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A.B.E Residential Services

Name: A.B.E Residential Services
Address: TX, US

Child care center · , TX · License 1720367

0Compliance score
Poor

Capacity 12. 5-17

Violation history (500)

Severity	Date	Standard / narrative	Corrected
4	—	748.1219(1)(A) - Treatment Services Admission-ED or PDD: Admission assessment must include dated, signed psychiatric/psychological assessment with diagnoses Two of two child admission assessments wasn't signed or dated by anyone.	—
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 None of the 3 child records reviewed had documentation on the exterior indicating whether or not the child has any known allergies.	—
3	—	748.311(2) - Serious Incident Documentation-Includes time and date of incident 1 incident report reviewed is missing the date of the incident. Serveral incident reports were not completed entirely and were missing the DOA.	—
3	—	748.311(3) - Serious Incident Documentation-Includes name, age, gender, and date of admission of the child or children involved 1 incident report reviewed is missing the date of admission for the child involved.	Yes
1	—	748.1217(b)(1) - Admission Assessment-At admission, must include child's legal status Two of two records reviewed did not contain the legal status.	—
4	—	748.3563(a) - Protective Surfacing-Must have loose-fill surfacing material or unitary surfacing material in the use zones During the walkthrough of the playground area, no loose-fill was observed in the perimeter around the play structure.	—
4	—	748.3233(b)(2) - Evacuation-Emergency evacuation & relocation diagram must include designated location outside operation where all caregivers & children meet All the Evacuation plans were very detailed, but none of them designated a meeting place for caregivers and children to meet in an emergency evacuation.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards Two shovels were observed outside, with wooden planks, a broken gate, and other loose objects.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication Medication records reviewed did not include the reason the medication was prescribed. The staff's name and signature are also missing.	—
3	—	748.3397(a) - Bathing-Bath & shower areas must provide for individual privacy It was determined that a door connected to the bathroom was broken for over a day and residents were still using it to take a shower.	—
4	—	748.3445(d) - Food Preparation-Food must be protected from contamination It was observed that five food items were not properly stored. There were also two expired food items.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container Medications were observed not properly stored.	—
5	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation has not had an administrator for 100 days.	—
5	—	748.125(c)(1) - Suicide Training-All caregivers and employees must complete at least one hour of annual suicide prevention training. Two employee records reviewed did not contain suicide prevention training.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Two child records reviewed did not contain a preliminary service plan.	—
3	—	748.721(b) - Volunteer personnel record-Include signed/dated statement that volunteer will report child abuse/neglect to Tx Abuse & Neglect hotline & administrator 1 volunteer record reviewed did not include a signed statement stating the volunteer will report any suspected incidents of abuse and neglect.	—
3	—	748.753(a)(1) - Pre-Employment Screening-You must complete reference checks by obtaining the name and contact info of two individuals who can serve as references. Two employee records reviewed did not contain reference checks.	—
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan Two of two child records do not contain an updated service plan from June and July.	—
3	—	748.363(2) - Personnel records-Include documentation showing that the person meets minimum age and qualifications for the position 1 of the 3 staff files reviewed did not have documentaton (high school or college diploma) showing how the staff meets minimum qualifications.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer There was no thermometer in the operation's first aid kit.	—
2	—	748.831(b) - Orientation-Document the completion of the orientation in the appropriate personnel record 1 of the 3 staff files reviewed did not have documentation showing the staff completed orientaton.	—
3	—	748.3365(a) - Bedding-must provide each child with an individual bed or bunk bed in child's room that elevates mattress off floor, or crib as appropriate During the walkthrough of the facility, one child's mattress was observed on the floor without a bed. The operation corrected this citation at inspection by removing the mattress from the floor and placing it on top of a wooded bed.	Yes
1	—	748.1217(c)(6) - Admission Assessment-Prior to initial service plan, add child's school history One of two child records reviewed did not contain the child's previous school history. The assessment is also missing dates and discharge reasons from previous placements.	—
2	—	748.1437(1) - Discharge/Transfer Documentation-Must include date and circumstances of discharge or transfer 1 discharge record was reviewed and is imcomplete. The discharge summary was not completed and is missing a lot of information.	—
4	—	748.3391(a) - Bathrooms-Must be maintained in good repair & kept clean It was observed during the inspection that: 1-the vanity in one of the bathrooms had water damaged causing a soft hole in the cabinet area of the vanity. 2-Two of the toilet tissue holders were broken.	—
