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TexasFort Worth › Haven of Rest Care Home

Haven of Rest Care Home

Child care center · 1533 CREEKSTONE CT, Fort Worth, TX 76112-4639 · License 1714518

0Compliance score
Poor

Capacity 10. 5-17

Violation history (248)

SeverityDateStandard / narrativeCorrected
4 748.4703(b) - Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours
Staff were witnessed sleeping when they were supposed to be supervising the children.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
The medication logs only contain the signature and name of the administrator who does not administer the medication.
5 745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three employee records were reviewed and two employees had pre-drug screening after their hire date. The hire dates that arevreported in the file are 10/22/2020 prescreening drug test 07/11/2021 and 07/17/2021.
Yes
5 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
During the investigation, information was obtained, that two children in care engaged in hitting one another in three different occurrences before staff members were made aware.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
A staff member did not follow the operations policies by falling asleep during work hours while supervising children.
4 748.303(a)(9)(A) - Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
A child was discovered absent from the operation for more than 2 hours and was not reported within the required timeframe.
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.
Two children were discovered absent from the operation for more than six hours and the caregivers called this incident into the statewide hotline the following day.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was observed that the documented reasons for several medications prescribed to a youth in care on their medication administration logs did not match the reasons documented in the medication management records and the youths service plan that was provided.
4 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication log was reviewed during the inspection on 1/16/25. The medication log was last updated on 1/12/25.
4 748.863(a)(4) - Pre-Service Training-Caregiver for tx svcs (not PMN) must have 16 hrs EBI training or 8 hrs if EBI prohibited, 1/2 pre-service & rest within 90 days
One staff did not complete EBI pre-service training requirement hours.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Children in care were found to be in possession of e-cigarettes and other illegal substances.
2 748.863(b) - Pre-Service Training-Document the completion of each pre-service training requirement in the appropriate personnel record
Two staff files did not include documentaiton of total required pre-service training hours.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A current staff member s background check was inactive as of 5/16/2023.
1 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
The service plan for one out of two child files was not signed by the child.
2 748.949(b)(5) - Annual Training Documentation-Includes the length of the training in hours
There were multiple certificates that did not have the length of the training.
3 748.685(c)(6) - Implement and follow the children's service plans.
Caregivers are not following child's service plans. A child in care has not been provided with the level of supervision, according to the child's service plan.
4 748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
A staff put a child in a restraint when they tried to run away.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
A staff member did not follow the agencies policy regarding restraints.
2 748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications.
The two CPR and first aid training that were reviewed did not have the trainers qualifications. It also did not have the length of hours 748.915(b)(6).
4 748.153(3)(B) - Notification - New controlling person
There is no controlling person form for the administrator. The administrator date of hire was 10/22/2020.
3 748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation
The administrator was observed preparing medication for the children more than an hour before the medication was administered.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
A suicide screening was not completed at admission for a 12-year-old child.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
medication records did not have actual count of medication present.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Two children's file that were reviewed did not have the information documented regarding the contraindications restraints.
4 748.930(a)(1) - Caregivers at operations with less than 25 children or 30% of their population receiving treatment services must have 20hrs annual training
A caregiver did not complete the EBI training within 6 months of the previous training date.
4 748.2261(a) - Operation employs professional who prescribes psychotropic meds-Professional evaluates & documents child's response to the medication quarterly
The last medication management document provided was last completed in October of 2025. There was no updated information that indicated that Aripiprazole or Clondine was discontinued in December or any indication in the documentation that the youth was having any side effects to the medication in the discussions.
2 748.1937(a)(4) - Adult in care may share room with child in care if child is 16 years old, age difference does not exceed 24 months; req. of 748.1931 and 1933 are met
There was an 18 year old adult child in care sharing a room with a 10 year old and 11 year old.
Yes
4 748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
There were multiple prescription medications stored in a zip lock bag.
4 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
One staff members did not demonstrate appropriate care when yelling at children.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
A staff member did not implement recommended techniques for discipline when engaging a child in care.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children who had a history of being runaways were allowed to go on unsupervised walks.
1 748.1349(b)(2) - Initial Service Plan- When given to child then child must sign or operation document child's refusal to sign
The service plan for one out of two child files was not signed by the child.
5 745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three employee records were reviewed and two employees had pre-drug screening after their hire date. The hire dates that arevreported in the file are 10/22/2020 prescreening drug test 07/11/2021 and 07/17/2021.
Yes
