Redicare

Child care center · 5311 RIVERS EDGE DR, Richmond, TX 77469-2362 · License 1721433

0Compliance score
Poor

Capacity 12. 7-17

Violation history (500)

Severity	Date	Standard / narrative	Corrected
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 employee records reviewed did not contain verification of a TB skin test completed.	—
4	—	748.2307(9) - Other Prohibited Punishments-subjecting a child to abusive or profane language Staff member used profane language to a child in care.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model Medication log daily log was not documented.	—
5	—	748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation This standard was found deficient as part of a DFPS investigation.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container Refrigerated medication was observed to be kept unlocked in the refrigerator.	Yes
4	—	748.930(a)(2) - Caregivers at operations with 25 or more children or 30% or more of their population receiving treatment services must have 50hrs annual training One out of three employee files reviewed did not contain the required 50 hours for annual training.	—
2	—	748.1209(a) - Child Orientation-Provided to child who is 5 years old or older within 7 days of admission and geared to child's intellectual level Child's file did not have signed orientation.	—
5	—	748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being It was discovered in this investigation caregivers forgot a youth alone at an event for about an hour before discovering the youth was missing.	—
4	—	748.535(2) - AP Child-care administrator responsibilities- Ensure the operation complies with current heightened monitoring plans, if applicable. During a review conducted on 04/8/2026 it was determined that: (1) the Administrator failed to ensure compliance with the current HM Plan; and (2) 12 months had elapsed since the effective date of the plan. The heightened monitoring plan for this operation included a specific ?planned end date? at the 12-month mark by which the operation was expected to meet all heightened monitoring criteria necessary to move out of active heightened monitoring to a phase of ?post plan monitoring?. As a direct result of the administrator?s failure to ensure timely compliance with the heightened monitoring plan, this operation is now unable to successfully move to post-plan monitoring. Furthermore, the operation?s ?planned end date? must now be revised, and the period of heightened monitoring must be extended. Further details of the administrator?s failure to ensure compliance include the following: - Operation failed to satisfy the conditions of the plan - Operation failed to demonstrate 6 months of successive compliance with the standard and contract requirements that led to heightened monitoring; and - Operation was unable to meet compliance with Medium-High or High weighted licensing citations, including having an open investigation.	—
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's current employee list in the portal has not been validated in over three months.	—
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 used inappropriate language while performing their assigned tasks.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.	—
4	—	748.3303 - Physical Site-Living quarters, recreation & dining areas, bathrooms, bedrooms, & kitchens must be adequately ventilated A bedroom window where a child in care currently resides in has been boarded up (interior) for approximately three months. There is no mechanical ventilation system.	—
2	—	748.1437(7) - Discharge/Transfer Documentation-For emergency discharge/transfer, document reason for discharge/transfer explained to child, and child's reaction There was no discharge/transfer documentation that outlined what the child's reaction was to discharge or other information such as list of medications, physical condition, etc.	—
3	—	748.3239(a) - Evacuation-Must practice unannounced fire drill at least once every 6 months from date of last fire drill There was only one fire drill documented as completed in an annual timeframe. There was no severe weather drill documented as completed. The fire drill was indicated to be completed over the required three minutes.	—
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 child files reviewed had an acknowledgement of the child's rights signed by operational staff but not the child.	—
5	—	748.2101(1) - Medication Storage-Store medication in a locked container During the walkthrough of the operation, there was an open purse viewied on the kitchen counter with a staff member's OTC medication.	Yes
4	—	748.2151(c)(4) - Medication record - must include medication name, strength and dosage Guanfacine 2mg on the medication log was prescribed as Guanfacine 2mg ER that's listed on the actual medication.	—
5	—	748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting Staff threaten to use corporal punishment to child in care.	—
3	—	748.505(b)(5) - Minimum qualifications for employees- Must complete a Pre-Employment Affidavit for Applicants for Employment. 748.505(5)-Four out of four employee files reviewed did not contain affidavit form 2912 in the file, 748.505(6) (a)-2 out of 4 employees did not have verification of previous employment and did not have references verified.	Yes
2	—	748.1539(b) - Immunizations-The operation must maintain current immunizations records for each child in care, including any exemptions or exceptions Child's file was missing immunizations records.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders The victim child was seen on 3/6/2025 and was prescribed Clonidine 0.1mg to take 2 tablets in the morning and 1 table in the evening. A psychiatric evaluation was completed at In Touch Psychiatry on 3/11/2025 and reports that Clonidine is to be taken twice daily, once in the morning and once in the evening. However, after the change the medication log shows that clonidine 0.1mg was still given twice in the morning and once in the evening.	—