2	—	748.565(1) - Professional level service provider-must review/approve admission assessment or other evaluation; sign and date to indicate approval The PLSP did not sign or date the child's admission assessment.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. There were a few items around the home that need to be repaired.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety One of two overnight caregivers was found to be sleeping which inhibits their ability to respond and assist the second caregiver when needed.	—
3	—	748.1217(a) - Admission Assessment-Must provide initial evaluation of appropriate placement & ensure that necessary information for service planning is obtained All 3 admissison assessments reviewed were not complete. Each one either had blanks or unanswered questions.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. It was observed during the inpsection that: 1-Cabinet door in the kitchen was off the hinge. 2-Peeling paint and od wood boards in one of the children's bedrooms. 3-A large hole on the wall in the front bedroom of the house.	—
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 1 volunteer record reviewed has a TB test from 2011, but there is no recent TB test. There is no documentation of the volunteer having lived, worked, or volunteered at a regulated residential child-care operation within the previous 12 months.	—
3	—	748.2151(c)(3) - Medication record - must include reason medication was prescribed, for prescription medication A child's medication log was missing the reason for four different ones. One log is missing a signature, and another one is missing the time medication was administered.	—
4	—	748.983(b) - First-aid-CPR renewal-The caregiver counted in the ratio who must have current CPR certification must maintain a current certification Two of two staff records contained expired certification in CPR.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record One of the children's admission assessments was not signed and dated by all required members.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission One of the children's records reviewed was missing the Preliminary Service Plan.	—
3	—	748.3443(b)(1) - Food Preparation-Must have a thermometer in refrigerators & store refrigerated food at 40 degrees Fahrenheit or below There were no thermometers in the refrigerator, the freezer, or the deep freezer.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records The employee list received was not current and accurate.	—
4	—	748.3445(d) - Food Preparation-Food must be protected from contamination It was observed that two items in the freezer and in the cabinet was not properly stored, and there were expired eggs in the fridge.	—
2	—	748.1381(2) - Service Plan Review-If child receiving treatment services for ED, ASD, or PMN, review at least 90 days from date of last service plan Of the six initial service plans reviewed, four had not been reviewed and updated within the required 90 days. Additionally, three of the initial service plans did not have the appropriate signatures that are required according to minimum standards 748.1337(b)(1)(N) and 748.1333.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards I observed many lose bricks throughout the backyard; a broken light fixture on the side of the house; door in the backyard has wood that appeared to be rotten with holes; a loose cable cord on the ground that used for the generator was not plugged in; loose cords from the lighting system box that is located near the front door.	—
4	—	748.2151(c)(8) - Medication record-must include reasons for administering psychotropic medication or non-prescription medication/supplement for a child under 5 years One of the medication records reviewed was missing reasons for administering the psychotropic medication.	—
4	—	748.3351(1) - Interior Space-Provide living space, appropriate furnishings, & bathroom facilities that are safe, clean and maintained in good repair During the walk-through, it was observed that the flooring in one bedroom was loose and broken. Another room was also observed to have two holes in the wall.	—
3	—	748.363(10) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. The employee file reviewed did not have a signed Reporting Suspectted Abuse and Neglect policy.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services A child's preliminary service plan is not signed nor dated by anyone.	—
4	—	748.2003(b)(5) - Administration of prescription medication-Ensure the child has taken the medication as prescribed A child in care did not receive one of his noon medications for 3/12/25 and 3/13/25.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. It was observed that a spring was broken for one bed, there was an unclean shower floor and drawer in the Rockets restroom area. A closet door is off the hinge. Two window areas need to be swept. Windows also does not have screens.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection During the inspection, documents reviewed showed the fire inspection has expired. The last fire inspection was completed 3/10/2022.	—
3	—	748.2855(a)(3) - EBI Documentation-Must include the de-escalation attempted before and during the use of EBI and the child's reaction to those strategies Two of two child records reviewed contained an incident report regarding a restraint. The report did not specify about the de-escalation technique used and one report did not contain how long the restraint lasted.	—
