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TexasAnna › La Maison, LLC

La Maison, LLC

Child care center · 141 SHALOM LN, Anna, TX 75409-6284 · License 1704326

0Compliance score
Poor

Capacity 14. 6-13

Violation history (312)

SeverityDateStandard / narrativeCorrected
4 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Multiple windows in the facility had damaged and broken blinds.
3 748.535(3)(F) - Child-care administrator responsibilities-Ensuring that operation complies with applicable rules of chapter 748 and other applicable rules and laws.
In June 2021 a staff member violated his conditions of employment and the administrator placed the staff on disciplinary action. The disciplinary action stated the staff would be terminated if the staff violated conditions. In May 2022 the staff again violated the conditions of his employment and the administrator was made aware immediately. As of 06/13/2022 the staff is still present and employed at the operation.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child was prescribed a medication increase of 2 MG of Guanfacine 1 pill tablets on 7/25/2023. The child has 11 pills remaining at today's inspection.
Yes
5 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
A child was inappropriately restrained.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Of the six child files reviewed, three contained service plans that had the wrong effective and start dates documented.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
Child's file did not have a signature in "Child's Rights" section
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
The backyard fence was in disrepair it had numerous sharp edges, and some parts of the fence were missing.
5 748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
There are holes in the walls of two rooms. One hole in the wall next to the entry way door. The second hole was on the bathroom door in a seperate bedroom. Blinds have been damaged as well.
4 748.303(a)(4)(A) - Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child
Two serious incidents were not reported to Licensing.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
A staff member transported children in care to the bus stop and this was against the staff member's conditions.
3 748.751(a)(1) - Pre-Employment Screening- You must obtain in writing an applicant's employment history before hiring.
Two staff files did not include the pre-employment screening.
Yes
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child's medication file was missing dosage.
4 748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A caregiver did not use proper de-escalation techniques with a child in care and continued using profane or other language that escalated the altercation.
5 748.3(a) - The permit holder must ensure compliance with applicable minimum standards rules
A staff members background conditions were not followed.
3 748.1203(a) - Admission-Operation may only admit children and young adults who meet admission policy and whose needs can be met at the operation
A child was admitted in the program on 04/22/2021. At the time of admission the child was diagnosed with Autism Spectrum Disorder. The permit type does not offer services to handle the child's level of care. The service plan does not indicate services for emotional disorder.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
During the course of this investigation, it was determined a caregiver used pepper spray against a child as a response to the child's behavior.
2 748.3353(c) - Monitoring Devices-Video cameras may not be used to tape the child, and images may not be accessible except to operation employees and caregivers
A child was seen being recorded on staff cell phone and the video assessible to others.
4 748.1531(d) - Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
Of the six child files reviewed, four were recommended a PCP follow-up per their CANS Assessment but there was no documentation to support that this was completed.
3 748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions
During the course of the investigation, it was determined that the operation did not a resolution documented on the serious incident report.
3 748.1101(b)(3)(E) - Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest
All the bedroom doors were removed except for 1 room.
4 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
Staff did not report an incident to the hotline within appropriate time frame.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
CBCU notified the La Maison on 6-02-2021 that a caregiver may be present at the operation on a provisional basis. On 7-26-2021 it was learned that the caregiver was present at the operation and had unsupervised contact with children in care and transported children.
Yes
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Numerous medication logs did not have the year documented on the forms.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff member did not demonstrate good judgement and control when they escalated a child's behaviors then responded by using a weapon that put other staff and children in care at risk.
4 748.457(a) - Unauthorized Absence?Triggered Review of child?s unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days
Two children that were previously placed in care did not recived a trigger review after 3 unathroized absences with a 60 day timeframe while in care in September 2022.
3 748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
Two employees did not have their TB test results documented in their file during inspection.
5 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver shoulder checked a child in care.
5 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
It was determined that a child was inappropriately restrained due to the caregiver using too much force.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
A child's 72-hour plan does not document information regarding the type of treatment services the child was admitted for, nor does it describe the goal of placement.
4 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
During the course of this investigation, it was determined that a staff use profanity towards a child in care.
4 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profane language with a child in care during an altercation.
5 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the review of the investigation, it was determined that an employee was wearing headphones during a night shift preventing auditory awareness of the surroundings.
3 748.935(a)(1) - Annual Training Timeline-Each person must complete the required annual training within 12 months from the date of hire
Three staff did not complete The Preventing and Recognizing Youth Sexual Abuse training, and Trauma Informed Care timely. In addition, four staff did not complete Psychotropic Medication trainings with the 12 months of the previous training.
1 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Of the six child files reviewed, three were not signed by the child.
1 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
