DaycareLens
Texas › › Bridge the Gap Foundation

Bridge the Gap Foundation

Child care center · , TX · License 1717490

0Compliance score
Poor

Capacity 11. 5-17

Violation history (256)

SeverityDateStandard / narrativeCorrected
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation's fire iinspection has expired on 08/10/23.		 —
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
It was determined that one caregiver exceeded the required staff-to-youth ratio, including for youth receiving treatment services.		 —
3— 748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
The discharge summary did not have the frequency of the three medications that the child was taking.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
There were three serious incident reports that were not completed. 748.311(4) 2 out of 3 did not have the adults that were involved. 748.311(8) 2 out of 3 did not have follow up interventions. 448.311(9) 3 out of 3 did not have the threating health care provider.		 Yes
2— 748.1437(3) - Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
The discharge summary did not have the address or phone number to whom the child was being discharged to.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
There were two children's medication logs that were reviewed and it did not have who administered the medication for dates 9/24/21, 9/25/21 and 9/27/21.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
There were several medical logs that were reviewed that did not have the date and time the medication was given.		 —
3— 748.2151(c)(2) - Medication record - must include prescribing health-care professional's name
One child's medication log did not have the prescribing physician noted. In addition standard 748.2151(c)(4) was reviewed and the strength of the medication was not documented.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
A child's service plan did not document detailed information telling a caregiver how to observe and keep watch over a child in care.		 —
3— 748.363(1) - Personnel records-Include date of employment
A staff file that was reviewed did not have the following items: 748.363(1) date of employment, 748.363(3) job description, 748.363(6) a notarized affidavit, and 748.363(9) proof of background eligibility.		 —
4— 748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid
There was one caregiver that did not have a current first aid training. The caregiver did complete the training during the inspection.		 Yes
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
Two out of two files that were read did not have known allergies listed on the exterior of the child's record.		 —
3— 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
The operation did not report the first quarter EBI data timely.		 —
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
The reason for one medication was not documented on the medication log reviewed.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Two medications were not given as prescribed to a child.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The level of supervision was not listed on two service plans that were reviewed.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
There was medication in the refrigerator that was not locked up.		 —
3— 748.1531(b)(1) - Medical Care-Written record of each medical examination must include a copy of the results
Two files that were reviewed did not have the dental results documented.		 —
5— 748.4001(b) - General requirements-must ensure the safety of all children during any transportation that the operation provides
A staff member put a vehicle in drive and stopped the vehicle while a child attempted to get into the vehicle, resulting in a child receiving an injury.		 —
1— 748.4213(c) - Emergency Care Discharge Plan-must obtain documentation from person responsible for child that preliminary discharge plan is reviewed/updated weekly
There were no documentations regarding weekly preliminary discharge planning reviews.		 —
5— 748.3601(6) - Swimming Pool-all parts of the swimming pool must be clearly visible during use of the pool
On the day of the outing the water to the swimming pool was not clear.		 —
4— 748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings
There are no evacuation diagrams in all the buildings.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The child's service plan did not give a comprehensive description, of what the supervision should entail.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Several children was not given their medication as prescribed by their doctor.		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
The child's initial service plan did not address high risk behaviors.		 —
5— 748.3601(4) - Swimming Pool-Pool chemicals & pumps must be inaccessible to children
Swimming pool pump is accessible to children in care.		 —
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 agency had not validated their background list since they were issued a permit.		 Yes
4— 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
The Health Inspection expired on 12/4/21.		 —
1— 748.4211(a) - Placement Extension-Must document reason for continuing emergency care services in child's record by 16th day that child is in care
The operation was not completing the place extension documentation by the timeframe required.		 —
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
One out of two files that were read did not have a signature on the Child Rights indicating that they received a copy of the rights or that it was discussed with them.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
On 1/13/22, there was not a signature or initials of who administered the medication to one child.		 —
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
One child did not have record of TB testing.		 —
5— 748.3601(4) - Swimming Pool-Pool chemicals & pumps must be inaccessible to children
Swimming pool pump is accessible to children in care.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Several children was not given their medication as prescribed by their doctor.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
