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The One Discovery RTC

Child care center · 1904 HOWTH AVE, Houston, TX 77051-0001 · License 1715401

0Compliance score
Poor

Capacity 8. 7-17

Violation history (392)

Severity	Date	Standard / narrative	Corrected
4	—	748.303(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child. A child in care required medical attention for allegedly ingesting bleach and the incident was not reported to the parent.	—
3	—	748.2855(a)(7) - EBI Documentation-Must include the name of the caregiver(s) involved in the EBI and in the circumstances that led to the EBI The EBI report doesn't specify who was conducted the restraint. Nor does the EBI report include all attempts to explain to the child what behaviors were necessary for release from the intervention.	—
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 One out of three staff records did not include TB screening documentation in the staff record. The TB record was provided by the administrator once they were notified it was not in the record.	Yes
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures An overnight caregiver did not follow the operation's 24 Hour Continuous Supervision policy when they were found to be asleep while present at the operation.	—
3	—	745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving An employee who has not worked for the operation since 5/16/2025 has an active background check.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below During a walk through inspection the freezer in the storage room was at two degrees Fahrenheit. The freezer was brought down to zero degrees after the operation staff was notified.	Yes
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization A child in care required medical attention for allegedly ingesting bleach and the incident was not reported to licensing.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period Annual trainings that included Trauma Informed Care, Psychotropic Medication Normalcy, and Suicide were all found to be delinquent for one employee.	—
3	—	748.311(2) - Serious Incident Documentation-Includes time and date of incident Two serious incident reports were missing the time that the incidents occurred.	—
2	—	748.1337(a) - Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals Two service plans reviewed contained the same needs for both children.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Two serious incident reports reviewed were missing information in regard to the child's gender and the child's age. The report does include the child's date of birth.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Multiple children in care stated children are subjected to profane language.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Based on the information gathered and obtained throughout the investigation it was determined a staff member slammed a child to the ground.	—
3	—	748.363(10) - Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months The staff did not have a current valid driver's license..	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff did not exhibit prudent judgement when they did not attempt to de-escalate or restrain a child in care ready to harm themselves, property, or others.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children During an outing there was only one staff member with six kids and one if the children's service plan states that the child but have supervision of one staff to five children.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record A child record reviewed did not have a signature on the admission assessment.	—
3	—	748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren) Two serious incident reports were missing the information as to what staff were present during the incident.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Two serious incidents occurred and where not documented as required by minimum standards.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Incident report documentation was missing information, such as the correct address, nature of the incident and conclusion of the incident.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During interviews with the victim and staff members, it was discovered that the children in care are allowed to lay on and or sit closely with staff demonstrating inappropriate boundaries.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. Child in care was able to access chemicals and ingest them.	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given The children and staff state that the children were given over-the-counter vitamins, but there is no documentation of them.	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list The operation has not validated the current staff list. Last validation was 8/13/2024.	Yes
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services A child record reviewed did not have a signature on the preliminary service plan.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Two of two children interviewed stated that they saw a staff member sleeping at night and one child requires 24-hour supervision.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Witnesses advised that the child was left unattended by the staff member.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. It was determined that an incident that required police assistance was reported two days after it occurred.	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. A review of a staff files has no employee reference checks documented.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Licensing arrived at the facility at 9:45 AM to conduct an unannounced monitoring inspection and was not provided records until 2 hours later. Several requested records were unavailable.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records After reading an EBI report and serious incident report compared to the intake called to the hotline, it was determined that the operation did not maintain true and accurate information.	—
5	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation's child-care administrator position has been vacant since May 28, 2024.	—
5	—	748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance It was confirmed that children in care were not wearing seat belts while being transported in a vehicle.	—
5	—	745.621(a)(3) - AP Initial background checks submitted - At the time you contract with someone who requires a background check The current treatment director did not have a background chick on file. The treatment director is currently hired as a contractor and is assisting the operation with the treatment services they provide.	—
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. One record reviewed did not contain reference checks.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff open the door and encourage the children to walk out while they are attempting to run away.	—
