hole in the laundry room door. There was a missing smoke detector in the upstairs bedroom. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walk-through, the downstairs area was observed to have one broken TV, a loose chandelier exposing the wires, and two couches that are torn. The outside area was observed to have a wobbly table and torn chairs that had exposed wood and rust. The upstairs area was observed to have an exposed nail on a one bed and carpet coming up in another room. The faucet located in the kitchen was broken. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
In one of the children's bathrooms upstairs the toilet did not flush. This was corrected during the inspection by staff. |
Yes |
| 4 | — |
748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
Child in care medication was in a Ziplock bag labeled with the child's name and morning. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two out of three child's files reviewed did not have an initial service plan in their files. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of one child records reviewed found that a child was admitted to care on 05/12/22, but a 72 hour service plan was not completed until 05/16/22. |
— |
| 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
During the inspection, it was discovered that a former employee has not been employed at the operation for three months, but has yet to be inactivated. |
— |
| 4 | — |
748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
During the inspection, I observed three of four staff records reviewed showing EBI training at seven-month intervals and the fourth did not require EBI training by standards. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
A child went on a walk around 5pm and didn't return during the typical 1 hour timeframe. The unauthorized absence was not reported until 4:15am. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication logs are pre-filled with the date, time, amount given and amount remaining, when it should be a cumulative record written as medication is given. The medication log was not updated within two hours of the scheduled dose, after a child was admitted to the hospital. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Staff file show that staff took medication and trauma informed care trainings late. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
In one of the children's bathrooms upstairs the toilet did not flush. This was corrected during the inspection by staff. |
Yes |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
While reviewing medication records, one of the four medication records reviewed indicated there were nine pills remaining when the actual count was ten. After careful review it was determined the dates were inaccurate. The child had been administered the medication; however, it was documented inaccurately. One of the four staff training records reviewed had incorrect spelling of the staff's name on multiple training records. |
— |
| 3 | — |
748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
The child's service plan is not signed by the child, nor is there notes advising the child's desire/inability to not sign. |
— |
| 4 | — |
748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
One of the window's located on the rear of the home has a broken screen. The window located on the shed in the backyard is broken, leaving broken glass on the basketball court that the children use for activity time. The basketball goal was also damaged and left broken glass/acrylic on the grounds. Two of the children's window located on the second floor of the home did not have a protective screen and were not in good repair. |
— |
| 3 | — |
748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
During the walk-through it was discovered the refrigerator temperature was 42 degrees and the freezer temperature was 10, which are both above the requirement. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walk-through, the downstairs area was observed to have one broken TV, a loose chandelier exposing the wires, and two couches that are torn. The outside area was observed to have a wobbly table and torn chairs that had exposed wood and rust. The upstairs area was observed to have an exposed nail on a one bed and carpet coming up in another room. The faucet located in the kitchen was broken. |
— |
| 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
During the inspection, it was discovered that a former employee has not been employed at the operation for three months, but has yet to be inactivated. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of one child records reviewed found that a child was admitted to care on 05/12/22, but a 72 hour service plan was not completed until 05/16/22. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During the walk-through, a waffle was laying in the freezer uncovered, and the actual waffle packaging was not properly sealed. |
Yes |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
While conducting the walk-through of the operation, it was discovered ceilings in two bedrooms and around the fire alarm were dusty. |
Yes |
| 4 | — |
748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit
The fire extinguisher located on the second floor was shown to be in the red meaning it has lost operating pressure and in need of service. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two out of three child's files reviewed did not have an initial service plan in their files. |
— |
| 4 | — |
748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
During the inspection, I observed three of four staff records reviewed showing EBI training at seven-month intervals and the fourth did not require EBI training by standards. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
The toilet seat in the bathroom upstairs was broken. There was a hole in the laundry room door. There was a missing smoke detector in the upstairs bedroom. |
— |
| 4 | — |
748.3233(a) - Evacuation-Must have written emergency evacuation & relocation diagram specifying directions for egress on file at operation
The evacuation map did not include a marker specifying where the children and staff would meet within the home or outside of the home in the case of an emergency. The staff created an updated map and corrected during the inspection. |
Yes |
| 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
There is an entry on the annual AWOL log missing the duration of the unauthorized absence. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
Two of the children's beds on the second floor did not have a waterproof mattress protector. When made aware, the staff corrected the deficiency. |
Yes |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
The backyard has a piece of loose metal, sharp rocks, and a pile of metal poles with netting. |
— |
| 4 | — |
748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
Child in care medication was in a Ziplock bag labeled with the child's name and morning. |
— |
| 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
A training certificate was provided for one of the four staff records reviewed that did not include the trainer's name. |
— |
| 5 | — |
HRC Sec. 42.068 - Required Postings-Residential Treatment Center's must have "No Trespassing Signs" posted.
