Texas › Dallas › 2nd Chance Treatment Center

2nd Chance Treatment Center

Child care center · 1919 ELM SHADOWS DR, Dallas, TX 75232-3709 · License 1714475

0Compliance score
Poor

Capacity 10. 13-17

Violation history (240)

Severity	Date	Standard / narrative	Corrected
3	—	748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair. During inspection, one of the walls in the bedroom had a huge hole in it.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A child in care, who was identified as in "active substance use" was released to school, where the child then absconded.	—
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 in care, had not received a psychological evaluation or a DSM diagnosis when admitted into the Treatment Center.	Yes
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children were able to run away on multiple occasions due to caregivers no providing adequate supervision.	—
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 in care was admitted to a RTC but does not qualify for treatment services per the admissions assessment and the service plan.	—
3	—	748.453(a)(6) - Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable There is no documentation of the law enforcement agency name contacted or report number in the annual summary log.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards Two holes were seen on the door in Room 1. There was one hole seen in the hallway between bedrooms 1 and 2. There was one hole seen in room 2 on the bathroom door.	—
4	—	748.459(a) - Unauthorized Absence-Triggered review of child?s unauthorized absences must include, child, designated staff, and child?s case manager Child was not present during their trigger review.	—
4	—	748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location 4 out of 5 kid file did not have their allergies listed.	Yes
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS Investigation.	—
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 A trigged review of unauthorized absences was not conducted within 30 days of a child in care's third unauthorized absence.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. During the inspection 2 bathroom sink cabinets in room 1 were removed. 2 holes were seen in bathroom door. One ceiling fan was not attaced to thee ceiling wall.	—
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. The unauthorized absence of a 15-year-old child in care was not reported to licensing timely.	—
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 failed to supervise the children in care due to staff member going to sleep during his shift which allowed children to engage in inappropriate behavior.	—
2	—	748.1217(b)(8) - Admission Assessment-At admission, must include child's current educational level & any school problems The child's grade level is not documented on the admissions assessment.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. In room one there was a hole in the wall.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain Children in care who, after multiple absences from the facility, presented with concerning weight loss and signs of illicit drug use were not offered medical evaluations upon return.	—
3	—	748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission The operation did not complete an annual unauthorized absence log when a youth ran at least twice from the operation.	—
3	—	748.463(a) - Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period Operation did not conducted an overall evaluation for unauthorized absences biannually as required.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair One fan at the operation is supended from exposed wiring.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Children in care brought marijuana into the facility and used it in the bathroom on multiple occasions.	—
1	—	748.1217(b)(1) - Admission Assessment-At admission, must include child's legal status The admissions assessment did not clearly state the child's current legal status.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions Expired food items was observed in refridgeratror in dinning room.	Yes
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The operation has not had a fire inspection conducted at this time.	—
3	—	748.3395(a) - Hand-washing-Hand-washing sinks must be maintained in good repair and kept clean A hand-washing sink was seen in bathroom one clog.	—
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 A child in care signature was not seen on his rights form.	—
4	—	748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint Two of Two child files reviewed did not contain a response for the child regarding EBI techniques.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. The allegation is related to DFPS abuse/neglect investigation. During the course of the investigation, it was determined that a staff member left the hallway for 30 minutes. In reviewing each child's service plan bed/room checks is occur every 15 minutes.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. 6/6 staff files did not have any their annual EBI Training.	—
3	—	748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention It was determined that a basket hold was initiated and there was no supporting documentation completed or provided.	—
3	—	748.3395(a) - Hand-washing-Hand-washing sinks must be maintained in good repair and kept clean A hand-washing sink was seen in bathroom one clog.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. 6/6 staff files did not have any their annual EBI Training.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. In room one there was a hole in the wall.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. During the inspection 2 bathroom sink cabinets in room 1 were removed. 2 holes were seen in bathroom door. One ceiling fan was not attaced to thee ceiling wall.	—
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. The unauthorized absence of a 15-year-old child in care was not reported to licensing timely.	—