3	—	748.363(4) - Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position Staff file reviewed is missing education required documentation .	—
4	—	748.1205(a)(7) - Admission Documentation-Includes child's immunization record One out of two child files reviewed did not contain an immunization record or documented attempts to obtain.	—
3	—	748.3319(a) - Required Postings-Residential Treatment Center's must have The facility did not have a required no trespassing sign posted.	—
4	—	748.863(a)(3) - Caregiver for child-care or prog. svcs only must have 8 hours EBI training, 4 before counted in ratio, rest in 90 days; 16hrs for treatment svcs During inspection, it was noticed that 1 of 4 personnel records has only 8 hrs of EBI training completed within a month of hire but lacks the other 8 hrs of EBI training within 90 days.	—
1	—	748.1703(c) - Menus-must date menus and keep copies for 90 days During the inspection, it was observed that the date on the menu showed 6/06/2021 ? 6/12/2021.	—
3	—	748.681(2) - Caregiver qualifications- HS diploma or GED from program recognized by TEA, TPSAC, other state or documentaion of equivalency from home schooling The employee file viewed for a direct care staff member did not have a copy of the staff's high school diploma or GED.	—
2	—	748.1331(a) - Preliminary Service Plan-Complete plan that addresses child's immediate needs within 72 hours of admission Two out of four youth files reviewed contained a preliminary service plan that was completed more than the required 72 hours after their admission date.	—
4	—	748.2203(c) - Medication Error-Operation must meet documentation requirements within 24 hrs Documentation was not completed for a medication count error.	—
4	—	748.3101(2) - Fire Inspection-Must have fire inspection at least once every 12 months from date of last fire inspection The fire extinguishers upstairs and downstairs were both last inspected about 14 months ago evidenced by their tags which is over the required inspection timeframe.	—
4	—	748.3001(a)(2) - Sanitation Inspection-Sanitation official must conduct sanitation inspection at least once every 12 months from date of last inspection it was observed during todays inspection at the facility that the health inspectiton expired on 5-10-25. The administrator confirmed it has expired and that they have scheduled for the inspection to be completed tomorrow 6-14-25.	—
3	—	748.3117(a) - Fire Extinguisher-Company licensed by State Fire Marshal must inspect each fire extinguisher at least annually & conduct any service or testing Two fire extinguishers were observed to have an outdated annual inspection.	—
3	—	748.1333 - Preliminary Service Plan-Treatment director or PLSP must develop, sign, and date the plan for children receiving treatment services One out of four youth files reviewed contained a preliminary service plan that was not signed by a treatment director or a PLSP.	—
1	—	748.1215(b) - Admission Assessment-Professional level service provider must sign & date assessment, which must be in child's record Three out of four youth in care files reviewed did not contain an admission assessment that included the majority of the required information.	—
3	—	748.363(11) - Personnel records-Include record of training and training hours Staff file reviewed is missing the required trainings.	—
3	—	748.941(b) - Training Criteria- Training on emergency behavior intervention and administering psychotropic medication must be instructor-led. 2 out of 4 employees did not have instructor led psychotropic training.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records Communication form was observed to have inaccurate information about a child being present during an unannounced visit completed by the Administrator.	—
3	—	748.311 - Serious Incident Documentation-Documented in written report The serious incident report provided did not include the required components.	—
3	—	748.531(a)(2) - Child-care administrator-Licensed according to HRC Chapter 43 and Subchapter N of Chapter 745 The operation's administrator has had an expired LCCA license for almost 2 months.	—
3	—	748.505(b)(4) - Minimum qualifications for employees-Complete notarized Licensing Affidavit for Applicants for Employment form One out of three employee records reviewed did not contain a signed Affidavit for Employment.	—
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 During a review of one of the child's files, a child in care was missing her signature on her child's right form.	—
5	—	748.2101(2) - Medication Storage-Keep medication inaccessible other than to employees responsible for stored medication During the inspection, there was observed a youth's nasal spray in an unlocked drawer in the kitchen.	Yes
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 out of four youth files reviewed did not contain a suicide screening from admission.	—
4	—	748.1205(a)(7) - Admission Documentation-Includes child's immunization record Two out of three child files reviewed did not contain a copy of the child's immunization record or any documentation indicating attempts to obtain it.	—
5	—	748.3421(2) - Poisons-The operation must ensure that poisonous or flammable materials are kept separate from medication, food, food prep and dining surfaces The pantry which has food for the residence, also has cleaning supply, which should be kept seperate from food.	—
2	—	748.3273(8) - First Aid Kits-Each one must contain thermometer Four out of five first aid kits did not contain a thermometer.	Yes
2	—	748.949(b)(5) - Annual Training Documentation-Includes the length of the training in hours During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.	—