3	—	748.363(5) - Personnel records-Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care 2 of the 5 employee records reviewed did not include a copy of TB test	—
2	—	748.561(1) - Responsibilities of Professional level service provider-Completing an admission assessment or any other evaluation of a child for placement One of two child records reviewed did not contain an admission assessment.	—
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 One of three employees did not have a drug test.	—
4	—	748.1205(a)(10) - Admission Documentation-Includes known contraindications to the use of restraint 3 of the 3 child records reviewed did not include known contraindications to the use of restraints.	—
4	—	748.3061(2) - Gas Inspection-Operation inspected at least once every 24 months from date of last inspection for gas leaks During the inspection, documents reviewed showed the gas inspection has expired. The last gas inspection was completed 1/8/2021.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A safety plan requested CCI Investigator was not implemented immediately and a signed copy was not returned to CCI investigator until approximately two weeks later.	—
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. The employee file reviewed did not have reference checks completed.	—
4	—	748.1011 - Child/caregiver ratio-Includes only qualified caregivers working directly with a child or group of children A caregiver was caring for two children, where one child required 1:1.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission Two children in care did not have an initial service plan completed by the operation during their placement. The two children were in care for over 70 days. The initial service plans were completed by another operation prior to the children being placed at this operation.	—
3	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation has been without an administrator since 8/20/2021.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission 2 of the 3 child records reviewed did not have an initial service plan	—
4	—	748.1217(b)(5) - Admission Assessment-At admission, must include any history of trauma. One of two records reviewed did not contain the history of trauma, social history or neonatal history. Nor did it contain complete information on the history of previous placements or schools.	—
3	—	748.363(8) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. 1 of the 3 staff files reviewed did not include signed documentation that he will report suspected abuse and neglect.	—
4	—	748.2151(c)(4) - Medication record - must include medication name, strength and dosage Some of the medicatioln records reviewed were missing the dosage.	—
4	—	748.869(c) - Training on administering psych. medication must be instructor-led. The instructor must be a health-care professional or pharmacist. Three of three records reviewed does not contain an instructor led training for psychotropic medication.	—
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 It was determined that the former administrator is no longer working at the agency since 2/10/23 but has yet to be inactivated.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model 2 of the 3 active child's medication records reviewed did not include an accurate count.	—
4	—	748.153(3)(C) - Notification - Remove controlling person The operation no longer has an administrator and did not inform Licensing of this change.	—
3	—	748.363(9) - Personnel records - Include signed dated statement by the employee that he must immediately report suspected child abuse, neglect, or exploitation. One of two employee records reviewed did not contain a statement for reporting ANE.	—
3	—	748.363(3) - Personnel records-Include current job description All 3 staff files reviewed did not include a job description.	—
1	—	748.3397(d)(1) - Bathing-Provide showers and bathtubs with hot & cold running water under sufficient pressure to meet the demands of children It was observed that one of the shower knobs was broken resulted in hot water not available during shower.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly. One Lysol chemical and one RID-X septic back-ups solution were observed inside the children restroom cabinet. The operation corrected the citation by removing the Lysol Chemical and RID -X solution and locking it up.	Yes
3	—	748.509 - TB screening-Caregivers, employees, volunteers, contract service providers screened for TB before having contact with children in care 1 of the 3 staff files reviewed did not have documentation of having a TB test.	—
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 Awake Supervision Policy when they were found to be asleep while present at the operation.	—
2	—	748.1335 - Initial Service Plan-Complete the initial service plan within 45 days after admission Two of two child records did not contain an initial service plan.	—
2	—	748.2853(4) - EBI Documentation-Content of the post discussion, if applicable No post EBI discussion was documented as being held with the child.	—
4	—	748.3301(f) - Physical Site-The grounds of the operation must be well maintained and free of hazards There were shovels out in the open. There were also a few trip hazards outside that will be shared with the operation via email.	—
4	—	748.2101(3) - Medication Storage-Store medication covered by Schedule II of the Texas Controlled Substances Act under double lock in a separate container Medication storage with controlled substance medications were not double locked.	—