2	—	748.1217(b)(8) - Admission Assessment-At admission, must include child's current educational level & any school problems The child's grade level is not documented on the admissions assessment.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS Investigation.	—
4	—	748.459(a) - Unauthorized Absence-Triggered review of child?s unauthorized absences must include, child, designated staff, and child?s case manager Child was not present during their trigger review.	—
3	—	748.453(a)(6) - Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable There is no documentation of the law enforcement agency name contacted or report number in the annual summary log.	—
3	—	748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission The operation did not complete an annual unauthorized absence log when a youth ran at least twice from the operation.	—
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 in care, had not received a psychological evaluation or a DSM diagnosis when admitted into the Treatment Center.	Yes
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 A child in care signature was not seen on his rights form.	—
3	—	748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention It was determined that a basket hold was initiated and there was no supporting documentation completed or provided.	—
4	—	748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location 4 out of 5 kid file did not have their allergies listed.	Yes
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 A trigged review of unauthorized absences was not conducted within 30 days of a child in care's third unauthorized absence.	—
3	—	748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair. During inspection, one of the walls in the bedroom had a huge hole in it.	—
4	—	748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint Two of Two child files reviewed did not contain a response for the child regarding EBI techniques.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards Two holes were seen on the door in Room 1. There was one hole seen in the hallway between bedrooms 1 and 2. There was one hole seen in room 2 on the bathroom door.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A child in care, who was identified as in "active substance use" was released to school, where the child then absconded.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. The allegation is related to DFPS abuse/neglect investigation. During the course of the investigation, it was determined that a staff member left the hallway for 30 minutes. In reviewing each child's service plan bed/room checks is occur every 15 minutes.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair One fan at the operation is supended from exposed wiring.	—
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 failed to supervise the children in care due to staff member going to sleep during his shift which allowed children to engage in inappropriate behavior.	—
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 in care was admitted to a RTC but does not qualify for treatment services per the admissions assessment and the service plan.	—
1	—	748.1217(b)(1) - Admission Assessment-At admission, must include child's legal status The admissions assessment did not clearly state the child's current legal status.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions Expired food items was observed in refridgeratror in dinning room.	Yes
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children were able to run away on multiple occasions due to caregivers no providing adequate supervision.	—
3	—	748.463(a) - Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period Operation did not conducted an overall evaluation for unauthorized absences biannually as required.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain Children in care who, after multiple absences from the facility, presented with concerning weight loss and signs of illicit drug use were not offered medical evaluations upon return.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Children in care brought marijuana into the facility and used it in the bathroom on multiple occasions.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The operation has not had a fire inspection conducted at this time.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. 6/6 staff files did not have any their annual EBI Training.	—
3	—	748.3303(a)(2) - Physical Site- Buildings must be clean and in good repair. During inspection, one of the walls in the bedroom had a huge hole in it.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A child in care, who was identified as in "active substance use" was released to school, where the child then absconded.	—
4	—	748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair One fan at the operation is supended from exposed wiring.	—
4	—	748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or "no known allergies" on exterior of record or in a clearly visible location 4 out of 5 kid file did not have their allergies listed.	Yes
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. The unauthorized absence of a 15-year-old child in care was not reported to licensing timely.	—
4	—	748.459(a) - Unauthorized Absence-Triggered review of child?s unauthorized absences must include, child, designated staff, and child?s case manager Child was not present during their trigger review.	—
4	—	748.3441(a) - Food Preparation-Food & drinks must be of safe quality, stored, prepared, distributed, & served under sanitary & safe conditions Expired food items was observed in refridgeratror in dinning room.	Yes
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Children in care brought marijuana into the facility and used it in the bathroom on multiple occasions.	—