Of the six child files reviewed, one had a service plan team meeting invite that was sent out with less than two weeks notice.
5 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
During sleeping hours, a staff member was observed lying on the couch. A child in care crawled past the staff member and went into another child's room.
4 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
It was determined that a child was restrained by a caregiver, and the child did not pose any immediate risk to himself or others.
3 748.1101(b)(6)(A) - Child rights-medical,dental,vision,MH,develp services that meet child need. Right to request services separate from adults who receive services
A child's service plan recommended that the child participate in grief therapy and this service is not being provided to the child. Another child's CANS assessment recommended the child see a Developmental Disability Specialist and this was not done.
3 748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
During the course of the investigation, it was determined that the documentation in the serious incident report did not match the statements.
4 748.303(a)(4)(A) - Serious Incident-Report to Licensing as soon as aware of an incident of physical abuse of a child against another child
Two serious incidents were not reported to Licensing.
5 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force
It was determined that a child was inappropriately restrained due to the caregiver using too much force.
3 748.935(a)(1) - Annual Training Timeline-Each person must complete the required annual training within 12 months from the date of hire
Three staff did not complete The Preventing and Recognizing Youth Sexual Abuse training, and Trauma Informed Care timely. In addition, four staff did not complete Psychotropic Medication trainings with the 12 months of the previous training.
4 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
Staff did not report an incident to the hotline within appropriate time frame.
5 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
During sleeping hours, a staff member was observed lying on the couch. A child in care crawled past the staff member and went into another child's room.
4 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
A caregiver used profane language with a child in care during an altercation.
1 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
Of the six child files reviewed, one had a service plan team meeting invite that was sent out with less than two weeks notice.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child was prescribed a medication increase of 2 MG of Guanfacine 1 pill tablets on 7/25/2023. The child has 11 pills remaining at today's inspection.
Yes
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child's medication file was missing dosage.
4 748.2551(a) - EBI Implementation-Must be an appropriate response to the behavior demonstrated, and de-escalation must have failed
A caregiver did not use proper de-escalation techniques with a child in care and continued using profane or other language that escalated the altercation.
3 748.751(a)(1) - Pre-Employment Screening- You must obtain in writing an applicant's employment history before hiring.
Two staff files did not include the pre-employment screening.
Yes
3 748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care
Two employees did not have their TB test results documented in their file during inspection.
4 748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards
The backyard fence was in disrepair it had numerous sharp edges, and some parts of the fence were missing.
4 748.1531(d) - Medical care-Obtain follow-up medical treatment as recommended by the health-care professional
Of the six child files reviewed, four were recommended a PCP follow-up per their CANS Assessment but there was no documentation to support that this was completed.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
A staff member transported children in care to the bus stop and this was against the staff member's conditions.
1 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Of the six child files reviewed, three were not signed by the child.
3 748.1101(b)(3)(E) - Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest
All the bedroom doors were removed except for 1 room.
4 748.457(a) - Unauthorized Absence?Triggered Review of child?s unauth absences must occur ASAP, but no later than 30 days after third absence within 60-days
Two children that were previously placed in care did not recived a trigger review after 3 unathroized absences with a 60 day timeframe while in care in September 2022.
3 748.1103(d) - Informing child of rights-Person being informed must sign statement indicating he read and understands the rights-signed copy filed in child's record
Child's file did not have a signature in "Child's Rights" section
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
CBCU notified the La Maison on 6-02-2021 that a caregiver may be present at the operation on a provisional basis. On 7-26-2021 it was learned that the caregiver was present at the operation and had unsupervised contact with children in care and transported children.
Yes
4 748.2455(a)(2) - Emergency Behavior Intervention-Basis for EBI is an emergency situation or to administer medication
It was determined that a child was restrained by a caregiver, and the child did not pose any immediate risk to himself or others.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Of the six child files reviewed, three contained service plans that had the wrong effective and start dates documented.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
A child's 72-hour plan does not document information regarding the type of treatment services the child was admitted for, nor does it describe the goal of placement.
3 748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
During the course of the investigation, it was determined that the documentation in the serious incident report did not match the statements.
3 748.1101(b)(6)(A) - Child rights-medical,dental,vision,MH,develp services that meet child need. Right to request services separate from adults who receive services
A child's service plan recommended that the child participate in grief therapy and this service is not being provided to the child. Another child's CANS assessment recommended the child see a Developmental Disability Specialist and this was not done.
5 748.3(a) - The permit holder must ensure compliance with applicable minimum standards rules
A staff members background conditions were not followed.
2 748.3353(c) - Monitoring Devices-Video cameras may not be used to tape the child, and images may not be accessible except to operation employees and caregivers
A child was seen being recorded on staff cell phone and the video assessible to others.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff member did not demonstrate good judgement and control when they escalated a child's behaviors then responded by using a weapon that put other staff and children in care at risk.
3 748.535(3)(F) - Child-care administrator responsibilities-Ensuring that operation complies with applicable rules of chapter 748 and other applicable rules and laws.
