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Sound Decisions LLC

Child care center · , TX · License 1716988

0Compliance score
Poor

Capacity 11. 10-17

Violation history (221)

SeverityDateStandard / narrativeCorrected
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children in care stated that a staff member yells when the children are in trouble.		 —
4— 748.2003(b)(6) - Administration of prescription medication-ensure a person trained in & authorized to administer prescription medication administers the medication
One staff member administered medication to children at the operation. The staff member did not have training to administer medication.		 —
2— 748.361(a) - Personnel records - All active records maintained at the operation
Personnel records are not maintained at the operation. One staff member who was in charge of records carried them in a tote bag and would take the records out of the operation.		 —
5— 748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
It was concluded that a staff at the operation interfered with child in care from making a phone call to the Hotline.		 —
4— 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
It was determined that the medication log did not reflected the dosage based on the prescription.		 —
5— 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Operation allowed new staff member to work prior to receiving a notification from background check allowing the person to be at the operation.		 —
4— 748.535(2)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
The operations LCCA failed to oversee the staffing to ensure supervision to meet the child's need.		 —
3— 748.341(a) - Operating policies retention requirements - Maintain copy at operation available for review upon request
The operation failed to provide a copy of the child's preliminary service plan as requested.		 —
2— 748.1117(1) - Documentation of searches-Document the date of the search in the child's record
It was determined that there was a search conducted without any documentation.		 —
2— 748.3395(b)(3) - Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children
The downstairs kitchen did not have hot running water. There was no work order provided.		 —
3— 748.3365(b)(1) - Bedding-must provide each child with a clean and comfortable mattress
The child in care was not given a mattress based on the available mattress being soiled even with a mattress cover. Clean mattress were stored in a sperate garage.		 —
2— 748.3393(d) - Toilets-Toilets must be equipped with toilet paper at all times
Two of 4 bathrooms were not equipped with toilet paper and hand towels. This was corrected during inspection.		 Yes
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
The upstairs air condition was out of order for two days and one night where children bedroom were present. There was no alternative sleeping arrangement offered by the operation.		 —
3— 748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
A serious incident report did not provided details that occurred including what led up to the altercation, police involvement and the child eloping from the operation.		 —
5— 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Conditions on a background check for one staff member were not being followed as required.		 —
4— 748.1101(b)(1)(C) - Children's rights-Adhere to the child's right to receive fair treatment
Two children and two staff, including the Administrator expressed concern with unfair treatment.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child did not receive their prescribed psychotropic medication for 27 days.		 —
4— 748.3445(a) - Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
Food in the freezer was not kept in original packaging and stored in non-labeled bags.		 —
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
Two broken chairs were removed during the inspection.		 Yes
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care did not receive prescribed medication for three days as a result of the operation misplacing the prescription.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
In review of medication logs there were inconsistencies with the daily pill count documented.		 —
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
During the investigation; multiple employees backgrounds were listed active who is no longer associated with your operation after 7 day of leaving.		 Yes
5— 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver has been working at the operation, having access to children in care, for two weeks without an initial background check.		 —
5— 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
It was determined that a staff member violated a condition of her background check.		 —
2— 748.401 - Archived child record-kept safe from damage and available for Licensing review within 48 hours.
The operation did not provide documentation in a timely manner, licensing had to repeatedly request therapy notes for a child in care.		 —
2— 748.3359(1) - Bedroom Space-Rooms commonly used for other purposes cannot be used as bedrooms
A child in care was not provided a mattress for her bedroom in result the child slept in the common room.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child in care was unsupervised long enough to cut and dye her hair without staff being aware		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
It was determined that documentation was not provided upon request.		 —
4— 748.3441(n) - Food Preparation-Food must be protected from contamination
Food was not in plastic(sugar and cereal). It was not covered or plastic bags. Boxes were not closed. This was corrected during the inspection.		 Yes
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
In reviewing children's records. One child's medication log was found in another child's record.		 —
4— 748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
It was reported a staff member makes negative comments towards children.		 —
2— 748.1117(1) - Documentation of searches-Document the date of the search in the child's record
It was determined that there was a search conducted without any documentation.		 —
4— 748.1101(b)(1)(C) - Children's rights-Adhere to the child's right to receive fair treatment
Two children and two staff, including the Administrator expressed concern with unfair treatment.		 —
5— 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
