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Texas › TRELS Home for Children

TRELS Home for Children

Child care center · , TX · License 1705965

0Compliance score
Poor

Capacity 11. 0-17

Violation history (168)

SeverityDateStandard / narrativeCorrected
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Medication administration record for a child in care was out of a prescription medication, for a chronic health condition, for several days before it was reordered.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
During the course of this investigation, it was found that this standard was deficient due to a caregiver allowing children to vape and smoke and even offering it to them.
5 748.2001(a) - Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
A child in care was given medication without consent of the parent/guardian/medical consenter, and communication regarding the operation to youth was minimal.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care missed a dose of medication due to it running out and the medication not being available on time in order to prevent the child from missing a dose.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the inspection of the medication it was found that two of the children's medications that were inspected pill counts were not accurate. There were 6 medication records total that were inspected and all of the counts were not accurate.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the course of the investigation this standard was found to be deficient due to the operation receiving an RTB PHAB, NSUP and SXAB.
5 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation has failed to designate a full-time administrator for this operation via the provider portal.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
From July 8th-11th, one child's medication log showed she was receiving 15mg of Aripiprazole once a day, when the prescription stated she should receive 15mg twice a day.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of this investigation this standard was found to be deficient due to a caregiver taking the children inappropriate areas during outings and also asking children to buy her things.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A staff member was sleeping during their work shift.
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 whose background check conditions state she cannot administer medication, does so at the operation.
3 748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
The refrigerator temperature read 46 degrees and the deep freezer temperature read 17 degrees.
Yes
2 748.1217(c)(7) - Admission Assessment-Prior to initial service plan, add child's history of other placements (admission and discharge dates, reasons for placement)
4 of 4 admission's assessment's did not include the child's history of other placements.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
2 of 4 placement agreements were not completely filled out.
4 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
During the course of the investigation this standard was found to be deficient due to the operation being notified by a child in care that they there were possible behaviors of abuse or neglect by a staff and the incident not being reported timely.
1 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
During the review of one childs file, it was noticed that the 2 weeks child plan of service notice was sent to DFPS staff on 8-27-25 and the meeting date is suppose to be 8-29-25 (2 days before the child plan of service meeting).
4 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
4 of 4 service plans did not include specific information regarding supervision requirements for each resident. Frequency of checks, when not in staff's sight, not included in service plan.
4 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
During the course of this investigation this standard was found to be deficient due to multiple children in care reporting that a caregiver touched a child in care inappropriately.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
One child's medication log did not include an accurate count of the child's medication-(Guanfacine). The record indicated 50 pills remained in the child's blister pack, however, there were actually 51 pills remaining.
4 748.1661(c) - Tobacco Products-Adult may only smoke tobacco products, e-cigarettes, or vaporizers on premises at a safe distance from child living area
During the course of this investigation this standard was found to be deficient due to multiple children reporting that a caregiver smoked and vaped in their presence at the operation, during outings and inside the operation.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Four medication logs were observed with documentation inaccuracies. In addition, the Organizational Chart had not been updated.
4 748.1661(c) - Tobacco Products-Adult may only smoke tobacco products, e-cigarettes, or vaporizers on premises at a safe distance from child living area
During the course of this investigation this standard was found to be deficient due to multiple children reporting that a caregiver smoked and vaped in their presence at the operation, during outings and inside the operation.
4 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
During the course of this investigation this standard was found to be deficient due to multiple children in care reporting that a caregiver touched a child in care inappropriately.
4 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
4 of 4 service plans did not include specific information regarding supervision requirements for each resident. Frequency of checks, when not in staff's sight, not included in service plan.
1 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
During the review of one childs file, it was noticed that the 2 weeks child plan of service notice was sent to DFPS staff on 8-27-25 and the meeting date is suppose to be 8-29-25 (2 days before the child plan of service meeting).
5 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation has failed to designate a full-time administrator for this operation via the provider portal.
5 748.2001(a) - Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
A child in care was given medication without consent of the parent/guardian/medical consenter, and communication regarding the operation to youth was minimal.
4 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
During the course of the investigation this standard was found to be deficient due to the operation being notified by a child in care that they there were possible behaviors of abuse or neglect by a staff and the incident not being reported timely.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of this investigation this standard was found to be deficient due to a caregiver taking the children inappropriate areas during outings and also asking children to buy her things.
3 748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
The refrigerator temperature read 46 degrees and the deep freezer temperature read 17 degrees.
Yes
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 whose background check conditions state she cannot administer medication, does so at the operation.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
During the course of this investigation, it was found that this standard was deficient due to a caregiver allowing children to vape and smoke and even offering it to them.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A staff member was sleeping during their work shift.