There were two children's medication logs that were reviewed and it did not have who administered the medication for dates 9/24/21, 9/25/21 and 9/27/21.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
There was medication in the refrigerator that was not locked up.		 —
3— 748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
The discharge summary did not have the frequency of the three medications that the child was taking.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
A child's service plan did not document detailed information telling a caregiver how to observe and keep watch over a child in care.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The child's service plan did not give a comprehensive description, of what the supervision should entail.		 —
3— 748.2151(c)(2) - Medication record - must include prescribing health-care professional's name
One child's medication log did not have the prescribing physician noted. In addition standard 748.2151(c)(4) was reviewed and the strength of the medication was not documented.		 —
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 agency had not validated their background list since they were issued a permit.		 Yes
3— 748.1531(b)(1) - Medical Care-Written record of each medical examination must include a copy of the results
Two files that were reviewed did not have the dental results documented.		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
The child's initial service plan did not address high risk behaviors.		 —
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
It was determined that one caregiver exceeded the required staff-to-youth ratio, including for youth receiving treatment services.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
On 1/13/22, there was not a signature or initials of who administered the medication to one child.		 —
4— 748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid
There was one caregiver that did not have a current first aid training. The caregiver did complete the training during the inspection.		 Yes
1— 748.4213(c) - Emergency Care Discharge Plan-must obtain documentation from person responsible for child that preliminary discharge plan is reviewed/updated weekly
There were no documentations regarding weekly preliminary discharge planning reviews.		 —
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
One child did not have record of TB testing.		 —
1— 748.4211(a) - Placement Extension-Must document reason for continuing emergency care services in child's record by 16th day that child is in care
The operation was not completing the place extension documentation by the timeframe required.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation's fire iinspection has expired on 08/10/23.		 —
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
Two out of two files that were read did not have known allergies listed on the exterior of the child's record.		 —
5— 748.3601(6) - Swimming Pool-all parts of the swimming pool must be clearly visible during use of the pool
On the day of the outing the water to the swimming pool was not clear.		 —
2— 748.1437(3) - Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
The discharge summary did not have the address or phone number to whom the child was being discharged to.		 —
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
One out of two files that were read did not have a signature on the Child Rights indicating that they received a copy of the rights or that it was discussed with them.		 —
3— 748.363(1) - Personnel records-Include date of employment
A staff file that was reviewed did not have the following items: 748.363(1) date of employment, 748.363(3) job description, 748.363(6) a notarized affidavit, and 748.363(9) proof of background eligibility.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
There were three serious incident reports that were not completed. 748.311(4) 2 out of 3 did not have the adults that were involved. 748.311(8) 2 out of 3 did not have follow up interventions. 448.311(9) 3 out of 3 did not have the threating health care provider.		 Yes
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Two medications were not given as prescribed to a child.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
There were several medical logs that were reviewed that did not have the date and time the medication was given.		 —
4— 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
The Health Inspection expired on 12/4/21.		 —
4— 748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings
There are no evacuation diagrams in all the buildings.		 —
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
The reason for one medication was not documented on the medication log reviewed.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The level of supervision was not listed on two service plans that were reviewed.		 —
3— 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
The operation did not report the first quarter EBI data timely.		 —
5— 748.4001(b) - General requirements-must ensure the safety of all children during any transportation that the operation provides
A staff member put a vehicle in drive and stopped the vehicle while a child attempted to get into the vehicle, resulting in a child receiving an injury.		 —
3— 748.2151(c)(2) - Medication record - must include prescribing health-care professional's name
One child's medication log did not have the prescribing physician noted. In addition standard 748.2151(c)(4) was reviewed and the strength of the medication was not documented.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
There was medication in the refrigerator that was not locked up.		 —
1— 748.4213(c) - Emergency Care Discharge Plan-must obtain documentation from person responsible for child that preliminary discharge plan is reviewed/updated weekly
There were no documentations regarding weekly preliminary discharge planning reviews.		 —
5— 748.4001(b) - General requirements-must ensure the safety of all children during any transportation that the operation provides
A staff member put a vehicle in drive and stopped the vehicle while a child attempted to get into the vehicle, resulting in a child receiving an injury.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