It was determined that a staff member violated a condition of her background check.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care did not receive prescribed medication for three days as a result of the operation misplacing the prescription.		 —
2— 748.3359(1) - Bedroom Space-Rooms commonly used for other purposes cannot be used as bedrooms
A child in care was not provided a mattress for her bedroom in result the child slept in the common room.		 —
5— 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver has been working at the operation, having access to children in care, for two weeks without an initial background check.		 —
3— 748.3365(b)(1) - Bedding-must provide each child with a clean and comfortable mattress
The child in care was not given a mattress based on the available mattress being soiled even with a mattress cover. Clean mattress were stored in a sperate garage.		 —
4— 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
It was determined that the medication log did not reflected the dosage based on the prescription.		 —
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
Two broken chairs were removed during the inspection.		 Yes
5— 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Operation allowed new staff member to work prior to receiving a notification from background check allowing the person to be at the operation.		 —
2— 748.401 - Archived child record-kept safe from damage and available for Licensing review within 48 hours.
The operation did not provide documentation in a timely manner, licensing had to repeatedly request therapy notes for a child in care.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
In reviewing children's records. One child's medication log was found in another child's record.		 —
4— 748.535(2)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
The operations LCCA failed to oversee the staffing to ensure supervision to meet the child's need.		 —
3— 748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
A serious incident report did not provided details that occurred including what led up to the altercation, police involvement and the child eloping from the operation.		 —
4— 748.3445(a) - Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
Food in the freezer was not kept in original packaging and stored in non-labeled bags.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
It was determined that documentation was not provided upon request.		 —
2— 748.3393(d) - Toilets-Toilets must be equipped with toilet paper at all times
Two of 4 bathrooms were not equipped with toilet paper and hand towels. This was corrected during inspection.		 Yes
4— 748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
It was reported a staff member makes negative comments towards children.		 —
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
In review of medication logs there were inconsistencies with the daily pill count documented.		 —
4— 748.2003(b)(6) - Administration of prescription medication-ensure a person trained in & authorized to administer prescription medication administers the medication
One staff member administered medication to children at the operation. The staff member did not have training to administer medication.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child in care was unsupervised long enough to cut and dye her hair without staff being aware		 —
2— 748.361(a) - Personnel records - All active records maintained at the operation
Personnel records are not maintained at the operation. One staff member who was in charge of records carried them in a tote bag and would take the records out of the operation.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child did not receive their prescribed psychotropic medication for 27 days.		 —
2— 748.3395(b)(3) - Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children
The downstairs kitchen did not have hot running water. There was no work order provided.		 —
4— 748.3441(n) - Food Preparation-Food must be protected from contamination
Food was not in plastic(sugar and cereal). It was not covered or plastic bags. Boxes were not closed. This was corrected during the inspection.		 Yes
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
The upstairs air condition was out of order for two days and one night where children bedroom were present. There was no alternative sleeping arrangement offered by the operation.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children in care stated that a staff member yells when the children are in trouble.		 —
3— 748.341(a) - Operating policies retention requirements - Maintain copy at operation available for review upon request
The operation failed to provide a copy of the child's preliminary service plan as requested.		 —
5— 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Conditions on a background check for one staff member were not being followed as required.		 —
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
During the investigation; multiple employees backgrounds were listed active who is no longer associated with your operation after 7 day of leaving.		 Yes
5— 748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
It was concluded that a staff at the operation interfered with child in care from making a phone call to the Hotline.		 —
2— 748.401 - Archived child record-kept safe from damage and available for Licensing review within 48 hours.
The operation did not provide documentation in a timely manner, licensing had to repeatedly request therapy notes for a child in care.		 —
2— 748.361(a) - Personnel records - All active records maintained at the operation
Personnel records are not maintained at the operation. One staff member who was in charge of records carried them in a tote bag and would take the records out of the operation.		 —
4— 748.2307(8) - Other Prohibited Punishments-humiliating, shaming, ridiculing, rejecting, or yelling at a child
All children in care stated that a staff member yells when the children are in trouble.		 —
2— 748.1117(1) - Documentation of searches-Document the date of the search in the child's record
It was determined that there was a search conducted without any documentation.		 —
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
The upstairs air condition was out of order for two days and one night where children bedroom were present. There was no alternative sleeping arrangement offered by the operation.		 —
4— 748.2307(4) - Other Prohibited Punishments-using sarcastic or cruel humor, and verbal abuse
It was reported a staff member makes negative comments towards children.		 —