While completing the walk-through, it was observed the operation did not have "No Trespassing Signs" posted, and the operaion is classified as an RTC. |
— |
| 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
During the inspection, it was discovered that a former employee has not been employed at the operation for three months, but has yet to be inactivated. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
The toilet seat in the bathroom upstairs was broken. There was a hole in the laundry room door. There was a missing smoke detector in the upstairs bedroom. |
— |
| 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
A training certificate was provided for one of the four staff records reviewed that did not include the trainer's name. |
— |
| 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
There is an entry on the annual AWOL log missing the duration of the unauthorized absence. |
— |
| 4 | — |
748.3233(a) - Evacuation-Must have written emergency evacuation & relocation diagram specifying directions for egress on file at operation
The evacuation map did not include a marker specifying where the children and staff would meet within the home or outside of the home in the case of an emergency. The staff created an updated map and corrected during the inspection. |
Yes |
| 4 | — |
748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit
The fire extinguisher located on the second floor was shown to be in the red meaning it has lost operating pressure and in need of service. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
Two of the children's beds on the second floor did not have a waterproof mattress protector. When made aware, the staff corrected the deficiency. |
Yes |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of one child records reviewed found that a child was admitted to care on 05/12/22, but a 72 hour service plan was not completed until 05/16/22. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walk-through, the downstairs area was observed to have one broken TV, a loose chandelier exposing the wires, and two couches that are torn. The outside area was observed to have a wobbly table and torn chairs that had exposed wood and rust. The upstairs area was observed to have an exposed nail on a one bed and carpet coming up in another room. The faucet located in the kitchen was broken. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Staff file show that staff took medication and trauma informed care trainings late. |
— |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
The backyard has a piece of loose metal, sharp rocks, and a pile of metal poles with netting. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
In one of the children's bathrooms upstairs the toilet did not flush. This was corrected during the inspection by staff. |
Yes |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
While reviewing medication records, one of the four medication records reviewed indicated there were nine pills remaining when the actual count was ten. After careful review it was determined the dates were inaccurate. The child had been administered the medication; however, it was documented inaccurately. One of the four staff training records reviewed had incorrect spelling of the staff's name on multiple training records. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
A child went on a walk around 5pm and didn't return during the typical 1 hour timeframe. The unauthorized absence was not reported until 4:15am. |
— |
| 4 | — |
748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
During the inspection, I observed three of four staff records reviewed showing EBI training at seven-month intervals and the fourth did not require EBI training by standards. |
— |
| 4 | — |
748.455(a) - Unauthorized Absence-After a child returns from absence, caregiver or designee must conduct debriefing w/child no later than 24 hrs after return
The operation's provided debriefing did not contain the required components to include 748.455(a)(1)-(4). |
— |
| 3 | — |
748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
During the walk-through it was discovered the refrigerator temperature was 42 degrees and the freezer temperature was 10, which are both above the requirement. |
— |
| 4 | — |
748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
One of the window's located on the rear of the home has a broken screen. The window located on the shed in the backyard is broken, leaving broken glass on the basketball court that the children use for activity time. The basketball goal was also damaged and left broken glass/acrylic on the grounds. Two of the children's window located on the second floor of the home did not have a protective screen and were not in good repair. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication logs are pre-filled with the date, time, amount given and amount remaining, when it should be a cumulative record written as medication is given. The medication log was not updated within two hours of the scheduled dose, after a child was admitted to the hospital. |
— |
| 3 | — |
748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
The child's service plan is not signed by the child, nor is there notes advising the child's desire/inability to not sign. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During the walk-through, a waffle was laying in the freezer uncovered, and the actual waffle packaging was not properly sealed. |
Yes |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
While conducting the walk-through of the operation, it was discovered ceilings in two bedrooms and around the fire alarm were dusty. |
Yes |
| 4 | — |
748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
Child in care medication was in a Ziplock bag labeled with the child's name and morning. |
— |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two out of three child's files reviewed did not have an initial service plan in their files. |
— |
| 5 | — |
HRC Sec. 42.068 - Required Postings-Residential Treatment Center's must have "No Trespassing Signs" posted.