In June 2021 a staff member violated his conditions of employment and the administrator placed the staff on disciplinary action. The disciplinary action stated the staff would be terminated if the staff violated conditions. In May 2022 the staff again violated the conditions of his employment and the administrator was made aware immediately. As of 06/13/2022 the staff is still present and employed at the operation.
5 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver shoulder checked a child in care.
4 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Multiple windows in the facility had damaged and broken blinds.
5 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
During the review of the investigation, it was determined that an employee was wearing headphones during a night shift preventing auditory awareness of the surroundings.
5 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
A child was inappropriately restrained.
3 748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions
During the course of the investigation, it was determined that the operation did not a resolution documented on the serious incident report.
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Numerous medication logs did not have the year documented on the forms.
3 748.1203(a) - Admission-Operation may only admit children and young adults who meet admission policy and whose needs can be met at the operation
A child was admitted in the program on 04/22/2021. At the time of admission the child was diagnosed with Autism Spectrum Disorder. The permit type does not offer services to handle the child's level of care. The service plan does not indicate services for emotional disorder.
4 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
During the course of this investigation, it was determined that a staff use profanity towards a child in care.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
During the course of this investigation, it was determined a caregiver used pepper spray against a child as a response to the child's behavior.
5 748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
There are holes in the walls of two rooms. One hole in the wall next to the entry way door. The second hole was on the bathroom door in a seperate bedroom. Blinds have been damaged as well.
1 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
Of the six child files reviewed, three were not signed by the child.
5 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work.
A caregiver shoulder checked a child in care.
5 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
During sleeping hours, a staff member was observed lying on the couch. A child in care crawled past the staff member and went into another child's room.
4 748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair
Multiple windows in the facility had damaged and broken blinds.
5 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment
During the course of this investigation, it was determined a caregiver used pepper spray against a child as a response to the child's behavior.
3 748.1101(b)(6)(A) - Child rights-medical,dental,vision,MH,develp services that meet child need. Right to request services separate from adults who receive services
A child's service plan recommended that the child participate in grief therapy and this service is not being provided to the child. Another child's CANS assessment recommended the child see a Developmental Disability Specialist and this was not done.
3 748.1203(a) - Admission-Operation may only admit children and young adults who meet admission policy and whose needs can be met at the operation
A child was admitted in the program on 04/22/2021. At the time of admission the child was diagnosed with Autism Spectrum Disorder. The permit type does not offer services to handle the child's level of care. The service plan does not indicate services for emotional disorder.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Of the six child files reviewed, three contained service plans that had the wrong effective and start dates documented.
4 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child
Staff did not report an incident to the hotline within appropriate time frame.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
A staff member transported children in care to the bus stop and this was against the staff member's conditions.
3 748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions
During the course of the investigation, it was determined that the operation did not a resolution documented on the serious incident report.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
Staff member did not demonstrate good judgement and control when they escalated a child's behaviors then responded by using a weapon that put other staff and children in care at risk.
3 748.1101(b)(3)(E) - Children's rights-privacy to send/receive unopened mail,have phone conversations,keep journal,have visitors unless the child's best interest
All the bedroom doors were removed except for 1 room.
4 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
Numerous medication logs did not have the year documented on the forms.
3 748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
During the course of the investigation, it was determined that the documentation in the serious incident report did not match the statements.
2 748.1331(b)(3) - Preliminary Service Plan-For child receiving treatment services, include description of how operation will meet child's needs
A child's 72-hour plan does not document information regarding the type of treatment services the child was admitted for, nor does it describe the goal of placement.
5 748.3301(a) - Physical Site-Buildings must be structurally sound, clean, and in good repair. Paints must be lead-free
There are holes in the walls of two rooms. One hole in the wall next to the entry way door. The second hole was on the bathroom door in a seperate bedroom. Blinds have been damaged as well.
3 748.751(a)(1) - Pre-Employment Screening- You must obtain in writing an applicant's employment history before hiring.
Two staff files did not include the pre-employment screening.
Yes
5 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back
A child was inappropriately restrained.
5 748.3(a) - The permit holder must ensure compliance with applicable minimum standards rules
A staff members background conditions were not followed.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
CBCU notified the La Maison on 6-02-2021 that a caregiver may be present at the operation on a provisional basis. On 7-26-2021 it was learned that the caregiver was present at the operation and had unsupervised contact with children in care and transported children.
Yes
4 748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language
During the course of this investigation, it was determined that a staff use profanity towards a child in care.

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

Inspections (176)

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

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