2 748.863(b) - Pre-Service Training-Document the completion of each pre-service training requirement in the appropriate personnel record
Two staff files did not include documentaiton of total required pre-service training hours.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was observed that the documented reasons for several medications prescribed to a youth in care on their medication administration logs did not match the reasons documented in the medication management records and the youths service plan that was provided.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
A suicide screening was not completed at admission for a 12-year-old child.
4 748.863(a)(4) - Pre-Service Training-Caregiver for tx svcs (not PMN) must have 16 hrs EBI training or 8 hrs if EBI prohibited, 1/2 pre-service & rest within 90 days
One staff did not complete EBI pre-service training requirement hours.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
A staff member did not implement recommended techniques for discipline when engaging a child in care.
2 748.1937(a)(4) - Adult in care may share room with child in care if child is 16 years old, age difference does not exceed 24 months; req. of 748.1931 and 1933 are met
There was an 18 year old adult child in care sharing a room with a 10 year old and 11 year old.
Yes
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
A staff member did not follow the operations policies by falling asleep during work hours while supervising children.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Two children's file that were reviewed did not have the information documented regarding the contraindications restraints.
5 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
During the investigation, information was obtained, that two children in care engaged in hitting one another in three different occurrences before staff members were made aware.
4 748.2261(a) - Operation employs professional who prescribes psychotropic meds-Professional evaluates & documents child's response to the medication quarterly
The last medication management document provided was last completed in October of 2025. There was no updated information that indicated that Aripiprazole or Clondine was discontinued in December or any indication in the documentation that the youth was having any side effects to the medication in the discussions.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
The medication logs only contain the signature and name of the administrator who does not administer the medication.
4 748.153(3)(B) - Notification - New controlling person
There is no controlling person form for the administrator. The administrator date of hire was 10/22/2020.
4 748.4703(b) - Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours
Staff were witnessed sleeping when they were supposed to be supervising the children.
3 748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation
The administrator was observed preparing medication for the children more than an hour before the medication was administered.
2 748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications.
The two CPR and first aid training that were reviewed did not have the trainers qualifications. It also did not have the length of hours 748.915(b)(6).
4 748.930(a)(1) - Caregivers at operations with less than 25 children or 30% of their population receiving treatment services must have 20hrs annual training
A caregiver did not complete the EBI training within 6 months of the previous training date.
3 748.685(c)(6) - Implement and follow the children's service plans.
Caregivers are not following child's service plans. A child in care has not been provided with the level of supervision, according to the child's service plan.
4 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication log was reviewed during the inspection on 1/16/25. The medication log was last updated on 1/12/25.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
A staff member did not follow the agencies policy regarding restraints.
2 748.949(b)(5) - Annual Training Documentation-Includes the length of the training in hours
There were multiple certificates that did not have the length of the training.
4 748.303(a)(9)(A) - Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
A child was discovered absent from the operation for more than 2 hours and was not reported within the required timeframe.
4 748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
There were multiple prescription medications stored in a zip lock bag.
4 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
One staff members did not demonstrate appropriate care when yelling at children.
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.
Two children were discovered absent from the operation for more than six hours and the caregivers called this incident into the statewide hotline the following day.
4 748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
A staff put a child in a restraint when they tried to run away.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children who had a history of being runaways were allowed to go on unsupervised walks.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Children in care were found to be in possession of e-cigarettes and other illegal substances.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A current staff member s background check was inactive as of 5/16/2023.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
medication records did not have actual count of medication present.
5 745.4151(c)(4)(A) - Mandatory drug testing-all applicants intended to be hired are subject to pre-employment testing, must have results prior to child access
Three employee records were reviewed and two employees had pre-drug screening after their hire date. The hire dates that arevreported in the file are 10/22/2020 prescreening drug test 07/11/2021 and 07/17/2021.
Yes
4 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
One staff members did not demonstrate appropriate care when yelling at children.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
A staff member did not implement recommended techniques for discipline when engaging a child in care.
4 748.4703(b) - Child/caregiver ratio-Caregiver must remain awake during night-time sleeping hours
Staff were witnessed sleeping when they were supposed to be supervising the children.
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.
Two children were discovered absent from the operation for more than six hours and the caregivers called this incident into the statewide hotline the following day.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
A staff member did not follow the agencies policy regarding restraints.
5 748.1661(a) - Tobacco Products and E-Cigarettes -Children may not use or possess tobacco products, e-cigarettes or any type of vaporizers