While completing the walk-through, it was observed the operation did not have "No Trespassing Signs" posted, and the operaion is classified as an RTC. |
— |
| 2 | — |
748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission
One of one child records reviewed found that a child was admitted to care on 05/12/22, but a 72 hour service plan was not completed until 05/16/22. |
— |
| 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
There is an entry on the annual AWOL log missing the duration of the unauthorized absence. |
— |
| 3 | — |
748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
While reviewing medication records, one of the four medication records reviewed indicated there were nine pills remaining when the actual count was ten. After careful review it was determined the dates were inaccurate. The child had been administered the medication; however, it was documented inaccurately. One of the four staff training records reviewed had incorrect spelling of the staff's name on multiple training records. |
— |
| 4 | — |
748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
Child in care medication was in a Ziplock bag labeled with the child's name and morning. |
— |
| 4 | — |
748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean
In one of the children's bathrooms upstairs the toilet did not flush. This was corrected during the inspection by staff. |
Yes |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
The toilet seat in the bathroom upstairs was broken. There was a hole in the laundry room door. There was a missing smoke detector in the upstairs bedroom. |
— |
| 3 | — |
748.3443(a)(6) - Food Preparation-Food items must be covered when stored in the refrigerator
During the walk-through, a waffle was laying in the freezer uncovered, and the actual waffle packaging was not properly sealed. |
Yes |
| 3 | — |
748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission
The annual summary log does not include of the required components as required by minimum standards. |
— |
| 3 | — |
748.3365(b)(2) - Bedding-must provide each child with a mattress cover or protector unless mattress is waterproof
Two of the children's beds on the second floor did not have a waterproof mattress protector. When made aware, the staff corrected the deficiency. |
Yes |
| 4 | — |
748.303(a)(12)(A) - Serious Incident-Report to Licensing as soon as aware of a suicide attempt by a child
A child opened the car door on the highway and threated to grab the steering wheel with the intent of killing the caregiver and themselves. |
— |
| 5 | — |
HRC Sec. 42.068 - Required Postings-Residential Treatment Center's must have "No Trespassing Signs" posted.
While completing the walk-through, it was observed the operation did not have "No Trespassing Signs" posted, and the operaion is classified as an RTC. |
— |
| 4 | — |
748.3233(a) - Evacuation-Must have written emergency evacuation & relocation diagram specifying directions for egress on file at operation
The evacuation map did not include a marker specifying where the children and staff would meet within the home or outside of the home in the case of an emergency. The staff created an updated map and corrected during the inspection. |
Yes |
| 2 | — |
748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission
Two out of three child's files reviewed did not have an initial service plan in their files. |
— |
| 3 | — |
748.303(a)(10)(A) - Serious Incident-Report to Licensing no later than 6 hours after determining unauthorized absence of a child 13 yrs old or older.
A child went on a walk around 5pm and didn't return during the typical 1 hour timeframe. The unauthorized absence was not reported until 4:15am. |
— |
| 4 | — |
748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months.
During the inspection, I observed three of four staff records reviewed showing EBI training at seven-month intervals and the fourth did not require EBI training by standards. |
— |
| 3 | — |
748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period
Staff file show that staff took medication and trauma informed care trainings late. |
— |
| 4 | — |
748.3113(c) - Fire Extinguisher-Fire extinguisher that has been used or has lost operating pressure must be serviced or replaced immediately with equivalent unit
The fire extinguisher located on the second floor was shown to be in the red meaning it has lost operating pressure and in need of service. |
— |
| 3 | — |
748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
During the walk-through it was discovered the refrigerator temperature was 42 degrees and the freezer temperature was 10, which are both above the requirement. |
— |
| 4 | — |
748.455(a) - Unauthorized Absence-After a child returns from absence, caregiver or designee must conduct debriefing w/child no later than 24 hrs after return
The operation's provided debriefing did not contain the required components to include 748.455(a)(1)-(4). |
— |
| 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
A training certificate was provided for one of the four staff records reviewed that did not include the trainer's name. |
— |
| 4 | — |
748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication logs are pre-filled with the date, time, amount given and amount remaining, when it should be a cumulative record written as medication is given. The medication log was not updated within two hours of the scheduled dose, after a child was admitted to the hospital. |
— |
| 4 | — |
748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards
One of the window's located on the rear of the home has a broken screen. The window located on the shed in the backyard is broken, leaving broken glass on the basketball court that the children use for activity time. The basketball goal was also damaged and left broken glass/acrylic on the grounds. Two of the children's window located on the second floor of the home did not have a protective screen and were not in good repair. |
— |
| 3 | — |
748.1101(b)(5)(B) - Child rights-participate in service plan within child's ability to manage info and have copy of plan Child 14 yo or older right to review/sign plan
The child's service plan is not signed by the child, nor is there notes advising the child's desire/inability to not sign. |
— |
| 4 | — |
748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
During the walk-through, the downstairs area was observed to have one broken TV, a loose chandelier exposing the wires, and two couches that are torn. The outside area was observed to have a wobbly table and torn chairs that had exposed wood and rust. The upstairs area was observed to have an exposed nail on a one bed and carpet coming up in another room. The faucet located in the kitchen was broken. |
— |
| 4 | — |
748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
The backyard has a piece of loose metal, sharp rocks, and a pile of metal poles with netting. |
— |
| 3 | — |
748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair.
While conducting the walk-through of the operation, it was discovered ceilings in two bedrooms and around the fire alarm were dusty. |
Yes |
| 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
During the inspection, it was discovered that a former employee has not been employed at the operation for three months, but has yet to be inactivated. |
— |
83 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.