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TexasGeorgetown › 4Points Family Services (DBA 4PointsKids)

4Points Family Services (DBA 4PointsKids)

Child care center · 6019 TONKOWA TRL, Georgetown, TX 78628-1225 · License 1712909- 14291

0Compliance score
Poor

-

Violation history (88)

SeverityDateStandard / narrativeCorrected
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unlocked in different areas of the home.
4 749.577(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
The allergy and chronic condition information was not clearly visible in multiple child records. This was corrected at the inspection when the Administrator changed the information documented on all child records in the online portal during the discussion of the child records.
Yes
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for two children was completed late.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
During this investigation, it was found that the agency did not complete initial service plans or reviews for two children in care within the required timeframe according to minimum standards from 2021 to 2022 until this was corrected by the agency on 6/14/22. It was also reported that the agency had not completed service plans for their other homes prior to May 2022.
3 749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
While conducting the inspection the agency sent the Service Plans to the families.
Yes
2 749.553(1) - Personnel records-Include date of employment
In the staff files reviewed, there was no job description documented, one licensing affidavit was not notarized,one did not have a current job description, copy of TB screening, documentation showing minimum age requirements, or hire date documented.
3 749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
During the walk through the bedroom for the children in care appeared too small. Review of the floor plan showed 3 children were sleeping in a room that was 89.18 square ft.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Four of the four home studies reviewed did not have the method the references were obtained and one did not have the date of the interviews.
5 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Three current board members have not been added as a controlling person for the operation.
4 749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
In reviewing the medical documentation it was determined follow-up visits were not conducted according to the doctor's recommendations.
5 749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
Blankets were observed as being used over the mattress of the bassinet for padding.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
During this investigation, it was found that the agency did not complete initial service plans or reviews for two children in care within the required timeframe according to minimum standards from 2021 to 2022 until this was corrected by the agency on 6/14/22. It was also reported that the agency had not completed service plans for their other homes prior to May 2022.
5 749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
Blankets were observed as being used over the mattress of the bassinet for padding.
3 749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
While conducting the inspection the agency sent the Service Plans to the families.
Yes
3 749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
During the walk through the bedroom for the children in care appeared too small. Review of the floor plan showed 3 children were sleeping in a room that was 89.18 square ft.
2 749.553(1) - Personnel records-Include date of employment
In the staff files reviewed, there was no job description documented, one licensing affidavit was not notarized,one did not have a current job description, copy of TB screening, documentation showing minimum age requirements, or hire date documented.
5 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Three current board members have not been added as a controlling person for the operation.
4 749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
In reviewing the medical documentation it was determined follow-up visits were not conducted according to the doctor's recommendations.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for two children was completed late.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unlocked in different areas of the home.
4 749.577(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
The allergy and chronic condition information was not clearly visible in multiple child records. This was corrected at the inspection when the Administrator changed the information documented on all child records in the online portal during the discussion of the child records.
Yes
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Four of the four home studies reviewed did not have the method the references were obtained and one did not have the date of the interviews.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Four of the four home studies reviewed did not have the method the references were obtained and one did not have the date of the interviews.
5 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Three current board members have not been added as a controlling person for the operation.
3 749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
While conducting the inspection the agency sent the Service Plans to the families.
Yes
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for two children was completed late.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
During this investigation, it was found that the agency did not complete initial service plans or reviews for two children in care within the required timeframe according to minimum standards from 2021 to 2022 until this was corrected by the agency on 6/14/22. It was also reported that the agency had not completed service plans for their other homes prior to May 2022.
4 749.577(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
The allergy and chronic condition information was not clearly visible in multiple child records. This was corrected at the inspection when the Administrator changed the information documented on all child records in the online portal during the discussion of the child records.
Yes
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unlocked in different areas of the home.
5 749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
Blankets were observed as being used over the mattress of the bassinet for padding.