5	—	745.8411(b)(3) - Responsibilities - Provides access to all records CCI requested staff records that were needed for the ANE investigation, on June 29, 2023, and multiple times after. The documents were not received until July 21, 2023.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Between 9/18/2023 and 11/10/2023, DFPS made multiple requests to obtain operation documents for review. Operation documents were not received until 11/17/2023 and 11/29/2023.	—
3	—	748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions Two serious incident reports were missing information in regard to what interventions occurred during the incident.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Staff did not exhibit accountability or awareness when they allowed a child to elope from the facility.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Two staff members admit that they repeat the curse words that the children use against them.	—
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 at an RTC was neglectfully supervised.	—
3	—	748.453(a)(5) - Unauthorized Absence?Annual summary log must include the intake report number, if report was made to CCR or DFPS The unauthorized annual summary log does not include the intake report number for the report made to the hotline, it does not have the child's age as required in 748.453(a)(1) in addition does not indicate how long the child was gone for as required in 748.453(a)(3).	—
5	—	745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter An unauthorized individual is present at the operation and has direct access to children in care.	—
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 Record of TB screening was not observed to be present in one employee file.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report A caregiver admitted to not completing documentation of serious incident.	—
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. Regarding IMPACT case # 49930701, information in class stated that the AWOL incident occurred on 12-24-23 but was reported to the hotline on 12-26-23 at 5:40pm. Regarding IMPACT case # 49930963 (Merged), in formation in class stated that the AWOL occurred on 12-23-23 but was reported to the hotline on 12-27-23 at 6:44am	—
5	—	748.2605(a)(1) - Personal Restraints Prohibited-Restraints that impair child's breathing by putting pressure on child's torso Staff member place knee on ribs while trying to conduct a restraint on 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 Overnight operation staff failed to provide adequate supervision due to the staff sleeping while on duty.	—
3	—	748.363(10) - Personnel records-For each person who transports a child, include copy of valid driver's license or DPS driver's license check done in last 12 months The staff did not have a current valid driver's license..	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Overnight operation staff failed to provide adequate supervision due to the staff sleeping while on duty.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Two serious incidents occurred and where not documented as required by minimum standards.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks During interviews with the victim and staff members, it was discovered that the children in care are allowed to lay on and or sit closely with staff demonstrating inappropriate boundaries.	—
5	—	748.2605(a)(1) - Personal Restraints Prohibited-Restraints that impair child's breathing by putting pressure on child's torso Staff member place knee on ribs while trying to conduct a restraint on a child in care.	—
5	—	745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter An unauthorized individual is present at the operation and has direct access to children in care.	—
4	—	748.1003(a) - Child/caregiver ratio-Caregiver may care for 5 children if any require tx svcs, 8 children if not; children under 5 yrs old count as 2 children During an outing there was only one staff member with six kids and one if the children's service plan states that the child but have supervision of one staff to five children.	—
3	—	748.935(a)(2) - Annual Training Timeline-Each person must complete the required annual training during each subsequent 12-month period Annual trainings that included Trauma Informed Care, Psychotropic Medication Normalcy, and Suicide were all found to be delinquent for one employee.	—
4	—	748.303(a)(2)(B) - AP Serious Incdt- Report to parents any injury/illness that warrants treatment from a medical prof. directly after ensuring the safety of the child. A child in care required medical attention for allegedly ingesting bleach and the incident was not reported to the parent.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material isstored in an area that is inaccessible to children unless child is capable to use responsibly. Child in care was able to access chemicals and ingest them.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record A child record reviewed did not have a signature on the admission assessment.	—
5	—	748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity Staff did not exhibit accountability or awareness when they allowed a child to elope from the facility.	—
3	—	748.303(a)(6)(A) - Serious Incident-Report to Licensing no later than 24 hours after becoming aware that child is indicted, charged, or arrested or when police respond. It was determined that an incident that required police assistance was reported two days after it occurred.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services A child record reviewed did not have a signature on the preliminary service plan.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Licensing arrived at the facility at 9:45 AM to conduct an unannounced monitoring inspection and was not provided records until 2 hours later. Several requested records were unavailable.	—
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 One out of three staff records did not include TB screening documentation in the staff record. The TB record was provided by the administrator once they were notified it was not in the record.	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. Regarding IMPACT case # 49930701, information in class stated that the AWOL incident occurred on 12-24-23 but was reported to the hotline on 12-26-23 at 5:40pm. Regarding IMPACT case # 49930963 (Merged), in formation in class stated that the AWOL occurred on 12-23-23 but was reported to the hotline on 12-27-23 at 6:44am	—
3	—	745.651(2)(A) - Background Check Validation - Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list The operation has not validated the current staff list. Last validation was 8/13/2024.	Yes
4	—	748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization A child in care required medical attention for allegedly ingesting bleach and the incident was not reported to licensing.	—