3	—	748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form 1 of the 3 staff files reviewed did not have a completed Notarized Licensing Affidavit. The one in his file was completely blank.	—
5	—	748.2461(b)(3) - Short Personal Restraint-Caregiver may not use restraint that obstructs child's airways or impairs child's breathing It was determined that a caregiver choked a child to where they couldn't breathe.	—
3	—	748.3301(a)(2) - Physical Site- Buildings must be clean and in good repair. Dead insects and termites were observed in the bathroom drawers. The outside physical site is unkept.	—
3	—	748.3365(b)(1) - Bedding-must provide each child with a clean and comfortable mattress During the walkthrough of the facility, one damaged (torn) mattress was observed inside one of the children's rooms which a child sleeps on. The operation corrected this citation at inspection by removing the torn mattress from the children's room and replacing it with a new mattress and photo of the new mattress was taken upon approval.	Yes
1	—	748.1337(b)(1)(N) - Initial Service Plan-Include signatures of service planning team members that were involved in development of service plan Four of the four children receiving treatment services the service plans did not have the signatures from the service planning team (CPS, Therapist, Caregiver, CPMS, or the Child).	—
3	—	748.685(c)(6) - Implement and follow the children's service plans. The operation failed to follow the service plans of multiple children in care, as there was observation of multiple child who required lower ratios, left with one staff member.	—
1	—	748.1221(c)(1) - Admission Assessment-Document why a particular piece of information is unavailable The admissions assessments reviewed did not document as to why information was not available or obtained.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was observed that the application from one caregiver states that he graduated from Sterling High School in 1999 but his diploma says that he graduated in 1997 from Sharpstown High School.	—
5	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator It was determined that the operation does not have an administrator.	—
3	—	748.685(e) - Caregiver responsibility-for a child receiving treatment services for an emotional disorder must maintain daily, signed and dated progress notes Two of two records reviewed did not contain progress notes.	—
5	—	748.3301(a)(1) - Physical Site- Buildings must be structurally sound and not pose a risk to the health and safety of children. The entrance ramp to one storage building at the backyard was observed to be damaged which posses safety risk to the children while playing at the back yard. We noticed a missing dog door. We also noticed a poorly maintained pond and an uncovered well at the backyard in the children playing area	—
5	—	748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint 1 incident report reviewed showed that a staff performed a restraint on a child in care and has not had any EBI training.	—
3	—	748.151(1) - Operational responsibilities - Designate a qualified full-time child-care administrator The operation has been without an administrator since 8/20/2021.	—
2	—	748.1583(b) - TB exam-Documentation of baseline test or chest xray results in person's record w/in 40 days of beginning to live, work, volunteer at facility During the inspection, two of three children's records reviewed did not have documentation of a TB skin test.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards 1 closet door, located in the child's room located in the first door to the right of the hall, is completely of the hinge and sitting in the child's room.	—
4	—	748.303(a)(5)(B) - Serious Incident-Report to parents immediately after ensuring the safety of the child. Based on the investigation, serious incident reports were documented regarding a sexual act between residents.	—
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 the operation was out of ratio in June 9, 2024.	—
5	—	748.1531(a)(2) - Medical care-A child in care must receive medical care as needed for injury, illness, and pain It was determined that a child in care was injured but did not receive medical attention.	—
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. Two child records reviewed did not contain the suicide screening assessment.	—
4	—	748.3421(3) - Poisons-Ensure poisonous/flammable material is stored in an area that is inaccessible to children unless child is capable to use responsibly. I observed that the doorway to the garage was unlocked and opens to a commonly used play space. The garage contained poisonous chemicals that would be accessible to children without the garage door being locked.	—
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions All 3 child records reviewed were missing immunization records.	—
3	—	748.2855(a)(4) - EBI Documentation-Must include the specific emergency behavior intervention administered Two incident reports for a restraint do not include documentation of the specific EBI administered or the length of time the child was restrained.	—
3	—	748.363(1) - Personnel records-Include date of employment 2 of the 3 staff files reviewed did not have the start date of employment for the staff.	—
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 One incident report indicates that a child was injured and transported to the hospital by an ambulance; this was not reported to licensing.	—

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

Inspections (240)

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

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