Children in care were found to be in possession of e-cigarettes and other illegal substances.
2 748.949(b)(5) - Annual Training Documentation-Includes the length of the training in hours
There were multiple certificates that did not have the length of the 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
The service plan for one out of two child files was not signed by the child.
4 748.2261(a) - Operation employs professional who prescribes psychotropic meds-Professional evaluates & documents child's response to the medication quarterly
The last medication management document provided was last completed in October of 2025. There was no updated information that indicated that Aripiprazole or Clondine was discontinued in December or any indication in the documentation that the youth was having any side effects to the medication in the discussions.
5 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety
During the investigation, information was obtained, that two children in care engaged in hitting one another in three different occurrences before staff members were made aware.
3 748.125(d)(4)(A) - Suicide Screening- A screening tool must be administered at admission for each child 10 years of age or older.
A suicide screening was not completed at admission for a 12-year-old child.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
medication records did not have actual count of medication present.
4 748.2003(b)(2) - Administration of Medication-Store medication in the original container unless there is an additional container with the same label & instructions
There were multiple prescription medications stored in a zip lock bag.
3 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
It was observed that the documented reasons for several medications prescribed to a youth in care on their medication administration logs did not match the reasons documented in the medication management records and the youths service plan that was provided.
3 748.2003(b)(4) - Administration of prescription medication-Administer each child's medication within one hour of preparation
The administrator was observed preparing medication for the children more than an hour before the medication was administered.
3 748.685(c)(6) - Implement and follow the children's service plans.
Caregivers are not following child's service plans. A child in care has not been provided with the level of supervision, according to the child's service plan.
2 748.915(b)(4) - Pediatric CPR training documentation must include the trainer's name and qualifications.
The two CPR and first aid training that were reviewed did not have the trainers qualifications. It also did not have the length of hours 748.915(b)(6).
4 748.303(a)(9)(A) - Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
A child was discovered absent from the operation for more than 2 hours and was not reported within the required timeframe.
4 748.2463(3) - Emergency Behavior Intervention-Never used as a means to get a child to comply
A staff put a child in a restraint when they tried to run away.
2 748.1937(a)(4) - Adult in care may share room with child in care if child is 16 years old, age difference does not exceed 24 months; req. of 748.1931 and 1933 are met
There was an 18 year old adult child in care sharing a room with a 10 year old and 11 year old.
Yes
2 748.863(b) - Pre-Service Training-Document the completion of each pre-service training requirement in the appropriate personnel record
Two staff files did not include documentaiton of total required pre-service training hours.
3 748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures
A staff member did not follow the operations policies by falling asleep during work hours while supervising children.
4 748.930(a)(1) - Caregivers at operations with less than 25 children or 30% of their population receiving treatment services must have 20hrs annual training
A caregiver did not complete the EBI training within 6 months of the previous training date.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A current staff member s background check was inactive as of 5/16/2023.
5 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being
Children who had a history of being runaways were allowed to go on unsupervised walks.
4 748.863(a)(4) - Pre-Service Training-Caregiver for tx svcs (not PMN) must have 16 hrs EBI training or 8 hrs if EBI prohibited, 1/2 pre-service & rest within 90 days
One staff did not complete EBI pre-service training requirement hours.
4 748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint
Two children's file that were reviewed did not have the information documented regarding the contraindications restraints.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
The medication logs only contain the signature and name of the administrator who does not administer the medication.
4 748.2151(b)(1) - Medication record - update cumulative record within 2 hours of administering medication
The medication log was reviewed during the inspection on 1/16/25. The medication log was last updated on 1/12/25.
4 748.153(3)(B) - Notification - New controlling person
There is no controlling person form for the administrator. The administrator date of hire was 10/22/2020.
4 748.303(a)(9)(A) - Serious Incident-Report to CCL within 2 hours of notifying LE the absence of a child developmentally/chronologically 6 to 12 years old.
A child was discovered absent from the operation for more than 2 hours and was not reported within the required timeframe.
4 748.153(3)(B) - Notification - New controlling person
There is no controlling person form for the administrator. The administrator date of hire was 10/22/2020.
2 748.1351 - Initial Service Plan-Implement & follow plan as soon as all team members have reviewed/signed it, but no later than 15 days after date of meeting
A staff member did not implement recommended techniques for discipline when engaging a child in care.
4 748.930(a)(1) - Caregivers at operations with less than 25 children or 30% of their population receiving treatment services must have 20hrs annual training
A caregiver did not complete the EBI training within 6 months of the previous training date.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A current staff member s background check was inactive as of 5/16/2023.
4 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
medication records did not have actual count of medication present.
3 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
The medication logs only contain the signature and name of the administrator who does not administer the medication.

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

Inspections (128)

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

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