3 749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
During the walk through the bedroom for the children in care appeared too small. Review of the floor plan showed 3 children were sleeping in a room that was 89.18 square ft.
4 749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
In reviewing the medical documentation it was determined follow-up visits were not conducted according to the doctor's recommendations.
2 749.553(1) - Personnel records-Include date of employment
In the staff files reviewed, there was no job description documented, one licensing affidavit was not notarized,one did not have a current job description, copy of TB screening, documentation showing minimum age requirements, or hire date documented.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
During this investigation, it was found that the agency did not complete initial service plans or reviews for two children in care within the required timeframe according to minimum standards from 2021 to 2022 until this was corrected by the agency on 6/14/22. It was also reported that the agency had not completed service plans for their other homes prior to May 2022.
3 749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
While conducting the inspection the agency sent the Service Plans to the families.
Yes
3 749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
During the walk through the bedroom for the children in care appeared too small. Review of the floor plan showed 3 children were sleeping in a room that was 89.18 square ft.
4 749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
In reviewing the medical documentation it was determined follow-up visits were not conducted according to the doctor's recommendations.
5 749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
Blankets were observed as being used over the mattress of the bassinet for padding.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unlocked in different areas of the home.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Four of the four home studies reviewed did not have the method the references were obtained and one did not have the date of the interviews.
2 749.553(1) - Personnel records-Include date of employment
In the staff files reviewed, there was no job description documented, one licensing affidavit was not notarized,one did not have a current job description, copy of TB screening, documentation showing minimum age requirements, or hire date documented.
4 749.577(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
The allergy and chronic condition information was not clearly visible in multiple child records. This was corrected at the inspection when the Administrator changed the information documented on all child records in the online portal during the discussion of the child records.
Yes
5 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Three current board members have not been added as a controlling person for the operation.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for two children was completed late.
4 749.577(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
The allergy and chronic condition information was not clearly visible in multiple child records. This was corrected at the inspection when the Administrator changed the information documented on all child records in the online portal during the discussion of the child records.
Yes
3 749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
While conducting the inspection the agency sent the Service Plans to the families.
Yes
4 749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
In reviewing the medical documentation it was determined follow-up visits were not conducted according to the doctor's recommendations.
3 749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
During the walk through the bedroom for the children in care appeared too small. Review of the floor plan showed 3 children were sleeping in a room that was 89.18 square ft.
5 749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
Blankets were observed as being used over the mattress of the bassinet for padding.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Four of the four home studies reviewed did not have the method the references were obtained and one did not have the date of the interviews.
5 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Three current board members have not been added as a controlling person for the operation.
2 749.553(1) - Personnel records-Include date of employment
In the staff files reviewed, there was no job description documented, one licensing affidavit was not notarized,one did not have a current job description, copy of TB screening, documentation showing minimum age requirements, or hire date documented.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for two children was completed late.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
During this investigation, it was found that the agency did not complete initial service plans or reviews for two children in care within the required timeframe according to minimum standards from 2021 to 2022 until this was corrected by the agency on 6/14/22. It was also reported that the agency had not completed service plans for their other homes prior to May 2022.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unlocked in different areas of the home.
5 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Three current board members have not been added as a controlling person for the operation.
2 749.553(1) - Personnel records-Include date of employment
In the staff files reviewed, there was no job description documented, one licensing affidavit was not notarized,one did not have a current job description, copy of TB screening, documentation showing minimum age requirements, or hire date documented.
5 749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
Blankets were observed as being used over the mattress of the bassinet for padding.
3 749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
While conducting the inspection the agency sent the Service Plans to the families.
Yes
3 749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
During the walk through the bedroom for the children in care appeared too small. Review of the floor plan showed 3 children were sleeping in a room that was 89.18 square ft.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for two children was completed late.
4 749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