4— 748.2003(b)(6) - Administration of prescription medication-ensure a person trained in & authorized to administer prescription medication administers the medication
One staff member administered medication to children at the operation. The staff member did not have training to administer medication.		 —
3— 748.341(a) - Operating policies retention requirements - Maintain copy at operation available for review upon request
The operation failed to provide a copy of the child's preliminary service plan as requested.		 —
2— 748.3393(d) - Toilets-Toilets must be equipped with toilet paper at all times
Two of 4 bathrooms were not equipped with toilet paper and hand towels. This was corrected during inspection.		 Yes
4— 748.535(2)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
The operations LCCA failed to oversee the staffing to ensure supervision to meet the child's need.		 —
2— 748.3395(b)(3) - Hand-washing-Provide hand-washing sinks with hot & cold running water under sufficient pressure to meet the demands of children
The downstairs kitchen did not have hot running water. There was no work order provided.		 —
3— 748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
A serious incident report did not provided details that occurred including what led up to the altercation, police involvement and the child eloping from the operation.		 —
5— 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Operation allowed new staff member to work prior to receiving a notification from background check allowing the person to be at the operation.		 —
4— 748.3301(i) - Physical Site-Equipment and furniture must be safe for children and must be kept clean and in good repair
Two broken chairs were removed during the inspection.		 Yes
4— 748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model
In review of medication logs there were inconsistencies with the daily pill count documented.		 —
4— 748.1101(b)(1)(C) - Children's rights-Adhere to the child's right to receive fair treatment
Two children and two staff, including the Administrator expressed concern with unfair treatment.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
A child in care did not receive prescribed medication for three days as a result of the operation misplacing the prescription.		 —
5— 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver has been working at the operation, having access to children in care, for two weeks without an initial background check.		 —
4— 748.3441(n) - Food Preparation-Food must be protected from contamination
Food was not in plastic(sugar and cereal). It was not covered or plastic bags. Boxes were not closed. This was corrected during the inspection.		 Yes
5— 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Conditions on a background check for one staff member were not being followed as required.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
It was determined that documentation was not provided upon request.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
One child did not receive their prescribed psychotropic medication for 27 days.		 —
4— 748.3445(a) - Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
Food in the freezer was not kept in original packaging and stored in non-labeled bags.		 —
3— 748.3365(b)(1) - Bedding-must provide each child with a clean and comfortable mattress
The child in care was not given a mattress based on the available mattress being soiled even with a mattress cover. Clean mattress were stored in a sperate garage.		 —
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child in care was unsupervised long enough to cut and dye her hair without staff being aware		 —
4— 748.2151(c)(4) - Medication record - must include medication name, strength and dosage
It was determined that the medication log did not reflected the dosage based on the prescription.		 —
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
During the investigation; multiple employees backgrounds were listed active who is no longer associated with your operation after 7 day of leaving.		 Yes
2— 748.3359(1) - Bedroom Space-Rooms commonly used for other purposes cannot be used as bedrooms
A child in care was not provided a mattress for her bedroom in result the child slept in the common room.		 —
5— 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
It was determined that a staff member violated a condition of her background check.		 —
5— 748.1101(b)(7) - Child's rights-Make complaints/calls/reports w/o interference,coercion,punishment,retaliation,threats.Right to make them anonymously
It was concluded that a staff at the operation interfered with child in care from making a phone call to the Hotline.		 —
3— 748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records
In reviewing children's records. One child's medication log was found in another child's record.		 —
2— 748.3393(d) - Toilets-Toilets must be equipped with toilet paper at all times
Two of 4 bathrooms were not equipped with toilet paper and hand towels. This was corrected during inspection.		 Yes
5— 748.685(a)(3) - Caregiver responsibility - being aware of and accountable for each child's on-going activity
A child in care was unsupervised long enough to cut and dye her hair without staff being aware		 —
4— 748.3445(a) - Food Preparation-Food and drinks must be of safe quality, stored, prepared, and served under sanitary & safe conditions
Food in the freezer was not kept in original packaging and stored in non-labeled bags.		 —
3— 748.399(a) - Records Available for Licensing-all active records immediately available for review and reproduction
It was determined that documentation was not provided upon request.		 —
3— 748.311(7) - Serious Incident Documentation-Includes circumstances surrounding the incident
A serious incident report did not provided details that occurred including what led up to the altercation, police involvement and the child eloping from the operation.		 —
2— 748.3359(1) - Bedroom Space-Rooms commonly used for other purposes cannot be used as bedrooms
A child in care was not provided a mattress for her bedroom in result the child slept in the common room.		 —
4— 748.535(2)(A) - Child-care administrator responsibilities-Overseeing staffing patterns to ensure supervision and child-care services meet the needs of children
The operations LCCA failed to oversee the staffing to ensure supervision to meet the child's need.		 —

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

Inspections (105)

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

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