There were two children's medication logs that were reviewed and it did not have who administered the medication for dates 9/24/21, 9/25/21 and 9/27/21.		 —
3— 748.2953(b) - Evaluation-Operation's quarterly data on EBI's must be reported to Licensing no later than 15 days after the end of each quarter.
The operation did not report the first quarter EBI data timely.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The level of supervision was not listed on two service plans that were reviewed.		 —
1— 748.4211(a) - Placement Extension-Must document reason for continuing emergency care services in child's record by 16th day that child is in care
The operation was not completing the place extension documentation by the timeframe required.		 —
4— 748.2151(c)(5) - Medication record - must include date (day/month/year) & time each medication was administered
There were several medical logs that were reviewed that did not have the date and time the medication was given.		 —
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
It was determined that one caregiver exceeded the required staff-to-youth ratio, including for youth receiving treatment services.		 —
3— 748.1583(a) - TB exam-Persons over 1 yr old who live, work, volunteer at facility have exam w/in 30 days, unless person had previous exam that meets requirements
One child did not have record of TB testing.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
A child's service plan did not document detailed information telling a caregiver how to observe and keep watch over a child in care.		 —
4— 748.981(a)(1) - First-aid-CPR training-Each caregiver must have current certification in first-aid
There was one caregiver that did not have a current first aid training. The caregiver did complete the training during the inspection.		 Yes
5— 748.3601(4) - Swimming Pool-Pool chemicals & pumps must be inaccessible to children
Swimming pool pump is accessible to children in care.		 —
3— 748.1531(b)(1) - Medical Care-Written record of each medical examination must include a copy of the results
Two files that were reviewed did not have the dental results documented.		 —
5— 748.3601(6) - Swimming Pool-all parts of the swimming pool must be clearly visible during use of the pool
On the day of the outing the water to the swimming pool was not clear.		 —
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 agency had not validated their background list since they were issued a permit.		 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
One out of two files that were read did not have a signature on the Child Rights indicating that they received a copy of the rights or that it was discussed with them.		 —
3— 748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
The discharge summary did not have the frequency of the three medications that the child was taking.		 —
2— 748.1437(3) - Discharge/Transfer Documentation-Must include name, address, telephone number, and relationship of person to whom child is discharged
The discharge summary did not have the address or phone number to whom the child was being discharged to.		 —
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
Two out of two files that were read did not have known allergies listed on the exterior of the child's record.		 —
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
The reason for one medication was not documented on the medication log reviewed.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Several children was not given their medication as prescribed by their doctor.		 —
4— 748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection
The operation's fire iinspection has expired on 08/10/23.		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
The child's initial service plan did not address high risk behaviors.		 —
4— 748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders
Two medications were not given as prescribed to a child.		 —
3— 748.311 - Serious Incident Documentation-Documented in written report
There were three serious incident reports that were not completed. 748.311(4) 2 out of 3 did not have the adults that were involved. 748.311(8) 2 out of 3 did not have follow up interventions. 448.311(9) 3 out of 3 did not have the threating health care provider.		 Yes
3— 748.363(1) - Personnel records-Include date of employment
A staff file that was reviewed did not have the following items: 748.363(1) date of employment, 748.363(3) job description, 748.363(6) a notarized affidavit, and 748.363(9) proof of background eligibility.		 —
4— 748.3235 - Evacuation-Must post the emergency evacuation & relocation diagram in a prominent/visible location in all buildings
There are no evacuation diagrams in all the buildings.		 —
4— 748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection
The Health Inspection expired on 12/4/21.		 —
4— 748.1337(b)(1)(D)(ii) - Initial Service Plan-Include instructions to caregivers about level of supervision required
The child's service plan did not give a comprehensive description, of what the supervision should entail.		 —
3— 748.2151(c)(6) - Medication record - must include name & signature of person who administered each medication
On 1/13/22, there was not a signature or initials of who administered the medication to one child.		 —
5— 748.2101(1) - Medication Storage-Store medication in a locked container
There was medication in the refrigerator that was not locked up.		 —
3— 748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication
The reason for one medication was not documented on the medication log reviewed.		 —
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
Two out of two files that were read did not have known allergies listed on the exterior of the child's record.		 —
5— 748.1337(b)(1)(H)(i) - Initial Service Plan-For child who exhibits high risk behaviors, include plans to minimize risk of harm to self or others
The child's initial service plan did not address high risk behaviors.		 —

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

Inspections (160)

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

Get violation alerts for this daycare

We'll email you when a new inspection or violation is posted. Free.