5	—	748.2453 - Emergency Behavior Intervention-Only a qualified caregiver may administer emergency behavior intervention, except short personal restraint A child in care was performing restraints on other children.	—
4	—	748.930(b)(1)(A) - Annual Training-Caregivers in operations other than cottage homes must have 4 hrs of EBI every 6 months. During inspection, 1 of 4 records indicated personnel's last EBI training had been completed over 6 mths ago.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model The daily count on a child's medication log was observed to be inaccurate.	—
4	—	748.1101(b)(4)(A)(v) - Children's rights- To be free from being subjected to remarks that belittle or ridicule the child or the child's family A staff member told a child in care they would not make it in the military due to their sexuality.	—
2	—	748.3273(4) - First Aid Kits-Each one must contain cotton balls Three out of five first aid kits did not contain cotton balls.	Yes
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records It was determined that a signature on the medical consent form was not signed by person listed.	—
3	—	748.363(11) - Personnel records-Include record of training and training hours Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.	—
3	—	748.63(1) - Types of services-Operation must only provide services listed on permit The operation is providing services out of the scope of its permit. Specifically, the operation is providing care to a child outside of the permitted age range and offering ASD related services to children with autism.	—
2	—	748.561(3) - Responsibilities of Professional level service provider-Completing a discharge or transfer summary for a child One out of four youth files reviewed did not contain a discharge summary.	—
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. A youth in care was on an unauthorized absence from the operation for more than 6 hours, and it had failed to be reported to Licensing.	—
1	—	748.4111(a) - Transportation records-Must maintain on file at the operation the name of each driver and a copy of that person's valid driver's license During the inspection, it was discovered a staff who transports children doesn't have a valid driver's license on file.	Yes
3	—	748.3111(a) - Smoke Detector-Administrator or designee must test battery-operated smoke detectors monthly; date tested & name of employee that did test documented There was no documentation of the smoke detectors being tested monthly.	—
4	—	748.3301(c) - Physical Site-Windows & doors must be in good repair & free of broken glass or hazards Several windows at the operation did not have screens. Note: This was corrected at inspection due to window screens recently being installed on windows.	Yes
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A child's admission date was documented as 1/14/2026 in a preliminary service plan, while the admission assessment had no date of admission. In a review of the visitor log, the child was not placed until 1/15/2026.	—
3	—	748.363(4) - Personnel records-Include evidence of valid professional licensures, certifications, or registrations required for the position Two of the staff files reviewed did not contain information to verify educational requirements for the job positions.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders Staff admitted to intentionally giving a child in care medication earlier than the child was supposed to receive the medication.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model Medication counts were off on two different prescribed medications.	—
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 The operation failed to inactivate several employees no longer associated with the operation in the portal within the required timeframe.	—
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 A staff member at the facility has worked with the operation for about two months and never had a completed drug test.	—
3	—	748.363(1) - Personnel records-Include date of employment Three out of three employee records reviewed did not indicate a date of employment.	—
3	—	748.63(1) - Types of services-Operation must only provide services listed on permit The operation is providing services to 2 children with a diagnosis of ASD, a service not listed on their permit.	—
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current Child CONCERTA Medication was discontinued by the doctor upon child discharge from the hospital on 5-12-25. However, the medication log for CONCERTA for 5-12 and 5-13 did not state the medication was discontinued by the doctor at the hospital.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records One out of four youth files reviewed referenced another youth throughout their service plan and contained wrong admission dates on different documents in the file.	—
5	—	748.363(11) - Personnel records-Include proof of request for background checks. During a review of personnel records, four employees were missing proof of request for background checks.	—
2	—	748.1387 - Service Plan Review-Must comply with notification, participation, implementation, and documentation requirements for an initial service plan It was discovered during the investigation caregivers were not aware what the service plan stated for the supervision needs of the children.	—
3	—	748.363(11) - Personnel records-Include record of training and training hours Staff file reviewed is missing the majority of the required trainings certificates or a collective sheet to indicate which trainings were taken.	—
4	—	748.393(b)(2) - Active child record-Includes known allergies and chronic conditions or Child records did not provide easy access to known allergies and chronic health conditions.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records An incident report outlined that a child was dispensed OTC on 11/12/2025 and no medication record was available at the time of the visit. The operation later provided a medication record detailing when the OTC was dispensed, and date documented on the incident report did not align with the medication record.	—