In reviewing the medical documentation it was determined follow-up visits were not conducted according to the doctor's recommendations.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
During this investigation, it was found that the agency did not complete initial service plans or reviews for two children in care within the required timeframe according to minimum standards from 2021 to 2022 until this was corrected by the agency on 6/14/22. It was also reported that the agency had not completed service plans for their other homes prior to May 2022.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Four of the four home studies reviewed did not have the method the references were obtained and one did not have the date of the interviews.
4 749.577(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
The allergy and chronic condition information was not clearly visible in multiple child records. This was corrected at the inspection when the Administrator changed the information documented on all child records in the online portal during the discussion of the child records.
Yes
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unlocked in different areas of the home.
5 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Three current board members have not been added as a controlling person for the operation.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for two children was completed late.
2 749.553(1) - Personnel records-Include date of employment
In the staff files reviewed, there was no job description documented, one licensing affidavit was not notarized,one did not have a current job description, copy of TB screening, documentation showing minimum age requirements, or hire date documented.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Four of the four home studies reviewed did not have the method the references were obtained and one did not have the date of the interviews.
4 749.577(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
The allergy and chronic condition information was not clearly visible in multiple child records. This was corrected at the inspection when the Administrator changed the information documented on all child records in the online portal during the discussion of the child records.
Yes
3 749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
While conducting the inspection the agency sent the Service Plans to the families.
Yes
3 749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
During the walk through the bedroom for the children in care appeared too small. Review of the floor plan showed 3 children were sleeping in a room that was 89.18 square ft.
4 749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
In reviewing the medical documentation it was determined follow-up visits were not conducted according to the doctor's recommendations.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unlocked in different areas of the home.
5 749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
Blankets were observed as being used over the mattress of the bassinet for padding.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
During this investigation, it was found that the agency did not complete initial service plans or reviews for two children in care within the required timeframe according to minimum standards from 2021 to 2022 until this was corrected by the agency on 6/14/22. It was also reported that the agency had not completed service plans for their other homes prior to May 2022.
5 749.1521(1) - Medication Storage-Store medication in a locked container
Medications were found unlocked in different areas of the home.
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
During this investigation, it was found that the agency did not complete initial service plans or reviews for two children in care within the required timeframe according to minimum standards from 2021 to 2022 until this was corrected by the agency on 6/14/22. It was also reported that the agency had not completed service plans for their other homes prior to May 2022.
2 749.2451(b) - Documentation of Interviews-For each interview, must include date and method of contact, date of interview, who was present and summary
Four of the four home studies reviewed did not have the method the references were obtained and one did not have the date of the interviews.
5 745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
Three current board members have not been added as a controlling person for the operation.
5 749.1813(b) - AP Prohibited for infants-Crib must be bare except for tight fitting sheet & crib mattress cover per 749.1813(c) for infant less than 12 months
Blankets were observed as being used over the mattress of the bassinet for padding.
4 749.1401(d) - General medical requirements-Obtain follow-up medical treatment as recommended by the health-care professional
In reviewing the medical documentation it was determined follow-up visits were not conducted according to the doctor's recommendations.
3 749.1321(a)(3) - Sharing Initial Service Plan-Agency must give copy or summary of the initial service plan to the child's caregivers
While conducting the inspection the agency sent the Service Plans to the families.
Yes
3 749.1307 - Service Planning-Complete the initial service plan within 45 days after child is admitted
The initial service plan for two children was completed late.
4 749.577(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location
The allergy and chronic condition information was not clearly visible in multiple child records. This was corrected at the inspection when the Administrator changed the information documented on all child records in the online portal during the discussion of the child records.
Yes
2 749.553(1) - Personnel records-Include date of employment
In the staff files reviewed, there was no job description documented, one licensing affidavit was not notarized,one did not have a current job description, copy of TB screening, documentation showing minimum age requirements, or hire date documented.
3 749.3021(a) - Space-bedroom must have at least 40 square feet of space per occupant; only four occupants per bedroom
During the walk through the bedroom for the children in care appeared too small. Review of the floor plan showed 3 children were sleeping in a room that was 89.18 square ft.

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

Inspections (64)

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

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