2 748.1217(c)(7) - Admission Assessment-Prior to initial service plan, add child's history of other placements (admission and discharge dates, reasons for placement)
4 of 4 admission's assessment's did not include the child's history of other placements.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the inspection of the medication it was found that two of the children's medications that were inspected pill counts were not accurate. There were 6 medication records total that were inspected and all of the counts were not accurate.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Four medication logs were observed with documentation inaccuracies. In addition, the Organizational Chart had not been updated.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the course of the investigation this standard was found to be deficient due to the operation receiving an RTB PHAB, NSUP and SXAB.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
2 of 4 placement agreements were not completely filled out.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care missed a dose of medication due to it running out and the medication not being available on time in order to prevent the child from missing a dose.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Medication administration record for a child in care was out of a prescription medication, for a chronic health condition, for several days before it was reordered.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
One child's medication log did not include an accurate count of the child's medication-(Guanfacine). The record indicated 50 pills remained in the child's blister pack, however, there were actually 51 pills remaining.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
From July 8th-11th, one child's medication log showed she was receiving 15mg of Aripiprazole once a day, when the prescription stated she should receive 15mg twice a day.
5 748.2001(a) - Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
A child in care was given medication without consent of the parent/guardian/medical consenter, and communication regarding the operation to youth was minimal.
4 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
4 of 4 service plans did not include specific information regarding supervision requirements for each resident. Frequency of checks, when not in staff's sight, not included in service plan.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
During the course of this investigation, it was found that this standard was deficient due to a caregiver allowing children to vape and smoke and even offering it to them.
2 748.1217(c)(7) - Admission Assessment-Prior to initial service plan, add child's history of other placements (admission and discharge dates, reasons for placement)
4 of 4 admission's assessment's did not include the child's history of other placements.
4 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
During the course of the investigation this standard was found to be deficient due to the operation being notified by a child in care that they there were possible behaviors of abuse or neglect by a staff and the incident not being reported timely.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
One child's medication log did not include an accurate count of the child's medication-(Guanfacine). The record indicated 50 pills remained in the child's blister pack, however, there were actually 51 pills remaining.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
2 of 4 placement agreements were not completely filled out.
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 whose background check conditions state she cannot administer medication, does so at the operation.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Four medication logs were observed with documentation inaccuracies. In addition, the Organizational Chart had not been updated.
4 748.1661(c) - Tobacco Products-Adult may only smoke tobacco products, e-cigarettes, or vaporizers on premises at a safe distance from child living area
During the course of this investigation this standard was found to be deficient due to multiple children reporting that a caregiver smoked and vaped in their presence at the operation, during outings and inside the operation.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the inspection of the medication it was found that two of the children's medications that were inspected pill counts were not accurate. There were 6 medication records total that were inspected and all of the counts were not accurate.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the course of the investigation this standard was found to be deficient due to the operation receiving an RTB PHAB, NSUP and SXAB.
4 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
During the course of this investigation this standard was found to be deficient due to multiple children in care reporting that a caregiver touched a child in care inappropriately.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
From July 8th-11th, one child's medication log showed she was receiving 15mg of Aripiprazole once a day, when the prescription stated she should receive 15mg twice a day.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of this investigation this standard was found to be deficient due to a caregiver taking the children inappropriate areas during outings and also asking children to buy her things.
5 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation has failed to designate a full-time administrator for this operation via the provider portal.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A staff member was sleeping during their work shift.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Medication administration record for a child in care was out of a prescription medication, for a chronic health condition, for several days before it was reordered.
3 748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
The refrigerator temperature read 46 degrees and the deep freezer temperature read 17 degrees.
Yes
1 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
During the review of one childs file, it was noticed that the 2 weeks child plan of service notice was sent to DFPS staff on 8-27-25 and the meeting date is suppose to be 8-29-25 (2 days before the child plan of service meeting).
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care missed a dose of medication due to it running out and the medication not being available on time in order to prevent the child from missing a dose.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of this investigation this standard was found to be deficient due to a caregiver taking the children inappropriate areas during outings and also asking children to buy her things.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the inspection of the medication it was found that two of the children's medications that were inspected pill counts were not accurate. There were 6 medication records total that were inspected and all of the counts were not accurate.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the course of the investigation this standard was found to be deficient due to the operation receiving an RTB PHAB, NSUP and SXAB.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
One child's medication log did not include an accurate count of the child's medication-(Guanfacine). The record indicated 50 pills remained in the child's blister pack, however, there were actually 51 pills remaining.
4 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