3	—	748.463(a) - Unauthorized Absence Evaluation?Must conduct an eval every 6 mths for unauthorized absences that have occurred during that time period Operation did not conducted an overall evaluation for unauthorized absences biannually as required.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain Children in care who, after multiple absences from the facility, presented with concerning weight loss and signs of illicit drug use were not offered medical evaluations upon return.	—
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 A child in care signature was not seen on his rights form.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards Two holes were seen on the door in Room 1. There was one hole seen in the hallway between bedrooms 1 and 2. There was one hole seen in room 2 on the bathroom door.	—
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 in care was admitted to a RTC but does not qualify for treatment services per the admissions assessment and the service plan.	—
3	—	748.3395(a) - Hand-washing-Hand-washing sinks must be maintained in good repair and kept clean A hand-washing sink was seen in bathroom one clog.	—
2	—	748.1217(b)(8) - Admission Assessment-At admission, must include child's current educational level & any school problems The child's grade level is not documented on the admissions assessment.	—
3	—	748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission The operation did not complete an annual unauthorized absence log when a youth ran at least twice from the operation.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. During the inspection 2 bathroom sink cabinets in room 1 were removed. 2 holes were seen in bathroom door. One ceiling fan was not attaced to thee ceiling wall.	—
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 A trigged review of unauthorized absences was not conducted within 30 days of a child in care's third unauthorized absence.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The operation has not had a fire inspection conducted at this time.	—
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 in care, had not received a psychological evaluation or a DSM diagnosis when admitted into the Treatment Center.	Yes
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS Investigation.	—
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 failed to supervise the children in care due to staff member going to sleep during his shift which allowed children to engage in inappropriate behavior.	—
1	—	748.1217(b)(1) - Admission Assessment-At admission, must include child's legal status The admissions assessment did not clearly state the child's current legal status.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Children were able to run away on multiple occasions due to caregivers no providing adequate supervision.	—
3	—	748.2855(a) - EBI Documentation-Caregiver must document EBI in child's record as soon as possible, but no later than 24 hours after initiation of the intervention It was determined that a basket hold was initiated and there was no supporting documentation completed or provided.	—
4	—	748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint Two of Two child files reviewed did not contain a response for the child regarding EBI techniques.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. In room one there was a hole in the wall.	—
3	—	748.453(a)(6) - Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable There is no documentation of the law enforcement agency name contacted or report number in the annual summary log.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. The allegation is related to DFPS abuse/neglect investigation. During the course of the investigation, it was determined that a staff member left the hallway for 30 minutes. In reviewing each child's service plan bed/room checks is occur every 15 minutes.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards Two holes were seen on the door in Room 1. There was one hole seen in the hallway between bedrooms 1 and 2. There was one hole seen in room 2 on the bathroom door.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being A child in care, who was identified as in "active substance use" was released to school, where the child then absconded.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. 6/6 staff files did not have any their annual EBI Training.	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. The allegation is related to DFPS abuse/neglect investigation. During the course of the investigation, it was determined that a staff member left the hallway for 30 minutes. In reviewing each child's service plan bed/room checks is occur every 15 minutes.	—
1	—	748.1217(b)(1) - Admission Assessment-At admission, must include child's legal status The admissions assessment did not clearly state the child's current legal status.	—
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 failed to supervise the children in care due to staff member going to sleep during his shift which allowed children to engage in inappropriate behavior.	—
3	—	748.453(a)(1) - Unauthorized Absence - Annual summary log must include name, age, gender, date of admission The operation did not complete an annual unauthorized absence log when a youth ran at least twice from the operation.	—
4	—	748.1209(b)(6) - Child Orientation-Include policies on emergency behavior intervention, including policies & practices on the use of personal restraint Two of Two child files reviewed did not contain a response for the child regarding EBI techniques.	—
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 in care, had not received a psychological evaluation or a DSM diagnosis when admitted into the Treatment Center.	Yes
3	—	748.453(a)(6) - Unauthorized Absence?Annual summary log must include if LE was contacted, include name of LE agency & number of police report, if applicable There is no documentation of the law enforcement agency name contacted or report number in the annual summary log.	—

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

Inspections (136)

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

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