5	—	748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment Based on the information gathered and obtained throughout the investigation it was determined a staff member slammed a child to the ground.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff did not exhibit prudent judgement when they did not attempt to de-escalate or restrain a child in care ready to harm themselves, property, or others.	—
3	—	748.126(b) - All employees and caregivers must be aware of and follow your policies and procedures An overnight caregiver did not follow the operation's 24 Hour Continuous Supervision policy when they were found to be asleep while present at the operation.	—
5	—	745.621(a)(3) - AP Initial background checks submitted - At the time you contract with someone who requires a background check The current treatment director did not have a background chick on file. The treatment director is currently hired as a contractor and is assisting the operation with the treatment services they provide.	—
5	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation's child-care administrator position has been vacant since May 28, 2024.	—
3	—	748.2855(a)(7) - EBI Documentation-Must include the name of the caregiver(s) involved in the EBI and in the circumstances that led to the EBI The EBI report doesn't specify who was conducted the restraint. Nor does the EBI report include all attempts to explain to the child what behaviors were necessary for release from the intervention.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report Incident report documentation was missing information, such as the correct address, nature of the incident and conclusion of the incident.	—
3	—	748.311(2) - Serious Incident Documentation-Includes time and date of incident Two serious incident reports were missing the time that the incidents occurred.	—
5	—	745.8411(b)(3) - Responsibilities - Provides access to all records CCI requested staff records that were needed for the ANE investigation, on June 29, 2023, and multiple times after. The documents were not received until July 21, 2023.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved Two serious incident reports reviewed were missing information in regard to the child's gender and the child's age. The report does include the child's date of birth.	—
3	—	745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving An employee who has not worked for the operation since 5/16/2025 has an active background check.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report A caregiver admitted to not completing documentation of serious incident.	—
4	—	748.753(a)(2) - Pre-Employment Screening-You must contact each of the two references to verify that the applicant is suitable to work with or around children. One record reviewed did not contain reference checks.	—
3	—	748.3443(b)(2) - Food Preparation-Must have a thermometer in freezers & store frozen food at 0 degrees Fahrenheit or below During a walk through inspection the freezer in the storage room was at two degrees Fahrenheit. The freezer was brought down to zero degrees after the operation staff was notified.	Yes
5	—	748.505(b)(2) - Minimum qualifications for employees-Record of a TB screening showing the employee is free of contagious TB as provided in 749.1583 Record of TB screening was not observed to be present in one employee file.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records After reading an EBI report and serious incident report compared to the intake called to the hotline, it was determined that the operation did not maintain true and accurate information.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Two of two children interviewed stated that they saw a staff member sleeping at night and one child requires 24-hour supervision.	—
2	—	748.1337(a) - Initial Service Plan-Base on needs identified in admission assessment; justify delay in addressing needs if service planning team prioritizes goals Two service plans reviewed contained the same needs for both children.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Two staff members admit that they repeat the curse words that the children use against them.	—
3	—	748.453(a)(5) - Unauthorized Absence?Annual summary log must include the intake report number, if report was made to CCR or DFPS The unauthorized annual summary log does not include the intake report number for the report made to the hotline, it does not have the child's age as required in 748.453(a)(1) in addition does not indicate how long the child was gone for as required in 748.453(a)(3).	—
3	—	748.311(8) - Serious Incident Documentation-Includes interventions made during and after the incident, i.e. medical interventions, contacts made, other actions Two serious incident reports were missing information in regard to what interventions occurred during the incident.	—
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 at an RTC was neglectfully supervised.	—
3	—	748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction Between 9/18/2023 and 11/10/2023, DFPS made multiple requests to obtain operation documents for review. Operation documents were not received until 11/17/2023 and 11/29/2023.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Multiple children in care stated children are subjected to profane language.	—
3	—	748.2151(e) - Medication Record-must document non-prescription medication or supplement given to child and how often given The children and staff state that the children were given over-the-counter vitamins, but there is no documentation of them.	—
5	—	748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance It was confirmed that children in care were not wearing seat belts while being transported in a vehicle.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks Staff open the door and encourage the children to walk out while they are attempting to run away.	—
3	—	748.311(4) - Serious Incident Documentation-Includes names of all adults involved and their role in relation to the child(ren) Two serious incident reports were missing the information as to what staff were present during the incident.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Witnesses advised that the child was left unattended by the staff member.	—
2	—	748.753(d)(1) - Pre-Employment-You must document in the employee record each references name, relation, date completed, info obtained and name of interviewer. A review of a staff files has no employee reference checks documented.	—
5	—	748.1013(a) - Child/caregiver ratio-A caregiver must be awake when caring for a child needing constant supervision Two of two children interviewed stated that they saw a staff member sleeping at night and one child requires 24-hour supervision.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being Witnesses advised that the child was left unattended by the staff member.	—

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

Inspections (192)

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

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