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 out of four youth files reviewed did not contain documentation to show that the youth had a TB skin test.	—
3	—	748.3319(a) - Required Postings-Residential Treatment Center's must have During the inspection, I observed the no trespassing sign posted by the entry way missing the required verbiage.	—
4	—	748.601 - Treatment Director-Facility providing treatment services to 25 or more children or to more than 30% of children in care must have treatment director The treatment director was said to only work about 20 hours per week instead of full-time hours.	—
5	—	748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety The children were inadequately supervised and led to an altercation.	—
3	—	748.151(3) - Operational responsibilities - Maintain current, true, accurate, and complete records A service plan reviewed did not list the child's Autistic disorder diagnosis.	—
3	—	748.311(6) - Serious Incident Documentation-Includes nature of the incident During a review of the incident report, it was found that the documentation did not clearly describe the circumstances surrounding the child's injury involving a razor. The report lacked sufficient detail regarding what occurred, staff awareness, and the actions taken to ensure the chid's safety following the incident.	—
3	—	748.125(c)(1)(C) - Caregivers and employees must complete 1hr annual suicide training with curriculum that includes the understanding of suicide screening. Three out of three employee files reviewed did not contain verification of suicide training being completed.	—
2	—	748.751(b)(2) - Pre-Employment Screening-You must document the results of any contact with an applicant's previous employers in the personnel file. Three out of three employee files reviewed did not contain documentation of the results of the reference and employment history checks.	—
4	—	748.2151(d) - Medication Record-must include accurate daily count of each prescribed medication, unless operate on a cottage home model One medication record reviewed did not include the daily count.	—
2	—	748.949(b)(5) - Annual Training Documentation-Includes the length of the training in hours 3 out of 4 employee files reviewed contained training certificates missing the training hours.	—
3	—	748.393(b)(3) - Active child record - Ensure record is kept accurate and current One out of three child files reviewed contained conflicting names with signatures on a medical consenter form. The same child file also did not include the child's signature on the service plan. A few files reviewed contained other documents in them pertaining to other individuals.	—
3	—	748.363(6) - Personnel records- Include copy of a cleared tuberculosis screening conducted prior to the person having contact with children in care. One out of three employee files reviewed did not contain a copy of TB test results or a signed & notarized affidavit for employment.	—
2	—	748.949(b)(5) - Annual Training Documentation-Includes the length of the training in hours During review of records, it was found that 3 out of 4 records reviewed lacked documentation showing the amount of time caregivers attended transportation training.	—
1	—	748.1205(a)(6) - Admission Documentation-Includes medication the child is taking The operational Admissions Assessment document does not state if the child is on medication and what medication the child is taking, if any.	—
4	—	748.930(a)(2) - Caregivers at operations with 25 or more children or 30% or more of their population receiving treatment services must have 50hrs annual training During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.	—
2	—	748.3273(6) - First Aid Kits-Each one must contain scissors Three out of five first aid kits did not contain scissors.	Yes
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. Two out of three employee files reviewed did not contain documentation of the reference and employment checks being completed.	—
4	—	748.930(a)(2) - Caregivers at operations with 25 or more children or 30% or more of their population receiving treatment services must have 50hrs annual training During inspection, 3 of 4 records reviewed showed personnel with less than 50 hours of annual training.	—
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 The child/caregiver ratio was 1:7 for children receiving treatment services which resulted in runaways from the operation.	—
2	—	748.561(3) - Responsibilities of Professional level service provider-Completing a discharge or transfer summary for a child One out of four youth files reviewed did not contain a discharge summary.	—
4	—	748.2151(a) - Medication Record-Maintain cumulative record of prescription medications dispensed to child, include nonprescription meds for child under five yrs old Three out of three youth medication files reviewed contained count errors versus the actual remaining count of medications administered. One out of the three files reviewed had a medication dosage documented incorrectly.	—
4	—	748.2003(b)(3) - AP Administration of prescription medication-Administer medications according to instructions or a prescribing health-care professional's orders A youth in care did not receive a prescribed medication for three months.	—
4	—	748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks A caregiver didn't demonstrate prudent judgement when leaving medications unattended which resulted in a youth in care ingesting unprescribed medications.	—

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

Inspections (424)

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

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