During the course of this investigation this standard was found to be deficient due to multiple children in care reporting that a caregiver touched a child in care inappropriately.
5 748.2001(a) - Administration of Medication-Must obtain a general written consent to administer routine, preventive, & emergency medications
A child in care was given medication without consent of the parent/guardian/medical consenter, and communication regarding the operation to youth was minimal.
4 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
4 of 4 service plans did not include specific information regarding supervision requirements for each resident. Frequency of checks, when not in staff's sight, not included in service plan.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care missed a dose of medication due to it running out and the medication not being available on time in order to prevent the child from missing a dose.
4 748.1661(c) - Tobacco Products-Adult may only smoke tobacco products, e-cigarettes, or vaporizers on premises at a safe distance from child living area
During the course of this investigation this standard was found to be deficient due to multiple children reporting that a caregiver smoked and vaped in their presence at the operation, during outings and inside the operation.
1 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
During the review of one childs file, it was noticed that the 2 weeks child plan of service notice was sent to DFPS staff on 8-27-25 and the meeting date is suppose to be 8-29-25 (2 days before the child plan of service meeting).
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 whose background check conditions state she cannot administer medication, does so at the operation.
2 748.1217(c)(7) - Admission Assessment-Prior to initial service plan, add child's history of other placements (admission and discharge dates, reasons for placement)
4 of 4 admission's assessment's did not include the child's history of other placements.
3 748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
The refrigerator temperature read 46 degrees and the deep freezer temperature read 17 degrees.
Yes
5 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation has failed to designate a full-time administrator for this operation via the provider portal.
4 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
During the course of the investigation this standard was found to be deficient due to the operation being notified by a child in care that they there were possible behaviors of abuse or neglect by a staff and the incident not being reported timely.
4 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
From July 8th-11th, one child's medication log showed she was receiving 15mg of Aripiprazole once a day, when the prescription stated she should receive 15mg twice a day.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A staff member was sleeping during their work shift.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
Four medication logs were observed with documentation inaccuracies. In addition, the Organizational Chart had not been updated.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
During the course of this investigation, it was found that this standard was deficient due to a caregiver allowing children to vape and smoke and even offering it to them.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
2 of 4 placement agreements were not completely filled out.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Medication administration record for a child in care was out of a prescription medication, for a chronic health condition, for several days before it was reordered.
5 748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator
The operation has failed to designate a full-time administrator for this operation via the provider portal.
4 748.1101(b)(4)(A)(vii) - Children's rights- Free from demeaning behavior to embarrass/control/harm/intimidate/isolate the child
During the course of this investigation this standard was found to be deficient due to multiple children in care reporting that a caregiver touched a child in care inappropriately.
4 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child
During the course of the investigation this standard was found to be deficient due to the operation being notified by a child in care that they there were possible behaviors of abuse or neglect by a staff and the incident not being reported timely.
1 748.1341(a) - Initial Service Plan-Must give the child's parent(s) at least two weeks advance notice of the meeting
During the review of one childs file, it was noticed that the 2 weeks child plan of service notice was sent to DFPS staff on 8-27-25 and the meeting date is suppose to be 8-29-25 (2 days before the child plan of service meeting).
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 whose background check conditions state she cannot administer medication, does so at the operation.
4 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
4 of 4 service plans did not include specific information regarding supervision requirements for each resident. Frequency of checks, when not in staff's sight, not included in service plan.
5 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
During the course of the investigation this standard was found to be deficient due to the operation receiving an RTB PHAB, NSUP and SXAB.
4 748.1661(c) - Tobacco Products-Adult may only smoke tobacco products, e-cigarettes, or vaporizers on premises at a safe distance from child living area
During the course of this investigation this standard was found to be deficient due to multiple children reporting that a caregiver smoked and vaped in their presence at the operation, during outings and inside the operation.
3 748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below
The refrigerator temperature read 46 degrees and the deep freezer temperature read 17 degrees.
Yes
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
A staff member was sleeping during their work shift.
4 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks
During the course of this investigation this standard was found to be deficient due to a caregiver taking the children inappropriate areas during outings and also asking children to buy her things.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
During the inspection of the medication it was found that two of the children's medications that were inspected pill counts were not accurate. There were 6 medication records total that were inspected and all of the counts were not accurate.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
A child in care missed a dose of medication due to it running out and the medication not being available on time in order to prevent the child from missing a dose.
4 748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed
Medication administration record for a child in care was out of a prescription medication, for a chronic health condition, for several days before it was reordered.
2 748.1217(c)(7) - Admission Assessment-Prior to initial service plan, add child's history of other placements (admission and discharge dates, reasons for placement)
4 of 4 admission's assessment's did not include the child's history of other placements.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
2 of 4 placement agreements were not completely filled out.

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

Inspections (88)

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

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